Valid New Hampshire Do Not Resuscitate Order Form

Valid New Hampshire Do Not Resuscitate Order Form

A Do Not Resuscitate (DNR) Order is a legal document that allows individuals to express their wishes regarding resuscitation efforts in the event of a medical emergency. In New Hampshire, this form is crucial for ensuring that a person's preferences about life-sustaining treatments are respected. Understanding the DNR Order can provide peace of mind for both individuals and their families during difficult times.

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The New Hampshire Do Not Resuscitate (DNR) Order form is an essential document for individuals who wish to express their preferences regarding medical treatment in the event of a life-threatening situation. This form allows patients to indicate that they do not want resuscitation efforts, such as cardiopulmonary resuscitation (CPR), if their heart stops beating or they stop breathing. Designed to ensure that a person's wishes are respected, the DNR form must be signed by a physician, confirming that the individual understands the implications of their decision. Additionally, it is important for patients to discuss their choices with family members and healthcare providers, as this can facilitate a smoother implementation of their wishes during critical moments. The form is typically kept in a visible location, such as on the refrigerator or in a medical file, so that emergency personnel can easily access it when needed. Understanding the DNR Order form and its significance can empower individuals to take control of their healthcare decisions, providing peace of mind for both them and their loved ones.

PDF Characteristics

Fact Name Details
Definition A Do Not Resuscitate (DNR) Order is a legal document that instructs medical personnel not to perform cardiopulmonary resuscitation (CPR) in the event of cardiac arrest.
Governing Law The New Hampshire Do Not Resuscitate Order is governed by RSA 137-J, which outlines the requirements and procedures for creating and honoring DNR orders.
Eligibility Any adult who is capable of making medical decisions can complete a DNR order. This includes individuals facing terminal illness or severe medical conditions.
Signature Requirement The DNR order must be signed by the patient or their legal representative, as well as a physician, to be valid.
Form Availability The New Hampshire DNR form is available online through the New Hampshire Department of Health and Human Services and can be printed for use.
Revocation A DNR order can be revoked at any time by the patient or their legal representative. This can be done verbally or in writing.
Emergency Medical Services Emergency medical personnel are required to honor a valid DNR order. They must be able to identify the order quickly and clearly.
Healthcare Provider Responsibilities Healthcare providers must ensure that the DNR order is documented in the patient’s medical record and communicated to all relevant staff.
Public Awareness New Hampshire encourages public awareness of DNR orders to ensure that individuals understand their rights and options regarding end-of-life care.
Legal Protections Individuals acting in accordance with a DNR order are protected from legal liability, provided they are following the law and the order is valid.

Key Details about New Hampshire Do Not Resuscitate Order

  1. What is a Do Not Resuscitate (DNR) Order in New Hampshire?

    A Do Not Resuscitate Order is a legal document that allows individuals to express their wishes regarding resuscitation efforts in case their heart stops or they stop breathing. In New Hampshire, a DNR order is typically used by patients with terminal illnesses or those who wish to avoid aggressive life-saving measures. This order is respected by medical professionals and ensures that your preferences are followed during a medical emergency.

  2. Who can complete a DNR Order in New Hampshire?

    In New Hampshire, any competent adult can complete a DNR order. This includes individuals who are 18 years or older and capable of making informed decisions about their healthcare. Additionally, parents or legal guardians can complete a DNR order on behalf of minors. It is essential to consult with a healthcare provider when considering this option, as they can provide guidance tailored to individual health situations.

  3. How do I obtain a DNR Order form?

    You can obtain a DNR Order form from various sources in New Hampshire. Hospitals, healthcare providers, and online resources often have copies available. It’s crucial to ensure that you are using the most current version of the form. Once you have the form, fill it out carefully, ensuring that all necessary information is included.

  4. What should I do after completing the DNR Order form?

    After completing the DNR Order form, it’s important to sign and date it. You should then share copies with your healthcare provider, family members, and anyone else involved in your care. Keep a copy in a place where it can be easily accessed in case of an emergency. It’s also advisable to discuss your wishes with your healthcare team to ensure everyone is on the same page.

  5. Can I change or revoke my DNR Order?

    Yes, you can change or revoke your DNR Order at any time. If you decide to make changes, simply fill out a new form and distribute it to the same individuals who received the original. If you want to revoke the order, inform your healthcare provider and family members. It’s essential to ensure that your current wishes are clearly communicated and documented.

Misconceptions

Understanding the New Hampshire Do Not Resuscitate (DNR) Order form is essential for individuals considering end-of-life care options. Below are eight common misconceptions about the DNR form, along with clarifications to help dispel any confusion.

  • A DNR order means no medical treatment will be provided. This is incorrect. A DNR order specifically addresses resuscitation efforts in the event of cardiac arrest but does not prevent other medical treatments from being administered.
  • Only terminally ill patients can have a DNR order. This is a misconception. Any individual can request a DNR order, regardless of their medical condition, as long as they are capable of making informed decisions.
  • A DNR order is permanent and cannot be changed. This is not true. A DNR order can be revoked or modified at any time by the individual or their legal representative.
  • Healthcare providers will not respect a DNR order. This misconception undermines the legal standing of DNR orders. Healthcare providers are required to honor valid DNR orders as part of their ethical and legal obligations.
  • A DNR order is the same as a living will. This is misleading. While both documents relate to end-of-life care, a DNR specifically addresses resuscitation efforts, whereas a living will outlines broader healthcare preferences.
  • DNR orders are only for older adults. This is inaccurate. Individuals of any age can have a DNR order if they wish to forgo resuscitation in certain medical situations.
  • A DNR order can be verbal. This is a common misunderstanding. In New Hampshire, a DNR order must be in written form and signed by the patient or their authorized representative to be legally binding.
  • Having a DNR order means giving up on life. This misconception can be harmful. A DNR order is a personal choice that reflects an individual's values and wishes regarding their care, rather than a decision to cease living.

