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Homepage Attorney-Approved Do Not Resuscitate Order Form Legal Do Not Resuscitate Order Document for the State of North Carolina
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In North Carolina, the Do Not Resuscitate (DNR) Order form serves as a critical tool for individuals wishing to express their preferences regarding medical interventions in the event of cardiac or respiratory arrest. This form is designed to ensure that patients receive care aligned with their values and wishes, especially when they may not be able to communicate those desires themselves. It outlines the specific circumstances under which resuscitation efforts should be withheld, providing clarity for healthcare providers and family members alike. Importantly, the DNR form must be completed by a physician and signed by the patient or their legal representative, ensuring that the decision is both informed and legally binding. Furthermore, it is essential for individuals to discuss their choices with loved ones and medical professionals, fostering understanding and support. The form is not just a legal document; it reflects a deeply personal decision that can significantly impact end-of-life care. By utilizing the DNR Order, individuals in North Carolina can navigate the complexities of medical care with greater confidence and peace of mind.

PDF Details

Fact Name Details
Definition A Do Not Resuscitate (DNR) Order is a legal document that instructs medical personnel not to perform cardiopulmonary resuscitation (CPR) in the event of cardiac arrest.
Governing Law The North Carolina Do Not Resuscitate Order is governed by North Carolina General Statutes § 90-321 through § 90-325.
Eligibility Any adult can create a DNR Order, but it must be signed by the patient or their legal representative.
Form Requirements The DNR Order must be in writing, signed, and include specific language that clearly indicates the patient’s wishes.
Revocation A DNR Order can be revoked at any time by the patient or their legal representative, verbally or in writing.

How to Write North Carolina Do Not Resuscitate Order

Completing the North Carolina Do Not Resuscitate Order (DNR) form is an important step for individuals who wish to express their preferences regarding resuscitation in medical emergencies. After filling out the form, it should be signed and dated to ensure its validity. It is advisable to keep copies in accessible locations and share them with family members and healthcare providers.

  1. Obtain the North Carolina Do Not Resuscitate Order form. This can typically be found online or through healthcare providers.
  2. Fill in the patient’s full name and date of birth at the top of the form.
  3. Indicate the patient's address, including city, state, and zip code.
  4. Specify the patient's medical condition or reason for requesting a DNR order, if applicable.
  5. Choose the appropriate option regarding the DNR order, confirming the patient’s wishes.
  6. Sign the form in the designated area. If the patient is unable to sign, a legally authorized representative may sign on their behalf.
  7. Date the form to indicate when it was completed.
  8. Have the form witnessed by two adults who are not related to the patient or named in the order.
  9. Make copies of the completed form for the patient’s medical records and for family members.

Dos and Don'ts

When filling out the North Carolina Do Not Resuscitate Order form, it is essential to follow certain guidelines to ensure that the document is valid and reflects the individual's wishes accurately. Below is a list of things to do and not to do.

  • Do consult with a healthcare provider before completing the form to understand its implications.
  • Do ensure that the form is signed by the patient or their legal representative.
  • Do provide clear and specific instructions regarding resuscitation preferences.
  • Do keep the completed form in an accessible location for medical personnel.
  • Do review the form periodically to ensure it still reflects current wishes.
  • Don't leave any sections of the form blank, as this may lead to confusion or invalidation.
  • Don't use outdated versions of the form, as requirements may change over time.
  • Don't assume that verbal instructions are sufficient; written documentation is necessary.
  • Don't forget to inform family members about the existence of the DNR order.
  • Don't overlook the importance of having witnesses sign the form if required.

Documents used along the form

The North Carolina Do Not Resuscitate (DNR) Order form is a crucial document for individuals who wish to express their preferences regarding resuscitation efforts in the event of a medical emergency. Alongside this form, several other documents and forms are commonly utilized to ensure that a person's healthcare wishes are clearly communicated and respected. Below is a list of these important documents, each serving a unique purpose in the realm of healthcare decision-making.

  • Advance Directive: This document allows individuals to outline their healthcare preferences in advance, including decisions about life-sustaining treatments and end-of-life care.
  • Healthcare Power of Attorney: This legal document designates a specific person to make medical decisions on behalf of an individual if they become unable to do so themselves.
  • Living Will: A living will specifies an individual’s wishes regarding medical treatments and interventions in situations where they are terminally ill or permanently unconscious.
  • Physician Orders for Scope of Treatment (POST): This form translates a patient's wishes regarding treatment into actionable medical orders, often used for patients with serious illnesses.
  • Do Not Hospitalize (DNH) Order: This order indicates that a patient should not be transferred to a hospital for treatment, typically used for patients in hospice or long-term care settings.
  • Organ Donation Registration: This document allows individuals to express their wishes regarding organ and tissue donation after death, ensuring their preferences are honored.
  • Patient Advocate Form: This form appoints a patient advocate to support and represent an individual’s healthcare decisions, often in complex medical situations.
  • Commercial Lease Agreement: A Florida Forms that outlines the terms and conditions under which a property owner leases commercial space to a tenant, essential for establishing a clear rental relationship.
  • Medical History Form: This document provides healthcare providers with essential information about a patient's medical history, allergies, and current medications, aiding in informed decision-making.

Each of these documents plays a vital role in ensuring that an individual’s healthcare preferences are honored and respected. By understanding and utilizing these forms, individuals can effectively communicate their wishes to family members and healthcare providers, ultimately leading to more personalized and respectful care.