3 4 Of A Tablet

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3 4 Of A Tablet

3 4 Of A Tablet

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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3 4 Of A TabletPrint 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. White RK3288 10 1 Inch Android Tablet Pc POS Dual Screen Android Tablet Samsung s Giant 14 6 inch Android Tablet Has A Macbook style Display

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 Max 61 OFF Onn Tablet Gen 2 With Android 10 1 Includes Case Black

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 Lenovo Tab M10 Plus 2025 Jane Pullman Tablet Apple IPad Pro 12 9 2020 128GB Wifi Grigio