Fillable Do Not Resuscitate Order Template for the State of Florida

Fillable Do Not Resuscitate Order Template for the State of Florida

A Florida Do Not Resuscitate Order (DNRO) is a legal document that allows individuals to refuse resuscitation efforts in the event of a medical emergency. This form ensures that a person’s wishes regarding life-sustaining treatment are respected by healthcare providers. Understanding its importance can help individuals make informed decisions about their medical care.

If you are considering filling out a DNRO, click the button below to get started.

Access This Form Now

The Florida Do Not Resuscitate Order (DNRO) form is a crucial document that allows individuals to express their wishes regarding medical treatment in the event of a cardiac arrest or respiratory failure. This form is particularly important for those who have specific health conditions or who wish to avoid aggressive life-saving measures in critical situations. By completing a DNRO, patients can ensure that their preferences are respected by healthcare providers. The form must be signed by a licensed physician and is intended to be presented in emergency situations, guiding first responders and medical personnel in their decision-making process. It is vital for individuals to discuss their choices with family members and healthcare professionals, ensuring that everyone involved understands the implications of the order. Additionally, the DNRO must be readily accessible, often kept in a visible location or attached to the patient’s medical records, to ensure that it can be easily referenced when needed.

Your Questions, Answered

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

    A Do Not Resuscitate Order is a legal document that allows individuals to refuse resuscitation efforts in the event of a cardiac arrest or respiratory failure. In Florida, this order must be completed on a specific form, which is recognized by medical professionals throughout the state. It is essential for patients who wish to avoid aggressive medical interventions at the end of life to understand the implications of such a decision.

  2. Who can complete a DNR Order in Florida?

    In Florida, a DNR Order can be completed by a competent adult, which typically means someone who is at least 18 years old and able to understand the nature and consequences of the decision. Additionally, a legal guardian or a designated healthcare surrogate may also complete the form on behalf of an individual who is unable to make such decisions due to incapacity.

  3. How do I obtain a DNR Order form in Florida?

    The DNR Order form can be obtained from various sources, including hospitals, healthcare providers, and the Florida Department of Health website. It is crucial to ensure that the form is the official state version, as only the approved form will be recognized by emergency medical services and healthcare facilities. After completing the form, it should be signed by the patient and their physician to validate the order.

  4. Can a DNR Order be revoked or changed?

    Yes, a DNR Order can be revoked or changed at any time by the individual who signed it. To revoke the order, the individual should notify their healthcare provider and, if possible, destroy any copies of the DNR form. It is advisable to communicate clearly with family members and caregivers about the revocation to ensure that everyone is informed of the patient's current wishes.

Detailed Guide for Using Florida Do Not Resuscitate Order

Completing the Florida Do Not Resuscitate Order form is an important step in ensuring that your healthcare preferences are respected. After filling out the form, it is advisable to keep it in a readily accessible location and share copies with your healthcare providers and family members.

  1. Obtain the Florida Do Not Resuscitate Order form. You can find it online or request it from your healthcare provider.
  2. Fill in your full name, date of birth, and address at the top of the form.
  3. Designate a healthcare surrogate, if desired. Provide their name and contact information.
  4. Indicate your wishes regarding resuscitation. You will typically check a box or provide a signature to express your decision.
  5. Sign and date the form. Make sure to do this in the presence of a witness.
  6. Have the form witnessed by two individuals who are not your healthcare surrogate or related to you.
  7. Make copies of the completed form for your records and to share with your healthcare providers and family members.

Documents used along the form

The Florida Do Not Resuscitate Order (DNRO) form is an important document that reflects an individual's wishes regarding resuscitation in the event of a medical emergency. Several other forms and documents often accompany the DNRO to ensure comprehensive communication of a person's healthcare preferences. Below is a list of these documents, each serving a specific purpose in the healthcare decision-making process.

  • Advance Directive: This document allows individuals to outline their preferences for medical treatment in situations where they may be unable to communicate their wishes. It typically includes decisions about life-sustaining treatments and appoints a healthcare proxy.
  • Living Will: A living will is a type of advance directive that specifically details the types of medical treatment an individual wishes to receive or avoid in the event of terminal illness or incapacitation.
  • Healthcare Surrogate Designation: This form designates a person to make healthcare decisions on behalf of an individual if they become unable to do so. It ensures that someone trusted is empowered to act in accordance with the individual's wishes.
  • Physician Orders for Life-Sustaining Treatment (POLST): POLST is a medical order that outlines a patient's preferences for treatment in emergency situations. It is intended for individuals with serious illnesses and is signed by a physician.
  • Do Not Intubate Order: This document specifies that a patient does not wish to be intubated in the event of respiratory failure. It is often used in conjunction with the DNRO to clarify the extent of medical interventions desired.
  • Emergency Medical Services (EMS) Form: This form provides emergency responders with critical information about a patient's healthcare preferences and any existing orders, such as a DNRO or POLST, ensuring that their wishes are respected during an emergency.

Each of these documents plays a vital role in ensuring that individuals' healthcare preferences are honored. By understanding and utilizing these forms, individuals can better communicate their wishes to healthcare providers and loved ones, fostering a compassionate approach to end-of-life care.

Similar forms

The Advance Directive is a document that outlines a person's wishes regarding medical treatment in situations where they may not be able to communicate their preferences. Like the Florida Do Not Resuscitate Order (DNRO), it allows individuals to express their desires about life-sustaining treatments. This document can include preferences for various types of care, including resuscitation, and can guide healthcare providers and family members in making decisions that align with the individual's values and wishes. Both documents serve to ensure that a person's choices are respected during critical medical situations.

The Living Will is another important document that shares similarities with the DNRO. It specifically addresses the types of medical treatment a person wishes to receive or avoid in the event of a terminal illness or irreversible condition. While the DNRO focuses on resuscitation efforts, the Living Will covers a broader range of medical interventions. Both documents are essential for ensuring that healthcare providers understand a person's preferences and can act accordingly, providing peace of mind for both the individual and their loved ones.

The Healthcare Power of Attorney (POA) empowers a designated individual to make medical decisions on behalf of someone who is unable to do so. This document is similar to the DNRO in that it aims to ensure that a person's healthcare wishes are honored. While the DNRO specifically addresses resuscitation, the Healthcare POA allows the appointed person to make decisions based on the individual's overall preferences, which may include resuscitation or other life-sustaining measures. This flexibility can be crucial in complex medical situations where the person's wishes may not be explicitly stated.

The Physician Orders for Life-Sustaining Treatment (POLST) form is another document that complements the DNRO. It is designed for individuals with serious health conditions who wish to have their treatment preferences documented in a clear and actionable way. Like the DNRO, the POLST form addresses resuscitation, but it also covers a wider range of medical interventions. Both documents aim to communicate a person's wishes to healthcare providers effectively, ensuring that their choices are respected in emergency situations. The POLST form is particularly useful for those who may have more complex medical needs and want to ensure comprehensive care that aligns with their values.

Document Overview

Fact Name Description
Definition A Florida Do Not Resuscitate Order (DNRO) is a legal document that allows individuals to refuse resuscitation in the event of cardiac arrest.
Governing Law The DNRO in Florida is governed by Florida Statutes, Chapter 401.45, which outlines the requirements and procedures for creating a valid order.
Eligibility Any adult can complete a DNRO, provided they are of sound mind and understand the implications of the order.
Signature Requirements The DNRO must be signed by the individual or their legally authorized representative, and it must also be signed by a physician.
Form Availability The Florida DNRO form is available online 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 individual or their representative, and it must be documented to be considered valid.