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3 8 Vs 1 2 Impact Sockets
3 8 Vs 1 2 Impact Sockets
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 8 Vs 1 2 Impact SocketsPrint 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. Stainless Steel 1 2 Impact Sockets Drive Size 1 2 Inch At 50 piece 3 4 Inch Drive Deep 6 Point Impact Socket Set Inch 22 Piece TEKTON
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 Stanley 1 4 Drive Socket Set 3 8 Vs 1 2 Socket Set Stanley 3 8
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 MILWAUKEE 3 4 In Drive Size 8 Pieces Impact Socket Set 61DP05 49 Klutch Impact Socket Set 94 Pc 3 8in 1 2in Drive Northern
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