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The Florida Do Not Resuscitate Order (DNRO) form serves as a crucial document for individuals who wish to express their preferences regarding resuscitation efforts in the event of a medical emergency. Designed to ensure that a person's wishes are respected, the form allows patients to indicate whether they want to receive or forego cardiopulmonary resuscitation (CPR) and other life-saving measures. It is particularly relevant for those with terminal illnesses or severe health conditions. To be valid, the DNRO must be signed by a licensed physician and must be presented in a specific format, which includes the patient's name, date of birth, and signature. Additionally, the form requires the physician's signature, affirming that the decision is based on the patient's medical condition and personal wishes. The DNRO is intended to be easily recognizable by healthcare providers, ensuring that it is honored in emergency situations. Understanding the implications of this form is vital for individuals and families as they navigate complex healthcare decisions. Proper completion and communication of the DNRO can alleviate stress during critical moments, allowing individuals to maintain control over their medical care even when they are unable to voice their preferences.

Common Questions

What is a Florida Do Not Resuscitate Order (DNRO)?

A Florida Do Not Resuscitate Order (DNRO) is a legal document that allows individuals to express their wishes regarding resuscitation efforts in the event of a medical emergency. This order indicates that a person does not want CPR or other life-saving measures performed if their heart stops beating or they stop breathing. The DNRO is typically used by individuals with serious medical conditions or those who wish to avoid aggressive medical interventions at the end of life.

Who can complete a DNRO in Florida?

In Florida, any competent adult can complete a DNRO. This includes individuals who are at least 18 years old and capable of making informed decisions about their medical care. Additionally, a parent or legal guardian can complete a DNRO for a minor. It’s important that the person completing the form understands the implications of the order and has discussed their wishes with their healthcare provider.

How do I obtain and complete a DNRO form in Florida?

To obtain a DNRO form, you can visit the Florida Department of Health website or request a form from your healthcare provider. Once you have the form, it must be completed and signed by you and a physician. The physician’s signature is crucial, as it validates the order. After completing the form, it is advisable to keep copies in easily accessible locations, such as with your medical records and at home. Inform your family and healthcare providers about your DNRO to ensure your wishes are respected.

What should I do if I change my mind about my DNRO?

If you decide to change your mind about your DNRO, you can revoke it at any time. To do so, simply destroy the existing DNRO form and notify your healthcare providers and family members of your decision. If you wish to create a new DNRO, ensure that it is properly completed and signed by a physician. Open communication with your loved ones and medical team is essential to ensure everyone is aware of your current wishes regarding resuscitation.

Preview - Florida Do Not Resuscitate Order Form

Florida Do Not Resuscitate Order Template

This Do Not Resuscitate (DNR) Order is prepared in accordance with Florida law, specifically Florida Statutes Section 401.45. It provides direction for healthcare providers when the person named below is experiencing a medical emergency.

Patient Information:

  • Patient's Full Name: ____________________________
  • Date of Birth: ____________________________
  • Address: ____________________________

Florida Physician's Order:

The undersigned physician, after discussion with the patient or the patient's healthcare surrogate, has determined that the patient is in a terminal condition or is permanently unconscious. Therefore, this order for Do Not Resuscitate (DNR) is executed:

Physician's Name: ____________________________

Physician's Signature: ____________________________

Date: ____________________________

Patient/Surrogate Acknowledgment:

I acknowledge that I have discussed the implications of this Do Not Resuscitate Order with my physician. I understand that, in the event of a cardiac or respiratory arrest, resuscitation efforts will not be initiated.

Signature of Patient/Surrogate: ____________________________

Date: ____________________________

This DNR Order must be presented to healthcare providers to ensure its implementation. It is recommended that copies are kept in easily accessible locations.

Similar forms

  • Advance Directive: This document allows individuals to outline their preferences for medical treatment in case they become unable to communicate their wishes. Like a Do Not Resuscitate Order, it provides guidance to healthcare providers regarding the patient's desires concerning life-sustaining measures.

  • Living Will: A living will is a specific type of advance directive that details what medical treatments an individual does or does not want in situations where they are terminally ill or incapacitated. It shares the same purpose as a DNR in that it communicates the individual's preferences regarding end-of-life care.

