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do not resuscitate (DNR)

National, state and local organizations have joined together to ensure that all adults have the opportunity to communicate and document their healthcare decisions. Too often, someone’s wishes are not known and steps are taken during a critical medical situation that he or she would not have wanted.

Have you done any advance healthcare planning? Do you even know what your choices are? Have you prepared an advance healthcare directive and shared its contents with your loved ones?

The objectives of the National Healthcare Decisions Day are to provide information to the public and improve the ability of healthcare facilities and providers to offer guidance about advance healthcare planning to their patients.

Don’t force your family to make end of life decisions for you. Tell them what you want and confirm your choices in writing with a living will or other advance directive document. Make April 16th the day you have a discussion with your family, convey your wishes and sign the necessary paperwork.

For further information, go to http://diesmart.com/elder-law/living-wills/ or http://diesmart.com/elder-law/health-care-power-of-attorney/ or http://diesmart.com/elder-law/other-advanced-health-care-directives/

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Document Name
Do Not Resuscitate Order
Where do you get the form
Physicians should have copies of the form.  You can download a copy of the form here:  http://tinyurl.com/ktsc6n
Who signs the form
Michigan has two DNR forms.   One form enables a physician to sign the DNR.   The other DNR form does not require a physician signature to be an authentic document.
Patient Identification
EMS will act based uon the information contained in the DNR.
How do you obtain a DNR bracelet
Once you have your DNR form completed, you can call one of the numbers listed below and request a DNR bracelet.
Revoking a DNR
You can revoke a DNR by tearing up the DNR form and returning any DNR identification bracelets.
Photocopy
A photocopy is considered an authentic document
State info link
http://tinyurl.com/ktsc6n
Other link
http://www.vialoflife.com
DNR Bracelet links
Once you complete the DNR form, you can order a DNR bracelet.  There is no requirement for information from the form to be available on the bracelet.
Special Notes
Once you complete the DNR form, you can order a DNR bracelet.  There is no requirement for information from the form to be available on the bracelet.

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Document Name
Comfort Care/Do Not Resuscitate Order Verification
OR
Custom Care/Do Not Resuscitate Order Verification With Bracelet
Where do you get the form
A physician must complete a DNR form on your behalf. If you want to order a bracelet, the physician will complete the DNR Order Verification With Bracelet form.
If your physician does not have a form, click here:
http://tinyurl.com/c627vx.
Who signs the form
The form is signed by the physician, the patient, and two witnesses. The DNR Verification with Bracelet form must be printed on 8 1/2 inch by 14 inch legal size paper.
Patient Identification
The Comfort Care/DNR verification is the only document that EMS personnel can use to verify a DNR order is valid.
How do you obtain a DNR bracelet
Your physician must order a DNR bracelet for you.
Revoking a DNR
An EMS/DNR Order may be revoked at any time by the patient’s request for resuscitation made directly to responding emergency medical services personnel OR by the physical cancellation or destruction of all EMS/DNR Order forms, bracelets, and necklaces with the consent of the patient or the authorized decision maker signing the EMS/DNR Order. Destruction of an EMS/DNR Order, bracelet, or necklaces without consent carries penalties under the Health Care Decision Act.
Photocopy
Photocopies of the form or the bracelet inserts are not considered authentic DNR documents. If you need a document at more than one location, create multiple original documents.
State info link
http://tinyurl.com/c627vx
Other links
http://www.vialoflife.com/
DNR Bracelet links
Your physician must order a DNR braclet on your behalf.
Special Notes
Order a Vial of Life decal for your front door. The decal informs Emergency Medical Services team a DNR has been prepared and can be found in your refrigerator. The Customer Care/Do Not Resuscitate Order Verification assumes the patient has completed a separate DNR form. The DNR Order Verification form provides a way to document the existence of a DNR in out of hospital situations.

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Document Name
Do Not Resuscitate Order
Where do you get the form
Ask your physician to create a DNR on your behalf. The physician will prepare and sign the form.
Who signs the form
Ask your physician to create a DNR on your behalf. The physician will prepare and sign the form.
Patient Identification
There is no requirement for a patient to wear a DNR identification bracelet.
How do you obtain a DNR bracelet
If you want to wear a DNR bracelet, you can order one from one of the links listed below.
Revoking a DNR
You, or your designated health care agent, can give different instructions at any time, either orally, or by notifying your physician in writing.
Photocopy
You can make a photocopy of the original DNRO form, but it must be copied on canary yellow paper.
State info link
http://tinyurl.com/ddgby4
Other link
http://www.vialoflife.com/
DNR Bracelet links
Order a Vial of Life decal for your front door. The decal informs Emergency Medical Services team a DNR has been prepared and can be found in your refrigerator. The original DNRO order MUST be printed on YELLOW stock, 8 ½ 14, legal size paper. The laminated patient identification record has the same legal authority as the original DNRO order.

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Document Name:
“Do Not Resuscitate Comfort Care Order ” OR ” Do Not Resuscitate Comfort Care Order-Arrest Order”
Where do you get the form
A physician, a certified nurse practitioner or a clinical nurse specialist can complete the form. If you need to provide a form to your physician, click here
Who signs the form
The physician and the patient can consent to a DNR order.
Patient Identification
A wallet card, an EMR hospital bracelet or the completed form can be used by EMS personnel.
How do you obtain a DNR bracelet
Once the DNR form is signed, you can obtain a bracelet.
Revoking a DNR
You may revoke the DNR at any time, either orally or in writing. You may also revoke the DNR by destroying the DNR form, wallet card or DNR bracelet.
Photocopy
A photocopy is recognized as an authentic DNR form.
State info link:
http://codes.ohio.gov/orc/2133.02
Other links:
http://www.vialoflife.com/
DNR Bracelet links
DNR bracelets may be obtained from most companies that sell medical identification bracelets, provided they have a copy of your Ohio DNR form on file. Some bracelet sources include:


Special Notes:
Order a Vial of Life decal for your front door. The decal informs Emergency Medical Services team a DNR has been prepared and can be found in your refrigerator.

Ohio has two types of DNR forms. In addition, your Living Will may include some DNR language. Discuss these options with your physician or attorney and select the one appropriate for your intentions.

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