3520 Dell I3

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3520 Dell I3

3520 Dell I3

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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3520 Dell I3Print 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. Dell Inspiron 3520 I3 1215U UHD Graphics Alder Lake 15 6 Full Laptop Dell Vostro 3520 I3 1215U 8GD4 512SSD 15 6FHD 5M2TT1

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 Laptop Dell Inspiron 3520 I3 1215U 8GB 256GB 15 6 120Hz N3520 i3U082

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 Dell Vostro 3520 Laptop New Launched Core I5 12th Gen Laptop DELL Vostro 3520 Core I7 12th Gen Atech Mall Computer