2x 4 6x 3 9x 3x 6

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2x 4 6x 3 9x 3x 6

2x 4 6x 3 9x 3x 6

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 4 6x 3 9x 3x 6Print 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. 3 QuestionsSimplify 6x 3 x2 5x Simplify 2x 4 6x 6 Limx 2 1 x 2 2 2x 3 x3 3x2 2x Brainly in

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 Y x 3 6x 2 9x 1 Find All Points Of Relative Minima And Maxima

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 Factorise 6x 2 7x 3 Brainly in 2x 1 6x 3 7x 1 0 5 2x 3x 1 6 5x 0 4x 3 2x 7 7x 2 0 3x 2 5x