Homepage Blank Do Not Resuscitate Order Form Attorney-Approved Do Not Resuscitate Order Form for Pennsylvania

Misconceptions

Misconceptions about the Pennsylvania Do Not Resuscitate (DNR) Order form can lead to confusion and unintended consequences. Here are four common misunderstandings:

  • A DNR means no medical care at all. Many people believe that a DNR order indicates a refusal of all medical treatment. In reality, a DNR specifically addresses the use of cardiopulmonary resuscitation (CPR) in the event of cardiac arrest. Other medical interventions and treatments can still be provided based on the patient's needs and wishes.
  • Only terminally ill patients can have a DNR. Some think that DNR orders are only for those who are terminally ill. However, anyone can choose to have a DNR, regardless of their health status. The decision is personal and should reflect individual preferences about end-of-life care.
  • A DNR is only valid in a hospital setting. There is a belief that DNR orders apply only within hospital walls. In Pennsylvania, DNR orders are valid in various settings, including at home or in long-term care facilities, as long as the order is properly documented and recognized by medical personnel.
  • A DNR is permanent and cannot be changed. Many assume that once a DNR is established, it cannot be altered. In truth, individuals can change or revoke their DNR orders at any time, as long as they communicate their wishes clearly to their healthcare providers.

Understanding these misconceptions is crucial for making informed decisions about end-of-life care. Clear communication with healthcare providers and loved ones can help ensure that individual preferences are respected.

What to Know About This Form

What is a Pennsylvania Do Not Resuscitate Order (DNR) form?

A Pennsylvania Do Not Resuscitate Order (DNR) form is a legal document that allows individuals to refuse resuscitation efforts in the event of cardiac arrest or respiratory failure. This form is specifically designed for patients who do not wish to receive life-saving measures, such as CPR or advanced airway management, when they are unable to communicate their wishes.

Who can complete a DNR form in Pennsylvania?

In Pennsylvania, any adult who is capable of making their own medical decisions can complete a DNR form. This includes individuals who are 18 years or older. If a person is unable to make decisions due to a medical condition, a legally authorized representative, such as a healthcare proxy or family member, may complete the form on their behalf.

How do I obtain a DNR form in Pennsylvania?

You can obtain a DNR form from various sources, including hospitals, healthcare providers, or online through the Pennsylvania Department of Health website. It is important to ensure that you are using the most current version of the form, as regulations may change.

What information is required on the DNR form?

The DNR form requires basic information such as the patient's name, date of birth, and a declaration of their wishes regarding resuscitation. It must also include the signature of the patient or their authorized representative, as well as the signature of a physician who agrees with the patient's decision.

Is a DNR order valid in all healthcare settings?

Yes, a DNR order is valid in all healthcare settings in Pennsylvania, including hospitals, nursing homes, and home care situations. However, it is essential to ensure that the DNR form is properly completed and accessible to healthcare providers when needed.

Can a DNR order be revoked?

Yes, a DNR order can be revoked at any time by the patient or their authorized representative. This can be done verbally or in writing. It is crucial to inform healthcare providers about the revocation to ensure that your current wishes are respected.

What should I do with my DNR form once it is completed?

Once you have completed your DNR form, keep it in an easily accessible location. It is advisable to share copies with your healthcare providers, family members, and anyone involved in your care. Consider wearing a medical alert bracelet or necklace to inform emergency personnel of your DNR status in case of an emergency.

How to Use Pennsylvania Do Not Resuscitate Order

Filling out the Pennsylvania Do Not Resuscitate Order form is an important step in making your healthcare wishes known. This form allows you to communicate your preferences about resuscitation in case of a medical emergency. Follow these steps to complete the form accurately.

  1. Obtain the Pennsylvania Do Not Resuscitate Order form. You can find it online or request a copy from your healthcare provider.
  2. Read the instructions carefully. Make sure you understand what each section of the form requires.
  3. Fill in your personal information at the top of the form. This includes your name, address, and date of birth.
  4. Choose a healthcare representative if you wish. This person will make decisions on your behalf if you cannot do so.
  5. Indicate your wishes regarding resuscitation. Be clear and specific about what you want.
  6. Sign and date the form. Your signature is essential for the form to be valid.
  7. Have your healthcare representative sign the form if you designated one.
  8. Consider having a witness sign the form. This can help verify your wishes.
  9. Keep a copy of the completed form for your records. Share copies with your healthcare provider and your designated representative.

Once you have filled out the form, it’s a good idea to discuss your choices with your healthcare provider. They can help ensure that your wishes are understood and respected in any future medical situations.