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Homepage Attorney-Approved Do Not Resuscitate Order Template Valid Do Not Resuscitate Order Form for Florida
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In the realm of healthcare decisions, the Florida Do Not Resuscitate (DNR) Order form serves as a crucial document for individuals who wish to outline their preferences regarding life-sustaining treatments in the event of a medical emergency. This form empowers patients to express their wishes clearly, allowing them to avoid unwanted resuscitation efforts that may not align with their values or desired quality of life. The DNR Order is designed to be straightforward, ensuring that healthcare providers can easily understand and implement the patient's directives. It must be signed by a physician and the patient or their legal representative, which underscores the importance of informed consent and collaboration in end-of-life care planning. Additionally, the form must be readily accessible, as emergency medical personnel need to locate it quickly during critical situations. Understanding the implications of this document is essential for individuals and families navigating complex healthcare choices, as it not only reflects personal beliefs but also fosters respectful dialogue between patients and their healthcare teams.

Common mistakes

  1. Not including the patient's name: It is essential to write the full name of the person for whom the order is intended. Without this, the form may not be valid.

  2. Failing to sign the form: The form must be signed by the patient or their legal representative. An unsigned form may lead to confusion and could be disregarded by medical personnel.

  3. Inaccurate completion of the date: The date should reflect when the form is filled out. An incorrect date can create issues regarding the validity of the order.

  4. Not having the required witnesses: In Florida, the form must be signed in the presence of two witnesses. If this step is skipped, the order may not be honored.

  5. Ignoring state-specific guidelines: Each state has its own rules regarding Do Not Resuscitate Orders. Not following Florida's specific requirements can invalidate the form.

Example - Florida Do Not Resuscitate Order Form

Florida Do Not Resuscitate Order

This Do Not Resuscitate (DNR) Order is executed in accordance with Florida Statutes, Chapter 401. It allows individuals to express their wish to avoid cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest.

Patient Information:

  • Name: _______________________________
  • Date of Birth: ________________________
  • Address: _____________________________
  • City: ________________________________
  • State: _______________________________
  • Zip Code: ____________________________

Health Care Surrogate Information:

  • Name: _______________________________
  • Phone Number: ________________________
  • Address: _____________________________

Patient's Wishes:

The above-named patient does not wish to have resuscitation measures performed in the event of cardiac or respiratory arrest.

Signature:

Patient/Legal Guardian Signature: ________________________

Date: ________________________

Witness Signatures:

  1. Signature: ________________________ Date: __________
  2. Signature: ________________________ Date: __________

This document serves as an official declaration of the patient’s preferences concerning resuscitation. It is crucial that this order is accessible and presented to medical personnel in emergencies.

More About Florida Do Not Resuscitate Order

What is a Florida Do Not Resuscitate Order (DNRO)?

A Florida Do Not Resuscitate Order is a legal document that allows a person to refuse resuscitation efforts in the event of a medical emergency. This order is typically used by individuals with terminal illnesses or severe medical conditions who wish to avoid aggressive life-saving measures, such as CPR, in the event of cardiac arrest or respiratory failure.

Who can complete a DNRO in Florida?

In Florida, a DNRO can be completed by an adult who is of sound mind. This includes individuals who are capable of making informed decisions about their medical care. Additionally, the order must be signed by a physician to be valid. The physician should discuss the implications of the order with the patient to ensure understanding.

How is a DNRO form obtained?

A DNRO form can be obtained from various sources, including hospitals, healthcare providers, or online from the Florida Department of Health website. It is important to ensure that the form is the official state version to meet legal requirements.

What information is required on the DNRO form?

The DNRO form requires specific information, including the patient’s name, date of birth, and the physician's signature. It may also include the patient's signature and a statement indicating the patient's wishes regarding resuscitation efforts. Accurate and clear information is essential for the form to be legally binding.

Where should the DNRO form be kept?

The DNRO form should be kept in a place that is easily accessible to healthcare providers. It is advisable to keep copies in the patient’s medical records, with family members, and in locations such as the refrigerator or on the front of the medical file. This ensures that the order can be quickly located in an emergency situation.

Can a DNRO be revoked or changed?

Yes, a DNRO can be revoked or changed at any time by the individual who created it. To revoke the order, the individual should destroy the original form and inform their healthcare providers of the change. A new DNRO can be completed if the individual wishes to create a different directive.

What happens if a DNRO is not available during a medical emergency?

If a DNRO is not available during a medical emergency, healthcare providers will typically proceed with standard resuscitation efforts. It is crucial for individuals to communicate their wishes clearly to family members and healthcare providers to avoid confusion in emergency situations.

Are there any legal protections for healthcare providers who follow a DNRO?

Yes, healthcare providers are legally protected when they follow the directives outlined in a valid DNRO. Following the order protects them from liability for not performing resuscitation efforts, provided the order is clearly documented and meets all legal requirements.

Key takeaways

Filling out and using the Florida Do Not Resuscitate Order (DNRO) form is an important decision for individuals who wish to express their preferences regarding resuscitation efforts. Here are some key takeaways to consider:

  • The DNRO form must be completed and signed by a licensed physician. This ensures that the order is valid and recognized by healthcare providers.
  • Individuals can fill out the DNRO form themselves, but it must reflect their wishes clearly. Clarity is crucial to avoid any misunderstandings during emergencies.
  • The form should be kept in an easily accessible location. Family members and caregivers should know where it is stored to ensure it can be located quickly when needed.
  • It is advisable to discuss the DNRO with family members and healthcare providers. Open communication helps ensure that everyone understands the individual’s wishes.
  • The DNRO can be revoked at any time. If an individual changes their mind, they should inform their physician and destroy any copies of the old form.
  • Healthcare facilities must honor the DNRO. Once presented, medical personnel are required to follow the directives outlined in the form.

File Details

Fact Name Description
Definition A Florida Do Not Resuscitate Order (DNRO) is a legal document that allows a person to refuse cardiopulmonary resuscitation (CPR) in the event of a cardiac arrest.
Governing Law The DNRO in Florida is governed by Section 401.45 of the Florida Statutes.
Eligibility Any adult can create a DNRO, but it must be signed by the individual or their legal representative.
Effectiveness The DNRO is effective in any setting, including hospitals and at home, as long as it is properly completed and presented.

Dos and Don'ts

When filling out the Florida Do Not Resuscitate Order form, it’s important to approach the process with care and consideration. Here are some essential dos and don’ts to keep in mind:

  • Do ensure you understand the implications of the order. This document indicates that you do not wish to receive CPR in the event of cardiac arrest.
  • Do consult with your healthcare provider before completing the form. They can provide guidance tailored to your health needs.
  • Do sign and date the form in the presence of a witness, as required by Florida law.
  • Do keep copies of the signed form. Distribute them to your healthcare proxy, family members, and your medical providers.
  • Don't rush through the process. Take your time to reflect on your wishes regarding end-of-life care.
  • Don't forget to review and update the form if your health status or preferences change.
  • Don't assume that verbal instructions are sufficient. The written order is necessary to ensure your wishes are respected.