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OUTOFHOSPITAL DONOTRESUSCITATE ORDER 1. Patients Name: 2A. Attending Physician Statement: I, the undersigned, state that I am the attending physician of the patient named above. The above named patient,
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How to fill out pennsylvania do not resuscitate

01
To fill out Pennsylvania Do Not Resuscitate (DNR) form, follow these steps:
02
Obtain the official Pennsylvania DNR form from a healthcare provider or download it from the Pennsylvania Department of Health website.
03
Read the instructions carefully before filling out the form.
04
Provide the necessary information, such as the patient's name, date of birth, and contact information.
05
Indicate the date on which the DNR order is being issued.
06
Specify the desired scope of the DNR order, including whether it applies to cardiopulmonary resuscitation (CPR), advanced airway management, and other interventions.
07
If applicable, indicate any specific medical conditions or circumstances under which resuscitation should still be attempted.
08
Sign and date the form, and have it witnessed by at least two adults who are not named as health care agents.
09
Communicate the existence of the DNR order to healthcare providers, family members, and other relevant individuals.
10
Keep a copy of the completed form for your records.
11
Review and update the DNR order as necessary.

Who needs pennsylvania do not resuscitate?

01
Pennsylvania Do Not Resuscitate (DNR) orders are typically for individuals who have made a decision to refuse resuscitation in the event of cardiac or respiratory arrest.
02
Commonly, DNR orders are intended for individuals with terminal illnesses, advanced age, or irreversible medical conditions.
03
The decision to have a DNR order should be made in consultation with a healthcare provider and based on the individual's values, wishes, and prognosis.
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Pennsylvania do not resuscitate is a legal order that allows individuals to choose not to receive cardiopulmonary resuscitation (CPR) if their heart stops or they stop breathing.
Pennsylvania do not resuscitate forms must be completed by a physician in consultation with the patient or their legal representative.
To fill out a Pennsylvania do not resuscitate form, a physician must discuss the patient's medical condition and treatment preferences, and then complete the necessary paperwork.
The purpose of Pennsylvania do not resuscitate is to ensure that a patient's wishes regarding resuscitation are followed in the event of a medical emergency.
Pennsylvania do not resuscitate forms must include the patient's name, date of birth, medical condition, treatment preferences, and the physician's signature.
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