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Name of Policy:Do Not Resuscitate Orders (DN RCC & DN RCC Arrest) and Refusal of Life Sustaining TreatmentsPolicy Number:33641004501Department:Hospital AdministrationApproving Officer:Chief Executive
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How to fill out do not resuscitate orders

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How to fill out do not resuscitate orders

01
Obtain the necessary do not resuscitate (DNR) forms from a healthcare provider or hospital.
02
Read and understand the instructions on the form thoroughly.
03
Fill out the patient's personal information accurately, including their full name, date of birth, and medical record number.
04
Specify the healthcare facility where the DNR order is being issued.
05
Indicate the specific circumstances under which resuscitation should not be performed, such as cardiac arrest or respiratory failure.
06
Follow any additional guidelines or instructions provided on the form.
07
Sign and date the DNR form, and ensure that the patient or their legal representative also signs the form.
08
Submit the completed DNR form to the healthcare provider or hospital that issued it for proper documentation and inclusion in the patient's medical records.

Who needs do not resuscitate orders?

01
Patients who have a terminal illness and do not wish to receive life-saving measures in the event of a cardiac arrest or respiratory failure.
02
Patients with a poor prognosis or advanced age who do not wish to undergo resuscitation attempts that may not be effective or may result in a decreased quality of life.
03
Patients with medical conditions or a history of diseases that make resuscitation efforts futile or unlikely to succeed.
04
Patients who have expressed their desire to forego resuscitation in the event of a life-threatening emergency.
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Do not resuscitate orders instruct healthcare providers not to perform CPR or other life-saving measures in case of cardiac or respiratory arrest.
Do not resuscitate orders are typically filed by patients or their legal representatives in consultation with healthcare providers.
Do not resuscitate orders can be filled out by completing a form provided by the healthcare facility or speaking with a healthcare provider to document preferences.
The purpose of do not resuscitate orders is to respect the patient's wishes regarding end-of-life care and avoid unnecessary medical interventions.
Do not resuscitate orders must include the patient's name, signature or consent, date of documentation, and specific instructions regarding resuscitation preferences.
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