Blank Ohio Do Not Resuscitate Order Form

What is a Do Not Resuscitate (DNR) order in Ohio?

A Do Not Resuscitate (DNR) order in Ohio is a legal form that communicates a person's wish not to have CPR (cardiopulmonary resuscitation) or other lifesaving treatments in the event their heart stops or they stop breathing. This decision is often part of broader advance care planning, made after careful consideration and discussion with healthcare providers, and in accordance with Ohio law. It's intended to ensure that a person's preferences regarding end-of-life care are respected.

Who can authorize a DNR order in Ohio?

In Ohio, a DNR order can be authorized by the individual concerned, known as the patient, provided they are competent and of legal age, which is 18 or over. If the individual is a minor, or not competent to make their own medical decisions, a legal guardian, healthcare proxy, or someone holding durable power of attorney for healthcare can make such decisions on their behalf. Healthcare providers are required to follow these orders as they are legally binding directives.

How can one obtain a DNR order in Ohio?

To obtain a DNR order in Ohio, an individual or their authorized representative needs to have a discussion with a healthcare provider. This conversation is crucial as it ensures the individual fully understands the implications of a DNR order. After this discussion, if the decision is to proceed, the healthcare provider will prepare the Dnr form, reflecting the individual’s wishes. The form must be signed by the individual (or representative) and the healthcare provider. It is then included in the patient's medical records.

Where should a DNR order be kept?

Once signed, the DNR order should be kept in a place where it is easily accessible to healthcare providers in the event of an emergency. This could include keeping a copy at home in a prominent location, such as on the refrigerator door, as well as informing close family members or caretakers of its location. It is also advisable to carry a copy when traveling and to ensure that it is part of the medical records at the individual’s healthcare provider’s office and any care facilities in which they reside.

Can a DNR order be revoked or changed in Ohio?

In Ohio, a DNR order can indeed be revoked or changed at any time by the individual for whom it was made, provided they are competent, or otherwise by their legal representative. To revoke or alter a DNR order, the individual or representative must communicate the change verbally or in writing to the healthcare provider. Following this, a new DNR order may be executed if the individual's wishes have changed and they now desire different end-of-life care measures.

1. Not including the patient’s full legal name: Patients or their authorized representatives sometimes skip details or use nicknames, which can lead to confusion about the patient's identity.

2. Failing to check the appropriate box indicating the scope of the DNR order: The form includes options for the extent of the DNR instructions. Missing this crucial step can lead to the unintended provision or withholding of certain types of medical interventions.

3. Omitting the signature and date: It is common to overlook the completion of the signature section by the patient or their representative and the physician. The document is not considered valid without these.

4. Inaccurate patient information: Incorrect or outdated patient information, such as address or contact number, is often provided. This can lead to difficulties in emergency situations when trying to contact family members or verify the patient's identity.

5. Not specifying the duration of the order if intended for a limited time: Most DNR orders are intended to be permanent, but if a temporary order is desired, failing to state this explicitly can result in its being treated as permanent.

6. Failure to provide a copy to the patient’s primary care provider: To ensure the DNR order is followed, it is necessary to distribute copies of the completed form to all relevant parties, including the patient's primary healthcare provider.

7. Forgetting to update or revoke the form when the patient’s wishes change: Patient preferences regarding life-sustaining treatment can evolve, but caretakers sometimes neglect to reflect these changes in a new or updated DNR order.

When considering a Do Not Resuscitate (DNR) order in Ohio, individuals often encounter various other forms and documents that play critical roles in their health care planning. These documents, like the Ohio DNR form, are essential for ensuring one's health care wishes are known and respected by family members and health care providers. Understanding the purpose and importance of each can help in creating a comprehensive care plan that reflects an individual's desires regarding medical treatment and end-of-life care.

