Do Not Resuscitate Order Template

When filling out a Do Not Resuscitate (DNR) Order form, it’s essential to approach the process with care and consideration. Here are some important dos and don’ts to keep in mind:

• Do discuss your wishes with your healthcare provider to ensure clarity and understanding.
• Do involve family members or loved ones in the conversation, as their support can be invaluable.
• Do ensure that the form is completed accurately, including all necessary signatures and dates.
• Do keep a copy of the DNR order in a visible place, such as with your medical records or at home.
• Don’t fill out the form in haste; take your time to consider your decisions carefully.
• Don’t assume that a verbal agreement is sufficient; written documentation is crucial.
• Don’t overlook the need to review and update the DNR order periodically, especially if your health status changes.

By following these guidelines, you can ensure that your wishes regarding resuscitation are clearly communicated and respected.

A Do Not Resuscitate (DNR) Order is a critical document that outlines a patient's wishes regarding resuscitation efforts in the event of cardiac or respiratory arrest. Alongside a DNR, several other forms and documents are commonly used to ensure comprehensive healthcare planning and decision-making. Below is a list of these documents, each serving a unique purpose in the context of medical care.

• Advance Directive: This document allows individuals to specify their healthcare preferences in advance, including decisions about life-sustaining treatments and end-of-life care.
• Healthcare Power of Attorney: This legal document designates a person to make medical decisions on behalf of someone else if they become unable to do so.
• Living Will: A type of advance directive, a living will outlines specific medical treatments a person wishes to receive or avoid, particularly in terminal situations.
• Physician Orders for Life-Sustaining Treatment (POLST): This form translates a patient’s wishes regarding life-sustaining treatments into actionable medical orders, ensuring they are followed by healthcare providers.
• Patient Advocate Designation: This document allows individuals to appoint someone to advocate for their healthcare preferences and needs, particularly in complex medical situations.
• Do Not Intubate (DNI) Order: Similar to a DNR, a DNI specifically instructs healthcare providers not to perform intubation, which is the insertion of a tube into the airway to assist with breathing.
• Organ Donation Registration: This form indicates a person’s wishes regarding organ donation after death, ensuring that their preferences are known and respected.
• Medical Records Release Form: This document authorizes the sharing of a patient’s medical information with designated individuals or organizations, facilitating informed decision-making and continuity of care.

Each of these documents plays a significant role in ensuring that a patient's healthcare preferences are respected and followed. Understanding these forms can empower individuals to make informed choices about their medical care and end-of-life decisions.

Understanding the Do Not Resuscitate (DNR) Order form is essential for patients and their families. Unfortunately, several misconceptions can lead to confusion and anxiety. Here are six common misconceptions:

1. A DNR means no medical care at all.

   This is not true. A DNR order specifically pertains to not performing cardiopulmonary resuscitation (CPR) in the event of cardiac arrest. Patients with a DNR can still receive other medical treatments and interventions as needed.

2. DNR orders are only for terminally ill patients.

   While many people associate DNRs with end-of-life care, anyone can request a DNR order, regardless of their health status. It’s a personal decision based on individual values and preferences.

3. A DNR is permanent and cannot be changed.

   This misconception is incorrect. Patients or their legal representatives can change or revoke a DNR order at any time, as long as they are mentally competent to do so.

4. Having a DNR means healthcare providers will not try to save you.

   Healthcare providers will always prioritize patient comfort and dignity. A DNR order simply means that CPR will not be performed if the heart stops, but other life-saving measures and treatments will still be provided.

5. All DNR orders are the same.

   DNR orders can vary by state and healthcare facility. It’s important to understand the specific regulations and procedures in your area to ensure that your wishes are accurately documented and respected.

6. Once a DNR is signed, it must be kept in the hospital.

   This is a common misunderstanding. It is advisable to keep a copy of the DNR order in multiple locations, including at home and with your healthcare proxy, to ensure it is accessible in various situations.

Being informed about these misconceptions can help individuals make better decisions regarding their healthcare preferences and ensure their wishes are respected.

When considering a Do Not Resuscitate (DNR) Order, it is important to understand its implications and the process involved. Here are six key takeaways:

• Understand the Purpose: A DNR order indicates that you do not wish to receive cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest.
• Consult with Healthcare Providers: Discuss your wishes with your doctor or healthcare team. Their guidance can help clarify your options and ensure your wishes are respected.
• Complete the Form Accurately: Fill out the DNR form carefully. Ensure all required information is included and that it reflects your true wishes.
• Communicate Your Decision: Share your DNR order with family members and caregivers. Open communication can prevent confusion during critical moments.
• Keep the Document Accessible: Store the DNR order in a visible location, such as on your refrigerator or with your medical records, so it can be easily found by emergency personnel.
• Review and Update Regularly: Revisit your DNR order periodically. Changes in your health status or personal preferences may necessitate updates to the document.