Official Do Not Resuscitate Order Template for the State of Michigan

A Do Not Resuscitate Order (DNR) form is an important document that outlines a person's wishes regarding medical treatment in the event of a cardiac arrest. There are several other documents that serve similar purposes in guiding healthcare decisions. Here are five such documents:

• Living Will: A living will specifies an individual's preferences for medical treatment in situations where they are unable to communicate their wishes. It often addresses end-of-life care and can include directives about life-sustaining treatments.
• Durable Power of Attorney for Healthcare: This document allows an individual to appoint someone else to make healthcare decisions on their behalf if they become incapacitated. It can cover a wide range of medical decisions, including those related to resuscitation.
• Physician Orders for Life-Sustaining Treatment (POLST): A POLST form is a medical order that details a patient's preferences for life-sustaining treatments. Unlike a DNR, it can cover various interventions, such as feeding tubes and antibiotics, not just resuscitation efforts.
• Advance Directive: An advance directive is a broader term that encompasses both living wills and durable powers of attorney. It provides guidance on a person's healthcare preferences and appoints someone to make decisions if they are unable to do so.
• ATV Bill of Sale: The New York ATV Bill of Sale form is crucial for documenting the sale or transfer of an all-terrain vehicle, detailing vehicle and party information for transparency. For related paperwork, you can access Fillable Forms to facilitate this process.
• Do Not Intubate (DNI) Order: A DNI order specifically instructs medical personnel not to insert a breathing tube if a patient cannot breathe on their own. While it focuses on airway management, it complements a DNR by clarifying preferences regarding respiratory support.

Understanding these documents can empower individuals to make informed decisions about their healthcare. Each serves a unique purpose, yet all aim to ensure that a person's wishes are respected during critical medical situations.

When filling out and using the Michigan Do Not Resuscitate (DNR) Order form, consider the following key takeaways:

1. Eligibility: The DNR Order is intended for individuals who are terminally ill or have a serious medical condition.
2. Signature Requirements: The form must be signed by the patient or their legal representative. A witness is also required.
3. Medical Provider's Role: A physician must sign the form to validate the DNR Order. This confirms that the patient understands the implications.
4. Placement of the Form: Keep the DNR Order in an easily accessible location, such as on the refrigerator or with medical documents.
5. Communication: Inform family members and healthcare providers about the DNR Order to ensure everyone is aware of the patient's wishes.
6. Review and Update: Regularly review the DNR Order, especially if the patient's health status changes or if they receive new medical advice.

Instructions on How to Fill Out Michigan Do Not Resuscitate Order

Completing the Michigan Do Not Resuscitate Order form is an important step in ensuring your medical preferences are known. After filling out the form, it must be signed and dated by both you and your physician. Keep a copy for your records and provide copies to your healthcare providers and family members.

1. Obtain the Michigan Do Not Resuscitate Order form from a reliable source, such as a healthcare provider or the Michigan Department of Health and Human Services website.
2. Fill in your full name, date of birth, and address in the designated sections of the form.
3. Indicate your medical condition or diagnosis if required by the form.
4. Sign the form in the appropriate area to indicate your consent.
5. Have your physician sign and date the form to validate it.
6. Make copies of the completed form for your records and to share with your healthcare providers and family members.