• Advanced Health Care Directive: This document combines a living will and health care power of attorney. It outlines an individual's preferences for medical treatment if they become unable to make decisions and appoints a trusted person to make health care decisions on their behalf.
• Living Will: A living will details an individual's preferences concerning life-sustaining treatments, such as artificial nutrition and hydration, in cases where recovery is not expected.
• Health Care Power of Attorney (HCPOA): This form designates a person to make health care decisions on behalf of the individual, should they become incapacitated and unable to make decisions for themselves.
• Physician Orders for Life-Sustaining Treatment (POLST): Similar to a DNR, this form goes further, detailing other aspects of end-of-life care, such as the use of antibiotics, IV fluids, and artificial nutrition, based on the individual's wishes.
• Medical Orders for Scope of Treatment (MOST): This is a doctor's order that translates an individual's wishes into medical orders, covering a range of treatments including resuscitation, hospitalization, and comfort care.
• HIPAA Release Form: The Health Insurance Portability and Accountability Act (HIPAA) release form allows health care providers to share an individual's medical information with specified people, making it easier for family members to stay informed and make decisions if necessary.
• Organ and Tissue Donation Form: This consent form allows individuals to specify their wishes regarding organ and tissue donation after death.
• Emergency Contact Form: Provides contact information for individuals' chosen emergency contacts, ensuring they can be reached quickly in a crisis.
• Funeral Planning Declaration: This document allows individuals to outline their wishes for their funeral arrangements, helping to ease the burden on loved ones during a difficult time.
• Financial Power of Attorney: While not directly related to health care, this form designates someone to manage an individual's financial affairs if they become incapacitated, ensuring that bills and expenses continue to be paid.

Combining the Ohio DNR with these additional forms and documents can provide a comprehensive approach to planning for future health care needs. Each plays a unique role in ensuring individuals' wishes are clearly communicated and respected, offering peace of mind to both them and their loved ones. It is advisable to consult with health care professionals or a legal expert when completing these documents to ensure accuracy and compliance with current state laws.

The Ohio Do Not Resuscitate (DNR) Order form is similar to an Advance Directive, which allows an individual to state their wishes regarding medical treatment if they are no longer able to communicate due to illness or incapacity. Both documents are proactive measures for healthcare planning, ensuring an individual's preferences are known and respected in critical situations.

Another document that shares similarities with the Ohio DNR Order form is a Living Will. A Living Will specifically details what types of life-sustaining treatments an individual would like to refuse or accept, much like a DNR order specifies not to perform CPR in the event of cardiac or respiratory arrest. Both serve as legal guides for healthcare providers in end-of-life care situations.

The Medical Power of Attorney (POA) document is also akin to the Ohio DNR Order form. While the DNR specifically refuses certain types of emergency treatments, a Medical POA designates someone to make healthcare decisions on an individual’s behalf. Both documents contribute to ensuring a person's medical treatments align with their wishes when they're unable to communicate choices.

The POLST (Physician Orders for Life-Sustaining Treatment) form shares its purpose with the Ohio DNR Order form, as it also guides emergency medical personnel and other healthcare providers on the treatments that an individual wishes to receive or avoid near the end of life. POLST forms are more comprehensive, addressing treatments beyond resuscitation.

Healthcare Proxy forms, much like the Ohio DNR Order, allow individuals to outline specific healthcare wishes, including decisions about resuscitation. However, while a DNR directly addresses the issue of resuscitation, a Healthcare Proxy appoints another person to make healthcare decisions when the individual is unable to do so.

A Do Not Intubate (DNI) order is closely related to the DNR Order form, as it instructs healthcare providers not to perform intubation for mechanical ventilation. Both documents are used to decline specific life-sustaining procedures, focusing on the individual's autonomy over their end-of-life care.

Five Wishes is a comprehensive document that, like the Ohio DNR Order, deals with medical treatment preferences at the end of life. It covers personal, spiritual, medical, and legal aspects, including the desire not to be resuscitated, making it a broader planning tool that encompasses the principles behind a DNR.

The HIPAA Release Form, while primarily about privacy and the sharing of medical information, indirectly connects to the DNR Order form through its role in ensuring the right people have access to necessary health information. This facilitates discussions and decisions around end-of-life care, including resuscitation preferences.

An Emergency Medical Information Form contains comprehensive medical data for use in emergency situations, loosely related to the DNR Order which is a directive specifically for emergency situations. This form includes allergies, conditions, medication, and also can contain DNR wishes, making critical information quickly accessible to responders.

Last, the Organ Donor Registration forms, although not directly related to treatment preferences during life, share with the DNR a forward-thinking approach to medical decisions. While the DNR Order informs emergency healthcare providers about resuscitation wishes, organ donor forms convey wishes for after death, both being proactive steps in personal healthcare planning.

Filling out the Ohio Do Not Resuscitate (DNR) Order form is an important step in making your health care wishes known in situations where you may not be able to communicate them. Here are seven key dos and don'ts to keep in mind:

• Do ensure that the patient or their authorized representative signs the form. This is essential for the DNR Order to be considered valid.
• Do include all required information such as the patient's full name, date of birth, and specific directions about the DNR order.
• Do consult with a healthcare provider to fully understand the implications of a DNR order and ensure that it aligns with the patient's wishes and health care goals.
• Do not fill out the form in haste. Take the time to carefully review each section and ensure that it accurately reflects the wishes of either you or the patient you're representing.
• Do not leave any sections incomplete. An incomplete form may lead to confusion or may not be legally valid, which can result in resuscitation efforts that the patient may not have wanted.
• Do not forget to revisit the DNR order periodically, especially if the patient's health condition changes. DNR orders can be revised to better reflect the patient's current wishes and health status.
• Do keep a copy of the signed DNR order in a place where it can be easily found by family members or caretakers. It's also a good idea to inform the patient's healthcare providers about the existence of a DNR order.

