Official Do Not Resuscitate Order Document

When considering a Do Not Resuscitate (DNR) Order, it is essential to understand its implications and the process of filling it out. Here are some key takeaways:

• Understanding the DNR Order: A DNR Order is a legal document that indicates a person's wish not to receive cardiopulmonary resuscitation (CPR) in the event of cardiac arrest.
• Eligibility: Generally, anyone can create a DNR Order, but it is most commonly used by individuals with terminal illnesses or those who wish to avoid aggressive medical interventions.
• Consultation is Key: It is advisable to discuss your wishes with healthcare providers and family members before completing the DNR Order.
• Filling Out the Form: Ensure that all required fields are accurately completed, including personal information and the signature of the patient or their legal representative.
• State Regulations: DNR Orders are governed by state laws, so it is crucial to be aware of specific regulations in your state regarding the form and its acceptance by medical personnel.
• Accessibility: Keep the DNR Order in a place that is easily accessible to healthcare providers, such as your medical records or a visible location in your home.
• Review Regularly: It is important to review and update your DNR Order periodically, especially if your health status or personal wishes change.

What is a Do Not Resuscitate (DNR) Order?

A Do Not Resuscitate Order is a medical directive that informs healthcare providers not to perform cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest. This order is often used by individuals with terminal illnesses or those who wish to avoid aggressive medical interventions at the end of life.

Who can request a DNR Order?

Typically, a DNR Order can be requested by a patient who is capable of making their own healthcare decisions. In cases where the patient is unable to communicate, a legally authorized representative, such as a family member or designated healthcare proxy, may make the request on their behalf.

How is a DNR Order created?

A DNR Order is usually created in consultation with a healthcare provider. The process involves discussing the patient's medical condition, treatment preferences, and the implications of the order. Once agreed upon, the order is documented in the patient's medical record and may require a signature from both the patient and the physician.

Is a DNR Order the same as an Advance Directive?

No, a DNR Order is not the same as an Advance Directive, although they are related. An Advance Directive is a broader legal document that outlines a person's wishes regarding medical treatment in various situations, including end-of-life care. A DNR Order specifically addresses the decision to forgo resuscitation efforts.

Can a DNR Order be revoked?

Yes, a DNR Order can be revoked at any time by the patient or their authorized representative. It is important to communicate this decision to all healthcare providers involved in the patient's care to ensure that their wishes are respected.

Where should a DNR Order be kept?

A DNR Order should be kept in a location that is easily accessible to healthcare providers, such as the patient's medical record or a visible location in their home. Many states also provide specific forms that can be carried by the patient, ensuring that emergency personnel are aware of the order in case of an emergency.

Do Not Resuscitate Order - Usage Instruction

Completing a Do Not Resuscitate (DNR) Order form is an important step for individuals who wish to express their preferences regarding medical interventions in emergency situations. Once the form is filled out, it should be signed and dated to ensure it is valid. Make sure to discuss your wishes with your healthcare provider and loved ones to ensure everyone is informed.

1. Obtain the DNR Order form from your healthcare provider, hospital, or state health department.
2. Read the form carefully to understand all sections and requirements.
3. Fill in your personal information, including your full name, date of birth, and address.
4. Indicate the date on which the DNR order becomes effective.
5. Consult with your physician or healthcare provider to discuss your wishes and receive their signature on the form.
6. Sign the form in the designated area to validate your consent.
7. Have a witness sign the form, if required by your state’s regulations.
8. Make copies of the completed form for your medical records and for your family members.
9. Provide a copy of the DNR Order to your healthcare provider and keep it accessible in case of emergencies.