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In Florida, individuals have the option to make crucial decisions about their own healthcare, especially when it comes to situations that involve life-sustaining treatments. Among these options is the Do Not Resuscitate Order (DNRO) form, a document that speaks for patients when they are unable to express their wishes due to a medical condition. This form holds significant weight as it instructs healthcare professionals not to perform cardiopulmonary resuscitation (CPR) in the event that a patient's breathing stops or their heart ceases to beat. The creation and legalization of this document involve a detailed process, including the need for it to be signed by a qualified healthcare provider to ensure its validity. It stands as a testament to the patient's desires, ensuring that their wishes regarding life-saving measures are respected and followed. Understanding the complexities and the importance of the DNRO form in Florida is essential for anyone looking to take control of their end-of-life medical care decisions.

Document Preview Example

This Florida Do Not Resuscitate Order (DNRO) template is prepared in accordance with the Florida Statutes that govern the right of an individual to make decisions regarding medical treatment, including the decision not to resuscitate in the event of respiratory or cardiac arrest. This form is to be completed by or on behalf of the individual who seeks to invoke this right, referred to here as the "Patient."

Full Name of Patient: ____________________________________

Date of Birth: __________________________________________

Address: _______________________________________________

City: _____________________ State: FL Zip Code: ____________

The undersigned, whether the Patient or a legally authorized representative of the Patient, hereby makes the following statements:

  1. I am aware that this document directs emergency medical services personnel and healthcare providers to withhold cardiopulmonary resuscitation (CPR) in the event my heart and/or breathing stops.
  2. I understand that this order does not affect the provision of other emergency care, including oxygen and pain relief.
  3. I acknowledge that I have had the opportunity to discuss this decision with my healthcare provider.
  4. This decision is made voluntarily and without any coercion or undue influence.

Patient’s Signature (or Legal Representative’s Signature): __________________________

Date: ____________________

If signed by a Legal Representative, please complete the following:

Name of Legal Representative: __________________________________________________

Relationship to Patient: ________________________________________________________

Physician’s Statement

I, the undersigned physician, affirm that the individual has discussed the decision to not undergo cardiopulmonary resuscitation (CPR) with me. I confirm that the individual appears mentally capable of making this decision and understands the consequences.

Physician’s Name (Print): _____________________________________________________

License Number: _____________________________________________________________

Signature of Physician: _____________________________________ Date: _____________

This document must be kept in a location where it is readily accessible to emergency personnel, and it is advised to carry a wallet card indicating that a DNRO is in effect.

Please note, the Florida DNRO form can be revoked at any time by the Patient or their Legal Representative, either by physical destruction of the document or by a verbal statement to that effect.

For further information or assistance, please contact your healthcare provider or legal advisor.

PDF Characteristics

Fact Description
Legality The Florida Do Not Resuscitate Order (DNRO) is legally recognized per Florida Statute 401.45.
Purpose It instructs medical personnel not to perform cardiopulmonary resuscitation (CPR) in the event a patient's breathing stops or the heart stops beating.
Form Requirement The form must be completed on yellow paper to be valid, ensuring it is easily recognizable by healthcare providers.
Signing Requirements The form requires a signature from the patient or their legally authorized representative, along with the signature of a Florida-licensed physician.
Revocation Patients can revoke their DNRO at any time, in any manner, without the need for a witness.
Scope This order applies to emergency medical services and is respected across various healthcare settings within Florida.
Validity Outside of Florida While the DNRO is specific to Florida, other states may honor it as a patient's expressed wish, though this is not guaranteed.

Instructions on How to Fill Out Florida Do Not Resuscitate Order

When navigating the healthcare choices for oneself or a loved one, completing a Florida Do Not Resuscitate Order (DNRO) form is a significant decision. This form ensures that in the event of a respiratory or cardiac arrest, medical professionals are instructed not to perform cardiopulmonary resuscitation (CPR). The following steps are designed to guide you through the process of correctly filling out this essential document, ensuring your healthcare wishes are respected during critical moments.

