Definition and meaning
A Do Not Resuscitate Order (DNR) is a legal document that informs medical personnel that a patient does not wish to receive cardiopulmonary resuscitation (CPR) or other life-prolonging interventions in the event of cardiac or respiratory arrest. Also known as an Advance Directive, this form is crucial for ensuring that an individual's health care preferences are respected during critical medical emergencies.
How to complete the form
Completing a Do Not Resuscitate Order involves several key steps:
- Review the form carefully to understand its implications.
- Fill in the patient's personal information, including their name and medical condition.
- Select preferences regarding resuscitation during full cardiac arrest and pre-arrest emergencies.
- Obtain the necessary signatures from the patient (or their legal guardian or agent) and witnesses as required.
- Ensure the form is dated and signed by the attending physician to validate the order.
It's essential to retain a copy of the completed form and share it with family members and healthcare providers.
Who should use this form
This form may be particularly useful for individuals who have serious medical conditions, are elderly, or have preferences about end-of-life care. Users should consider this order if they:
- Want to ensure their medical preferences are known and followed.
- Wish to avoid unnecessary medical interventions during life-threatening situations.
- Have specific instructions for their care in place of medical emergencies.
Key components of the form
The Do Not Resuscitate Order contains several important sections:
- Patient Information: Details about the individual making the directive, including their name and medical condition.
- Resuscitation Preferences: Choices regarding CPR and other medical interventions for full or pre-arrest emergencies.
- Authorization: Signatures from the patient (or authorized legal representative) and witnesses.
- Physician Signature: Required signature from the attending physician to authenticate the order.
Common mistakes to avoid when using this form
To ensure that the DNR order is valid and respected, users should avoid the following mistakes:
- Failing to obtain required signatures from the patient, witnesses, and physician.
- Not providing complete and accurate patient information.
- Neglecting to share copies of the completed form with family and health care providers.
- Overlooking updates to the form after significant changes in health status or care preferences.
What to expect during notarization or witnessing
When finalizing the Do Not Resuscitate Order, the witnessing process involves the following:
- Two witnesses, who must be at least 18 years old, need to be present to observe the signing of the document.
- Witnesses cannot be related to the patient or have any financial interest in the patient's health or estate.
- Each witness must sign the document to confirm their role in the signing process.
This step ensures that the directive is legally recognized and respected.
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