Homepage Printable Do Not Resuscitate Order Template Printable Do Not Resuscitate Order Document for New Jersey

PDF Form Data

Fact Name Description
Purpose The New Jersey Do Not Resuscitate (DNR) Order form allows individuals to express their wishes regarding resuscitation efforts in the event of a medical emergency.
Governing Law The DNR Order in New Jersey is governed by the New Jersey Advance Directives for Health Care Act (N.J.S.A. 26:2H-53 et seq.).
Eligibility Any adult who is capable of making medical decisions can complete a DNR Order, including those with terminal illnesses or serious medical conditions.
Signature Requirements The form must be signed by the patient or their authorized representative, and it should be witnessed by at least one person who is not related to the patient.
Revocation Individuals can revoke their DNR Order at any time, and it is essential to communicate this decision to healthcare providers to ensure that their current wishes are respected.

Key takeaways

When considering the New Jersey Do Not Resuscitate (DNR) Order form, it’s essential to understand its purpose and how to use it effectively. Here are some key takeaways:

  1. Understand the Purpose: A DNR order is a legal document that instructs medical personnel not to perform cardiopulmonary resuscitation (CPR) if your heart stops or you stop breathing.
  2. Eligibility: This form is typically for individuals with a terminal illness or those who wish to avoid aggressive life-saving measures.
  3. Consult with Healthcare Providers: Before filling out the form, discuss your wishes with your doctor or healthcare provider to ensure you fully understand the implications.
  4. Complete the Form Accurately: Fill out all required sections of the DNR order form clearly and accurately to avoid any confusion during a medical emergency.
  5. Signature Requirements: The form must be signed by you, or if you are unable to sign, by an authorized representative, and a physician must also sign it.
  6. Keep Copies Accessible: Make several copies of the completed DNR order and keep them in easily accessible locations, such as with your medical records or at home.
  7. Inform Family and Caregivers: Ensure that your family members and caregivers are aware of your DNR order and understand your wishes.
  8. Review Regularly: Revisit your DNR order periodically, especially if your health status changes or if you have new medical treatments.
  9. State-Specific Regulations: Be aware that DNR orders can vary by state, so familiarize yourself with New Jersey’s specific laws and requirements.
  10. Emergency Medical Services: Make sure that your DNR order is recognized by local emergency medical services (EMS) to ensure your wishes are honored in an emergency.

By understanding these key points, you can ensure that your DNR order accurately reflects your wishes and is respected by medical professionals when needed.

Dos and Don'ts

When filling out the New Jersey Do Not Resuscitate Order form, it is essential to follow specific guidelines to ensure that the document is completed correctly. Here are six important dos and don'ts to consider:

  • Do ensure that the form is signed by the patient or their authorized representative.
  • Do include the date when the form is completed to establish its validity.
  • Do provide clear and accurate information regarding the patient's medical condition.
  • Don't leave any sections of the form blank; incomplete forms may not be honored.
  • Don't use vague language; be specific about the wishes regarding resuscitation.
  • Don't forget to distribute copies of the signed form to relevant healthcare providers.

Instructions on Filling in New Jersey Do Not Resuscitate Order

Filling out the New Jersey Do Not Resuscitate Order form is a straightforward process that allows individuals to communicate their wishes regarding resuscitation efforts in a medical emergency. Once the form is completed, it should be signed by a physician and kept in an easily accessible location. Here are the steps to fill out the form:

  1. Obtain the New Jersey Do Not Resuscitate Order form. You can find it online or request a copy from your healthcare provider.
  2. Fill in your personal information, including your full name, date of birth, and address.
  3. Clearly indicate your wishes regarding resuscitation by checking the appropriate box on the form.
  4. Consult with your physician to discuss your decision. This step is crucial to ensure that your wishes are understood and respected.
  5. Have your physician sign and date the form. Their signature is necessary for the form to be valid.
  6. Make copies of the completed form for your records and for your healthcare proxy, if applicable.
  7. Store the original form in a safe but accessible location, such as your medical file or with your advance directives.

By following these steps, you ensure that your healthcare preferences are documented and can be honored in a medical setting. It’s important to review your wishes periodically and update the form as needed.

Misconceptions

Understanding the New Jersey Do Not Resuscitate (DNR) Order form is crucial for making informed decisions about end-of-life care. However, several misconceptions can cloud people's understanding. Here are seven common myths and the truths behind them:

  1. A DNR order means no medical care at all. Many believe that having a DNR means a person will receive no medical treatment. In reality, a DNR order specifically pertains to resuscitation efforts. Other medical care, including pain management and comfort measures, continues as needed.
  2. A DNR order is only for terminally ill patients. While DNR orders are often associated with terminal illnesses, they can be appropriate for anyone who wishes to avoid resuscitation in certain situations. This choice is personal and can be made regardless of one's health status.
  3. A DNR order is permanent and cannot be changed. Some people think that once a DNR order is established, it cannot be altered. In fact, individuals can change or revoke their DNR orders at any time, as long as they are capable of making decisions.
  4. Only doctors can initiate a DNR order. While healthcare professionals play a significant role in discussing and documenting DNR orders, patients and their families can also request them. It’s important for individuals to communicate their wishes clearly.
  5. A DNR order is the same as a living will. Many confuse a DNR order with a living will. A living will outlines a person’s wishes regarding medical treatment in various situations, while a DNR specifically addresses resuscitation efforts. Both documents serve different purposes.
  6. A DNR order is only valid in hospitals. Some believe that DNR orders apply only in hospital settings. However, in New Jersey, a properly completed DNR order is valid in all healthcare settings, including at home or in long-term care facilities.
  7. Having a DNR order means giving up on life. This misconception can be particularly challenging. A DNR order is not about giving up; it’s about making informed choices regarding the type of care one wants to receive. It reflects a desire for dignity and comfort at the end of life.

By dispelling these myths, individuals can make better-informed decisions regarding their healthcare preferences and ensure their wishes are respected.