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

PDF Form Data

Fact Name Details
Definition A Do Not Resuscitate (DNR) Order is a legal document that indicates a person's wish not to receive cardiopulmonary resuscitation (CPR) in case of cardiac arrest.
Governing Law In Washington, DNR Orders are governed by RCW 70.122, which outlines the requirements and procedures for these orders.
Eligibility Any adult can create a DNR Order, but it must be signed by the patient and a physician to be valid.
Location The DNR Order should be kept in a place where it can be easily accessed by medical personnel, such as a hospital or at home.
Revocation A DNR Order can be revoked at any time by the patient or their legal representative, verbally or in writing.
Emergency Medical Services Emergency Medical Services (EMS) personnel are required to honor valid DNR Orders as long as they are properly documented and accessible.

Key takeaways

Filling out and using the Washington Do Not Resuscitate (DNR) Order form is an important step for individuals who wish to communicate their healthcare preferences. Here are key takeaways to consider:

  1. The DNR Order form must be signed by a licensed healthcare provider.
  2. Patients or their legal representatives should fill out the form, ensuring that it reflects their wishes.
  3. It is crucial to discuss the decision with family members and healthcare providers before completing the form.
  4. The DNR Order applies only to cardiopulmonary resuscitation (CPR) and does not affect other medical treatments.
  5. Keep copies of the completed DNR Order in accessible locations, such as with your healthcare provider and at home.
  6. Inform emergency medical services (EMS) personnel about the existence of the DNR Order when needed.
  7. The DNR Order can be revoked at any time by the patient or their legal representative.
  8. Healthcare providers are required to honor the DNR Order as long as it is valid and properly executed.
  9. Regularly review and update the DNR Order to ensure it aligns with current health status and personal wishes.
  10. Consult with an attorney or a healthcare advocate if there are questions about the implications of the DNR Order.

Understanding these points can help ensure that the DNR Order is used effectively and respects individual healthcare choices.

Dos and Don'ts

When filling out the Washington Do Not Resuscitate Order form, it is important to follow specific guidelines to ensure that your wishes are clearly documented. Below is a list of things you should and shouldn't do.

  • Do ensure that the form is completed in full.
  • Do sign and date the form to validate it.
  • Do discuss your decision with your healthcare provider.
  • Do keep a copy of the completed form for your records.
  • Don't use the form if you have not discussed your wishes with a medical professional.
  • Don't forget to inform family members about your DNR order.
  • Don't alter the form after it has been signed.

Instructions on Filling in Washington Do Not Resuscitate Order

Filling out the Washington Do Not Resuscitate Order form is an important step in making your healthcare wishes known. It ensures that your preferences regarding resuscitation are clear to medical professionals. Follow these steps to complete the form accurately.

  1. Obtain the Washington Do Not Resuscitate Order form. You can find it online or request it from your healthcare provider.
  2. Begin by entering your full name in the designated space at the top of the form.
  3. Provide your date of birth. This helps to confirm your identity.
  4. Fill in your address. Include your street, city, state, and zip code.
  5. Next, indicate the name of your healthcare provider. This is the doctor who is familiar with your medical history.
  6. Check the box that indicates your decision regarding resuscitation. Make sure to choose the option that reflects your wishes.
  7. Sign and date the form at the bottom. Your signature is essential to validate the document.
  8. If you have a witness, they should sign the form as well. This adds an extra layer of verification.
  9. Keep a copy of the completed form for your records. It’s also wise to give a copy to your healthcare provider and family members.

Once you have filled out the form, make sure it is easily accessible. Share copies with your healthcare provider and loved ones to ensure everyone is aware of your wishes.

Misconceptions

Many people have misunderstandings about the Washington Do Not Resuscitate (DNR) Order form. These misconceptions can lead to confusion and stress during critical moments. Here are seven common misconceptions:

  • A DNR means no medical care at all. Many believe that a DNR order means that a patient will receive no medical attention. In reality, a DNR only indicates that resuscitation efforts should not be made in the event of cardiac arrest. Other medical treatments and care continue as needed.
  • DNR orders are only for terminally ill patients. While DNR orders are often associated with end-of-life care, they can be appropriate for anyone who wishes to avoid resuscitation in specific circumstances, regardless of their overall health status.
  • A DNR is permanent and cannot be changed. Some think that once a DNR is signed, it cannot be revoked. In fact, individuals can change or cancel their DNR orders at any time, reflecting their current wishes and health situation.
  • All healthcare providers must honor a DNR order. It is a misconception that every healthcare provider is obligated to follow a DNR order. While most do, there are exceptions, especially in emergency situations where the order may not be readily available.
  • A DNR is the same as a living will. Many confuse DNR orders with living wills. While both documents express preferences about medical care, a living will covers a broader range of medical decisions beyond resuscitation.
  • Only doctors can complete a DNR order. Some believe that only physicians can initiate a DNR order. In Washington, patients can also express their wishes through the appropriate form, making it accessible to individuals and their families.
  • A DNR order is only valid in hospitals. It is a common belief that DNR orders apply only within hospital settings. However, DNR orders can be valid in various healthcare environments, including at home or in assisted living facilities, provided they are properly documented.

Understanding these misconceptions can help individuals make informed decisions about their healthcare preferences and communicate their wishes effectively.