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Get the free Metal Bracelet DNR Order Form - ctacep.wp.acep.org

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Connecticut College of Emergency Physicians 60 Kings Highway, North Haven, CT 06473 DNR INLINE:(203)2348766Orange DNR BRACELET ORDER FORM Ordering Institution/Licensed Physician: Contact Person: Address:
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How to fill out metal bracelet dnr order

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How to fill out metal bracelet dnr order

01
Start by gathering all the required information such as the patient's personal details, medical history, and any specific instructions for the DNR order.
02
Obtain a metal bracelet DNR order form from a hospital or healthcare facility.
03
Fill out the form by entering the patient's full name, date of birth, and contact information.
04
Provide the patient's medical history, including relevant conditions, allergies, and current medications.
05
Clearly indicate the patient's consent for a Do Not Resuscitate (DNR) order.
06
If there are any specific instructions or preferences, ensure to document them on the form.
07
Review the completed form for accuracy and completeness.
08
Sign and date the form as the authorized person responsible for completing the DNR order.
09
Submit the filled out metal bracelet DNR order form to the appropriate healthcare provider or hospital for processing.
10
Keep a copy of the completed form for your records and provide another copy to the patient, if necessary.

Who needs metal bracelet dnr order?

01
A metal bracelet DNR order is typically for individuals who have made the decision to not receive cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest.
02
These individuals may have a terminal illness, advanced age, or significant health conditions that make resuscitation undesirable or unlikely to be successful.
03
The DNR order provides a clear indication to healthcare providers and emergency responders that the patient does not wish to undergo life-saving measures like CPR.
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Metal bracelet dnr order is an official document that specifies a patient's do not resuscitate (DNR) status and is worn as a bracelet for easy identification.
The attending physician or healthcare provider is required to file the metal bracelet dnr order.
To fill out the metal bracelet dnr order, the attending physician must specify the patient's DNR status, sign and date the form.
The purpose of the metal bracelet dnr order is to ensure that the patient's DNR status is easily identified in case of a medical emergency.
The metal bracelet dnr order must include the patient's name, DNR status, signature of the attending physician, and date.
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