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- Click ‘Get Form’ to open the DNRCC form in the editor.
- Begin by entering the patient's name and policy number at the top of the form. This ensures that all information is accurately linked to the correct patient.
- In the 'Policy Statement' section, review and confirm that it aligns with the patient's wishes regarding life-sustaining treatments. You can add notes if necessary.
- Proceed to categorize the patient’s treatment level by selecting one of the three options: Full Support, DNR Comfort Care (DNRCC), or DNR Comfort Care - Arrest (DNRCC - Arrest).
- For patients with a portable DNR order, ensure you attach a photocopy of this order within the medical record section of the form.
- Finally, have a physician sign off on the completed form to validate it. This step is crucial for compliance and must be documented properly.
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