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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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9900kfPrint 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. Intel Core I9 9900K Review The Fastest Gaming CPU Has Arrived But Best Buy CLX SET Gaming Desktop Intel Core I9 9900KF 32GB DDR4 3000GHz
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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 I9 9900KF RTX 3070 8GB GDDR6 32 GB DDR4 1 TB SSD 13427073137
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 Core I9 9900KF F CPU iGPU Intel Core I9 9900KF Unlocked LGA1151 Sockel Kaufen Auf Ricardo
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