Valid Do Not Resuscitate Order Form

A Do Not Resuscitate (DNR) Order is an important document that communicates a patient's wishes regarding resuscitation efforts in the event of a medical emergency. Several other forms and documents often accompany a DNR to provide comprehensive guidance on a patient’s healthcare preferences. Below is a list of these documents, each serving a distinct purpose.

• Advance Healthcare Directive: This document outlines a person's preferences for medical treatment in situations where they cannot communicate their wishes. It often includes instructions about life-sustaining treatments and appoints a healthcare proxy.
• Living Will: A living will specifically details the types of medical treatments a person wishes to receive or avoid at the end of life. It focuses on scenarios where the individual is terminally ill or in a persistent vegetative state.
• Healthcare Proxy: This legal document designates a trusted individual to make healthcare decisions on behalf of a person if they become incapacitated. It ensures that someone who understands the patient's values and wishes can advocate for them.
• Physician Orders for Life-Sustaining Treatment (POLST): A POLST form translates a patient's wishes about life-sustaining treatments into medical orders. It is intended for individuals with serious illnesses and is recognized across various healthcare settings.
• Medical Power of Attorney: This document grants a designated person the authority to make medical decisions for another individual if they are unable to do so. It can cover a broad range of healthcare decisions beyond just end-of-life care.
• Articles of Incorporation: Essential for starting a corporation in New York, this form can be found along with helpful resources like Templates and Guide to simplify the process of establishment.
• Do Not Hospitalize Order: This order indicates that a patient should not be taken to the hospital for treatment, particularly in cases where hospitalization may not align with their end-of-life wishes.
• Comfort Care Plan: This document outlines the specific comfort measures and palliative care that a patient desires, ensuring that their focus is on quality of life rather than aggressive treatments.
• Personal Health Record: A personal health record allows individuals to maintain a comprehensive summary of their medical history, medications, and treatment preferences. It can be shared with healthcare providers to ensure continuity of care.

These documents work together to create a clear picture of a patient’s healthcare preferences, especially in critical situations. Having them in place can provide peace of mind for both the patient and their loved ones, ensuring that wishes are respected and honored.

When filling out a Do Not Resuscitate (DNR) Order form, it is important to approach the process with care. Here are some guidelines to follow:

• Do discuss your wishes with your healthcare provider to ensure clarity.
• Do make sure your family members are aware of your decision.
• Do fill out the form completely and accurately.
• Do keep a copy of the signed form in a visible place.
• Don't sign the form without understanding its implications.
• Don't assume that verbal instructions are enough; a written form is essential.
• Don't forget to review and update the form as needed.
• Don't neglect to discuss your wishes with your healthcare proxy, if applicable.

1. What is a Do Not Resuscitate (DNR) Order?

   A Do Not Resuscitate Order is a legal document that allows a person to refuse cardiopulmonary resuscitation (CPR) and other life-saving measures in the event of a medical emergency. This order is typically used by individuals with serious health conditions who wish to avoid invasive procedures that may not align with their wishes for end-of-life care.

2. Who can request a DNR Order?

   Generally, a DNR Order can be requested by a patient who is of sound mind or by a legally authorized representative, such as a family member or healthcare proxy. It’s important that the person making the request understands the implications of the order.

3. How do I obtain a DNR Order?

   You can obtain a DNR Order through your healthcare provider. During a discussion about your health and treatment preferences, your doctor can provide the necessary forms and guide you through the process. It’s essential to have an open conversation about your wishes and any concerns you may have.

4. Where should I keep my DNR Order?

   Keep your DNR Order in a place where it can be easily accessed, such as on your refrigerator or with your medical records. It’s also a good idea to share copies with family members, your healthcare provider, and any caregivers involved in your care.

5. Can a DNR Order be revoked?

   Yes, a DNR Order can be revoked at any time. If you change your mind, simply notify your healthcare provider and destroy any copies of the order. Ensure that your family and caregivers are informed of the change to avoid confusion in an emergency situation.

6. Will a DNR Order affect other medical treatments?

   No, a DNR Order specifically addresses resuscitation efforts. It does not prevent you from receiving other medical treatments or interventions that may be necessary for your health. Your healthcare team will continue to provide appropriate care based on your medical needs.

7. Are DNR Orders recognized in all states?

   Yes, DNR Orders are recognized across the United States, but the specific requirements and forms may vary by state. It’s crucial to familiarize yourself with the laws in your state to ensure that your DNR Order is valid and respected.

8. What should I discuss with my family about my DNR Order?

   It’s important to have open conversations with your family about your DNR Order. Discuss your reasons for the order, your healthcare preferences, and what you want for your end-of-life care. This can help ensure that your wishes are understood and respected in the event of a medical emergency.