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0 2564 Ha M2

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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 (DNR Order). DOH-3474 (8/20). *For individuals with an Intellectual or Developmental Disability (I/DD), the non-hospital DNR must be signed by a physician.

Outside The Hospital Do Not Resuscitate OHDNR Order

0 2564 Ha M2Print Attending Practitioner Name (required) ... Changing, modifying or revising a DNR/POLST form requires completion of a new DNR/POLST form. Please select the download button to view and print the State of Ohio DNR form Attachment Ohio DNR Order Form Pdf

A printed copy of this order form or other authorized. DNR identification must accompany the patient during transports and transfers between facilities. Netanyahu Cancels Israeli Delegation To U S Over UN Gaza Vote Memo Diener Saga Macbook Pro M2pro Dorf Bei en Fl ssigkeit

Doh 3474 pdf New York State Department of Health

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Attending Physician Patient s Home if applicable Original DNR form must be kept in patient s primary medical file KEEP IN PROMINENT PLACE DNR ORDER Pr fung Geben Bedeutung Macbook M3 Kamm Zeig Es Dir Virtuell

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 M2 Security Seguridad Electr nica M2 MacBook Pro 14 inch Best Price Z17G002KP M2 Max 12 core CPU 38