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How is a DNR Order Created? If you decide you want a DNR order, tell your doctor and health care team what you want. Your doctor must follow your wishes, or: Your doctor may transfer your care to a doctor who will carry out your wishes.
When submitted to a hospital, an individual can request this form through their physician. Alternatively, one could ask their physician ahead of time for a DNR form, which would alert emergency responders/personnel, paramedics, etc. of the individuals wishes.
How to Write a DNR Form Write the name of the patient and then state where you or that person lives. Make sure to make the requests known, that CPR, or another treatment, is to be withheld. Acknowledgement: The people who are in charge of the patient must sign the document.
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.
Documentation in the patients medical record of a decision not to do CPR must include both a Physicians Order and an entry in the Progress Notes. Use of the standardized DNR Order Form is preferred, but is not required in cases where the attending physician prefers a narrative method of documentation.
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DNR orders must: Be written by a doctor rather than verbalized:1 Exceptions to this may be made. For example, an emergency medical service physician may direct EMS personnel to withhold resuscitation via the radio. 9 A registered nurse may also take an order from an admitting doctor over the phone in some cases.
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. They do not have to be part of a living will or other advance directive.

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