Official  Do Not Resuscitate Order Document for Ohio Edit Document

Official Do Not Resuscitate Order Document for Ohio

The Ohio Do Not Resuscitate Order form is a legal document that allows individuals to express their wishes regarding resuscitation efforts in the event of a medical emergency. This form is crucial for ensuring that a person's healthcare preferences are respected when they are unable to communicate. Understanding its importance can help individuals make informed decisions about their medical care.

To take the next step in ensuring your wishes are known, consider filling out the form by clicking the button below.

Edit Document
Jump Links

The Ohio Do Not Resuscitate (DNR) Order form serves as a crucial document for individuals wishing to express their preferences regarding emergency medical treatment in situations where they may be unable to communicate their wishes. This form is designed to ensure that a person's desire to forgo resuscitation efforts in the event of cardiac or respiratory arrest is clearly documented and respected by healthcare providers. It includes essential information such as the patient's name, date of birth, and the signature of the individual or their legal representative. Additionally, the form must be signed by a physician to validate its authenticity. This legal document not only provides clarity for medical personnel but also offers peace of mind to patients and their families, knowing that their wishes regarding life-sustaining treatment will be honored. Understanding how to properly complete and utilize the Ohio DNR Order form is vital for anyone considering their end-of-life care options, as it plays a significant role in guiding medical decisions during critical moments.

Sample - Ohio Do Not Resuscitate Order Form

Ohio Do Not Resuscitate Order Template

This Do Not Resuscitate (DNR) Order is made in accordance with Ohio state laws concerning medical decisions and patient care. This document expresses the desire of the undersigned individual regarding resuscitation efforts in the event of a medical emergency.

By signing this document, I, [Patient's Full Name], born on [Date of Birth], hereby declare my intention concerning resuscitation as follows:

Patient Information:

  • Address: [Patient's Address]
  • Phone Number: [Patient's Phone Number]
  • Emergency Contact: [Emergency Contact Full Name]
  • Emergency Contact Phone Number: [Emergency Contact Phone Number]

Directive:

I do not wish to receive resuscitation efforts in the event of a cardiac arrest or respiratory failure. I understand that this includes, but is not limited to:

  • Cardiopulmonary resuscitation (CPR)
  • Defibrillation
  • Advanced airway management

Healthcare Provider Information:

  • Primary Physician: [Primary Physician's Name]
  • Signature of Primary Physician: ________________________

Signature:

I understand the implications of this order and confirm its accuracy. I sign this document voluntarily.

Patient's Signature: ________________________

Date: [Date]

This DNR Order should be kept in a readily accessible location. Copies may be distributed to healthcare providers and family members as necessary.

Document Information

Fact Name Description
Definition The Ohio Do Not Resuscitate (DNR) Order form allows individuals to refuse resuscitation in the event of a medical emergency.
Governing Law The DNR Order in Ohio is governed by Ohio Revised Code § 2133.21 to § 2133.27.
Eligibility Any adult who is capable of making informed decisions about their medical care can complete a DNR Order.
Signature Requirement The form must be signed by the individual or their legal representative, along with a physician's signature.
Form Availability The Ohio DNR Order form is available online and can be printed for use.
Emergency Medical Services Emergency medical personnel are required to honor the DNR Order if it is properly completed and signed.
Revocation The DNR Order can be revoked at any time by the individual or their legal representative.
Healthcare Provider Notification It is advisable for individuals to inform their healthcare providers about their DNR Order to ensure it is respected.
Storage and Accessibility The DNR Order should be kept in an accessible location, such as a medical file or on the refrigerator, to ensure it can be easily found in an emergency.

Check out Some Other Do Not Resuscitate Order Templates for US States

Misconceptions

Understanding the Ohio Do Not Resuscitate (DNR) Order form is essential for individuals and families making healthcare decisions. However, several misconceptions can lead to confusion. Here are ten common misunderstandings about the DNR form in Ohio, along with clarifications for each.

