Printable Do Not Resuscitate Order Form for the State of Florida Get Document

Printable Do Not Resuscitate Order Form for the State of Florida

A Florida Do Not Resuscitate Order form is a legal document that allows individuals to refuse cardiopulmonary resuscitation (CPR) in the event of a medical emergency. This form is crucial for ensuring that a person's wishes regarding life-sustaining treatment are respected. For those considering this option, completing the form is an important step; click the button below to get started.

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Outline

In the state of Florida, the Do Not Resuscitate Order (DNRO) form serves as a crucial legal document that allows individuals to express their wishes regarding medical treatment in the event of a life-threatening emergency. This form is particularly significant for those who wish to avoid aggressive resuscitation efforts, such as cardiopulmonary resuscitation (CPR), in situations where they may be unable to communicate their preferences. The DNRO must be signed by a licensed physician and is typically accompanied by the signature of the patient or their legal representative, ensuring that the individual’s autonomy and healthcare choices are respected. Importantly, the form is designed to be easily recognizable by healthcare providers, featuring a distinctive yellow color that alerts emergency personnel to its existence. Additionally, the DNRO can be revoked at any time, allowing individuals to retain control over their healthcare decisions as circumstances change. Understanding the implications of this document is vital for both patients and their families, as it navigates the complex intersection of personal values, medical ethics, and legal rights in end-of-life care.

Key takeaways

Filling out a Florida Do Not Resuscitate Order (DNRO) form is an important step for individuals who wish to express their preferences regarding medical treatment in emergency situations. Here are some key takeaways to keep in mind:

  • The DNRO form must be completed and signed by a physician. This ensures that your wishes are medically recognized.
  • It is crucial to clearly indicate your desire not to receive CPR or other resuscitation efforts. Ambiguity can lead to confusion during critical moments.
  • The form should be kept in an easily accessible location, such as on the refrigerator or with your medical records. This increases the likelihood that emergency personnel will find it.
  • Make sure to share your decision with family members and caregivers. Open communication can prevent misunderstandings during stressful situations.
  • Review the form periodically. Your health status or preferences may change over time, so it’s wise to keep your documents up to date.
  • Consider discussing your wishes with your healthcare provider. They can provide guidance and support as you make these important decisions.
  • In Florida, the DNRO form is valid statewide, but it’s always good to check for any specific requirements or updates that may affect its use.

By understanding these key points, you can ensure that your wishes regarding resuscitation are respected and honored in the event of a medical emergency.

Form Preview Example

Florida Do Not Resuscitate Order

This Do Not Resuscitate Order is created in accordance with Florida Statute § 401.45. This document expresses the wishes of the individual named below regarding the use of resuscitative measures in the event of a medical emergency.

Patient Information:

  • Name: _______________________________
  • Date of Birth: _______________________
  • Address: ____________________________

Emergency Contact Information:

  • Name: _______________________________
  • Relationship: ________________________

By signing this document, I acknowledge that I am of sound mind and am making this decision willingly. I understand that this order is applicable only in the event of a medical emergency and only if I am unable to communicate my wishes.

Signatures:

  • Signature of Patient: __________________________ Date: ____________
  • Signature of Witness: _________________________ Date: ____________

If you have specific preferences regarding medical care or additional instructions, please list them below:

  1. _________________________________________________________________
  2. _________________________________________________________________
  3. _________________________________________________________________

This Do Not Resuscitate Order is valid only if signed and dated by the patient and a witness. Ensure that this document is known and accessible to the appropriate healthcare providers.