5 2x 3 20x 15

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5 2x 3 20x 15

5 2x 3 20x 15

5 2x 3 20x 15

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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Solve 1 X 5 2x 3 1 2x2 2x 5 43 X 3 9 X 2 10 1 x 124 5x

5 2x 3 20x 15Print 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. How To Solve X 2 3x 2 0 By Factoring YouTube 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 X 3 5 6 X 1 3 3 x 3 4x 10 5 3 x 1 4 1 2x 3 10 3 2x 1 4 6 5

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 Let F x X 5 2x 3 Find f 1 3 Integrate Dx 2x 3 With Limits From 1 To 0

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