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70 0076 Cable Size
70 0076 Cable Size
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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70 0076 Cable SizePrint 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. TECHUT Screw Type USB Male To Female Panel Mount Cable At Rs 65 piece 100 PURE COPPER CABLE 40 0016 40 0076 70 0076 X 3 CORE CABLE PER
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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 CABLE FLEXIBLE CABLE Selangor KL Malaysia Electrical Appliances
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 Alt tech Electrical 90meter Coil Phoenix 40 0076 X 3Core Double PVC Alt tech Electrical 90meter Coil 100 PURE COPPER PHOENIX 70 0076
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