Legal Do Not Resuscitate Order Template for the State of Arizona Modify Do Not Resuscitate Order Here

Legal Do Not Resuscitate Order Template for the State of Arizona

A Do Not Resuscitate (DNR) Order form in Arizona is a legal document that allows individuals to refuse resuscitation efforts in the event of cardiac or respiratory arrest. This form ensures that a person's wishes regarding end-of-life care are respected. Understanding how to complete and implement a DNR order is essential for patients and their families.

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Dos and Don'ts

When filling out the Arizona Do Not Resuscitate (DNR) Order form, it is crucial to follow specific guidelines to ensure your wishes are clearly communicated. Here are some important dos and don'ts:

  • Do discuss your wishes with your healthcare provider.
  • Do ensure that the form is signed by you and a witness.
  • Do keep a copy of the completed form in an accessible place.
  • Do inform family members about your DNR order.
  • Don't fill out the form under pressure or without understanding its implications.
  • Don't forget to review and update your DNR order as needed.
  • Don't assume that verbal instructions are sufficient; always use the official form.
  • Don't neglect to check that emergency personnel are aware of your DNR status.

Frequently Asked Questions

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

A Do Not Resuscitate Order is a legal document that allows a person to refuse cardiopulmonary resuscitation (CPR) and other life-saving measures in the event of a medical emergency. In Arizona, this order is typically used by individuals with serious health conditions who wish to avoid aggressive medical interventions that may not align with their personal wishes.

Who can request a DNR Order in Arizona?

In Arizona, a DNR Order can be requested by an adult who is capable of making medical decisions. This includes individuals who are 18 years or older. Additionally, a parent or legal guardian may request a DNR Order for a minor child if it is in the child's best interest.

How do I obtain a DNR Order form in Arizona?

DNR Order forms can be obtained from various sources, including healthcare providers, hospitals, and online resources. It is important to use the official Arizona DNR form to ensure that it meets state requirements. Healthcare professionals can also assist in the process of completing the form.

What information is required on the DNR Order form?

The DNR Order form typically requires the patient's name, date of birth, and signature. It also includes a section for the physician's signature, confirming that the order is based on the patient's medical condition and wishes. Additional information may be needed to clarify the patient's health status and treatment preferences.

Is a DNR Order valid in all healthcare settings?

Yes, a properly completed DNR Order is valid in all healthcare settings within Arizona, including hospitals, nursing homes, and emergency medical services. However, it is crucial that the order is easily accessible and clearly visible to healthcare providers to ensure that it is honored.

Can a DNR Order be revoked?

Yes, a DNR Order can be revoked at any time by the patient. This can be done verbally or in writing. If a patient chooses to revoke their DNR Order, it is essential to inform all healthcare providers and ensure that a new order is not in place unless desired.

What should I do with the DNR Order once it is completed?

Once the DNR Order is completed and signed, it should be kept in a safe but accessible location. It is advisable to provide copies to family members, healthcare providers, and any facility where the patient may receive care. Additionally, wearing a medical alert bracelet or necklace can help ensure that emergency personnel are aware of the DNR Order.

Are there any costs associated with obtaining a DNR Order?

There are typically no costs associated with obtaining a DNR Order itself. However, there may be fees for consultations with healthcare providers or for any necessary legal advice. It is advisable to check with your healthcare provider regarding any potential costs involved in the process.