Clarifying these misconceptions can help individuals make informed decisions regarding their healthcare preferences and ensure that their wishes are respected in critical situations.

Documents used along the form

When navigating healthcare decisions, especially concerning end-of-life care, various forms and documents can complement the New Hampshire Do Not Resuscitate (DNR) Order. Understanding these documents can help individuals and families make informed choices about medical care preferences. Below is a list of commonly used forms that often accompany the DNR Order in New Hampshire.

  • Advance Directive: This document outlines a person's wishes regarding medical treatment and healthcare decisions if they become unable to communicate those wishes themselves.
  • Healthcare Proxy: A healthcare proxy designates an individual to make medical decisions on behalf of someone else if they are unable to do so.
  • Non-disclosure Agreement Form: To protect sensitive information, refer to our important Non-disclosure Agreement guidelines for legally compliant documentation.
  • Living Will: A living will specifies the types of medical treatment a person does or does not want in the event of a terminal illness or incapacitation.
  • Physician Orders for Life-Sustaining Treatment (POLST): This form translates a patient’s wishes regarding life-sustaining treatment into actionable medical orders for healthcare providers.
  • Patient Self-Determination Act (PSDA) Documentation: This documentation ensures that patients are informed of their rights regarding medical treatment and the ability to make decisions about their care.
  • Do Not Intubate (DNI) Order: This order specifies that a patient does not wish to be intubated if they experience respiratory failure, complementing the DNR Order.
  • Emergency Medical Services (EMS) Form: This form provides emergency responders with crucial information about a patient's wishes regarding resuscitation and other life-saving measures.
  • Hospital DNR Order: This specific order is used within hospital settings to ensure that the DNR wishes are respected by the medical staff during hospitalization.
  • Organ Donation Consent Form: This document indicates an individual's wishes regarding organ donation after death, which can be an important consideration in end-of-life planning.

Each of these documents plays a vital role in ensuring that healthcare preferences are respected and followed. By understanding and utilizing these forms, individuals can better prepare for medical situations that may arise, ensuring that their wishes are honored in accordance with their values and beliefs.

Similar forms

  • Living Will: This document outlines a person's wishes regarding medical treatment in situations where they cannot communicate. Like a DNR, it focuses on end-of-life care and can specify preferences for life-sustaining treatments.

  • Durable Power of Attorney for Healthcare: This allows someone to make medical decisions on behalf of another person if they become incapacitated. It complements a DNR by designating a trusted individual to enforce the patient's wishes.

  • Healthcare Proxy: Similar to a durable power of attorney, a healthcare proxy specifically appoints someone to make medical decisions. This document can help ensure that the patient’s preferences, including a DNR, are respected.

  • Physician Orders for Life-Sustaining Treatment (POLST): This form translates a patient’s wishes into actionable medical orders. It often includes DNR instructions and is intended for individuals with serious health conditions.

  • Advance Directive: This is a broader term that encompasses both living wills and durable powers of attorney. It provides guidance on a person’s healthcare preferences, including resuscitation wishes.

  • Do Not Intubate (DNI) Order: This order specifically states that a patient should not be intubated if they stop breathing. It is similar to a DNR in that it addresses life-sustaining measures.

  • Comfort Care Order: This document focuses on providing relief from pain and other distressing symptoms rather than prolonging life. It aligns with the principles of a DNR by prioritizing comfort over aggressive treatment.

  • Medical Orders for Scope of Treatment (MOST): This form is similar to POLST and outlines a patient’s preferences for treatment. It includes DNR instructions and is designed for individuals with serious or terminal illnesses.

  • Patient Wishes Statement: This informal document can express a person's preferences for medical care and interventions. While not legally binding, it can guide family and healthcare providers in decision-making.

  • Mobile Home Bill of Sale: This form serves as a crucial document that records the sale and purchase of a mobile home within the state of New York. For more information, visit smarttemplates.net/.

  • Emergency Medical Services (EMS) DNR Form: This specific form is used by emergency responders to understand a patient’s wishes regarding resuscitation. It serves a similar purpose to the DNR order in clinical settings.

Other Common New Hampshire Forms

Key takeaways

When considering the New Hampshire Do Not Resuscitate (DNR) Order form, it is important to understand its purpose and the steps involved in completing it. Here are some key takeaways:

  • The DNR Order allows individuals to refuse resuscitation efforts in the event of cardiac arrest or respiratory failure.
  • It is essential to have a conversation with your healthcare provider before completing the form to ensure your wishes are clearly understood.
  • The form must be signed by both the patient and a physician to be valid.
  • Keep copies of the completed DNR Order in easily accessible locations, such as with your medical records or at home.
  • Inform family members and caregivers about your DNR Order to avoid confusion during emergencies.
  • The DNR Order can be revoked at any time by the patient, and this should be communicated to your healthcare provider.
  • It is advisable to review your DNR Order periodically to ensure it still reflects your wishes, especially after significant health changes.