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Blank Do Not Resuscitate Order Form for Florida State

A Florida Do Not Resuscitate Order (DNRO) form is a legal document that allows individuals to refuse resuscitation efforts in the event of a medical emergency. This form ensures that healthcare providers respect a patient's wishes regarding life-saving treatments. Understanding and completing this form is crucial for anyone who wishes to make their end-of-life preferences clear.

To take the next step in outlining your healthcare wishes, consider filling out the DNRO form by clicking the button below.

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Table of Contents

Document Overview

Fact Name	Description
Definition	The Florida Do Not Resuscitate (DNR) Order is a legal document that allows a person to refuse cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest.
Governing Law	The DNR Order in Florida is governed by Florida Statutes Section 401.45.
Eligibility	Any adult can create a DNR Order, provided they are of sound mind and understand the implications of the document.
Form Requirements	The DNR Order must be signed by the patient and a physician. It should be printed on a specific form provided by the state.
Revocation	A DNR Order can be revoked at any time by the patient. This can be done verbally or by destroying the document.
Emergency Medical Services (EMS) Compliance	EMS personnel are required to honor a valid DNR Order. They must verify its authenticity before ceasing resuscitation efforts.
Availability	The DNR Order form can be obtained online or through healthcare providers, ensuring accessibility for those in need.

Download Do Not Resuscitate Order PDF Form

Discover More Do Not Resuscitate Order Templates for Specific States

Dnr and Dni Documents Are All Part of What Are Known as - Not legally binding but provides clear guidance to healthcare professionals.

Illinois Do Not Resuscitate Law - This document allows individuals to express their preference about life-saving measures.

Dnr Form California - Many find empowerment in having their treatment preferences documented through a DNR.

Documents used along the form

When considering end-of-life decisions, it is important to understand various documents that may complement the Florida Do Not Resuscitate (DNR) Order form. Each of these forms serves a unique purpose, helping to ensure that your healthcare wishes are respected. Below is a list of documents commonly used alongside the DNR Order.

Advance Directive: This document outlines your preferences for medical treatment in situations where you may not be able to communicate your wishes. It can include instructions about life-sustaining treatments and appoint a healthcare proxy.
Living Will: A type of advance directive, a living will specifically details your wishes regarding medical treatment and interventions you do or do not want if you become terminally ill or incapacitated.
Healthcare Power of Attorney: This legal document allows you to designate someone to make healthcare decisions on your behalf if you are unable to do so. This person can advocate for your preferences and ensure your wishes are honored.
Physician Orders for Life-Sustaining Treatment (POLST): This form translates your wishes regarding medical treatment into actionable medical orders. It is especially useful for those with serious health conditions and ensures that healthcare providers follow your preferences.
Do Not Hospitalize (DNH) Order: This document specifies that a patient does not wish to be hospitalized, even if their condition worsens. It is often used in conjunction with other end-of-life care documents.
Organ Donation Consent: This form indicates your wishes regarding organ donation after death. It can provide clarity for your family and healthcare providers about your intentions.
Funeral Planning Documents: These documents outline your preferences for funeral arrangements, burial, or cremation. They can help ease the burden on your loved ones during a difficult time.
Medication Management Plan: This document provides instructions regarding your medications, including dosages and administration. It is especially important for individuals with chronic illnesses or complex medication regimens.

Understanding these documents can empower individuals and their families to make informed decisions about healthcare and end-of-life preferences. It is crucial to have these conversations and ensure that your wishes are documented clearly, as this can greatly ease the decision-making process for loved ones during challenging times.

Document Sample

Florida Do Not Resuscitate Order Template

This Do Not Resuscitate Order (DNR) is created in accordance with Florida law, specifically Section 401.45, Florida Statutes. This order expresses the wishes of the individual regarding resuscitation efforts in the event of a medical emergency.

Please fill in the required information in the blanks provided below:

Patient's Full Name: _____________________________________
Date of Birth: _________________________________________
Address: ______________________________________________
City: _________________________________________________
State: ________________________________________________
Zip Code: _____________________________________________

The following statements reflect the patient’s wishes regarding resuscitation:

The patient does not wish to receive cardiopulmonary resuscitation (CPR) or any other life-saving interventions in the event of cardiac arrest.
This order is intended to be valid in all healthcare settings, including emergency services and hospitals.

Patient's Signature: ______________________________________ Date: ____________

Legal Guardian or Healthcare Proxy (if applicable): ______________________________________ Date: ____________

Treatment Facility or Physician's Information:

Facility Name: ________________________________________
Physician's Name: ____________________________________
Physician's Signature: _______________________________ Date: ____________

This order should be prominently displayed in the patient's medical records and shared with any healthcare providers involved in the patient's care. It is important for all parties to understand and respect these wishes at all times.