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THE REGIONAL EMERGENCY MEDICAL SERVICES COUNCIL OF NEW YORK CITY, INC.NYC REMAP
Advisory No. 200901
Title: Termination Of Resuscitation (TOR) For
Futility Physician Guideline
Issue Date: January 21,
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How to fill out title termination of resuscitation
How to fill out title termination of resuscitation:
01
Begin by entering the patient's personal information, including their full name, date of birth, and any identifying numbers such as a medical record number.
02
Indicate the date and time of the incident when resuscitation measures were initiated.
03
Specify the location where the incident occurred, such as a hospital, home, or public area.
04
Provide a brief summary of the events leading up to the decision to terminate resuscitation efforts.
05
State the criteria used to determine termination of resuscitation, such as the absence of signs of life, lack of a shockable rhythm, or failure to achieve return of spontaneous circulation after appropriate interventions.
06
Include the names and roles of the healthcare professionals involved in the decision to terminate resuscitation.
07
Document any additional information deemed necessary, such as relevant medical history, witnessed arrest, or advanced directives.
08
Sign and date the form, along with any required witness signatures.
09
Make copies of the completed title termination of resuscitation form to distribute to appropriate healthcare providers involved in the patient's care.
Who needs title termination of resuscitation?
01
Healthcare professionals involved in emergency medical services (EMS) or critical care settings may need to complete title termination of resuscitation forms.
02
These forms are typically used in situations where resuscitation efforts have been initiated for a patient experiencing cardiac arrest but are unsuccessful or deemed futile.
03
This process helps provide documentation and legal protection for healthcare providers involved in making the decision to cease resuscitation efforts and allows for proper communication with other healthcare providers and agencies involved in the patient's care.
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What is title termination of resuscitation?
Title termination of resuscitation is a legal process that allows for the termination of resuscitation efforts on a patient.
Who is required to file title termination of resuscitation?
It is typically the attending physician or medical team responsible for the patient's care who is required to file title termination of resuscitation.
How to fill out title termination of resuscitation?
Title termination of resuscitation is typically filled out with the patient's information, physician's signature, and details of the resuscitation efforts.
What is the purpose of title termination of resuscitation?
The purpose of title termination of resuscitation is to officially declare the end of resuscitation efforts on a patient who is unlikely to recover.
What information must be reported on title termination of resuscitation?
Information such as patient's name, medical record number, date and time of termination, reason for termination, and physician's signature must be reported on title termination of resuscitation.
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