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EMS DNR EMERGENCY MEDICAL SERVICES EMS / DO NOT RESUSCITATE DNR FORM Will your Patients wishes to avoid unwanted resuscitation be honored during a medical emergency outside of the hospital The EMS-Do Not Resuscitate DNR form developed by the EMS Bureau Epidemiology and Response Division of the New Mexico Department of Health instructs EMS personnel to forgo resuscitation attempts in the event of a patient s cardiopulmonary arrest. The form has 3 parts. One for your patient one for your...
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How to fill out dnr form new mexico
How to fill out a DNR form in New Mexico:
01
Obtain a copy of the DNR form: You can obtain a copy of the Do Not Resuscitate (DNR) form from your healthcare provider, hospital, or directly from the New Mexico Department of Health website.
02
Review the instructions: Read the instructions on the DNR form carefully. Make sure you understand the purpose of the form and how it will be used.
03
Complete personal information: Fill in your full legal name, date of birth, address, and contact information in the designated sections of the form.
04
Appoint a healthcare agent (optional): If you wish to appoint a healthcare agent who can make medical decisions on your behalf, include their full name, contact information, and relationship to you.
05
Specify your wishes: In the appropriate sections, indicate whether or not you wish to receive specific life-saving treatments, such as cardiopulmonary resuscitation (CPR), mechanical ventilation, or other medical interventions.
06
Witness and signature: Sign the DNR form in the presence of two adult witnesses who are not your healthcare providers. The witnesses must also sign the form, acknowledging that they witnessed your signature and that you appeared to sign the form voluntarily.
Who needs a DNR form in New Mexico?
01
Individuals with a serious illness: Individuals who have been diagnosed with a serious illness and do not wish to receive life-saving interventions amidst a medical emergency may need a DNR form.
02
Elderly individuals: As people age, they may have specific preferences regarding end-of-life care. Having a DNR form in place ensures that their wishes are respected and followed.
03
Terminally ill patients: Individuals with a terminal illness who have decided to forgo life-sustaining treatments and interventions may need a DNR form to ensure their wishes are honored.
Note: It is essential to consult with your healthcare provider and legal counsel when completing a DNR form to ensure it aligns with your specific medical situation and legal requirements in New Mexico.
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What is dnr form new mexico?
The DNR form in New Mexico, which stands for Do Not Resuscitate, is a legal document that allows individuals to indicate their wishes regarding medical treatment in the event of a medical emergency, specifically regarding resuscitation efforts.
Who is required to file dnr form new mexico?
In New Mexico, individuals who wish to have a Do Not Resuscitate order in place must file the DNR form. This is typically done by those with serious health conditions or individuals who have discussed their end-of-life care preferences with their healthcare providers.
How to fill out dnr form new mexico?
To fill out the DNR form in New Mexico, an individual should provide their personal information, including name and date of birth, consult with a healthcare provider to discuss the implications, and sign the form in the presence of a witness or notary if required.
What is the purpose of dnr form new mexico?
The purpose of the DNR form in New Mexico is to communicate a person's wishes regarding life-sustaining treatments and resuscitation efforts, ensuring that healthcare providers respect these wishes during medical emergencies.
What information must be reported on dnr form new mexico?
The DNR form in New Mexico typically requires the individual's name, date of birth, a statement of their wishes regarding resuscitation, the signatures of the individual and witnesses, and, where applicable, the signature of a healthcare provider.
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