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In Maryland, the Do Not Resuscitate (DNR) Order form is a vital document that allows individuals to express their wishes regarding medical treatment in the event of a life-threatening situation. This form is particularly important for those who may not want to receive cardiopulmonary resuscitation (CPR) or other life-saving measures in the case of cardiac arrest or respiratory failure. It is designed to ensure that patients’ preferences are respected by healthcare providers, family members, and emergency personnel. The DNR Order must be completed and signed by a physician, and it requires the patient’s consent or the consent of a legally authorized representative. Additionally, the form should be easily accessible, often kept in a visible location, such as on the refrigerator or with other important medical documents. By understanding the purpose and requirements of the DNR Order, individuals can make informed decisions about their healthcare and ensure that their wishes are honored during critical moments.

Similar forms

  • Living Will: A living will outlines an individual's preferences regarding medical treatment in situations where they are unable to communicate their wishes. Like a Do Not Resuscitate Order, it addresses end-of-life care decisions.
  • Health Care Proxy: This document designates a person to make medical decisions on behalf of an individual if they become incapacitated. It complements a DNR by ensuring that someone trusted is available to uphold the individual's wishes.
  • Advance Directive: An advance directive encompasses both a living will and a health care proxy. It provides comprehensive guidance on medical care preferences and appoints someone to make decisions when necessary.
  • Physician Orders for Life-Sustaining Treatment (POLST): POLST forms translate a patient’s wishes regarding life-sustaining treatments into actionable medical orders. Similar to a DNR, it ensures that healthcare providers follow the patient’s preferences.
  • Do Not Intubate Order: This order specifically instructs healthcare providers not to insert a breathing tube in the event of respiratory failure. It aligns with the DNR in its focus on limiting aggressive medical interventions.
  • Comfort Care Order: A comfort care order emphasizes the provision of comfort rather than curative treatment. It aligns with the DNR in its goal of prioritizing quality of life over invasive procedures.
  • Organ Donation Consent: This document expresses an individual's wishes regarding organ donation after death. It shares a common purpose with a DNR in guiding decisions about end-of-life care.
  • Texas Living Will: This document allows individuals to outline their preferences for medical treatment in situations where they cannot communicate, ensuring their healthcare wishes are respected. For more information, you can access Texas PDF Forms.
  • Do Not Hospitalize Order: This order indicates that a patient should not be admitted to a hospital for treatment. It reflects a similar philosophy to a DNR by prioritizing comfort and quality of life over aggressive medical interventions.

Form Information

Fact Name Details
Purpose The Maryland Do Not Resuscitate (DNR) Order form allows individuals to refuse resuscitation efforts in the event of cardiac or respiratory arrest.
Governing Law This form is governed by the Maryland Health-General Article, Section 5-605, which outlines the legal framework for advance directives.
Eligibility Any adult who is capable of making informed decisions about their medical care can complete a DNR Order in Maryland.
Signature Requirements The form must be signed by the individual or their authorized representative and witnessed by two individuals or a notary public to be valid.

How to Use Maryland Do Not Resuscitate Order

Completing the Maryland Do Not Resuscitate Order form is an important step for individuals who wish to express their preferences regarding medical treatment in emergency situations. This document ensures that your wishes are known and respected by healthcare providers. Follow these steps to fill out the form accurately.

  1. Obtain the Maryland Do Not Resuscitate Order form. You can find it online or request it from your healthcare provider.
  2. Read the instructions carefully to understand what information is required.
  3. Fill in your full name, date of birth, and address in the designated fields.
  4. Identify the person who will serve as your healthcare decision-maker. Include their name and contact information.
  5. Clearly indicate your wishes regarding resuscitation by checking the appropriate box on the form.
  6. Sign and date the form at the bottom. Your signature is essential for the document to be valid.
  7. Have your healthcare decision-maker sign the form as well, if required.
  8. Make copies of the completed form for your records and to share with your healthcare providers.

Once you have filled out the form, ensure that it is accessible to your healthcare team. Discuss your wishes with family members and your healthcare decision-maker to ensure everyone understands your preferences. Keeping an open line of communication can provide peace of mind for both you and your loved ones.

Key takeaways

When filling out and using the Maryland Do Not Resuscitate (DNR) Order form, there are several important considerations to keep in mind. The following key takeaways provide guidance on the process and implications of this legal document.

