Edit Document

Official Do Not Resuscitate Order Document for Texas

A Texas Do Not Resuscitate Order (DNR) form is a legal document that allows individuals to refuse resuscitation efforts in the event of a medical emergency. This form ensures that a person's wishes regarding life-sustaining treatment are respected by medical personnel. For those considering this important decision, filling out the form is a crucial step; click the button below to get started.

Edit Document

Jump Links

In Texas, the Do Not Resuscitate (DNR) Order form serves as a crucial legal document for individuals who wish to express their preferences regarding medical treatment in emergency situations. This form is particularly important for patients facing terminal illnesses or severe medical conditions, as it allows them to communicate their desire to forgo cardiopulmonary resuscitation (CPR) in the event of cardiac arrest or respiratory failure. The DNR Order must be completed and signed by the patient or their legal representative, ensuring that the wishes of the individual are respected by healthcare providers. It is essential to understand that this document does not affect other medical treatments; rather, it specifically addresses resuscitation efforts. Furthermore, the DNR Order must be prominently displayed or made easily accessible to medical personnel to ensure compliance. By clearly outlining a patient's wishes, the Texas DNR Order empowers individuals to maintain control over their healthcare decisions, even in critical moments when they may be unable to communicate. Understanding the implications and proper execution of this form is vital for anyone considering it, as it can provide peace of mind and clarity for both patients and their loved ones.

Sample - Texas Do Not Resuscitate Order Form

Texas Do Not Resuscitate Order

This Do Not Resuscitate (DNR) Order is executed in accordance with Texas law, specifically Chapter 166 of the Texas Health and Safety Code. It outlines the desires of the individual named below regarding medical treatment in the event of cardiac or respiratory arrest.

Patient Information:

Full Name: ______________________________
Date of Birth: ________________________
Address: ______________________________

Health Care Agent Information:

Name: ______________________________
Phone Number: ______________________
Relationship to Patient: _______________

Patient’s Wishes:

The patient wishes to forgo resuscitation in the event of cardiac or respiratory arrest. This means that in the event of such an occurrence, resuscitative measures such as chest compressions, artificial ventilation, or defibrillation should not be initiated.

Execution of this Order:

This order shall be effective immediately upon signing by the patient, or their designated health care agent. Both parties must agree and understand the implications of this document.

Signature of Patient: ________________________________

Date: ________________________

Signature of Health Care Agent (if applicable): ________________________________

Date: ________________________

Witness 1:

Name: ______________________________

Signature: ______________________

Date: ________________________

Witness 2:

Name: ______________________________

Signature: ______________________

Date: ________________________

Document Information

Fact Name	Details
Purpose	The Texas Do Not Resuscitate Order (DNR) form allows individuals to refuse resuscitation efforts in case of cardiac or respiratory arrest.
Governing Law	This form is governed by the Texas Health and Safety Code, Chapter 166, Subchapter B.
Eligibility	Any adult can complete a DNR order, including those who are terminally ill or have a life-limiting condition.
Signature Requirement	The DNR form must be signed by the individual or their legally authorized representative.
Healthcare Provider's Role	A physician must sign the DNR order to validate it and ensure it is recognized in medical settings.
Revocation	Individuals can revoke a DNR order at any time, either verbally or by destroying the form.
Emergency Medical Services	Emergency medical personnel are required to honor a valid DNR order when responding to a medical emergency.
Availability	The Texas DNR form is available online and can be printed for use in healthcare facilities or at home.

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

Dnr Hospital - A DNR does not prevent other types of medical care; it only addresses CPR.

A Florida Commercial Lease Agreement is a legally binding document that outlines the terms and conditions between a landlord and a tenant for renting commercial property in Florida. This agreement protects the rights of both parties and specifies details such as rental payments, lease duration, and property use. To access a convenient way to prepare this document, you can visit Florida PDF Forms for assistance in filling out the form.

Misconceptions

Misconception 1: A Do Not Resuscitate (DNR) order means that a person will not receive any medical care.

This is not true. A DNR order specifically applies to resuscitation efforts, such as CPR or the use of defibrillators. Patients can still receive other forms of medical treatment and care.
Misconception 2: Only terminally ill patients can have a DNR order.

While many people with terminal illnesses choose to have a DNR, anyone can request one. It is a personal decision based on individual values and preferences regarding end-of-life care.
Misconception 3: A DNR order is permanent and cannot be changed.

A DNR order can be revoked or modified at any time. Patients or their healthcare proxies can update their wishes as needed, reflecting changes in their health status or personal preferences.
Misconception 4: A DNR order is only valid in a hospital setting.

This is incorrect. A DNR order is valid in various settings, including at home, in nursing facilities, and during transport. It is important to ensure that the order is clearly communicated and documented.
Misconception 5: Family members can make DNR decisions without the patient's consent.

Family members typically cannot make DNR decisions unless they have been designated as a healthcare proxy or the patient has previously discussed their wishes with them. It is crucial to have open conversations about these decisions to ensure everyone is on the same page.

Documents used along the form

The Texas Do Not Resuscitate (DNR) Order form is an essential document for individuals wishing to express their preferences regarding resuscitation efforts in medical emergencies. However, several other forms and documents often accompany the DNR to ensure that a person's healthcare wishes are respected and clearly communicated. Below is a list of these important documents.

Advance Directive: This legal document outlines a person's preferences for medical treatment in situations where they may be unable to communicate their wishes. It often includes instructions on life-sustaining treatments, organ donation, and other end-of-life decisions.
Durable Power of Attorney Form: To ensure your financial decisions are respected, consider utilizing the Durable Power of Attorney for comprehensive management of your financial affairs.
Medical Power of Attorney: This form designates a trusted individual to make healthcare decisions on behalf of the person if they become incapacitated. It is crucial for ensuring that someone who understands the individual’s values and wishes is in charge of their care.
Physician Orders for Life-Sustaining Treatment (POLST): This medical order translates a patient’s preferences regarding life-sustaining treatment into actionable orders for healthcare providers. It is particularly useful for individuals with serious health conditions.
Living Will: A living will specifies what types of medical treatment an individual does or does not want in the event they become terminally ill or permanently unconscious. It serves as a guide for healthcare providers and family members.
Do Not Intubate (DNI) Order: Similar to a DNR, a DNI order specifically instructs healthcare providers not to perform intubation, which is the insertion of a tube into the airway to assist with breathing. This document is important for those who wish to avoid invasive respiratory interventions.
Healthcare Proxy: This document allows an individual to appoint someone to make medical decisions on their behalf. It is similar to a medical power of attorney but may have different legal implications depending on state laws.
Organ Donation Consent Form: This form indicates a person's wishes regarding organ donation after death. It can be part of an advance directive or a standalone document, ensuring that the individual's preferences are honored.

Understanding these documents and how they work together can empower individuals to make informed decisions about their healthcare. It is essential to have clear communication with family members and healthcare providers to ensure that one's wishes are respected and followed. Taking the time to complete these forms can provide peace of mind and clarity during difficult times.