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Bd 3ml Syringe 22g X 1 1 2 Ndc

Bd 3ml Syringe 22g X 1 1 2 Ndc

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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Bd 3ml Syringe 22g X 1 1 2 NdcPrint 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. Eclipse Needle Tips Raven Kirsten BD 3ml Sterile Syringe Packs ROW Micronclean

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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 Medical Hypodermic Needle

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 Syringe Ll 3Ml 22G X 3 4 Needle Combo Pipeline Medical Quincke Spinal Needle 22g X 1 5 Sterile Medical Mart