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EMERGENCY MEDICAL SERVICES PREHOSPITAL DO NOT RESUSCITATE (DNR) FORM PURPOSE The Prehospital Do Not Resuscitate (DNR) Form has been developed by the California Emergency Medical Services Authority,

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How to fill out do not resuscitate dnr

01

Discuss with a healthcare provider to determine if a DNR order is appropriate

02

Complete a DNR form with the necessary information

03

Have the form signed by the patient or their legal representative

04

Make sure the DNR form is easily accessible and visible to healthcare providers

Who needs do not resuscitate dnr?

01

Individuals who have a terminal illness and wish to avoid resuscitation measures

02

Patients who have made the decision, in consultation with their healthcare provider, to forego resuscitation in the event of cardiac or respiratory arrest

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What is do not resuscitate dnr?

Do Not Resuscitate (DNR) is a legal order written by a doctor stating that no CPR should be performed if a person's heart stops or if they stop breathing.

Who is required to file do not resuscitate dnr?

A doctor, in consultation with the patient or their surrogate decision-maker, is required to file a Do Not Resuscitate (DNR) order.

How to fill out do not resuscitate dnr?

To fill out a Do Not Resuscitate (DNR) order, a doctor must write the order after discussing it with the patient or their surrogate decision-maker and ensuring that it is documented properly in the patient's medical records.

What is the purpose of do not resuscitate dnr?

The purpose of a Do Not Resuscitate (DNR) order is to respect the wishes of a patient who does not want to receive CPR if their heart stops or if they stop breathing.

What information must be reported on do not resuscitate dnr?

A Do Not Resuscitate (DNR) order must include the patient's name, the date the order was written, the physician's signature, and any specific conditions or limitations related to the DNR order.

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