  1. Acquire the official Florida Do Not Resuscitate Order form. This can typically be done by downloading it from the website of the Florida Department of Health or by requesting a copy from your healthcare provider.
  2. Read the entire form carefully to understand the implications and responsibilities associated with completing it. This is crucial for making informed healthcare decisions.
  3. Enter the full legal name of the person to whom the DNRO applies (referred to as the "patient") in the designated section at the top of the form.
  4. Fill in the patient's date of birth in the next field to ensure clear identification.
  5. Annual identification number, if applicable. In some cases, a unique identifier or registration number may be assigned to the DNRO and should be included if available.
  6. The form requires the signature of the patient, or if the patient is unable to sign, the patient's legal healthcare surrogate or proxy. This is a crucial step, as it legally activates the DNRO.
  7. After the patient or surrogate's signature, the date of signing must be recorded. Ensure this date is accurate, as it signifies when the DNRO becomes effective.
  8. The DNRO must also be signed by a Florida-licensed physician. This indicates that the physician has discussed the implications and wishes of the patient or their surrogate regarding the DNRO.
  9. Record the physician's full name, address, and telephone number in the designated area. This information is necessary for verification and contact purposes.
  10. Retain the original form in a location where it can be easily accessed by emergency personnel or healthcare providers, such as with the patient or with the patient's medical records.

After completing these steps, it's important to inform family members, close friends, and healthcare providers of the existence of the DNRO and its location. This ensures that in the event of an emergency, the patient's wishes as expressed in the DNRO are followed, providing peace of mind to all involved.

Listed Questions and Answers

What is a Do Not Resuscitate Order (DNRO) in Florida?

A Florida Do Not Resuscitate Order (DNRO) is a legal document that communicates a person's wish not to have cardiopulmonary resuscitation (CPR) if their heart stops beating or if they stop breathing. This document is used by patients who wish to decline life-sustaining treatments in the event of a cardiac or respiratory arrest.

Who can request a Do Not Resuscitate Order in Florida?

Any competent adult can request a DNRO for themselves. Additionally, a healthcare surrogate or a legally appointed guardian can request a DNRO on behalf of a person who is not able to make their own medical decisions.

How can one obtain a DNRO form in Florida?

The Florida Department of Health provides the DNRO form which can be obtained from healthcare providers, including doctors and hospitals, or downloaded directly from the Department's website. It is crucial that the form is filled out correctly to ensure it is legally valid.

Does the DNRO need to be signed by a doctor in Florida?

Yes, for the DNRO to be valid in Florida, it must be signed by a Florida-licensed physician. The physician's signature indicates that they have discussed the implications of a DNRO with the patient or the patient's legal representative, and that the patient fully understands the consequences of signing the document.

Is the Florida DNRO form valid in other states?

While some states may honor a Florida DNRO, its validity outside of Florida is not guaranteed. Laws regarding Do Not Resuscitate orders vary by state. It is advisable to check with the specific state regarding its laws if there is a possibility of travelling or relocating.

Can a DNRO be revoked or cancelled?

Yes, a DNRO can be revoked at any time by the individual who requested it or their legal representative. Revoking the order can be done by physically destroying the DNRO form, by expressing the wish to revoke it verbally or in writing, or by presenting a more recent DNRO with different directives.

What happens if emergency medical personnel are not aware of my DNRO?

If emergency personnel are unaware of an existing DNRO, they are legally obligated to perform all necessary life-saving procedures, including CPR. To ensure your DNRO is honored, it should be kept in a conspicuous location and family members, caregivers, and your healthcare provider should be informed about it.

Does having a DNRO mean I will not receive other forms of medical treatment?

No, a Do Not Resuscitate Order specifically relates to the non-performance of CPR in the event of cardiac or respiratory arrest. It does not mean you will be denied other forms of medical care and treatment aimed at providing comfort or addressing other health issues.

