Homepage Valid Do Not Resuscitate Order Form Blank Florida Do Not Resuscitate Order Form
Content Overview

In Florida, the Do Not Resuscitate Order (DNRO) form serves as a critical document for individuals who wish to express their preferences regarding medical treatment in emergency situations. This form allows patients to indicate their desire not to receive cardiopulmonary resuscitation (CPR) or other life-saving measures in the event of a cardiac or respiratory arrest. Understanding the nuances of this form is essential for both patients and healthcare providers. The DNRO must be completed and signed by a physician, ensuring that the patient's wishes are medically informed and legally binding. Additionally, the form must be readily accessible to emergency medical personnel, often requiring individuals to keep a copy on their person or in a visible location at home. By clarifying a patient's end-of-life preferences, the DNRO empowers individuals to make informed choices about their healthcare, alleviating the burden on family members and medical staff during critical moments. This article will explore the key components of the Florida Do Not Resuscitate Order form, the process for obtaining one, and the implications of having such a directive in place.

Similar forms

A Do Not Resuscitate (DNR) Order is a crucial document in healthcare, indicating a person's wish to forgo resuscitation in the event of cardiac or respiratory arrest. Several other documents serve similar purposes in guiding medical decisions. Here’s a look at eight documents that share similarities with a DNR order:

  • Living Will: This document outlines a person's preferences for medical treatment in situations where they cannot communicate their wishes. Like a DNR, it provides clarity about the individual's desires regarding life-sustaining measures.
  • Healthcare Proxy: A healthcare proxy appoints someone to make medical decisions on behalf of an individual if they become incapacitated. This is similar to a DNR in that it ensures the person’s wishes are respected when they cannot advocate for themselves.
  • Advance Directive: An advance directive combines elements of a living will and a healthcare proxy. It details treatment preferences and designates a decision-maker, similar to how a DNR specifies resuscitation preferences.
  • POLST (Physician Orders for Life-Sustaining Treatment): This is a medical order that outlines a patient’s preferences for treatment, including resuscitation. It is similar to a DNR as it provides specific instructions for emergency medical personnel.
  • Do Not Intubate (DNI) Order: A DNI order specifically prohibits intubation but may allow other forms of resuscitation. It aligns closely with a DNR in that it expresses a desire to limit certain medical interventions.
  • Comfort Care Order: This document emphasizes comfort and palliative care rather than aggressive treatment. It resonates with the philosophy behind a DNR, focusing on quality of life rather than prolonging life at all costs.
  • End-of-Life Care Plan: This plan outlines a person’s wishes regarding their care as they approach the end of life. It shares the intent of a DNR by ensuring that care aligns with the individual’s values and preferences.
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  • Do Not Hospitalize (DNH) Order: A DNH order indicates that a patient should not be transferred to a hospital for treatment. It complements a DNR by reinforcing a preference for staying at home or in a care facility, emphasizing comfort over aggressive interventions.

Understanding these documents can empower individuals to make informed decisions about their healthcare. Each one plays a vital role in ensuring that medical care aligns with personal values and wishes, particularly in critical situations.

Document Properties

Fact Name Description
Definition The Florida Do Not Resuscitate Order (DNRO) is a legal document that allows a person to refuse cardiopulmonary resuscitation (CPR) in the event of a medical emergency.
Governing Law The DNRO is governed by Florida Statutes, specifically Chapter 401.45.
Eligibility Any adult who is capable of making their own medical decisions can complete a DNRO.
Signature Requirement The form must be signed by the person making the request or their legally authorized representative.
Healthcare Provider's Role A physician must sign the DNRO to validate it and ensure it reflects the patient's wishes.
Form Availability The DNRO form is available online through the Florida Department of Health's website.
Revocation Individuals can revoke their DNRO at any time, verbally or in writing.
Emergency Medical Services Emergency medical personnel must honor a valid DNRO when responding to emergencies.
Additional Considerations It’s advisable to discuss the DNRO with family and healthcare providers to ensure everyone understands the implications.

