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  • Dhec Dnr Form 3485

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DOB: LAST FIRST Referring Physician: Transferring Facility: Accepting Physician: Receiving Facility: ***************************************************************************************************************************************** Instructions: Part A (Drug Report) and Part B (Device Report) must.

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How to fill out the Dhec Dnr Form 3485 online

Filling out the Dhec Dnr Form 3485 online is an essential process for documenting interfacility transport. This guide provides clear instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out the Dhec Dnr Form 3485 online

  1. Press the ‘Get Form’ button to access the Dhec Dnr Form 3485 and open it in your editor.
  2. Begin by filling out the Patient Care Form number at the top of the form. Ensure that you provide the patient's name and date of birth accurately.
  3. Provide information about the referring physician and the transferring facility. Enter details clearly to avoid any delays in processing.
  4. Complete the fields for the accepting physician and receiving facility to ensure proper coordination of care.
  5. Fill in the diagnosis section with relevant details. It's important to provide up-to-date and precise medical information.
  6. Record the last vital signs in the designated area to keep a consistent track of the patient’s condition.
  7. For IV fluids, specify the type, rate, and medications. Be thorough in detailing dosages, rates, and concentrations as required.
  8. In the comments/additional orders section, provide any further instructions or observations relevant to the patient's care.
  9. On the back page, check all interfacility devices used during transport to guarantee that all equipment is noted.
  10. Sign and date the form as the sending physician. Ensure that the EMT-P signature is also obtained, along with the corresponding date.
  11. Finally, save your changes, download, print, or share the completed form as needed for your records or for submission.

Complete the Dhec Dnr Form 3485 online today to ensure effective communication and documentation during interfacility transport.

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DNR means that no CPR (chest compressions, cardiac drugs, or placement of a breathing tube) will be performed. A DNI or “Do Not Intubate” order means that chest compressions and cardiac drugs may be used, but no breathing tube will be placed.

A parent or legal guardian of a child who is medically eligible for hospice care as a result of a terminal illness can request and revoke a do not resuscitate (DNR) order for emergency services pursuant to the provisions of Chapter 78, Title 44 of the Code of Laws of South Carolina, 1976. (2022 Act No. 122 (S.

“When a patient is ill and unsure of the outcome, he or she can choose to have a DNR B and still receive treatment. If they decline and choose not to receive any further treatment, they can transition to DNR A.

8:30 a.m. to 5:00 p.m.

South Carolina Game Wardens 󱛐 Page · Public Service. 󱦗 PO Box 167. 󱛪 (800) 922-5431. 󱤂 .DNR.SC.GOV. 󱙇 See More About South Carolina Game Wardens.

State of Ohio A Do Not Resuscitate (DNR) order means that CPR is not to be conducted in case of cardiac or respiratory arrest. In the state of Ohio there are two DNR orders: DNR-CCA (Comfort Care Arrest) and DNR-CC (Comfort Care).

Office Hours: SCDNR at the Market South Carolina Farmer's Market326 Little Brook Ln. West Columbia, SC 29172Boating: (803) 734-3857 Licensing: (803) 734-3833Charleston217 Fort Johnson Road Charleston, SC 29412(843) 953-9300Horry640 9th Avenue Aynor, SC 29511(803) 684-4078

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 patient's breathing stops or if the patient's heart stops beating.

"Do not resuscitate order for emergency services" means a document made pursuant to the EMS DNR ACT to prevent EMS personnel from employing resuscitative measures or any other medical process that would only extend the patient's suffering with no viable medical reason to perform the procedure.

A DNR order may be requested by the patient or from a representative authorized to make medical decisions on their behalf (i.e., surrogate or agent). Furthermore, the order may only be executed if a physician has determined that the patient suffers from a terminal condition.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232