Are there any age restrictions for requesting a DNRO in Florida?

There are no age restrictions for requesting a DNRO in Florida. However, for individuals under the age of 18, a parent or legal guardian must give consent and request the DNRO on the minor's behalf.

How should a DNRO be stored to ensure it is effectively communicated to healthcare providers?

To ensure your DNRO is respected, it should be stored in a well-known and easily accessible location. Inform all healthcare providers, family members, and close friends of its existence and location. Some people choose to keep a copy with their important papers, in their wallet or purse, or displayed in a prominent place at home.

Common mistakes

Completing the Florida Do Not Resuscitate (DNR) Order form properly is crucial to ensure that a person's wishes regarding life-saving treatments are respected. However, mistakes can occur during the completion process, potentially leading to unintended consequences. Here are six common mistakes:

  1. Not using the approved form: Individuals often use outdated versions or unapproved templates. The Florida Department of Health provides an official, up-to-date form that should be used to ensure validity.

  2. Incomplete Patient Information: Failing to fill out all required patient information sections, including full legal name, date of birth, and address, could lead to confusion or the inability to match the DNR order to the patient in an emergency.

  3. Signature Issues: The form needs to be signed by the patient or their legally authorized representative. Missing signatures or using a non-valid form of signature (such as a typed name rather than a written one) can invalidate the document.

  4. Lack of Witness or Physician Signatures: For a Florida DNR order to be considered valid, it must also be signed by a witness and the physician. Omitting these signatures can lead to the order not being honored.

  5. Not specifying the date: Forgetting to include the date when the patient, witness, and physician signed the form can lead to questions about its validity and currentness.

  6. Misunderstanding the form’s purpose: Some individuals may fill out the form without fully understanding what a DNR order entails, leading to choices that do not truly represent their wishes. It is important to discuss the implications thoroughly with a healthcare professional.

Avoiding these mistakes can help ensure that a person's healthcare preferences are clearly documented and respected. Individuals should consider consulting with healthcare professionals or legal advisors to accurately complete and understand the DNR order form.

Documents used along the form

In Florida, a Do Not Resuscitate Order (DNRO) is a critical document for those wishing to decline resuscitation in the event of cardiac or respiratory arrest. This form is often accompanied by several other forms and documents that support a person's healthcare wishes. Understanding these documents can help individuals and their families make informed decisions about their healthcare and ensure their wishes are respected.

  • Living Will: This document allows a person to state their wishes concerning medical treatment if they become unable to communicate their healthcare decisions due to being incapacitated. It often includes preferences regarding the use of life-sustaining treatment.
  • Health Care Surrogate Designation: This legal document enables an individual to appoint someone else to make healthcare decisions on their behalf if they are unable to do so. The appointed surrogate can make decisions across a wide range of healthcare matters, not limited to end-of-life situations.
  • Power of Attorney: A broader form than the Health Care Surrogate Designation, a Power of Attorney allows individuals to grant another person the authority to make financial, legal, and healthcare decisions for them.
  • Five Wishes: Recognized in many states, including Florida, the Five Wishes document combines elements of a living will and health care surrogate designation. It covers personal, spiritual, and emotional wishes in addition to medical and legal wishes.
  • POST (Physician Orders for Life-Sustaining Treatment): Although not currently recognized in Florida, this form is used in some states to record a patient's preferences for life-sustaining treatments in the form of medical orders. It is designed for those with serious health conditions.
  • DNR Order Confirmation: In some cases, a separate form or confirmation document may be used to reiterate the existence and intentions of a DNRO, ensuring it is clearly understood by healthcare providers.
  • Advance Directive: An umbrella term that includes several of the documents listed above, such as living wills and health care surrogate designations. It provides comprehensive instructions on a person's preferences for future medical care.