  • Durable Power of Attorney for Healthcare: This document designates a person to make healthcare decisions on behalf of an individual if they are unable to do so. Similar to a DNR, it ensures that a patient's wishes regarding medical treatment are respected, especially in critical situations.

  • Motor Vehicle Bill of Sale: This document is essential for finalizing the transfer of vehicle ownership in Washington. Ensuring all details are accurately recorded is critical, and utilizing resources like Washington Templates can greatly assist in this process.

  • Physician Orders for Life-Sustaining Treatment (POLST): POLST is a medical order that outlines a patient's preferences for life-sustaining treatments. It is similar to a DNR in that it is intended to be followed by healthcare providers, ensuring that the patient's wishes are honored in emergency situations.

  • Do Not Intubate (DNI) Order: A DNI order specifically instructs healthcare providers not to place a patient on a ventilator. While a DNR focuses on resuscitation efforts, a DNI is a more targeted instruction that aligns with the patient's wishes regarding respiratory support.

Misconceptions

Many people have misunderstandings about the Florida Do Not Resuscitate (DNR) Order form. Here are ten common misconceptions, along with clarifications to help you better understand this important document.

  1. A DNR means I will not receive any medical care. This is false. A DNR only indicates that you do not want to be resuscitated in the event of cardiac arrest. You will still receive other necessary medical treatments.
  2. Only terminally ill patients need a DNR. Not true. Anyone can request a DNR, regardless of their health status. It is a personal choice that reflects individual wishes about end-of-life care.
  3. A DNR is the same as a living will. This is a misconception. A living will outlines your wishes regarding medical treatment in various situations, while a DNR specifically addresses resuscitation efforts.
  4. I can verbally communicate my DNR wishes to medical staff. This is incorrect. A DNR must be documented on the official form to be legally recognized and honored by healthcare providers.
  5. A DNR is only valid in hospitals. This is misleading. A DNR is valid in any healthcare setting, including at home or in nursing facilities, as long as it is properly executed.
  6. If I have a DNR, I cannot change my mind. This is not accurate. You can revoke or modify your DNR at any time, as long as you communicate your wishes clearly and follow the proper procedures.
  7. Healthcare providers will not provide comfort care if I have a DNR. This is false. Comfort care, including pain management and other supportive measures, will still be provided regardless of your DNR status.
  8. All DNR forms are the same across states. This is misleading. Each state has its own laws and forms regarding DNR orders. It is essential to use the Florida-specific DNR form if you reside in Florida.
  9. Having a DNR means I am giving up on life. This is a misconception. A DNR reflects a thoughtful decision about how you want to approach end-of-life care, not a desire to end life prematurely.
  10. Once I sign a DNR, it will be honored automatically. This is not entirely true. You must ensure that your DNR is accessible and that your healthcare providers are aware of it for it to be honored.

Understanding these misconceptions is crucial for making informed decisions about your healthcare preferences. If you have questions or need assistance, consider consulting with a legal professional who specializes in healthcare directives.

Form Overview

Fact Name Description
Definition The Florida Do Not Resuscitate (DNR) Order form allows individuals to refuse resuscitation efforts in the event of a cardiac arrest or respiratory failure.
Governing Law This form is governed by Florida Statutes, specifically Section 401.45, which outlines the legal framework for DNR orders.
Eligibility Any adult who is capable of making their own healthcare decisions can complete a DNR order. This includes individuals with terminal illnesses or severe medical conditions.
Form Requirement The DNR order must be completed using the official Florida Department of Health form, which includes specific language and requirements to be valid.
Signature Requirement The form must be signed by the individual or their legal representative. A witness signature is not required, but it is recommended for clarity.
Healthcare Provider Involvement A physician must sign the DNR order, confirming that the individual understands the implications of the decision.
Revocation The DNR order can be revoked at any time by the individual or their representative. This can be done verbally or by destroying the form.
Emergency Medical Services (EMS) Protocol Emergency medical personnel are required to honor a valid DNR order. They will not initiate resuscitation efforts if the order is present and valid.
Distribution It is important for individuals to keep copies of the DNR order accessible. Sharing copies with healthcare providers and family members is advisable.