Homepage Printable Do Not Resuscitate Order Template for Ohio

Documents used along the form

When considering end-of-life care and medical decisions, it's important to understand various forms and documents that can accompany the Ohio Do Not Resuscitate (DNR) Order. These documents help clarify your wishes and ensure that your healthcare providers and loved ones are aware of your preferences. Below is a list of related forms that may be useful in conjunction with a DNR order.

  • Advance Directive: This document outlines your healthcare preferences in situations where you cannot communicate your wishes. It can specify your desires regarding medical treatments and interventions.
  • Living Will: A type of advance directive, a living will details the types of medical treatment you wish to receive or avoid if you become terminally ill or incapacitated.
  • Durable Power of Attorney for Healthcare: This form allows you to designate someone to make healthcare decisions on your behalf if you are unable to do so. It can be crucial in ensuring your wishes are respected.
  • Physician Orders for Life-Sustaining Treatment (POLST): This is a medical order that details your preferences for life-sustaining treatments. It is often used for patients with serious illnesses and complements a DNR order.
  • Healthcare Proxy: Similar to a durable power of attorney, a healthcare proxy appoints someone to make medical decisions for you. This person will act according to your wishes as expressed in your advance directives.
  • Do Not Intubate (DNI) Order: This document specifically states that you do not wish to be intubated or placed on a ventilator if you cannot breathe on your own. It can be used alongside a DNR order.
  • Organ Donation Document: If you wish to donate your organs after death, this form indicates your preferences. It can provide clarity to family members and healthcare providers regarding your wishes.

Understanding these documents can help you make informed decisions about your healthcare and ensure that your wishes are honored. It's essential to discuss these forms with your loved ones and healthcare providers to create a comprehensive plan that reflects your values and preferences.

Dos and Don'ts

When filling out the Ohio Do Not Resuscitate Order form, it's essential to approach the process with care and attention. Here are some important dos and don'ts to keep in mind:

  • Do ensure that you understand the implications of a Do Not Resuscitate (DNR) order before signing the form.
  • Do discuss your wishes with your healthcare provider and family members to ensure everyone is on the same page.
  • Do fill out the form completely, providing all required information to avoid any confusion later.
  • Do keep a copy of the signed DNR order in a place where it can be easily accessed by medical personnel.
  • Don't rush through the form. Take your time to read each section carefully.
  • Don't forget to date and sign the form, as an unsigned document may not be valid.

By following these guidelines, you can ensure that your wishes regarding resuscitation are clearly communicated and respected. It's always best to have these important conversations and documentation in place ahead of time.

Key takeaways

When considering the Ohio Do Not Resuscitate (DNR) Order form, it’s important to understand its purpose and how to properly fill it out. Here are some key takeaways:

  • Understanding the DNR Order: A DNR order is a medical order that instructs healthcare providers not to perform cardiopulmonary resuscitation (CPR) if a patient's heart stops beating or they stop breathing.
  • Eligibility: Any adult can complete a DNR order. It is especially relevant for individuals with serious health conditions or those who wish to avoid aggressive life-saving measures.
  • Filling Out the Form: Ensure all required fields are completed accurately. This includes personal information, medical conditions, and the signature of the patient or their legal representative.
  • Healthcare Provider's Signature: A licensed physician must sign the DNR order. This signature confirms that the patient understands the implications of the order.
  • Distribution of Copies: Once completed, distribute copies of the DNR order to healthcare providers, family members, and keep a copy in a readily accessible location. This ensures that your wishes are known and respected in an emergency.

Similar forms

  • Living Will: This document outlines a person's wishes regarding medical treatment in situations where they cannot communicate. It is similar to a DNR in that it focuses on end-of-life care preferences.
  • Healthcare Proxy: A healthcare proxy designates an individual to make medical decisions on behalf of someone who is incapacitated. Like a DNR, it ensures that a person's healthcare preferences are honored.
  • Advance Directive: An advance directive combines elements of a living will and healthcare proxy, detailing treatment preferences and appointing a decision-maker, similar to a DNR's intent to limit resuscitation efforts.
  • POLST (Physician Orders for Life-Sustaining Treatment): This medical order translates a patient's wishes into actionable medical orders, including DNR status, ensuring clarity in treatment preferences.
  • Do Not Intubate (DNI) Order: This order specifically prohibits intubation during a medical emergency, aligning with the intent of a DNR to avoid invasive life-saving measures.
  • Comfort Care Order: This document emphasizes palliative care and comfort measures rather than aggressive treatment, similar to the intentions behind a DNR.
  • Living Will Declaration: This is a formal statement of a person's healthcare wishes, particularly regarding life-sustaining treatments, akin to a DNR's focus on resuscitation decisions.
  • Do Not Hospitalize (DNH) Order: This order indicates that a patient should not be taken to the hospital for treatment, paralleling a DNR's intent to limit aggressive medical interventions.