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Homepage Free Do Not Resuscitate Order Template Do Not Resuscitate Order Document for Michigan State

Things You Should Know About This Form

What is a Do Not Resuscitate (DNR) Order in Michigan?

A Do Not Resuscitate Order (DNR) in Michigan is a legal document that instructs medical personnel not to perform cardiopulmonary resuscitation (CPR) in the event a patient’s heart stops beating or they stop breathing. This order is intended for individuals who wish to avoid aggressive life-saving measures in certain medical situations, typically when they are facing terminal illness or severe health conditions.

Who can request a DNR Order?

A DNR Order can be requested by the patient themselves if they are capable of making their own medical decisions. If the patient is unable to communicate their wishes, a legally authorized representative, such as a family member or a designated healthcare proxy, may request the order on their behalf. It is essential that the person requesting the DNR understands the patient's values and wishes regarding end-of-life care.

How do I obtain a DNR Order form in Michigan?

You can obtain a DNR Order form from various sources, including hospitals, healthcare providers, and online resources. The Michigan Department of Health and Human Services provides a standardized DNR Order form that can be downloaded from their website. It is crucial to ensure that you are using the most current version of the form to avoid any issues with its validity.

What information is required on the DNR Order form?

The DNR Order form requires specific information, including the patient’s name, date of birth, and the signature of the physician who is issuing the order. Additionally, the form must be signed by the patient or their authorized representative. It is important to provide accurate and complete information to ensure that the order is recognized by medical personnel.

Where should I keep the DNR Order form?

The DNR Order form should be kept in a location that is easily accessible to medical personnel. It is recommended to keep a copy in the patient’s medical records and to provide copies to family members, caregivers, and any healthcare providers involved in the patient’s care. Some individuals choose to wear a medical alert bracelet or necklace that indicates they have a DNR Order in place.

Can a DNR Order be revoked or changed?

Yes, a DNR Order can be revoked or changed at any time by the patient or their authorized representative. To revoke the order, the patient should notify their healthcare provider and ensure that the revoked order is documented in their medical records. It is advisable to complete a new DNR Order form if the patient wishes to make changes to their previous instructions.

What should I discuss with my healthcare provider regarding a DNR Order?

It is essential to have an open and honest conversation with your healthcare provider about your wishes regarding resuscitation and end-of-life care. Discuss your health condition, prognosis, and any concerns you may have. Your healthcare provider can help clarify the implications of a DNR Order and assist you in making informed decisions that align with your values and preferences.

PDF Overview

Fact Name Description
Definition The Michigan Do Not Resuscitate (DNR) Order form allows individuals to refuse resuscitation in the event of cardiac or respiratory arrest.
Governing Law This form is governed by the Michigan Public Health Code, specifically Section 333.1053.
Eligibility Any adult or emancipated minor can complete a DNR Order in Michigan.
Signature Requirements The DNR Order must be signed by the individual or their legal representative, along with a physician's signature.
Form Availability The DNR Order form is available through healthcare providers and can also be downloaded from state health department websites.
Revocation A DNR Order can be revoked at any time by the individual or their legal representative, verbally or in writing.
Emergency Services Emergency medical services (EMS) personnel are required to honor a valid DNR Order when responding to a call.

Common mistakes

Filling out the Michigan Do Not Resuscitate Order form can be a critical step in ensuring that your healthcare wishes are honored. However, many people make common mistakes that can lead to confusion or misinterpretation of their intentions. Understanding these mistakes can help you avoid them and ensure your form is completed correctly.

One frequent error is failing to provide all required signatures. The form typically requires the signature of the patient, or their legal representative, as well as a witness. Without these signatures, the order may not be valid. It’s important to double-check that all necessary parties have signed before submitting the form.

Another mistake is not clearly indicating the patient's wishes. The language on the form should be straightforward. If the instructions are vague or ambiguous, healthcare providers may not understand the patient's intentions. Clarity is essential to ensure that the order is followed as intended.

People often overlook the importance of including the date on the form. A missing date can create uncertainty about when the order takes effect. Always include the date to prevent any potential confusion regarding the validity of the document.

Additionally, some individuals forget to discuss their decisions with family members or healthcare providers. Open communication is key. By informing loved ones about your choices, you can help prevent disputes or misunderstandings later on.

Another common mistake is using outdated forms. The Michigan Do Not Resuscitate Order form may be updated periodically. Always ensure you are using the most current version to avoid any legal issues that could arise from outdated language or requirements.

In some cases, people do not keep copies of the completed form. It’s crucial to retain a copy for your records and provide copies to your healthcare providers. This ensures that everyone involved is aware of your wishes and can act accordingly.

Finally, neglecting to review the form for accuracy can lead to significant problems. Mistakes in personal information, such as the patient's name or medical record number, can cause delays or miscommunication. Take the time to review the form thoroughly before submission.