Things You Should Know About This Form

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

    A Florida Do Not Resuscitate Order is a legal document that allows a person to refuse cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest. It is designed to ensure that a patient’s wishes regarding resuscitation are respected by medical personnel. The order must be signed by a physician and the patient or their legal representative.

  2. How do I obtain a DNRO in Florida?

    To obtain a DNRO, you need to have a conversation with your physician about your wishes regarding resuscitation. If you decide to proceed, your doctor will complete and sign the DNRO form. After it is signed, you should keep the original document in a place where it can be easily accessed, such as with your medical records or on your refrigerator.

  3. Is a DNRO valid in all healthcare settings?

    Yes, a Florida DNRO is valid in all healthcare settings, including hospitals, nursing homes, and private residences. However, it is essential to ensure that the document is readily available to healthcare providers. If the DNRO is not present, medical personnel may not be aware of your wishes and may perform resuscitation efforts.

  4. Can a DNRO be revoked?

    Yes, a DNRO can be revoked at any time. You can do this verbally or in writing. It is advisable to inform your healthcare provider and anyone else who may need to know about your decision. Once revoked, the previous DNRO is no longer valid, and resuscitation efforts will be initiated if needed.

Documents used along the form

When considering end-of-life care options in Florida, several important documents often accompany the Do Not Resuscitate Order (DNRO) form. Each of these documents serves a specific purpose and helps ensure that a person's wishes are respected. Below is a list of four commonly used forms and documents.

  • Advance Directive: This document outlines a person's preferences for medical treatment in situations where they cannot communicate their wishes. It can include instructions about life-sustaining treatments and appoint a healthcare surrogate to make decisions on their behalf.
  • Healthcare Surrogate Designation: This form allows an individual to appoint someone they trust to make healthcare decisions for them if they become incapacitated. It ensures that their preferences are honored even when they cannot speak for themselves.
  • Living Will: A living will specifies what types of medical treatment a person does or does not want in the event of a terminal illness or irreversible condition. This document provides clear guidance to healthcare providers and loved ones about the individual's wishes.
  • Hold Harmless Agreement: This form is used to transfer risks of legal liabilities from one party to another, often employed in contexts such as construction or events to mitigate risks. It's important to understand its implications, as detailed in the Hold Harmless Agreement.
  • Physician Orders for Life-Sustaining Treatment (POLST): This form translates a patient’s treatment preferences into actionable medical orders. It is designed for individuals with serious illnesses and ensures that their wishes are followed by healthcare providers in emergency situations.

Understanding these documents can help individuals make informed choices about their medical care. It is essential to have these forms in place to ensure that personal wishes are respected and followed during critical times.

Florida Do Not Resuscitate Order Preview

Florida Do Not Resuscitate Order

This Do Not Resuscitate Order (DNRO) is provided in accordance with Chapter 401.45 of the Florida Statutes. It is important that this document clearly reflects your wishes regarding resuscitation efforts in emergency medical situations.

Patient Information:

  • Name: ____________________________________
  • Date of Birth: ______________________________
  • Address: ____________________________________
  • City: ______________ State: ______ Zip Code: ________

Health Care Representative (if applicable):

  • Name: ____________________________________
  • Relationship: ______________________________
  • Contact Number: __________________________

Statement of Intent:

I, the undersigned, declare that if my heart stops, or if I stop breathing, I do not want any attempts made to resuscitate me. This includes but is not limited to chest compressions, intubation, defibrillation, or any other interventions intended to restart my heart or breathing.

Signature of Patient: ____________________________________

Date: _______________________

Witness Information:

  1. Name of Witness: ________________________________
  2. Signature of Witness: ________________________________
  3. Date: _______________________

This order is valid until revoked in writing by me or my representative. Ensure that a copy of this DNRO is kept with my medical records and that my healthcare providers are aware of my wishes.