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2x 6 4x 18 180
2x 6 4x 18 180
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 6 4x 18 180Print 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. A klay c Olsun L tfen de Eodev Solved 1 4x 2y 12 z 6 3y 18 3x 4y Z 2 2 Chegg
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 1 0 6 4x 18 0 4 5 7x 2 4 13 2 5 1 4 12 t 3 3 4 t 24
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 4 UCV Relaciona Cada Gr fica Con Las Funciones Mostradas Y 5x R t G n C c Bi u Th c Sau A 4x M 2 5x M 2 3 6x 3x M 3 2x
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