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I hereby agree to the Outside The Hospital Do-Not-Resuscitate OHDNR Order. Patient Printed or Typed Name Date Patient s Signature or Patient Representative s Signature REVOCATION PROVISION I hereby revoke the above declaration. I AUTHORIZE EMERGENCY MEDICAL SERVICES PERSONNEL TO WITHHOLD OR WITHDRAW CARDIOPULMONARY RESUSCITATION FROM THE PATIENT IN THE EVENT OF CARDIAC OR RESPIRATORY ARREST. Cardiac arrest means my heart stops beating and respiratory arrest means I stop breathing. I understan ...

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What is needed for a DNR order to be valid?

The DNR must be signed by the patient or by the patients legally recognized health care decision maker if the patient is unable to make or communicate informed health care decisions.

What is the rule for do-not-resuscitate?

To use the sharing features on this page, please enable JavaScript. A do-not-resuscitate order, or DNR order, is a medical order written by a doctor. It instructs health care providers not to do cardiopulmonary resuscitation (CPR) if a patients breathing stops or if the patients heart stops beating.

How do I give myself a DNR?

A DNR is a request not to have CPR if your heart stops or if you stop breathing. You can use an advance directive form or tell your doctor that you dont want to be resuscitated. Your doctor will put the DNR order in your medical chart. Doctors and hospitals in all states accept DNR orders.

Can a healthy person get a DNR?

Any adult can request a DNR, including healthy adults. People most likely to use them are those who know in advance that their chance of surviving CPR is very low and/or they dont want to spend their last days on life support.

Can you write your own do-not-resuscitate?

In the state of California, any resident over the age of 18 and who is mentally competent can complete an advanced directive. Two qualified adult witnesses or a notary public are required to sign off on the document.

do not resuscitate order

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How do I get a DNR form?

How to get a DNR (do not resuscitate) form Make an appointment with your GP. You may need to explain your reasons for wanting to refuse CPR, so think about what you might say in advance. Think about other ways you can also put your wishes down in writing, for example by making a living will (advance decision)

What are the two types of DNR?

There are currently two types of DNR orders: 1) DNR Comfort Care, and 2) DNR Comfort Care - Arrest. Upon the issuance of either order, standard forms of identification are provided for in OAC rule 3701-62-04.

Why do people fill out do-not-resuscitate forms?

A DNR order is allowed for any reason. Any adult can request a DNR, including healthy adults. People most likely to use them are those who know in advance that their chance of surviving CPR is very low and/or they dont want to spend their last days on life support.