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1 3 De 12000
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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
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1 3 De 12000Print 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. Ar Condicionado Port til Haier 12000Btus H Antimofo 3 Em 1 Branco 127V Westinghouse WGEN12000DF 12 000 Watt Electric Start Dual Fuel Portable
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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 Best Wall Air Conditioners 2024 Kania Marissa
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 Central De Ar Condicionado Split 12000 Btus Inverter Consul Aire Minisplit 110v Mirage 1 Tonelada 12000 Btu Life 12 Env o Gratis
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