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Legal Do Not Resuscitate Order Template for Florida State

A Florida Do Not Resuscitate Order (DNRO) form is a legal document that allows individuals to express their wishes regarding resuscitation efforts in the event of a medical emergency. By completing this form, patients can ensure that their preferences are respected by healthcare providers. Understanding this form is crucial for anyone considering end-of-life care options.

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Other Common Do Not Resuscitate Order State Templates

Dnr Paperwork - Regularly reviewed DNR orders ensure that they remain accurate over time, reflecting any changes in health status or preferences.

In order to successfully navigate the licensure process, candidates are encouraged to familiarize themselves with the Florida Board Nursing Application and utilize resources such as Florida PDF Forms that offer access to the necessary documentation and guidelines for completing the application efficiently.

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Example - Florida Do Not Resuscitate Order Form

Florida Do Not Resuscitate Order (DNRO) Template

This document serves as a Do Not Resuscitate Order (DNRO) in accordance with Florida Statutes Section 401.45. It is important that this form is completed accurately to reflect the wishes of the patient concerning resuscitation efforts.

Please fill in the information below:

Patient's Name: ___________________________
Date of Birth: ___________________________
Address: _______________________________
City, State, ZIP: ________________________
Phone Number: __________________________

This DNRO indicates that in the event of a medical emergency, specifically cardiac arrest, no Resuscitation Efforts shall be initiated. This includes but is not limited to:

Cardiopulmonary resuscitation (CPR)
Advanced cardiac life support (ACLS)
Artificial ventilation

Signature of Patient or Legal Representative: _________________________________

Print Name of Signer: _________________________________________

Relationship to Patient: __________________________________________________

Date: ___________________________________________

This DNRO must be copied and presented to healthcare providers to ensure the patient's wishes are honored. For further guidance on this order, it is advisable to consult with a healthcare professional.

Documents used along the form

A Florida Do Not Resuscitate Order (DNRO) form is an important document for individuals who wish to express their wishes regarding resuscitation efforts in case of a medical emergency. Along with the DNRO, several other forms and documents can help ensure that a person's healthcare preferences are respected. Here are four commonly used documents:

Advance Directive: This document outlines a person's preferences for medical treatment and appoints a healthcare proxy to make decisions on their behalf if they become unable to communicate.
Living Will: A living will specifies the types of medical treatment a person does or does not want in situations where they are terminally ill or permanently unconscious.
Healthcare Proxy: This form designates an individual to make medical decisions for someone if they are unable to do so themselves. It is often included as part of an advance directive.
Mobile Home Bill of Sale Form: To ensure proper ownership transfer, refer to the essential Mobile Home Bill of Sale documentation that outlines all necessary details for a smooth transaction.
Physician Orders for Life-Sustaining Treatment (POLST): This document translates a patient's wishes regarding life-sustaining treatments into actionable medical orders, guiding healthcare providers in emergencies.

These documents work together to provide a comprehensive approach to healthcare planning, ensuring that individuals' wishes are clearly communicated and honored in medical situations.