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A printed copy of this order form or other authorized DNR identification must accompany the patient during transports and transfers between facilities This form was designed for use in prehospital settings --i.e., in a patient's home, in a long-term care facility, during transport to or from a health care ...

Doh 3474 pdf New York State Department of Health

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2 1 2 1 2 3DNR Order Form(opens in a new tab) (PDF); Sample Out-Of-Hospital DNR Order (Prior versions of this form remain valid and are to be honored)(opens in a new ... Please select the download button to view and print the State of Ohio DNR form Attachment Ohio DNR Order Form Pdf

Print Form. Page 2. INSTRUCTIONS FOR ISSUING AN OOH-DNR ORDER. PURPOSE: The Out-of-Hospital Do-Not-Resuscitate (OOH-DNR) Order on reverse side complies with ... Photo Gallery 3 1 2 1 2 3 If A 2 2 5 B 3 2 5 Find 2A 3B 4 1 3 4 1 2

Emergency medical services prehospital do not resuscitate dnr

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Upon finding an unaltered EMS DNR Form will withhold or withdraw resuscitative measures such as CPR endotracheal intubation or other advanced airway Photo Gallery

DNR Forms must be printed on Goldenrod colored paper Most Forms must be printed on Astrobrights Pulsar pink colored paper For a copy of the portable DNR Photo Gallery Eunzel ASMR ASMR