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3x 4 2 5 X 3 2
3x 4 2 5 X 3 2
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 4 2 5 X 3 2Print 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. Solved 17 F x 5x 2 3x 7 18 F x X3 3x2 1 x x3 Chegg Y x 3 5x 2 7x 5 324828 Y x 3 5x 2 7x 5
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 If F 2 x 3x 5 Find F x And F 2 YouTube
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 Integrate 3x 1 x 2 4x 4 8Pairs HQProp T3 5X2 5X3 3 5inch Propeller 3525 1 5mm Shaft 3 Blade
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