Homepage Blank Do Not Resuscitate Order Document Blank Florida Do Not Resuscitate Order Document
Table of Contents

In Florida, the Do Not Resuscitate Order (DNRO) form plays a crucial role in end-of-life care decisions. This legal document allows individuals to express their wishes regarding resuscitation efforts in the event of a medical emergency. It is designed for those who have a terminal illness or are experiencing a severe decline in health. The form must be completed and signed by a physician, ensuring that medical professionals are aware of the patient's preferences. Importantly, the DNRO must be readily available and easily accessible to healthcare providers, as it guides their actions during critical moments. Understanding the implications of this form can empower individuals to take control of their medical care and ensure their wishes are respected. Additionally, it is essential to know that the DNRO is not a one-size-fits-all solution; it should be tailored to reflect personal values and healthcare goals.

Document Attributes

Fact Name Details
Definition A Florida Do Not Resuscitate Order (DNRO) is a legal document that informs medical personnel not to perform cardiopulmonary resuscitation (CPR) in the event of cardiac arrest.
Governing Law The DNRO is governed by Florida Statutes, Chapter 401.45, which outlines the requirements and procedures for creating and implementing the order.
Eligibility Any adult can create a DNRO, provided they are capable of making informed decisions about their medical care.
Signature Requirement The DNRO must be signed by the patient or their legally authorized representative and a physician to be valid.
Form Availability The DNRO form is available through the Florida Department of Health and can also be obtained from healthcare providers.
Revocation A DNRO can be revoked at any time by the patient or their representative. This can be done verbally or in writing.
Effect on Other Treatments The DNRO only pertains to resuscitation efforts and does not affect other medical treatments, such as pain management or comfort care.
Emergency Medical Services (EMS) Role EMS personnel are required to honor a valid DNRO during emergencies. If the order is present and valid, they will not perform CPR.
Public Awareness Public education on DNROs is encouraged to ensure that individuals understand their options regarding end-of-life care.

Similar forms

  • Living Will: Similar to a DNR, a living will outlines your preferences for medical treatment if you become unable to communicate. It focuses on end-of-life care and can include decisions about resuscitation.
  • Healthcare Proxy: This document allows you to appoint someone to make medical decisions on your behalf if you are unable to do so. It often works alongside a DNR to ensure your wishes are respected.
  • California Judicial Council Form: The California Judicial Council form is essential for legal proceedings, providing standardized documentation for court filings and increasing clarity in the process. Completing this form is crucial for anyone navigating the legal landscape in California. For more information and to access the necessary documents, visit California PDF Forms.
  • Durable Power of Attorney for Healthcare: This grants someone the authority to make healthcare decisions for you, including whether to initiate resuscitation, if you are incapacitated.
  • POLST (Physician Orders for Life-Sustaining Treatment): A POLST form provides specific medical orders based on your preferences. It is similar to a DNR but can cover a broader range of treatment options.
  • Advance Directive: This is a general term for documents like living wills and healthcare proxies. It expresses your wishes regarding medical treatment and can include DNR preferences.
  • Do Not Intubate (DNI) Order: A DNI order is specific to the decision not to use intubation in case of respiratory failure. It complements a DNR by addressing airway management.
  • Emergency Medical Services (EMS) DNR: This is a specific form used by emergency responders to honor your DNR wishes in pre-hospital settings, ensuring your preferences are respected outside of a hospital.
  • Comfort Care Order: This document focuses on providing comfort and pain relief rather than aggressive treatment. It aligns with DNR wishes by prioritizing quality of life over life-sustaining measures.
  • Patient Preferences Form: This form allows you to specify your treatment preferences, including resuscitation, in a more general sense. It serves as a guide for healthcare providers in line with your wishes.

Florida Do Not Resuscitate Order Example

Florida Do Not Resuscitate (DNR) Order Template

This Do Not Resuscitate (DNR) Order is created in accordance with Florida state laws, specifically Chapter 401.45 of the Florida Statutes. It allows individuals to express their wishes regarding resuscitation efforts in the event of a cardiac or respiratory arrest.

