Homepage Attorney-Approved Do Not Resuscitate Order Template Fillable Idaho Do Not Resuscitate Order Document
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In Idaho, the Do Not Resuscitate (DNR) Order form serves as a crucial document for individuals who wish to communicate their preferences regarding medical interventions in the event of a cardiac arrest or respiratory failure. This legally binding form allows patients to specify that they do not want resuscitative measures, such as CPR or advanced life support, to be performed if their heart stops beating or they stop breathing. The DNR Order must be signed by a licensed physician and should be readily available to emergency medical personnel, ensuring that the patient's wishes are respected in critical situations. Additionally, the form can be discussed with family members, promoting understanding and alignment of care decisions. It is essential for individuals to consider their values and beliefs when completing the DNR Order, as it reflects personal choices about end-of-life care. Understanding the implications and processes involved in this form can empower patients and their families to make informed decisions during challenging times.

Dos and Don'ts

When filling out the Idaho Do Not Resuscitate Order form, it is essential to follow specific guidelines to ensure that your wishes are clearly communicated and legally recognized. Below are seven key actions to take and avoid:

  • Do ensure that the form is signed by the patient or their legal representative.
  • Do provide accurate and complete information, including the patient's full name and date of birth.
  • Do have the form witnessed by at least one person who is not a family member.
  • Do keep a copy of the completed form for your records.
  • Don't use the form if the patient is under 18 years of age without proper legal consent.
  • Don't forget to review and update the form as necessary, especially after significant health changes.
  • Don't assume that verbal instructions will be sufficient; written documentation is crucial.

PDF Properties

Fact Name Details
Purpose The Idaho Do Not Resuscitate Order (DNR) form allows individuals to refuse resuscitation efforts in the event of cardiac or respiratory arrest.
Governing Laws The DNR form is governed by Idaho Code § 39-4501 through § 39-4506, which outlines the legal framework for advance directives.
Eligibility Any adult who is capable of making their own healthcare decisions can complete a DNR form in Idaho.
Signature Requirements The form must be signed by the individual or their legal representative, and it requires a witness signature or notarization for validity.

Key takeaways

Filling out and using the Idaho Do Not Resuscitate (DNR) Order form is an important process for individuals who wish to express their preferences regarding medical treatment in emergency situations. Here are some key takeaways to keep in mind:

  • The DNR Order must be completed and signed by a licensed physician to be valid.
  • It is essential to communicate your wishes clearly to family members and healthcare providers.
  • Keep copies of the DNR Order in accessible locations, such as with your medical records or at home.
  • Review and update the DNR Order periodically, especially if your health status changes.

Example - Idaho Do Not Resuscitate Order Form

Idaho Do Not Resuscitate Order (DNR)

This Do Not Resuscitate Order is created in accordance with Idaho state laws regarding end-of-life care. This document expresses your wishes regarding medical treatment in case of a cardiac or respiratory arrest.

Patient Information:

  • Name: ________________________________
  • Date of Birth: ________________________
  • Address: ______________________________
  • Phone Number: ________________________

Patient's Health Care Provider:

  • Name: ________________________________
  • Phone Number: ________________________

Declaration:

I, the undersigned, do hereby declare that I do not want my life to be prolonged by resuscitation efforts in the event of a cardiac or respiratory arrest. I have communicated my decision to my health care provider.

Signature of Patient or Authorized Representative:

Signature: ______________________________

Date: _________________________________

Witness Information:

  1. Name: ________________________________
  2. Signature: ___________________________
  3. Date: _________________________________

Important Notes:

This document should be kept in a readily accessible location, and copies should be given to your healthcare provider, family members, and kept in your medical records. Make sure your wishes are clear and communicated effectively to those involved in your care.

For medical personnel, this document must be honored and will guide treatment in accordance with the patient's stated preferences.

Detailed Instructions for Writing Idaho Do Not Resuscitate Order

Filling out the Idaho Do Not Resuscitate Order form is an important step in expressing your healthcare wishes. Once you have completed the form, it should be signed and shared with your healthcare provider and family members to ensure that your preferences are known and respected.

  1. Obtain the Idaho Do Not Resuscitate Order form. You can find it on the Idaho Department of Health and Welfare website or through your healthcare provider.
  2. Read the instructions carefully. Ensure you understand the implications of the form and the choices you will be making.
  3. Fill in your full name, date of birth, and address at the top of the form. This information identifies you clearly.
  4. Designate a healthcare representative, if desired. Provide their name and contact information. This person will help communicate your wishes if you are unable to do so.
  5. Indicate your preferences regarding resuscitation. Clearly mark your choice about whether you want to receive CPR or not.
  6. Sign and date the form. Your signature confirms that you understand the content and agree with the decisions made.
  7. Have a witness sign the form. This can be anyone who is not your healthcare representative or related to you.
  8. Make copies of the completed form. Keep one for your records and provide copies to your healthcare provider and family members.

Documents used along the form

The Idaho Do Not Resuscitate (DNR) Order form is an important document that allows individuals to express their wishes regarding resuscitation efforts in the event of a medical emergency. Along with this form, several other documents may be used to ensure that a person's healthcare preferences are clearly communicated and respected. Below are some of the key documents often associated with a DNR Order in Idaho.

  • Advance Directive: This document allows individuals to outline their preferences for medical treatment in the event they become unable to communicate their wishes. It can include instructions about life-sustaining treatments, organ donation, and end-of-life care.
  • Healthcare Power of Attorney: This legal document designates a specific person to make healthcare decisions on behalf of an individual if they are incapacitated. It ensures that someone trusted is making choices aligned with the individual's values and preferences.
  • Living Will: A living will provides specific instructions about the types of medical treatment a person wishes to receive or avoid if they are terminally ill or permanently unconscious. It serves as a guide for healthcare providers and loved ones.
  • Physician Orders for Scope of Treatment (POST): This form is designed for individuals with serious illnesses. It translates a patient's treatment preferences into actionable medical orders, ensuring that healthcare providers follow the patient's wishes in emergencies.
  • Trailer Bill of Sale: For those involved in trailer transactions, the essential Trailer Bill of Sale document guide ensures proper ownership transfer and legal compliance.
  • Do Not Intubate (DNI) Order: Similar to a DNR, a DNI order specifically instructs healthcare providers not to intubate a patient. This document is important for those who wish to avoid mechanical ventilation in critical situations.

These documents work together to create a comprehensive plan for medical care, ensuring that an individual's wishes are honored during critical times. Understanding and utilizing these forms can provide peace of mind for both patients and their families.