Article Guide
PDF Form Data
| Fact Name | Description |
|---|---|
| Purpose | The Pennsylvania Do Not Resuscitate (DNR) Order form allows individuals to refuse resuscitation in the event of cardiac arrest or respiratory failure. |
| Governing Law | This form is governed by the Pennsylvania Consolidated Statutes, Title 20, Chapter 54, known as the Health Care Consent Act. |
| Eligibility | Any adult who is capable of making their own health care decisions can complete a DNR Order. |
| Signature Requirement | The form must be signed by the individual or their authorized representative, along with a physician's signature. |
| Notification | Emergency medical services and health care providers must be notified of the DNR Order for it to be honored. |
| Form Availability | The DNR Order form is available through the Pennsylvania Department of Health and various health care facilities. |
Key takeaways
Filling out and using the Pennsylvania Do Not Resuscitate Order (DNR) form involves several important considerations. Here are key takeaways to keep in mind:
- Eligibility: The DNR order can be completed by adults who are capable of making their own medical decisions. It is also valid if signed by a legal representative for individuals unable to do so.
- Clear Communication: Ensure that your wishes regarding resuscitation are clearly stated on the form. This helps healthcare providers understand your preferences in emergency situations.
- Signature Requirements: The DNR form must be signed by the patient or their authorized representative, and it should be dated. A witness signature is not required but can be helpful.
- Distribution: Once completed, distribute copies of the DNR order to your healthcare providers, family members, and keep a copy in a visible place at home.
- Revocation: You have the right to revoke the DNR order at any time. To do this, simply destroy the form and inform your healthcare providers of your decision.
Understanding these key points can help ensure that your healthcare preferences are respected in accordance with Pennsylvania law.
Dos and Don'ts
When filling out the Pennsylvania Do Not Resuscitate Order form, it's important to approach the task with care. Here’s a helpful list of things to do and avoid.
- Do clearly state your wishes regarding resuscitation.
- Do ensure the form is signed by a physician.
- Do discuss your decision with family members or loved ones.
- Do keep a copy of the completed form for your records.
- Do inform your healthcare providers about your DNR order.
- Don't leave any sections of the form blank.
- Don't forget to date the form when you sign it.
- Don't assume that verbal instructions are enough; the form must be written.
- Don't ignore state laws; ensure the form complies with Pennsylvania regulations.
Taking these steps can help ensure your preferences are respected in critical situations.
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Instructions on Filling in Pennsylvania Do Not Resuscitate Order
Completing the Pennsylvania Do Not Resuscitate Order form is an important step in ensuring your healthcare wishes are respected. This document communicates your preferences regarding resuscitation efforts in case of a medical emergency. Below are the steps to fill out the form accurately.
- Obtain the Pennsylvania Do Not Resuscitate Order form. You can find it online or request a copy from your healthcare provider.
- Read the instructions carefully to understand each section of the form.
- Fill in your full name, address, and date of birth at the top of the form.
- Specify your medical condition and any relevant health history in the designated section.
- Clearly indicate your wishes regarding resuscitation by checking the appropriate box.
- Sign and date the form. Ensure your signature is legible.
- Have the form witnessed by two individuals who are not related to you or your healthcare provider.
- Provide copies of the completed form to your healthcare provider and any family members involved in your care.
Once you have completed the form, ensure it is kept in an accessible location. It's crucial that your healthcare team and loved ones are aware of your wishes to honor them effectively.
Misconceptions
Understanding the Pennsylvania Do Not Resuscitate (DNR) Order form is crucial for making informed decisions about medical care. Here are some common misconceptions surrounding this important document:
- A DNR means I will not receive any medical care. This is false. A DNR specifically addresses resuscitation efforts, such as CPR, but does not prevent you from receiving other medical treatments.
- Only terminally ill patients need a DNR. Not true. Anyone can choose to have a DNR, regardless of their health status. It's about personal choice and preferences for end-of-life care.
- A DNR is the same as a living will. This is a misconception. While both documents relate to end-of-life decisions, a living will covers a broader range of medical treatments and preferences, whereas a DNR focuses solely on resuscitation.
This is incorrect. You can revoke or change your DNR at any time, as long as you are mentally competent to do so. This is not accurate. If you have a valid DNR, your wishes should be respected, even if family members disagree. Communication with loved ones is essential to ensure your wishes are understood. This is misleading. A DNR can be valid in various settings, including at home or in long-term care facilities, as long as it is properly documented. This is a mistake. Discussing your DNR with your healthcare provider ensures that they understand your wishes and can incorporate them into your care plan. While you can complete the form on your own, it’s advisable to seek guidance from a healthcare professional to ensure it reflects your wishes accurately. This is a misconception. While a DNR prevents resuscitation, it does not guarantee the manner or timing of death. Many factors can influence the dying process.
Clarifying these misconceptions can help you make informed decisions about your healthcare preferences. Always consult with healthcare professionals when considering a DNR or any other advance directive.