  1. Eligibility: The DNR Order is intended for individuals who are seriously ill or have a terminal condition. It is crucial to assess whether the individual meets these criteria before completing the form.
  2. Completion: The form must be filled out accurately and signed by the patient or their legal representative. It is essential to include all required information to ensure the document is valid.
  3. Healthcare Provider's Signature: A licensed healthcare provider must sign the DNR Order. This signature confirms that the provider has discussed the implications of the order with the patient or their representative.
  4. Visibility: The completed DNR Order should be readily accessible. It is advisable to keep a copy in a location where emergency medical personnel can easily find it, such as on the refrigerator or with other important medical documents.
  5. Revocation: The DNR Order can be revoked at any time by the patient or their representative. To revoke, one should clearly communicate the decision and ensure that any copies of the order are destroyed or marked as revoked.
  6. Legal Protections: Healthcare providers are legally protected when they follow a valid DNR Order. This protection ensures that they can act in accordance with the patient’s wishes without fear of legal repercussions.

Understanding these key points can help individuals navigate the process of completing and utilizing the Maryland DNR Order form effectively.

Documents used along the form

The Maryland Do Not Resuscitate (DNR) Order form is an important document for individuals who wish to express their preferences regarding resuscitation in the event of a medical emergency. However, several other forms and documents complement the DNR, providing a comprehensive approach to advance care planning. Below is a list of related documents that are often used alongside the DNR form.

  • Advance Directive: This document outlines a person's wishes regarding medical treatment and appoints a healthcare agent to make decisions on their behalf if they become unable to do so. It can include preferences for life-sustaining treatments beyond resuscitation.
  • Living Will: A living will specifically addresses an individual’s preferences for medical treatment in situations where they are terminally ill or permanently unconscious. It serves as a guide for healthcare providers and family members.
  • Health Care Proxy: This form designates a specific person to make healthcare decisions for someone when they are unable to communicate their wishes. It is essential for ensuring that a trusted individual can advocate for the patient's preferences.
  • Rental Application Form: The Rental Application form is an essential document used by landlords and property managers to collect important information from potential tenants. For more details, you can visit mypdfform.com/blank-rental-application.
  • POLST (Physician Orders for Life-Sustaining Treatment): This is a medical order that reflects the patient's preferences regarding life-sustaining treatments. It is typically used for patients with serious illnesses and complements the DNR by providing clear instructions to healthcare providers.
  • Patient Information Form: This document collects essential details about the patient's medical history, current medications, and other relevant health information. It helps healthcare providers make informed decisions in emergencies.

Each of these documents plays a crucial role in ensuring that an individual's healthcare preferences are respected and followed. Together with the Maryland Do Not Resuscitate Order form, they create a robust framework for advance care planning, allowing individuals to maintain control over their medical treatment even in challenging circumstances.

Discover More on This Form

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

A Do Not Resuscitate Order (DNR) is a legal document that allows a person to refuse certain life-saving medical interventions, such as cardiopulmonary resuscitation (CPR), in the event of cardiac arrest. In Maryland, this order is designed to respect an individual’s wishes regarding end-of-life care.

Who can create a DNR Order in Maryland?

Any adult who is capable of making their own medical decisions can create a DNR order. Additionally, a parent or legal guardian can create a DNR order for a minor. It's essential that the individual understands the implications of the order and is making the decision voluntarily.

How do I obtain a DNR Order form in Maryland?

You can obtain a DNR Order form from various sources, including:

  1. Your healthcare provider or physician.
  2. The Maryland Department of Health website.
  3. Local hospitals or healthcare facilities.

Once you have the form, it must be completed and signed by you and your physician.

What information is required on the DNR Order form?

The DNR Order form typically requires the following information:

  • Your full name and date of birth.
  • Your physician's name and contact information.
  • A statement indicating your desire for a DNR order.
  • Signatures of both you and your physician.

Is a DNR Order valid in all healthcare settings?

Yes, a properly executed DNR Order is valid in all healthcare settings in Maryland, including hospitals, nursing homes, and emergency medical services. However, it is crucial to ensure that the order is readily available and accessible to healthcare providers when needed.

Can a DNR Order be revoked?

Yes, you can revoke a DNR Order at any time. To do this, you should inform your healthcare provider and any family members involved in your care. It’s also a good idea to destroy any copies of the DNR Order to prevent confusion.

What happens if I don’t have a DNR Order?

If you do not have a DNR Order in place and experience cardiac arrest or another life-threatening situation, medical personnel are required to perform resuscitation efforts. This may include CPR, intubation, and other life-saving measures, even if you would prefer not to have them.

Can family members override a DNR Order?

Generally, family members cannot override a valid DNR Order. The order reflects the wishes of the individual who signed it. However, in some cases, family members may express concerns or request a review of the order with the healthcare team. It’s essential to have open communication about these wishes to ensure everyone is on the same page.