By completing this document, you are asserting your right to refuse resuscitation in certain medical circumstances.

Patient Information

  • Patient's Full Name: ________________
  • Date of Birth: ________________
  • Address: ________________
  • City, State, Zip Code: ________________

DNR Order

I, the undersigned, hereby declare that I do not wish to receive cardiopulmonary resuscitation (CPR) in the event of a cardiac or respiratory arrest. This decision has been made after careful consideration of my medical condition and personal values.

Signature

Patient's Signature: ________________

Date: ________________

Healthcare Proxy Information (optional)

If applicable, I authorize the following individual to make healthcare decisions on my behalf:

  • Name of Healthcare Proxy: ________________
  • Contact Number: ________________

Witnesses

Signatures of witnesses are required to validate this DNR order. At least one witness must be a person who is not a relative or involved in the patient's care:

  1. Witness 1's Name: ________________
  2. Witness 1's Signature: ________________
  3. Date: ________________
  1. Witness 2's Name: ________________
  2. Witness 2's Signature: ________________
  3. Date: ________________

This DNR order should be placed in a prominent location and shared with relevant healthcare providers. It is essential that your medical team is aware of your wishes at all times.

For any questions regarding the DNR process or to understand your rights, please consult a healthcare professional or an attorney specialized in healthcare law.

Understanding Florida Do Not Resuscitate Order

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) and other life-saving measures in the event of cardiac or respiratory arrest. This order is designed for individuals who wish to avoid aggressive medical interventions in their final moments, allowing for a more peaceful passing.

Who can create a DNRO in Florida?

Any adult who is capable of making their own healthcare decisions can create a DNRO. This includes individuals who are terminally ill or have a medical condition that significantly limits their life expectancy. Additionally, a legal guardian or a designated healthcare surrogate can also create a DNRO on behalf of someone who is unable to make decisions for themselves.

How do I obtain a DNRO form in Florida?

You can obtain a DNRO form from various sources, including hospitals, healthcare providers, or online from the Florida Department of Health’s website. It’s important to ensure that the form you are using is the most current version recognized by Florida law.

What information is required on the DNRO form?

The DNRO form requires specific information, including the patient's name, date of birth, and the signature of the patient or their authorized representative. Additionally, it must be signed by a physician to validate the order. The form should clearly state the individual's wishes regarding resuscitation.

Is a DNRO legally binding in Florida?

Yes, a DNRO is legally binding in Florida as long as it is completed correctly and signed by a physician. Emergency medical personnel are required by law to honor a valid DNRO, which means they will not initiate resuscitation efforts if they encounter this document at the scene.

Can a DNRO be revoked or changed?

Yes, a DNRO can be revoked or changed at any time by the individual who created it. This can be done verbally or in writing. It is important to inform healthcare providers and family members of any changes to ensure that your current wishes are known and respected.

Where should I keep my DNRO form?

It is advisable to keep your DNRO form in an easily accessible location, such as with your medical records or in a visible place at home. You should also provide copies to your healthcare providers, family members, and anyone who may be involved in your care. This ensures that your wishes are clear and can be followed when necessary.

What should I discuss with my healthcare provider before completing a DNRO?

Before completing a DNRO, it’s important to have a thorough discussion with your healthcare provider. Talk about your medical condition, prognosis, and the implications of refusing resuscitation. This conversation can help clarify your wishes and ensure that you fully understand the consequences of your decision.

Dos and Don'ts

When filling out the Florida Do Not Resuscitate Order form, it is important to follow specific guidelines to ensure that the document is completed accurately and effectively. Below is a list of things to do and avoid during this process.

  • Do consult with a healthcare provider before completing the form.
  • Do ensure that the form is signed by the patient or their legal representative.
  • Do keep a copy of the completed form for personal records.
  • Do discuss your wishes with family members and caregivers.
  • Do review the form periodically to ensure it reflects current wishes.
  • Don't fill out the form under pressure or without understanding its implications.
  • Don't forget to date the form when it is signed.
  • Don't use a form that is outdated or not recognized by Florida law.
  • Don't assume that verbal instructions will be sufficient; written documentation is essential.