Philips Ambilight 75 8808

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Philips Ambilight 75 8808

Philips Ambilight 75 8808

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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Philips Ambilight 75 8808Print 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. Ce T l viseur Philips Ambilight Profite En Ce Moment D une Grosse Philips Ambilight Plus

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 Remote Control Replacement For All Philips Ambilight 4K Smart LED TV

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 Philips TV 2023 Die PUS8808 PUS8818 PUS8848 PUS8888 TVs Mit TV PHILIPS 55PUS8007 12 LED 55 139cm UHD Android Ambilight