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4096 Bytes Means
4096 Bytes Means
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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4096 Bytes MeansPrint 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. Yousei kishi Tristan Fate Grand Order Image By Ebora Mangaka Mobile Suit Gundam SEED FREEDOM Image 4062323 Zerochan Anime Image Board
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 Kafka Honkai Star Rail Image By Nea Pixiv26466434 4115362
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 Black Swan Honkai Star Rail Image By Junker Art 4104627 Zerochan Houkai 3rd Honkai Impact 3rd Image By Sparks Summer 3869076
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