When it comes to the Do Not Resuscitate (DNR) Order in Ohio, there's a mix of facts and misunderstandings floating around. Clearing up these misconceptions can help everyone understand what a DNR order really means and how it's used. Here are eight common myths:

• Only the elderly can have a DNR order. This is not true. A DNR order can be for anyone at any age who decides that they do not want to have CPR (cardiopulmonary resuscitation) if their heart stops or if they stop breathing. This decision can be made regardless of the person's age.

• A DNR order is the same as giving up on treatment. Not at all. Choosing a DNR order doesn't mean all treatments stop. It specifically refers to the refusal of CPR in case of a heart stoppage or breathing failure. Treatment for other conditions can continue according to the person's wishes or the doctor's advice.

• Doctors decide when to put a DNR order in place. While doctors do play a role, the decision to have a DNR order is ultimately up to the patient or their healthcare proxy (someone legally designated to make healthcare decisions if the patient cannot). The doctor's role is to provide information and advice about the DNR order.

• A DNR order is permanent and cannot be changed. This is false. A DNR order can be revised or revoked (canceled) at any time by the patient or their healthcare proxy, as long as the patient is capable of making their own decisions or the proxy has the legal right to do so.

• If you have a DNR order, EMTs will not assist you in an emergency. Emergency Medical Technicians (EMTs) will still provide all necessary care in an emergency, except for CPR if the person has a valid DNR order. A DNR order only directs them not to initiate CPR.

• A DNR order means you can't be taken to the hospital. This is incorrect. A DNR order doesn't prevent hospital admission. It simply informs medical staff about your wishes regarding CPR. You can still receive treatment for other conditions or injuries.

• DNR orders are only for terminal illnesses. While many people with terminal illnesses may choose a DNR order, it's also an option for those with chronic conditions, severe debilitating illnesses, or for individuals who simply do not want to receive CPR under any circumstances.

• You must have a lawyer to complete a DNR order in Ohio. You do not need a lawyer to complete a DNR order. The process involves discussing your wishes with your doctor, who can then help you fill out the necessary forms. However, consulting with a lawyer about your overall healthcare directives can be beneficial.

Understanding the facts about DNR orders in Ohio helps individuals make informed decisions about their healthcare. It's important to discuss these decisions with family, healthcare proxies, and medical professionals to ensure that your wishes are understood and respected.

When dealing with the Ohio Do Not Resuscitate (DNR) Order form, it's crucial to understand its purpose and implications. This form is designed to communicate a person's wish not to receive cardiopulmonary resuscitation (CPR) in the event their heart stops or they stop breathing. Here are ten key takeaways to remember:

• The DNR Order form should only be filled out by or on behalf of an individual who does not want to receive CPR.
• This form must be completed in accordance with Ohio law to be valid. Details such as the patient’s full name, a clear statement of the wish not to receive CPR, and the appropriate signatures are required.
• The form requires the signature of the individual or a legally authorized representative if the individual is unable to sign for themselves.
• A physician’s signature is also necessary for the DNR Order to be valid. The doctor will review the implications of the DNR with the patient or their representative.
• It's important to keep the DNR Order form in an easily accessible place so that medical personnel can find it quickly in an emergency. Some people choose to keep it on the refrigerator or with other medical information.
• The DNR Order should be reviewed regularly, especially if the individual’s health status changes. It can be revoked or updated at any time by the individual or their authorized representative.
• Communicating the existence of a DNR Order to family, caregivers, and healthcare providers is crucial to ensure that the individual’s wishes are respected.
• In Ohio, the DNR Order is applicable in various settings including home, hospital, and other healthcare facilities.
• If emergency medical services (EMS) personnel are called, they must be shown the DNR Order immediately to prevent the initiation of CPR.
• Understanding the implications of a DNR Order and its impact on emergency care is critical. While it directs healthcare providers not to attempt CPR, it does not affect other forms of medical care and treatment.

Completing and using the Ohio Do Not Resuscitate Order form is a significant decision that requires careful consideration and discussion with healthcare providers and loved ones. It ensures that an individual's wishes regarding end-of-life care are known and can be legally upheld.