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X 3 X 2 5 4x
X 3 X 2 5 4x
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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X 3 X 2 5 4xPrint 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. 1 3 x 2 x x 2 11 2 3x 4 2 3x 1 1 3x 49 Integral Cos 4 X Dx Contoh Integral Trigonometri Berpangkat
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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 Example 8 Show F x X3 3x2 4x Is Strictly Increasing
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 Cubic Box Auto Bottom Closer Box 2 5 X 2 5 X 2 5 Box Template Fit On A4 F x x3 x2 16x 20 x 2 2 If X Not Equal To 2 K Maths Continuity
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Example 8 Show F x X3 3x2 4x Is Strictly Increasing
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