  1. Misconception: A DNR order means no medical treatment will be provided.

    This is not true. A DNR order specifically addresses resuscitation efforts in the event of cardiac or respiratory arrest. Other medical treatments can still be administered.

  2. Misconception: Only terminally ill patients can have a DNR order.

    A DNR order is not limited to terminal illnesses. It can be appropriate for anyone who wishes to avoid resuscitation, regardless of their overall health status.

  3. Misconception: A DNR order is the same as a living will.

    While both documents deal with end-of-life decisions, a living will outlines preferences for medical treatment in various situations, whereas a DNR specifically pertains to resuscitation efforts.

  4. Misconception: A DNR order is permanent and cannot be changed.

    A DNR order can be revoked or modified at any time by the patient or their authorized representative. Flexibility is a key feature of these orders.

  5. Misconception: All healthcare providers automatically recognize a DNR order.

    While most providers will honor a DNR order, it is crucial to ensure that the order is properly documented and communicated to all relevant medical personnel.

  6. Misconception: A DNR order can only be created in a hospital.

    A DNR order can be established in various settings, including at home or in long-term care facilities. It is important to ensure that the order is properly documented.

  7. Misconception: A DNR order is only for older adults.

    Individuals of any age can have a DNR order if they choose to decline resuscitation. Age does not dictate the appropriateness of a DNR.

  8. Misconception: A DNR order means giving up on life.

    Choosing a DNR order is a personal decision that reflects an individual's values and wishes regarding their medical care. It does not equate to a desire to end life.

  9. Misconception: DNR orders are only for patients in hospice care.

    While hospice care often involves DNR orders, they are not exclusive to hospice. Any patient can request a DNR based on their treatment preferences.

  10. Misconception: A DNR order is a legal document that requires a lawyer.

    A DNR order does not require legal assistance to complete. However, it should be filled out correctly and signed by the appropriate parties to be valid.

By addressing these misconceptions, individuals can make more informed decisions about their healthcare preferences and ensure their wishes are respected in critical situations.

Documents used along the form

The Ohio Do Not Resuscitate Order (DNR) form is an important document that helps individuals express their wishes regarding medical treatment in emergency situations. Along with this form, there are several other documents that can be useful in ensuring that healthcare preferences are respected. Below is a list of these documents, each serving a unique purpose.

  • Living Will: This document outlines an individual's preferences for medical treatment in situations where they cannot communicate their wishes. It typically addresses issues like life support and other critical care measures.
  • Durable Power of Attorney for Healthcare: This form allows a person to designate someone to make healthcare decisions on their behalf if they become unable to do so. It ensures that a trusted individual advocates for the person's medical preferences.
  • Motor Vehicle Power of Attorney: This document allows a vehicle owner to authorize another individual to manage vehicle-related matters, providing convenience and efficiency when handling registration and titling duties, especially if one cannot be physically present. For more information, visit txtemplate.com/motor-vehicle-power-of-attorney-pdf-template.
  • Healthcare Proxy: Similar to a Durable Power of Attorney, a healthcare proxy specifically appoints someone to make medical decisions. This document is crucial for ensuring that someone is authorized to act in the best interest of the individual.
  • Physician Orders for Life-Sustaining Treatment (POLST): This document provides specific medical orders regarding life-sustaining treatments. It is often used for patients with serious health conditions to ensure their wishes are clearly communicated to healthcare providers.
  • Advance Directive: This is a broader term that encompasses both living wills and durable powers of attorney. It allows individuals to outline their healthcare preferences and appoint decision-makers in advance.
  • Do Not Hospitalize Order: This document indicates that a patient does not wish to be admitted to a hospital for treatment. It is often used for individuals with advanced illnesses who prefer to receive care at home or in a hospice setting.
  • Organ Donation Form: This form allows individuals to express their wishes regarding organ donation after death. It ensures that healthcare providers and family members are aware of the individual's intent to donate.

Having these documents in place can provide peace of mind for individuals and their families. They help ensure that personal healthcare preferences are honored during critical times. It's always a good idea to discuss these documents with loved ones and healthcare providers to ensure clarity and understanding.