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! # ! $ ! %! & (! & DO NOT RESUSCITATE ORDER I have discussed my health status with my physician, I request that in the event my heart and breathing should stop, no person shall attempt to resuscitate
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How to fill out do not resuscitate order

How to Fill Out a Do Not Resuscitate Order:
01
Obtain the necessary forms: Start by obtaining the appropriate do not resuscitate (DNR) order forms from your healthcare provider or local authority. These forms may vary depending on your jurisdiction.
02
Review the instructions: Carefully read through the instructions provided on the DNR form. Familiarize yourself with the process and any specific requirements that need to be followed.
03
Document personal information: Fill out your personal information on the form, including your full name, date of birth, gender, address, and contact details. This information helps ensure proper identification.
04
Indicate emergency contact information: Provide the name and contact details of the person whom healthcare professionals should contact in case of an emergency. This individual should be aware of your wishes and be able to make decisions on your behalf.
05
Specify treatment preferences: Clearly express your treatment preferences by indicating whether you are requesting a full resuscitation effort or if you would like to opt for limited interventions, such as no chest compressions or intubation. Remember that DNR orders may vary in specificity, so ensure that your preferences are accurately reflected on the form.
06
Discuss with your healthcare provider: It's essential to have a conversation with your healthcare provider about your decision to complete a DNR order. They can provide guidance, answer any questions you may have, and help you understand the potential implications and consequences of your decision.
Who Needs a Do Not Resuscitate Order:
01
End-of-life patients: Do not resuscitate orders are commonly requested by individuals who have been diagnosed with a terminal illness or are in a critical condition. These individuals may have made the decision in consultation with their healthcare team and loved ones.
02
Patients with advanced directives: Those who have prepared advance directives or living wills, which outline their preferences for medical treatments in case they cannot communicate their wishes, may express their desire for a DNR order in these documents.
03
Those with incurable conditions: Individuals living with irreversible conditions, such as advanced dementia or severe organ failure, may choose to have a DNR order in place to avoid unnecessary suffering or interventions that they feel would not improve their quality of life.
Remember, the decision to request a DNR order is personal and should be made after careful consideration, discussions with healthcare professionals, and input from trusted loved ones or legal advisors. It's important to understand the legal and ethical implications of these orders in your specific jurisdiction.
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What is do not resuscitate order?
A do not resuscitate order is a medical order written by a physician instructing healthcare providers not to perform CPR in case of cardiac or respiratory arrest.
Who is required to file do not resuscitate order?
A physician is required to file a do not resuscitate order.
How to fill out do not resuscitate order?
To fill out a do not resuscitate order, a physician must document the patient's or legal representative's decision to opt out of CPR.
What is the purpose of do not resuscitate order?
The purpose of a do not resuscitate order is to respect the patient's wishes to avoid life-saving measures such as CPR.
What information must be reported on do not resuscitate order?
A do not resuscitate order must include the patient's or legal representative's decision to opt out of CPR, along with the physician's signature and date.
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