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I, _________________________________________, request limited emergency care as herein described. I understand DNR means that if my heart stops beating or if I stop breathing, no medical procedure to restart breathing or heart functioning will be instituted.
The doctor can fill out the form for the DNR order. The doctor writes the DNR order in your medical record if you are in the hospital. Your doctor can tell you how to get a wallet card, bracelet, or other DNR documents to have at home or in non-hospital settings.
The DNR can not be expired. The facility staff must provide a copy of the order Page 3 and/or patient's chart with the recorded DNR order to the ambulance crew.
Where a patient, with capacity, asks not to be resuscitated. This must be respected and a DNR order implemented to alert all healthcare professionals not to attempt resuscitation. You can request a DNR order at any time.
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