Together, these documents play a vital role in healthcare planning. They ensure that an individual's wishes are known and respected, especially during times when they may not be able to communicate those wishes themselves. When used in conjunction with a Do Not Resuscitate Order, they provide a comprehensive approach to end-of-life care planning.

Similar forms

The Florida Do Not Resuscitate Order form is similar to other advance directive forms in that it conveys specific medical instructions to healthcare professionals regarding a patient's treatment preferences in certain medical situations. These forms serve as crucial communication tools, ensuring that a patient’s wishes are known and respected, particularly in situations where they may not be able to communicate those wishes themselves.

Living Wills bear a resemblance to Do Not Resuscitate (DNR) Orders in that they both provide directives for medical care. However, while a DNR specifically addresses the use of cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest, a Living Will is broader. It may include wishes regarding the use of life-sustaining treatments such as mechanical ventilation, feeding tubes, and other forms of medical intervention. Both documents are proactive measures to communicate the patient’s desires, but the Living Will covers a wider range of medical scenarios beyond the scope of a DNR Order.

Medical Power of Attorney (MPOA) documents also share similarities with DNR Orders, with a notable difference being in agency rather than specific medical treatment instructions. An MPOA designates an individual to make health decisions on behalf of the patient if they are unable. While a DNR Order explicitly states the patient's wishes regarding CPR, an MPOA gives someone else the authority to interpret and apply the patient's preferences across various medical situations, potentially including decisions about CPR. This distinction underscores the DNR's specific focus compared to the broader, more encompassing role of an MPOA.

Another document that shares similarities with the DNR Order is the Physician Orders for Life-Sustaining Treatment (POLST). Like DNR Orders, POLST forms are medical orders that address a range of life-sustaining treatments based on the patient’s current health condition and preferences. Both forms are designed to ensure that a patient’s wishes regarding medical treatment are followed, especially in emergency situations. However, the POLST form is more comprehensive, addressing treatments beyond CPR, such as antibiotics, artificial nutrition, and hydration preferences.

Dos and Don'ts

Filling out a Florida Do Not Resuscitate Order (DNRO) form is a significant step for anyone wishing to ensure their medical care preferences are honored. To make sure you do it correctly and your wishes are clearly understood, here are essential do's and don'ts you should keep in mind:

  • Do ensure that the patient, or their legal representative if the patient is unable to do so, signs the form. This step validates the DNRO and is crucial for it to be considered legally binding.
  • Do consult with a healthcare provider before completing the DNRO form. A healthcare professional can offer valuable advice and clarification on the implications of a DNRO, helping you make an informed decision.
  • Do use black or blue ink when filling out the form. This ensures that the document is legible and that all entries are permanent, reducing the risk of misunderstandings.
  • Don't leave any sections of the form blank. If a section does not apply, make sure to write "N/A" (not applicable) to indicate this. Incomplete forms can lead to confusion and may not be executed as intended.
  • Don't wait until a medical crisis to fill out and submit your DNRO form. Plan ahead and discuss your wishes with family members and healthcare providers to avoid any last-minute complications.
  • Don't forget to review and update your DNRO form regularly, especially if your health status or wishes change. Keeping your form current ensures that your healthcare preferences are accurately reflected and respected.

By following these guidelines, you can navigate the process of filling out your Florida Do Not Resuscitate Order with confidence, knowing that your healthcare choices will be honored in line with your wishes.

