Official  Do Not Resuscitate Order Form for Ohio

Official Do Not Resuscitate Order Form for Ohio

A Do Not Resuscitate (DNR) Order form in Ohio is a legal document that allows individuals to express their wishes regarding resuscitation efforts in the event of a medical emergency. This form ensures that healthcare providers respect a person's desire not to receive life-saving measures, such as CPR, if they are unable to communicate their preferences. Understanding how to properly fill out and implement this form is crucial for ensuring that your healthcare choices are honored.

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Fill Out Do Not Resuscitate Order Here

The Ohio Do Not Resuscitate Order (DNR) form serves as a critical document for individuals wishing to express their preferences regarding medical interventions in the event of a life-threatening situation. This form is particularly important for patients with terminal illnesses or those who have made the informed decision to forgo resuscitation efforts. It outlines specific instructions that healthcare providers must follow, ensuring that the patient's wishes are respected during emergencies. The DNR form must be completed and signed by a licensed physician, and it requires the patient's or their legal representative's signature to be valid. Additionally, the document should be easily accessible to medical personnel, often kept in a visible location within the patient's home or included in their medical records. Understanding the implications of this form is essential for both patients and their families, as it facilitates discussions about end-of-life care and helps to alleviate potential conflicts during critical moments. In Ohio, the DNR form is recognized statewide, providing a uniform approach to honoring patients' wishes across various healthcare settings.

Document Specifics

Fact Name Description
Purpose The Ohio Do Not Resuscitate (DNR) Order form is used to indicate a person's wish not to receive cardiopulmonary resuscitation (CPR) in the event of cardiac arrest.
Governing Law The DNR Order in Ohio is governed by Ohio Revised Code Section 2133.21 to 2133.27.
Eligibility Any adult can complete a DNR Order, as long as they are of sound mind and able to make their own healthcare decisions.
Signature Requirement The form must be signed by the patient and a physician to be considered valid.
Location The completed DNR Order should be kept in a place that is easily accessible to emergency medical personnel.
Revocation A DNR Order can be revoked at any time by the patient or their legal representative.
Medical Identification Patients may choose to wear a medical alert bracelet or necklace to indicate their DNR status to emergency responders.

Key takeaways

Filling out and using the Ohio Do Not Resuscitate (DNR) Order form is an important process for individuals who wish to express their preferences regarding resuscitation efforts in the event of a medical emergency. Here are some key takeaways to consider:

  1. The Ohio DNR Order form is a legal document that allows individuals to refuse cardiopulmonary resuscitation (CPR) and other life-sustaining treatments.
  2. It is essential to complete the form accurately to ensure that healthcare providers understand the individual's wishes.
  3. The form must be signed by the individual or their legally authorized representative.
  4. A physician must also sign the form to validate it, confirming that the individual is informed about their medical condition and the implications of the DNR order.
  5. Once completed, the DNR Order should be kept in a visible location, such as on the refrigerator or with other important medical documents.
  6. Healthcare providers are required to honor the DNR Order as long as it is properly completed and signed.
  7. Individuals can revoke the DNR Order at any time, and it is advisable to inform healthcare providers of any changes to ensure their wishes are respected.
  8. It is recommended to discuss the DNR Order with family members and healthcare providers to ensure everyone is aware of the individual's wishes.

Ohio Do Not Resuscitate Order Example

Ohio Do Not Resuscitate Order (DNR)

This Do Not Resuscitate (DNR) Order is a legal document in accordance with Ohio state laws, specifically designed to express a person’s wish to not receive cardiopulmonary resuscitation (CPR) in the event of a cardiac or respiratory arrest.

Complete the following information accurately to ensure that this order reflects your intentions:

  • Patient's Full Name: ________________________________________
  • Patient's Date of Birth: ___________________________________
  • Emergency Contact Name: _________________________________
  • Emergency Contact Phone Number: __________________________

The following statements affirm the intentions of the individual completing this document:

  1. I, ________________________________________ (name of the patient), choose to have a Do Not Resuscitate Order in place.
  2. This DNR Order indicates that in the event of a cardiac or respiratory arrest, I do not wish to receive CPR or other resuscitation attempts.
  3. I understand that this order will be honored by medical personnel.

Witness Name: _______________________________________

Witness Signature: _________________________________

Date: ________________________________________

For this order to be valid and recognized, ensure it is included in your medical records and shared with your healthcare provider. It is also advisable to carry a copy of this document wherever you go.

Important Facts about Ohio Do Not Resuscitate Order

What is a Do Not Resuscitate (DNR) Order in Ohio?

A Do Not Resuscitate Order (DNR) is a legal document that allows a person to refuse resuscitation efforts in the event of a medical emergency. In Ohio, this order specifically instructs healthcare providers not to perform cardiopulmonary resuscitation (CPR) if the individual's heart stops or they stop breathing. It is an important part of advance care planning for those who wish to avoid aggressive medical interventions at the end of life.

