Attorney-Verified New York Do Not Resuscitate Order Form

When considering the New York Do Not Resuscitate (DNR) Order form, it's important to understand its implications and the process involved. Here are some key takeaways to keep in mind:

• The DNR Order is a legal document that allows individuals to refuse resuscitation efforts in the event of cardiac arrest.
• It must be signed by a physician and the patient or their legal representative to be valid.
• The form should be easily accessible, as emergency medical personnel will look for it in critical situations.
• Patients can revoke or change their DNR Order at any time, provided they communicate their wishes clearly.
• Discussing the DNR Order with family members and healthcare providers is crucial to ensure everyone understands the patient's wishes.
• It’s advisable to keep copies of the DNR Order in multiple locations, such as at home and with healthcare providers, to avoid confusion during emergencies.

Understanding these points can help ensure that your wishes regarding resuscitation are respected and followed. Always consult with a healthcare professional for personalized guidance.

What is a Do Not Resuscitate (DNR) Order in New York?

A Do Not Resuscitate Order is a legal document that allows a person to refuse resuscitation efforts in the event of a cardiac or respiratory arrest. In New York, this order must be signed by a physician and is intended to ensure that a person's wishes regarding end-of-life care are respected. It is crucial for individuals to communicate their preferences clearly to family members and healthcare providers.

Who can request a DNR Order?

In New York, a DNR Order can be requested by any adult who is capable of making their own healthcare decisions. This includes individuals who are terminally ill or have a serious medical condition. Additionally, a legally authorized representative, such as a healthcare proxy or family member, may also initiate the request on behalf of someone who is unable to do so.

How is a DNR Order completed in New York?

To complete a DNR Order, the individual or their representative must fill out the New York State DNR Order form. This form must include the patient's name, date of birth, and the signature of a physician. It is important to ensure that the form is filled out accurately and that copies are provided to healthcare providers, family members, and kept in a visible location at home.

What should I do with the DNR Order once it is completed?

Once the DNR Order is completed and signed by a physician, it should be kept in an accessible location. Families are encouraged to provide copies to their healthcare providers, hospitals, and any emergency medical services. Additionally, it is advisable to inform family members and caregivers about the existence of the order to avoid confusion during emergencies.

Can a DNR Order be revoked?

Yes, a DNR Order can be revoked at any time by the individual who signed it or their legally authorized representative. To revoke the order, the individual should destroy the original document and inform healthcare providers and family members about the decision. It is important to ensure that everyone involved in the individual’s care is aware of the revocation.

Will a DNR Order affect other medical treatments?

A DNR Order specifically pertains to resuscitation efforts in the event of a cardiac or respiratory arrest. It does not affect other medical treatments or interventions. Patients can still receive other types of care, including medications, pain management, and comfort measures. It is essential to discuss all healthcare preferences with medical professionals to ensure comprehensive care.

How can I ensure my DNR Order is respected?

To ensure that a DNR Order is respected, individuals should communicate their wishes clearly to their healthcare providers, family members, and caregivers. Keeping the DNR Order in a visible location and providing copies to relevant parties can help. Additionally, discussing the order with healthcare professionals during medical appointments can reinforce its importance and ensure that everyone is aware of the individual's wishes.

New York Do Not Resuscitate Order - Usage Instruction

Completing the New York Do Not Resuscitate Order form is an important step for individuals wishing to express their preferences regarding emergency medical interventions. The process requires careful consideration and accurate information to ensure that the document reflects the individual's wishes. Follow the steps below to fill out the form correctly.

1. Obtain a copy of the New York Do Not Resuscitate Order form. This can typically be found online or through healthcare providers.
2. Begin by filling in the patient's full name at the top of the form. Ensure that the name is spelled correctly.
3. Provide the patient's date of birth. This helps to confirm their identity.
4. Indicate the patient's address. Include the street address, city, state, and zip code.
5. Designate a healthcare proxy, if applicable. This individual will be responsible for making medical decisions on behalf of the patient.
6. Sign the form in the designated area. The signature should be that of the patient or their legal representative.
7. Have the form witnessed by two individuals who are not related to the patient and who do not stand to benefit from the patient's estate.
8. Make copies of the completed form for the patient, the healthcare proxy, and any medical providers involved in the patient's care.
9. Submit the original form to the appropriate medical facility or keep it in a safe place where it can be easily accessed when needed.