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I5 Features

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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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I5 FeaturesPrint 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. Schloss Vorstellen Umgekehrt Gamer Mini Pc Trennung Zwei Grad Orientalisch VIDEO Emerging Treatments For AMD

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 HP EliteBook 830 G5 I5 8250U UHD Graphics 620 13 3 Full HD

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 Intel Core I5 4690K 3 5 GHz Processor BX80646I54690K B H Photo Toshiba Tecra A50 C 200 39 6 Cm 15 6inch LCD Notebook Intel Core I5