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Sonicare 4100 Vs 9300
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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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Sonicare 4100 Vs 9300Print 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. Philips Sonicare DiamondClean Classic Smart 9300 9500 9700 Review Philips Sonicare 4100 Vs Oral B 1000 Revealed Special Features
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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 SHARP OPTONICA SM 4100 SCHEMATIC Service Manual Download Schematics
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 Sonicare 7500 Vs 9300 Best Selling ToothBrush Online Sonicare 7500 Vs 9300 Best Selling ToothBrush Online
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