Do Not Resuscitate (DNR) Order Form - Kentucky Emergency Medical Services - Kentucky

Do Not Resuscitate (DNR) Order Form - Kentucky Emergency Medical Services - Kentucky

Do Not Resuscitate (DNR) Order Form - Kentucky Emergency Medical Services is a legal document that was released by the Kentucky Department for Community Based Services - a government authority operating within Kentucky.

FAQ

Q: What is a Do Not Resuscitate (DNR) Order?
A: A DNR order is a medical order that instructs healthcare providers not to attempt cardiopulmonary resuscitation (CPR) if a person's heart stops or they stop breathing.

Q: Who can request a DNR Order?
A: A DNR order can be requested by an adult patient, their legal guardian, or healthcare proxy.

Q: How is a DNR Order obtained in Kentucky?
A: In Kentucky, a DNR order can be obtained by completing the DNR Order Form, which is available from Kentucky Emergency Medical Services.

Q: Who should have a copy of the DNR Order Form?
A: It is recommended to have a copy of the DNR Order Form readily available in a visible location, such as on the refrigerator, and provide copies to healthcare providers and family members.

Q: Can a DNR Order be revoked or changed?
A: Yes, a DNR order can be revoked or changed by completing a new DNR Order Form or verbally communicating the change to healthcare providers.

Q: Does a DNR Order mean no other medical interventions will be provided?
A: No, a DNR order only applies to CPR. Other medical interventions and treatments can still be provided according to the patient's wishes and medical condition.

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Form Details:

  • The latest edition currently provided by the Kentucky Department for Community Based Services;
  • 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 Kentucky Department for Community Based Services.

Download Do Not Resuscitate (DNR) Order Form - Kentucky Emergency Medical Services - Kentucky

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