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Route Tram 16 Den Haag
Route Tram 16 Den Haag
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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Route Tram 16 Den HaagPrint 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. Den Haag Metro Map The Hague Metro Map Netherlands HTM GTL 3066 Tram Lijn 16 In ADO Den Haag Kleuren 2012 11 18
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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 Station Den Haag Centraal Wateringen Dorpskade HTM Tramlijn 16
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 HTM Den Haag Tramlijn 17 Wateringen Station Hollands Spoor The Hague Haagse Tram Trams In The Hague Netherlands 2016 YouTube
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