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Homepage Free Do Not Resuscitate Order Template Do Not Resuscitate Order Document for New York State

Things You Should Know About This Form

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

A Do Not Resuscitate Order (DNR) in New York is a legal document that instructs medical personnel not to perform cardiopulmonary resuscitation (CPR) in the event of cardiac arrest. This order is intended for individuals who wish to forgo resuscitation efforts due to personal, medical, or ethical reasons.

Who can request a DNR Order?

A DNR Order can be requested by any adult who is capable of making their own medical decisions. Additionally, a parent or legal guardian can request a DNR for a minor. It is essential that the individual understands the implications of the order before signing.

How do I obtain a DNR Order in New York?

To obtain a DNR Order, you must complete a specific form provided by the New York State Department of Health. This form can be obtained from healthcare providers, hospitals, or online through the New York State Department of Health's website. After filling out the form, it must be signed by both the patient and their physician.

What should I do with my DNR Order once it is completed?

Once the DNR Order is completed and signed, you should keep the original document in a safe but accessible place. It is advisable to provide copies to your healthcare provider, family members, and anyone else who may be involved in your care. Having the order readily available can prevent confusion during medical emergencies.

Can I change or revoke my DNR Order?

Yes, you can change or revoke your DNR Order at any time. To do this, you should inform your healthcare provider and any family members or caregivers involved in your care. You may also want to complete a new DNR form to reflect your current wishes.

Will a DNR Order affect other medical treatments?

A DNR Order specifically pertains to resuscitation efforts and does not affect other medical treatments. You will continue to receive all other necessary medical care, including medications, pain management, and other interventions, unless you specify otherwise.

Is a DNR Order legally binding in New York?

Yes, a properly executed DNR Order is legally binding in New York. Healthcare providers are required to honor the order as long as it is valid and complies with state laws. It is crucial to ensure that the order is signed by both the patient and their physician to be considered valid.

What happens if I do not have a DNR Order?

If you do not have a DNR Order in place, medical personnel will attempt resuscitation efforts in the event of cardiac arrest. This may include CPR, defibrillation, and advanced life support measures. If you wish to avoid these interventions, it is essential to establish a DNR Order as soon as possible.

PDF Overview

Fact Name Description
Definition The New York Do Not Resuscitate (DNR) Order form is a legal document that instructs medical personnel not to perform cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest.
Governing Law The DNR Order in New York is governed by the Public Health Law § 2967.
Eligibility Any adult who is capable of making healthcare decisions can complete a DNR Order. Additionally, a legally appointed healthcare proxy can also execute the form on behalf of an incapacitated person.
Form Requirements The DNR Order must be signed by a physician and the patient or their healthcare proxy. It must also include the date of signing.
Revocation A DNR Order can be revoked at any time by the patient or their healthcare proxy. This can be done verbally or by destroying the form.
Placement It is recommended that the DNR Order be placed in a visible location, such as on the refrigerator or attached to the patient’s medical records, to ensure it is easily accessible during emergencies.
Emergency Medical Services Emergency medical personnel are required to honor the DNR Order as long as it is valid and properly executed.
Patient Rights Patients have the right to understand the implications of a DNR Order and to discuss their wishes with healthcare providers before signing the form.
Variations New York also recognizes other advance directives, such as living wills and healthcare proxies, which may complement a DNR Order.
Legal Protections Healthcare providers are protected from legal liability when they follow a valid DNR Order in good faith, as outlined in the Public Health Law.

Common mistakes

Filling out the New York Do Not Resuscitate (DNR) Order form can be a critical step in ensuring that your healthcare wishes are respected. However, many people make mistakes that can lead to confusion or unintended consequences. One common error is failing to sign the form. Without a signature, the document is not valid, and medical personnel may not honor your wishes.

Another frequent mistake is not having the form witnessed correctly. In New York, the DNR form requires the signatures of two witnesses or a notary. If this step is overlooked, the form may be deemed invalid. It’s important to ensure that the witnesses are not family members or anyone who stands to gain from your estate.

Some individuals also neglect to discuss their DNR wishes with family members or healthcare providers. This lack of communication can lead to misunderstandings or disputes during critical moments. Having open conversations about your preferences can help ensure that everyone is on the same page.

Another mistake is using outdated forms. Regulations and requirements can change, so it’s essential to use the most current version of the DNR form. Using an old form may result in complications when it comes time to implement your wishes.

People sometimes forget to include their full name and date of birth on the form. This information is crucial for identifying the patient and ensuring that the document is associated with the correct medical records. Omitting these details can lead to confusion and delays.

Additionally, some individuals may not realize that they can revoke a DNR order at any time. If you change your mind, it’s important to communicate that decision clearly and ensure that any copies of the DNR are destroyed or marked as revoked.

Another error involves not keeping copies of the DNR form in accessible locations. It’s wise to provide copies to your healthcare providers, family members, and even keep one in your home. If the form is not readily available, medical personnel may not be able to honor your wishes.

Lastly, some people mistakenly believe that a DNR order is only for terminal illnesses. A DNR order can apply to any situation where resuscitation may be necessary, regardless of the underlying health condition. Understanding the scope of the DNR order is essential for making informed decisions.