Who can request a DNR Order in Ohio?

In Ohio, a DNR order can be requested by individuals who are at least 18 years old and have the capacity to make informed decisions about their medical care. If the person is unable to make this decision, a legal representative, such as a guardian or a durable power of attorney for healthcare, can request a DNR on their behalf.

How do I obtain a DNR Order in Ohio?

To obtain a DNR order in Ohio, you will need to complete a specific form provided by the Ohio Department of Health. This form must be signed by both the patient and their physician. It is important to ensure that the form is filled out correctly and that all necessary signatures are obtained to make it legally binding.

Where should I keep my DNR Order?

It is crucial to keep your DNR order in a place where it can be easily accessed by medical personnel. Many people choose to keep a copy in their medical records, at home, or with a trusted family member. Additionally, wearing a medical alert bracelet or necklace that indicates the presence of a DNR order can help ensure that first responders are aware of your wishes in an emergency.

Can I change or revoke my DNR Order?

Yes, you can change or revoke your DNR order at any time. To do this, you simply need to notify your healthcare provider and complete a new DNR form if necessary. It is advisable to destroy any previous copies of the order to avoid confusion. Make sure that your family members and healthcare providers are informed of any changes you make.

What happens if I am hospitalized with a DNR Order?

If you are hospitalized and have a valid DNR order, the medical staff will honor your wishes as outlined in the document. This means that if your heart stops or you stop breathing, they will not perform CPR or other resuscitation measures. However, you will still receive other necessary medical care and comfort measures.

Is a DNR Order the same as a living will?

No, a DNR order and a living will are not the same. A living will is a broader document that outlines your wishes regarding medical treatment in various situations, including end-of-life care. A DNR order specifically addresses resuscitation efforts. Both documents can work together to ensure that your healthcare preferences are respected.

Do I need a lawyer to create a DNR Order?

No, you do not need a lawyer to create a DNR order in Ohio. The process is straightforward and can be completed using the official form from the Ohio Department of Health. However, consulting with a healthcare professional or an attorney may be beneficial if you have specific questions or concerns about your healthcare decisions.

Will my DNR Order be recognized in other states?

While many states recognize DNR orders from other states, the laws can vary. It is important to check the specific regulations in the state you are visiting or moving to. Some states have their own forms or requirements, so having a conversation with a healthcare provider in that state can help clarify what is needed.

How can I ensure my DNR Order is respected?

To ensure your DNR order is respected, communicate your wishes clearly to your family, friends, and healthcare providers. Providing copies of the order to your medical team and keeping it in an accessible location can also help. Discussing your preferences during healthcare appointments can further ensure that everyone is aware of your wishes.

Documents used along the form

The Ohio Do Not Resuscitate Order (DNR) form is an important document for individuals who wish to communicate their preferences regarding resuscitation efforts in medical emergencies. Alongside this form, several other documents can help clarify and support a person's healthcare wishes. Below are five commonly used forms and documents.

  • Advance Directive: This document allows individuals to outline their healthcare preferences in advance, including decisions about medical treatment and appointing a healthcare proxy.
  • Living Will: A living will specifies the types of medical treatments a person does or does not want in case they become unable to communicate their wishes.
  • Healthcare Power of Attorney: This form designates a specific individual to make healthcare decisions on behalf of the person if they are unable to do so themselves.
  • POLST (Physician Orders for Life-Sustaining Treatment): POLST is a medical order that outlines a patient's preferences for life-sustaining treatments and is typically used for those with serious illnesses.
  • WC-240 Form: A necessary document in Georgia's workers' compensation system, it notifies employees about offers of suitable employment in line with their medical condition, detailed in the All Georgia Forms.
  • Do Not Hospitalize Order: This document indicates a person's preference to avoid hospitalization in certain situations, often used in conjunction with other advance care planning documents.

These documents work together to ensure that an individual's healthcare preferences are respected and followed. It is advisable to discuss these forms with healthcare providers and family members to ensure clarity and understanding of one's wishes.

Consider More Do Not Resuscitate Order Forms for US States

Dos and Don'ts

When filling out the Ohio Do Not Resuscitate Order form, it is important to approach the process with care and clarity. Here are some key dos and don'ts to consider:

  • Do ensure that the form is completed by a qualified individual, such as a physician.
  • Do discuss your wishes with your family and healthcare providers to ensure everyone understands your decisions.
  • Do keep a copy of the completed form in an easily accessible location, such as with your medical records.
  • Do review the form regularly to ensure it still reflects your wishes, especially after any significant health changes.
  • Do sign and date the form to validate it legally.
  • Don't fill out the form without understanding its implications; take the time to ask questions.
  • Don't assume that verbal instructions are enough; written documentation is necessary for clarity.
  • Don't forget to inform your healthcare team about the existence of the form.
  • Don't leave the form incomplete; every section should be filled out to avoid confusion.
  • Don't disregard state-specific requirements; familiarize yourself with Ohio's regulations regarding DNR orders.