Misconceptions

In Florida, the Do Not Resuscitate (DNR) Order form is a legal document that tells medical staff not to perform cardiopulmonary resuscitation (CPR) if a patient's breathing stops or if the patient's heart stops beating. However, several misconceptions persist about how it functions and what it entails. Here's a list of some common misunderstandings:

  • Misconception 1: Anyone can create a DNR order for themselves at any time. In Florida, DNR orders must be completed by a licensed healthcare provider based on the patient's wishes or those of a legally authorized representative if the patient is unable to communicate.
  • Misconception 2: Completing a DNR form is a complex and lengthy process. The truth is, while it does require thoughtful consideration, the process involves completing a specific form and having it signed by the necessary parties, including the healthcare provider.
  • Misconception 3: A DNR order is the same as giving up on all medical treatment. A DNR specifically applies to CPR only; it does not affect other medical treatments or interventions the patient may want or need.
  • Misconception 4: DNR orders are permanent and cannot be revoked. Patients or their authorized representatives can revoke a DNR order at any time through verbal or written notification to their healthcare provider.
  • Misconception 5: DNR orders from another state are not valid in Florida. Florida may recognize out-of-state DNR orders, but it's recommended to consult with a healthcare provider or attorney to ensure compliance with Florida laws.
  • Misconception 6: DNR orders only apply in a hospital setting. The instructions in a DNR order apply whether the patient is in a healthcare facility or at home.
  • Misconception 7: If you have a DNR order, emergency medical services (EMS) will not respond to your call. EMS will still respond to emergency calls, but they will not perform CPR if a valid DNR order is presented.
  • Misconception 8: DNR orders only apply to elderly or terminally ill patients. Patients of any age with varying health conditions may consider a DNR based on their healthcare wishes and advice from medical professionals.
  • Misconception 9: Health insurance is needed to establish a DNR order. Health insurance status does not affect the validity or execution of a DNR order in Florida.
  • Misconception 10: A DNR order also means "Do Not Treat." This is not true; a DNR order specifies no CPR, but it does not mean the patient will be denied other forms of medical intervention or comfort care.

Understanding these key points ensures that individuals and their families can make informed decisions regarding DNR orders in Florida, respecting their wishes and the law.

Key takeaways

When addressing the need for a Do Not Resuscitate (DNR) Order form in Florida, it's crucial to understand its significance and the proper process for completion and implementation. Here are key takeaways to consider:

  • In Florida, a Do Not Resuscitate Order form is used to communicate a person's wish not to receive cardiopulmonary resuscitation (CPR) in the event their heart stops or they stop breathing. This document is strictly regulated to ensure that it accurately reflects the individual's wishes.
  • The choice to have a DNR Order must be made by individuals while they are capable of making their own healthcare decisions. It reflects a personal decision about end-of-life care, meant to uphold the individual's autonomy and preferences.
  • A legally valid DNR Order in Florida requires the signature of the individual (or their legally authorized representative) and the signature of a Florida-licensed physician, osteopathic physician, or advanced practice registered nurse (APRN). Their endorsement confirms the patient's decision for a DNR and verifies the order's compliance with Florida law.
  • The DNR Order form should always be kept in a visible and accessible location for emergency personnel, such as by the bedside or on the refrigerator. This ensures that in case of an emergency, the document can be easily found and followed.
  • If residing in a healthcare facility, it is advisable to inform the staff of the DNR Order and have a copy on file with one's medical records. Coordination with facility staff helps ensure that the DNR Order is respected and implemented correctly.
  • DNR Orders are specific to the state of Florida and may not be recognized if the individual is outside the state. It is important to consider this when traveling and to research and prepare accordingly.
  • In addition to the DNR Order, individuals may also consider preparing other advance directives, such as a Living Will or Healthcare Surrogate Designation, to further express their wishes regarding other types of medical treatment and end-of-life care decisions.
  • The DNR Order can be revoked at any time by the individual or their designated representative. This can be done through a verbal statement to healthcare providers or by physically destroying the DNR form.
  • Having open and clear conversations with family, friends, and healthcare providers about the decision to have a DNR Order and other advance care plans is crucial. It helps ensure that everyone understands the individual's wishes, reducing confusion and stress during emergencies.

Understanding and navigating the use of a Do Not Resuscitate Order in Florida is a vital component of healthcare planning. It empowers individuals to make informed decisions about their end-of-life care, ensuring that their wishes are respected and followed during critical moments.

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