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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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3x 2 SolutionPrint 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. 3X FOR BUSH Bagless Uprights VUS34AE2O E2BNSLEU Vacuum Washable X 2y Z 3 3x Y 2z 1 2x 2y 3z 2 By Using Crammer Rule

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 108061565 17314277522024 11 12t160458z 595201682 rc2r3ba2kovm rtrmadp 0

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 Question 1 Solve 8x 3 3x 2 Chapter 2 Class 8 NCERT Maths 108019486 17234995452024 08 12t100203z 246086352 rc2cl7alzaij rtrmadp 0

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