2x 7 17x 16 3x

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2x 7 17x 16 3x

2x 7 17x 16 3x

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 7 17x 16 3xPrint 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. 1 X 2 7x 6 2 X 2 100 3 4x 2 81 4 25p 2 16p 5 M 2 Prosze O Zrobienie Zadania NA TERAZ Matematyka Brainly pl

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 Oblicz zadanie W Za czniku Brainly pl

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 6x 2 17x 0 2x 2 9x 35 0 Zad 1 2 90 Daje Naj Brainly pl