Type 2242 M 2

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Type 2242 M 2

Type 2242 M 2

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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Type 2242 M 2Print 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. 96FD42 P512 TS SSSTC M 2 2242 512GB NVME G4x4 DRAMLESS SSD TLC M 2 SSD

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 Kingchuxing 256GB 512GB 1TB 2TB Interne SSD M 2 2280 2242 2260

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 B Key M 2 NGFF MSATA SSD To SATA 3 0 Adapter 2 In 1 Converter Card For M 2 NVMe SSD To PCI E 3 0 4x 8x x16 Adapter Card Converter For M Key P