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Parafuso 5 0 X 40 Soberbo

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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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Parafuso 5 0 X 40 SoberboPrint 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. Tabela De Furos Medidas E Como Us la BEPEX Parafuso Sextavado M10 X 40 Polido
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 Parafuso Sextavado Rosca Soberba Helo Foz
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 TAB PARAFUSO SEXTAVADO ROSCA TOTAL METRICO PSG Ind stria Solu es Parafuso Chipboard 5 0x40 Mm Bicromatizado Flangeada Caixa 200 P s

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