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Transfer of "do Not Resuscitate" Order Form - Connecticut
Transfer of "do Not Resuscitate" Order Form is a legal document that was released by the Connecticut State Department of Public Health - a government authority operating within Connecticut.
FAQ
Q: What is a Do Not Resuscitate (DNR) order?
A: A DNR order is a medical order that instructs healthcare providers not to perform CPR or other life-sustaining measures on a person in the event of cardiac arrest or respiratory failure.
Q: What is the purpose of a DNR order?
A: The purpose of a DNR order is to respect the wishes of a patient who does not want to receive CPR or other life-sustaining measures.
Q: Who can request a DNR order?
A: A DNR order can be requested by a competent adult or their legal representative.
Q: How can a DNR order be obtained in Connecticut?
A: In Connecticut, a DNR order can be obtained by completing the Transfer of 'Do Not Resuscitate' Order Form, which must be signed by the patient or their legal representative and a healthcare provider.
Q: Can a DNR order be revoked?
A: Yes, a DNR order can be revoked at any time by the patient or their legal representative.
Q: Does a DNR order apply outside of a healthcare facility?
A: No, a DNR order only applies within a healthcare facility. Outside of a healthcare facility, emergency medical responders will provide CPR unless there is a valid DNR order or other legal documentation.
Q: Does a DNR order apply in all healthcare situations?
A: No, a DNR order only applies to the specific situation of cardiac arrest or respiratory failure. Other medical treatments and interventions may still be provided.
Q: Is a DNR order legally binding?
A: Yes, a DNR order is legally binding in Connecticut if properly completed and signed.
Q: Are healthcare providers required to honor a DNR order?
A: Yes, healthcare providers are required to honor a valid DNR order.
Q: Who should be informed about a DNR order?
A: It is important to inform healthcare providers, caregivers, family members, and emergency medical responders about the existence of a DNR order.
Form Details:
- Released on October 1, 2002;
- The latest edition currently provided by the Connecticut State Department of Public Health;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Connecticut State Department of Public Health.
