Printable Florida Do Not Resuscitate Order Template

Printable Florida Do Not Resuscitate Order Template

A Florida Do Not Resuscitate Order (DNRO) is a legal document that allows individuals to express their wishes regarding resuscitation efforts in the event of a medical emergency. This form is crucial for those who prefer not to receive cardiopulmonary resuscitation (CPR) or other life-saving measures when facing a terminal condition. Understanding the implications of this order can empower individuals to make informed decisions about their healthcare preferences.

Access This Do Not Resuscitate Order Now

In Florida, the Do Not Resuscitate Order (DNRO) form serves as an important tool for individuals wishing to express their preferences regarding medical treatment in emergency situations. This form allows patients to indicate that they do not want resuscitative measures, such as CPR, if their heart stops or they stop breathing. It is crucial for ensuring that a person's wishes are respected when they cannot communicate them. The DNRO must be signed by a physician and is valid across various healthcare settings, including hospitals and nursing homes. Additionally, it is essential for patients and their families to understand that this order does not affect the provision of other medical care. Instead, it specifically addresses resuscitation efforts. Having a DNRO in place can provide peace of mind to individuals and their loved ones, knowing that their healthcare choices will be honored even in critical moments.

Dos and Don'ts

When filling out the Florida Do Not Resuscitate Order form, it's essential to follow specific guidelines to ensure your wishes are clearly communicated. Here’s a straightforward list of what you should and shouldn’t do:

  • Do consult with your healthcare provider before completing the form.
  • Do ensure that the form is signed by the appropriate parties, including your physician.
  • Do keep a copy of the completed form for your records and provide copies to your family and healthcare providers.
  • Do review the form periodically to ensure it still reflects your wishes.
  • Do understand the implications of the order and discuss them with loved ones.
  • Don't fill out the form under pressure or without fully understanding its consequences.
  • Don't forget to include all necessary signatures; an unsigned form may not be valid.
  • Don't assume that your healthcare providers will know your wishes without the form.
  • Don't leave the form in an inaccessible place; it should be easily found when needed.
  • Don't hesitate to update the form if your health status or preferences change.

Key takeaways

Filling out a Florida Do Not Resuscitate Order (DNRO) form is an important decision that requires careful consideration. Here are key takeaways to keep in mind:

  1. Understand the Purpose: The DNRO form is designed to communicate your wishes regarding resuscitation efforts in the event of a cardiac or respiratory arrest.
  2. Eligibility: This order is intended for individuals who are experiencing a terminal condition, are in a persistent vegetative state, or have a severe, irreversible condition.
  3. Completion Process: The form must be completed and signed by you, the patient, and a licensed physician. Ensure that both signatures are present for the order to be valid.
  4. Accessibility: Keep the completed DNRO form in an easily accessible location. It should be available to your healthcare providers and family members when needed.
  5. Review Regularly: Your healthcare needs and wishes may change over time. Regularly review the DNRO to ensure it still reflects your current desires.
  6. Communicate Your Wishes: Discuss your decision with family members and healthcare providers. Open communication can help prevent confusion and ensure that your wishes are honored.

By taking these steps, you can ensure that your preferences regarding resuscitation are clearly understood and respected in times of need.

Other Do Not Resuscitate Order State Forms

Example - Florida Do Not Resuscitate Order Form

Florida Do Not Resuscitate Order

This Do Not Resuscitate (DNR) Order complies with Florida Statutes, Section 401.45, regarding the rights and wishes of individuals concerning resuscitation efforts.

Please complete the information below:

  • Patient Name: ________________________________
  • Date of Birth: ________________________________
  • Address: ___________________________________
  • City: ________________________________
  • State: ________________________________
  • Zip Code: ________________________________
  • Patient's Medical Record Number: ________________________________

By signing this document, you are stating the following:

  1. This order is my voluntary decision, made without coercion.
  2. I understand the consequences of refusing resuscitation.
  3. This decision reflects my personal wishes about my medical care.

Patient's Signature: ________________________________

Date: ________________________________

Witness Signature: ________________________________

Date: ________________________________

Physician's Signature: ________________________________

Date: ________________________________

This DNR order should be kept in a safe yet accessible location and shared with family members and healthcare providers.

Misconceptions

Understanding the Florida Do Not Resuscitate Order (DNRO) form is crucial for making informed healthcare decisions. However, several misconceptions can lead to confusion. Here are seven common misunderstandings about the DNRO form in Florida:

  1. Misconception 1: The DNRO is the same as a living will.

    This is incorrect. A living will outlines your wishes regarding medical treatment in the event you are unable to communicate, while a DNRO specifically addresses resuscitation efforts in case of cardiac or respiratory arrest.

  2. Misconception 2: A DNRO means no medical care will be provided.

    This is not true. The DNRO only indicates that you do not wish to receive CPR or other resuscitative measures. Other medical treatments, such as pain management and comfort care, will still be provided.

  3. Misconception 3: The DNRO is only for terminally ill patients.

    This is a common belief, but it is not accurate. Anyone can choose to complete a DNRO, regardless of their health status, if they do not want resuscitation in an emergency.

  4. Misconception 4: A DNRO is a permanent decision.

    This is misleading. Individuals can revoke or modify their DNRO at any time, reflecting changes in their health status or personal preferences.

  5. Misconception 5: Medical professionals will ignore the DNRO if they think resuscitation is warranted.

    This is a serious concern but not how it works. Medical professionals are required to honor a valid DNRO, as it reflects the patient’s wishes.

  6. Misconception 6: You can verbally express your wishes instead of completing the form.

    While verbal communication is important, a valid DNRO must be documented in writing and signed by the appropriate parties to be legally recognized.

  7. Misconception 7: The DNRO form is only valid in hospitals.

    This is incorrect. The DNRO is valid in any healthcare setting, including at home, nursing facilities, and during transport by emergency services.

Clearing up these misconceptions can empower individuals to make informed decisions about their healthcare preferences. Understanding the DNRO form is an essential part of planning for the future.

Similar forms

  • Living Will: Similar to a Do Not Resuscitate Order, a living will outlines a person's wishes regarding medical treatment in case they become unable to communicate. It addresses various scenarios, including end-of-life care, and can specify the types of interventions a person does or does not want.
  • Durable Power of Attorney for Health Care: This document allows an individual to appoint someone else to make medical decisions on their behalf. Like a DNR, it ensures that a person's healthcare preferences are honored, especially when they cannot express their wishes.
  • Advance Healthcare Directive: An advance directive combines elements of a living will and a durable power of attorney. It provides guidance on medical treatment preferences and designates an agent to make decisions, ensuring a comprehensive approach to healthcare wishes.
  • Physician Orders for Life-Sustaining Treatment (POLST): This document is similar in purpose to a DNR but is more detailed. It translates a patient’s wishes regarding life-sustaining treatments into medical orders, which healthcare providers must follow, ensuring clarity in emergency situations.
  • Do Not Intubate (DNI) Order: A DNI order specifically instructs healthcare providers not to insert a breathing tube in the event of respiratory failure. Like a DNR, it reflects a patient's wishes regarding life-sustaining measures, focusing on a particular aspect of care.