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Printable Maryland Do Not Resuscitate Order Template

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Dos and Don'ts

When filling out the Maryland Do Not Resuscitate (DNR) Order form, it is crucial to approach the task with care and understanding. This document can have significant implications for medical treatment preferences. Below is a list of things to consider and avoid during this process.

  • Do ensure you understand the implications of a DNR order before completing the form.
  • Do discuss your wishes with family members and healthcare providers to ensure clarity.
  • Do provide accurate information regarding your medical history and current health status.
  • Do sign and date the form in the presence of a witness, as required.
  • Do keep copies of the completed DNR order for your medical records and for family members.
  • Don't fill out the form in haste; take your time to ensure all details are correct.
  • Don't overlook the need for a witness when signing the document.
  • Don't assume that verbal wishes will be honored without a formal order in place.
  • Don't forget to review the DNR order periodically, especially if your health status changes.
  • Don't leave the form in an inaccessible place; ensure it is easily found by healthcare providers when needed.

Misconceptions

Understanding the Maryland Do Not Resuscitate (DNR) Order form is crucial for making informed healthcare decisions. However, several misconceptions can lead to confusion. Here are eight common misconceptions:

  1. A DNR means no medical care will be provided. Many people believe that a DNR order means all medical treatment is withheld. In reality, it only applies to resuscitation efforts, such as CPR or defibrillation.
  2. A DNR is only for terminally ill patients. This is not true. Anyone can have a DNR order, regardless of their health status. It’s a personal choice based on individual preferences.
  3. Once a DNR is signed, it cannot be changed. A DNR can be revoked or modified at any time. It’s important to communicate any changes to healthcare providers.
  4. A DNR is the same as a living will. While both documents address end-of-life care, a DNR specifically focuses on resuscitation efforts, whereas a living will covers a broader range of medical decisions.
  5. Family members can make DNR decisions without consent. Family members cannot impose a DNR order unless they have legal authority, such as being a designated healthcare proxy.
  6. Healthcare providers must follow a DNR order in all situations. DNR orders apply only in specific circumstances. Providers will still administer necessary treatments unless resuscitation is required.
  7. A DNR is only valid in hospitals. A Maryland DNR order is valid in various settings, including homes and long-term care facilities, as long as it is properly completed.
  8. Having a DNR means giving up on life. This misconception can be harmful. A DNR reflects personal choices about medical interventions and should be viewed as a way to honor one’s wishes for quality of life.

Being informed about these misconceptions can help you make better decisions regarding your healthcare and end-of-life preferences.

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Key takeaways

Here are some important points to consider when filling out and using the Maryland Do Not Resuscitate (DNR) Order form:

  • The DNR Order allows individuals to refuse cardiopulmonary resuscitation (CPR) in case of cardiac or respiratory arrest.
  • It is essential for the DNR Order to be signed by a physician to be valid.
  • Patients or their legal representatives must also sign the form to indicate consent.
  • The form should clearly state the patient's name and other identifying information.
  • Keep copies of the DNR Order in accessible places, such as with medical records or at home.
  • Inform family members and caregivers about the existence of the DNR Order.
  • The DNR Order is effective in all healthcare settings, including hospitals and nursing homes.
  • Review the DNR Order regularly to ensure it still reflects the patient’s wishes.
  • Patients can revoke or modify the DNR Order at any time, as long as they are competent.
  • In Maryland, a DNR Order must be honored by all healthcare providers.

Guidelines on Utilizing Maryland Do Not Resuscitate Order

Completing the Maryland Do Not Resuscitate Order form is an important step in ensuring that your medical preferences are respected in critical situations. This process requires careful consideration and attention to detail. The following steps will guide you through filling out the form correctly.

  1. Obtain the Maryland Do Not Resuscitate Order form. You can find it online or request a copy 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 information helps to confirm your identity.
  4. Next, fill in your address. Include your street address, city, state, and ZIP code.
  5. Designate a healthcare representative if you wish. This person will make decisions on your behalf if you are unable to do so.
  6. Indicate your wishes regarding resuscitation. Carefully read the options and select the one that aligns with your preferences.
  7. Sign and date the form. Your signature is essential to validate the order.
  8. Have your healthcare provider sign the form. Their signature confirms that they have discussed your wishes with you.
  9. Make copies of the completed form. Keep one for your records and provide copies to your healthcare representative and medical providers.

