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Detailed Steps for Filling Out Missouri Do Not Resuscitate Order

Filling out the Missouri Do Not Resuscitate Order form is an important step in ensuring that your healthcare preferences are respected in critical situations. By completing this form, you communicate your wishes regarding resuscitation efforts to medical personnel. Below are the steps to guide you through the process of filling out the form accurately.

  1. Obtain a copy of the Missouri Do Not Resuscitate Order form. This can be found online or through healthcare providers.
  2. Read the instructions carefully to understand the requirements of the form.
  3. Fill in your full name, date of birth, and address at the designated sections of the form.
  4. Indicate the name of your attending physician. Ensure that this is someone who is familiar with your medical history.
  5. Check the appropriate box to indicate your desire for a Do Not Resuscitate Order.
  6. Sign and date the form. Your signature is essential for the document to be valid.
  7. If applicable, have a witness sign the form as well. This adds an additional layer of validity to your wishes.
  8. Make copies of the completed form for your records and to provide to your healthcare providers.
  9. Ensure that a copy of the form is easily accessible in case of an emergency, such as keeping it in your medical file or with a trusted family member.

Misconceptions

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

  1. A DNR means I will not receive any medical care.

    This is not true. A DNR order only indicates that a person does not want to receive CPR or other resuscitation measures in case of cardiac arrest. Other medical treatments can still be provided.

  2. I need a lawyer to complete a DNR form.

    This is a misconception. Individuals can fill out the DNR form without the assistance of a lawyer. It is designed to be straightforward and accessible.

  3. A DNR is only for terminally ill patients.

    This is incorrect. While many people with terminal illnesses choose to have a DNR, anyone can decide to have one, regardless of their health status.

  4. A DNR is permanent and cannot be changed.

    This is not accurate. A DNR order can be revoked or modified at any time by the individual or their legal representative.

  5. Emergency personnel will not provide any care if a DNR is in place.

    This is a misunderstanding. Emergency responders will still provide care and treatment that is necessary and appropriate, except for resuscitation efforts.

Dos and Don'ts

When filling out the Missouri Do Not Resuscitate Order form, it is crucial to approach the process with care and consideration. Here are some important dos and don'ts to keep in mind:

  • Do ensure that the form is filled out completely and accurately. Incomplete forms may lead to confusion or misinterpretation of your wishes.
  • Do consult with your healthcare provider. Discussing your preferences with a medical professional can provide clarity and ensure that your choices are understood.
  • Don't sign the form without fully understanding its implications. Take the time to review what a Do Not Resuscitate Order entails and how it affects your medical care.
  • Don't forget to share copies of the completed form with your family and healthcare team. Communication is key to ensuring your wishes are honored.

Similar forms

  • Living Will: A living will outlines a person's wishes regarding medical treatment in situations where they cannot communicate their preferences. Like a Do Not Resuscitate Order (DNR), it provides guidance to healthcare providers about the individual's desires concerning life-sustaining measures.
  • Healthcare Proxy: This document designates a specific individual to make medical decisions on behalf of someone who is incapacitated. Similar to a DNR, it ensures that a person's healthcare preferences are respected, particularly in emergencies.
  • Advance Directive: An advance directive encompasses both a living will and a healthcare proxy. It serves as a comprehensive guide for healthcare providers, indicating a person's wishes regarding medical treatment and who should make decisions if they are unable to do so.
  • Non-disclosure Agreement: A California Non-disclosure Agreement is essential for protecting sensitive information shared between parties in a business context. It ensures that proprietary details, such as trade secrets, remain confidential and are not disclosed to third parties, which is critical for maintaining a competitive edge. For more information, visit smarttemplates.net.
  • Physician Orders for Life-Sustaining Treatment (POLST): POLST is a medical order that outlines a patient's preferences for life-sustaining treatments. Like a DNR, it is intended for patients with serious health conditions and is designed to be honored by healthcare professionals.
  • Do Not Intubate (DNI) Order: A DNI order specifies that a patient should not undergo intubation in the event of respiratory failure. It is similar to a DNR in that it communicates a patient's wishes regarding specific life-sustaining interventions.
  • Comfort Care Order: This document focuses on providing relief from pain and distress rather than prolonging life. Like a DNR, it emphasizes the importance of quality of life over aggressive medical interventions in critical situations.

File Specs

Fact Name Details
Definition A Do Not Resuscitate (DNR) Order is a legal document that instructs medical personnel not to perform cardiopulmonary resuscitation (CPR) if a patient stops breathing or their heart stops beating.
Governing Law The Missouri Do Not Resuscitate Order is governed by Missouri Revised Statutes, Chapter 197.220.
Eligibility Any adult who is capable of making their own medical decisions can complete a DNR Order.
Signature Requirement The DNR Order must be signed by the patient or their legal representative, as well as a physician.
Form Availability The Missouri DNR Order form is available through healthcare providers, hospitals, and the Missouri Department of Health and Senior Services.
Validity The DNR Order remains valid until revoked by the patient or their legal representative.
Emergency Medical Services Emergency medical personnel are required to honor a valid DNR Order in emergencies.
Patient Rights Patients have the right to change their mind about the DNR Order at any time.
Additional Instructions Patients can include additional instructions in the DNR Order to clarify their preferences for medical treatment.