2x 3 5x 2 6x 15 0

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2x 3 5x 2 6x 15 0

2x 3 5x 2 6x 15 0

2x 3 5x 2 6x 15 0

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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2x 3 5x 2 6x 15 0Print 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. N 5x x 2 5 If 5x 3 5x 2 6x 9 Is Divided By x 2 Then The Remainder Is

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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 1 5x 2 17x 15 x 4 2 6x 3 16x 2 17x 6 3x 2 3 2x 4 x 3 19x 2

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 Graphing Linear Functions Examples Practice Expii F x 2x 3 5x 2 6x 7 G x 2x 3 Find f G x Brainly

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