After completing the form, it is crucial to communicate your wishes to your family and healthcare providers. This ensures that everyone involved understands your preferences, allowing for informed decisions in accordance with your desires.

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Maryland Do Not Resuscitate Order

This Do Not Resuscitate (DNR) Order is recognized under the laws of the State of Maryland. It is intended to communicate an individual's wishes regarding resuscitation in case of medical emergencies.

Patient Information:

  • Name: ____________________________
  • Date of Birth: ____________________
  • Address: __________________________
  • City: _______________ State: ________ Zip: __________

Physician Information:

  • Physician's Name: __________________
  • Phone Number: ______________________
  • Address: ____________________________

Patient's Wishes:

The patient does not wish to receive CPR or any life-sustaining treatment in the event of cardiac arrest or respiratory failure.

Patient or Legal Guardian Signature:

  • Signature: _________________________
  • Date: _____________________________

Witness Information:

  • Witness Name: ______________________
  • Witness Signature: __________________
  • Date: _____________________________

This document must be placed prominently in the patient's medical record and communicated to appropriate healthcare providers for enforcement.

It is suggested that a copy of this Order be kept with the patient at all times. Inform family members and other caregivers about this document and the patient's wishes.

Common mistakes

  1. Not providing the patient's full legal name. Ensure the name matches official identification to avoid confusion.

  2. Failing to include the date of the order. A missing date can lead to questions about the order's validity.

  3. Overlooking the need for a witness signature. A witness is often required to validate the document.

  4. Not specifying the patient's medical condition. Clearly stating the condition helps clarify the need for the order.

  5. Using unclear or ambiguous language. Precise wording is essential to convey the patient's wishes accurately.

  6. Neglecting to update the form if circumstances change. Regularly review the order to ensure it reflects current wishes.

  7. Forgetting to discuss the order with healthcare providers. Communication with medical staff is crucial for effective implementation.

  8. Not keeping copies of the completed form. Retain copies for personal records and share them with relevant parties.

  9. Failing to inform family members about the order. Family awareness can prevent misunderstandings during critical moments.

  10. Ignoring state-specific requirements. Each state may have unique regulations regarding Do Not Resuscitate Orders.

Free Do Not Resuscitate Order PDF

Learn More on This Form

What is a Do Not Resuscitate (DNR) Order in Maryland?

A Do Not Resuscitate Order is a legal document that allows a person to refuse resuscitation in the event of cardiac arrest or respiratory failure. In Maryland, this order is typically used by individuals who have serious health conditions and wish to avoid aggressive medical interventions that may not align with their personal wishes. It is important for individuals to discuss their choices with their healthcare providers and loved ones before completing this order.

How do I obtain a DNR Order in Maryland?

To obtain a DNR Order in Maryland, you need to have a conversation with your healthcare provider. They will assess your medical condition and discuss your wishes regarding resuscitation. If you and your provider agree that a DNR Order is appropriate, your provider will complete the official Maryland DNR form. This form must be signed by both you and your physician to be valid.

Where should I keep my DNR Order once it is completed?

Once your DNR Order is completed and signed, it is crucial to keep it in a place where it can be easily accessed by medical personnel. Many individuals choose to keep a copy in their medical records, while others may carry a wallet card that indicates their DNR status. Additionally, it is advisable to inform family members and caregivers about the location of the document, so they can provide it to emergency responders if needed.

Can I change or revoke my DNR Order?

Yes, you can change or revoke your DNR Order at any time. If you decide to change your mind, you should notify your healthcare provider and complete a new DNR form if necessary. To revoke the order, you can simply destroy the original document and inform your healthcare team. It is also helpful to communicate your wishes to family members and caregivers to avoid confusion in emergency situations.

What should I do if I am admitted to a hospital with a DNR Order?

If you are admitted to a hospital and have a DNR Order, it is important to provide the hospital staff with a copy of your order as soon as possible. This will ensure that your wishes are respected during your stay. The hospital staff will review your DNR status and may ask additional questions about your healthcare preferences. Open communication with your healthcare team will help ensure that your wishes are honored throughout your treatment.