Homepage Printable Do Not Resuscitate Order Template Printable Do Not Resuscitate Order Document for Utah

PDF Form Data

Fact Name Details
Purpose The Utah Do Not Resuscitate Order form allows individuals to express their wish not to receive cardiopulmonary resuscitation (CPR) in the event of cardiac arrest.
Governing Law This form is governed by Utah Code § 26-28-1, which outlines the legal framework for advance directives and medical orders.
Eligibility Any adult who is capable of making their own medical decisions can complete a Do Not Resuscitate Order in Utah.
Signature Requirements The form must be signed by the individual or their legal representative, and it requires the signature of a witness or a notary public to be valid.

Key takeaways

Understanding the Utah Do Not Resuscitate Order (DNR) form is essential for individuals who wish to express their medical care preferences. Here are key takeaways regarding this important document:

  • The DNR form allows individuals to indicate their wishes regarding resuscitation in the event of a medical emergency.
  • It is important to complete the form accurately to ensure that healthcare providers understand your preferences.
  • The form must be signed by a physician to be valid. This step is crucial for its acceptance in medical settings.
  • Once completed, the DNR order should be placed in a visible location, such as on the refrigerator or with medical records.
  • Individuals should discuss their DNR wishes with family members and healthcare providers to ensure everyone is informed.
  • In Utah, a DNR order applies only to cardiopulmonary resuscitation (CPR) and does not affect other medical treatments.
  • Reviewing and updating the DNR order periodically is recommended, especially after significant health changes.

These points emphasize the importance of clear communication and understanding when it comes to end-of-life care preferences.

Dos and Don'ts

When filling out the Utah Do Not Resuscitate (DNR) Order form, it’s essential to approach the process with care and understanding. Here’s a list of things to do and avoid to ensure that your wishes are clearly communicated.

  • Do discuss your wishes with your healthcare provider before completing the form.
  • Do ensure that the form is signed by both you and your physician.
  • Do keep a copy of the completed form in a safe but accessible place.
  • Do share copies of the DNR order with family members and caregivers.
  • Do review the form periodically to ensure it still reflects your wishes.
  • Don't fill out the form without understanding its implications.
  • Don't sign the form if you feel pressured or unsure about your decision.
  • Don't forget to update the form if your health status or preferences change.
  • Don't assume that verbal instructions will suffice; a signed form is crucial.
  • Don't leave the form in a place where it could be easily lost or overlooked.

Taking these steps can help ensure that your healthcare wishes are respected and followed. Clear communication is key to making sure that your choices are honored in times of need.

Instructions on Filling in Utah Do Not Resuscitate Order

After obtaining the Utah Do Not Resuscitate Order form, it is important to complete it accurately to ensure that your wishes regarding medical treatment are clearly communicated. Follow these steps to fill out the form properly.

  1. Begin by entering the patient's full name in the designated section.
  2. Provide the patient's date of birth to confirm their identity.
  3. Fill in the patient's address, including street, city, state, and ZIP code.
  4. Indicate the patient's medical condition or terminal illness, if applicable.
  5. Sign the form in the space provided to confirm that the order is valid.
  6. Have the patient's physician sign the form to validate the order. Ensure the physician includes their name and contact information.
  7. Include the date on which the order is signed by both the patient and the physician.
  8. Make copies of the completed form for the patient, family members, and medical providers.

Once the form is filled out and signed, it should be distributed to relevant healthcare providers and kept in a safe but accessible location. This ensures that the order can be honored in case of a medical emergency.

Misconceptions

Many people have misunderstandings about the Utah Do Not Resuscitate (DNR) Order form. Here are some common misconceptions:

  • A DNR means no medical care at all. This is not true. A DNR only indicates that a person does not want to receive CPR in the event of cardiac arrest. Other medical treatments and interventions can still be provided.
  • Only terminally ill patients can have a DNR. This misconception is misleading. Any person, regardless of their health status, can choose to have a DNR if they wish to avoid resuscitation efforts.
  • A DNR is a permanent decision. Some believe that once a DNR is in place, it cannot be changed. In fact, individuals can revoke or modify their DNR order at any time if they change their mind.
  • Family members can decide on a DNR without consent. It is important to note that family members cannot make a DNR decision on behalf of someone else unless they have legal authority, such as being a designated healthcare proxy.