This form is a revocation of Form IN-P022.
Indianapolis Indiana Revocation of Out of Hospital - Do Not Resuscitate Declaration - DNR
State:
Indiana
City:
Indianapolis
Control #:
IN-P022B
Format:
Word;
Rich Text
Instant download
Description
How to fill out Indiana Revocation Of Out Of Hospital - Do Not Resuscitate Declaration - DNR?
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FAQ
In Indiana, a person must be terminally ill or have a medical condition that makes surviving cardiopulmonary resuscitation unlikely in order to be eligible for an Out-of-Hospital DNR order.
Everyone who has capacity to do so can refuse CPR if they wish. This is a choice you can make at any time, for example when you are healthy or when you are approaching the end of your life. You can make it clear to your doctor or medical team that you do not want CPR if your heart or breathing stops.
Also, as stated above, your legal guardian, attorney-in-fact, or health care proxy may revoke a DNR order for you. However, a legal guardian, attorney-in-fact, or health care proxy, may not revoke an advance directive for you.
If you wish to cancel your DNR order, simply notify your attending physician. They are required to remove the order from your medical record. Your medical health care agent can also do this on your behalf if you are unable to communicate your wishes.
If you have a DNR order, you always have the right to change your mind and request CPR.
The required reconsideration discussion should occur as early as practical after a decision is made to have surgery. This discussion may result in the patient agreeing to suspend the DNR order during surgery and the perioperative period, retaining the original DNR order, or modifying the DNR order.
At any time, the patient or the patient's health care decision-maker may rescind consent to the DNR directive, regardless of how long it has been in place. They must simply ask any member of the health care team to remove it, which immediately invalidates the directive.
Here you can find a step-by-step tutorial on the completion process of the Indiana DNR Form: Enter the Date of the Form's Execution.Sign the Form.Write the Patient's Full Name and Address.Approve Validity of the Form by Witnesses.Write in the Names of the Physician and the Patient.
On-line Medical Control must be consulted in cases involving validation of DNR orders. A DNR order may be invalidated if the immediate cause of a respiratory or cardiac arrest is related to trauma or mechanical airway obstruction. b) Death has been declared by the patient's physician or the coroner.
?It is legal but it may not be ethical,? said Craig Klugman, a professor of bioethics at DePaul University in Chicago. ?It is done out of fear of harming patients and the liability.? He notes that several medical associations have concluded that asking patients to sign blanket DNR overrides is not appropriate.
