Official Do Not Resuscitate Order Form for the State of Washington

A Washington Do Not Resuscitate Order (DNR) form is a legal document that allows individuals to express their wishes regarding resuscitation efforts in the event of a medical emergency. This form ensures that healthcare providers honor the patient's preferences about life-sustaining treatments. Understanding the DNR form is crucial for making informed decisions about end-of-life care.

Open Do Not Resuscitate Order Online

The Washington Do Not Resuscitate (DNR) Order form is an essential document for individuals who wish to express their preferences regarding medical treatment in the event of a life-threatening situation. This form allows patients to communicate their desire not to receive cardiopulmonary resuscitation (CPR) or other resuscitative measures if their heart stops beating or they stop breathing. It is crucial for ensuring that healthcare providers respect the wishes of patients, particularly those with terminal illnesses or severe health conditions. The DNR form must be signed by a qualified healthcare provider, which can include a physician, physician assistant, or nurse practitioner, and it should be readily available in the patient’s medical records. Additionally, the form must be completed in accordance with Washington state laws to be considered valid. Understanding the implications of a DNR order is vital for patients, families, and healthcare professionals alike, as it can significantly impact end-of-life care decisions and the overall quality of life during critical moments.

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Key takeaways

Filling out a Do Not Resuscitate (DNR) Order form in Washington is an important decision that can significantly impact your medical care. Here are some key takeaways to consider:

Understand the Purpose: A DNR order instructs medical personnel not to perform CPR if your heart stops or you stop breathing. It’s essential to know that this is a personal choice reflecting your wishes about end-of-life care.
Eligibility: Anyone can fill out a DNR order, but it’s typically recommended for individuals with serious health conditions or those who are nearing the end of life.
Consult with Healthcare Providers: Discussing your wishes with your doctor or healthcare team can provide clarity and ensure that your DNR order aligns with your overall health care goals.
Complete the Form Accurately: Ensure all sections of the DNR form are filled out completely. Incomplete forms may not be honored by medical personnel.
Signature Requirement: The form must be signed by you or your legal representative. A witness signature may also be required, depending on the specific instructions of the form.
Keep Copies Accessible: Once completed, keep copies of the DNR order in easily accessible places, such as your medical records, wallet, or with family members.
Inform Family and Friends: Make sure your loved ones are aware of your DNR order and understand your wishes. Open communication can prevent confusion during critical moments.
Review Regularly: Your health status and preferences may change over time. Regularly review your DNR order to ensure it still reflects your wishes.
Legal Validity: Washington law recognizes DNR orders, but it’s wise to confirm that your order meets all state requirements to ensure it will be honored.

Taking the time to understand and fill out a DNR order can provide peace of mind for you and your loved ones. Your choices about medical care should reflect your values and preferences.

Form Features

Fact Name	Description
Definition	A Do Not Resuscitate (DNR) Order is a legal document that instructs medical personnel not to perform cardiopulmonary resuscitation (CPR) if a patient stops breathing or their heart stops beating.
Governing Law	In Washington, DNR Orders are governed by the Revised Code of Washington (RCW) 70.122, which outlines the requirements and procedures for creating and implementing DNR Orders.
Eligibility	Any adult patient who is capable of making their own medical decisions can complete a DNR Order. Additionally, a legal representative can do so on behalf of an incapacitated individual.
Form Requirements	The DNR Order must be signed by the patient or their legal representative and a physician to be valid. It should also be clearly documented in the patient's medical record.
Location	It is advisable for individuals to keep their DNR Orders in a visible location, such as on their refrigerator or with their medical documents, to ensure quick access by emergency responders.
Revocation	A DNR Order can be revoked at any time by the patient or their legal representative. This can be done verbally or by destroying the written document.
Emergency Medical Services	Emergency medical personnel are required to honor valid DNR Orders. They must be able to verify the order before withholding resuscitation efforts.
Public Awareness	Washington state provides resources and education to help individuals understand DNR Orders and their implications, aiming to ensure informed decision-making regarding end-of-life care.

Documents used along the form

When considering end-of-life care options, individuals and families often encounter various forms and documents that help outline medical preferences. The Washington Do Not Resuscitate Order (DNR) is one such document, but it is typically accompanied by several others that provide a comprehensive view of a person's healthcare wishes. Below is a list of related forms that can be important in ensuring that medical decisions align with personal values and desires.

Advance Directive: This document allows individuals to specify their healthcare preferences in advance, including decisions about life-sustaining treatments and end-of-life care.
Durable Power of Attorney for Healthcare: This form designates a trusted person to make healthcare decisions on behalf of someone if they become unable to do so themselves.
Living Will: A living will outlines specific medical treatments an individual does or does not want in situations where they cannot communicate their wishes.
Physician Orders for Life-Sustaining Treatment (POLST): POLST is a medical order that reflects a patient’s wishes regarding treatments like resuscitation, and it is typically used for those with serious illnesses.
Healthcare Proxy: Similar to a durable power of attorney, this document appoints someone to make healthcare decisions for an individual, but it often focuses on specific medical situations.
Do Not Intubate (DNI) Order: This order indicates that a patient does not wish to be intubated in the event of respiratory failure, complementing a DNR order.
Commercial Lease Agreement: To establish clear terms for renting business property, consider utilizing our comprehensive Commercial Lease Agreement resources for effective contract management.
Organ Donation Form: This document expresses an individual’s wishes regarding organ donation after death, ensuring that their preferences are honored.
Medication Administration Record (MAR): This record tracks medications administered to a patient, which can be important for those receiving palliative care.
Patient Information Form: This form collects essential health information and preferences from patients, aiding healthcare providers in delivering personalized care.

Understanding and utilizing these forms can empower individuals to take charge of their healthcare decisions. By clearly outlining preferences, families can find peace of mind, knowing that their loved ones’ wishes will be respected in times of need.