Get Do Not Attempt Cardiopulmonary Resuscitation

Filling out the DO NOT ATTEMPT CARDIOPULMONARY RESUSCITATION form is an important process for ensuring that individuals' wishes regarding emergency interventions are accurately recorded. This guide provides clear and concise instructions on how to complete the form online.

Follow the steps to fill out the form successfully.

1. Click the ‘Get Form’ button to obtain the form and open it in your editing interface.
2. Begin by entering the patient's NHS number and hospital number in the designated fields.
3. In the Next of Kin / Emergency Contact section, provide the name, address, relationship to the patient, postcode, date of birth, and telephone number of the contact person.
4. Proceed to Section 1 and select the reason for the DNACPR decision from options A to D. Make sure to provide any necessary details regarding discussions, mental capacity assessments, and multi-disciplinary team (MDT) decisions in the patient's notes.
5. If option A is chosen, record details about the patient's mental capacity and their decision against CPR.
6. If option B is selected, ensure that the information aligns with the guidelines regarding advance decisions.
7. For option C, indicate if the decision is based on the lack of capacity or refusal to discuss and document any discussions with relevant others.
8. When opting for D, outline the medical conditions justifying the decision and document prior discussions with the patient or relevant others.
9. Move on to Section 2 to review the DNACPR decision, selecting either option i or ii, based on the intended review process.
10. In Section 3, healthcare professionals must complete their details, including the date, time, signature, and any required countersignatures.
11. Finally, ensure that any relevant discussions have been documented, and save your changes. Users can then download, print, or share the completed form as needed.

Complete your documents online to ensure that your preferences are documented and accessible when needed.