Official Do Not Resuscitate Order Template for the State of California

What is a California Do Not Resuscitate Order (DNR)?

A California Do Not Resuscitate Order (DNR) is a legal document that allows a person to refuse cardiopulmonary resuscitation (CPR) in the event of a medical emergency. This order is typically used by individuals with serious health conditions who wish to avoid aggressive life-saving measures that may not align with their wishes for end-of-life care.

Who can request a DNR in California?

Any adult who is capable of making their own medical decisions can request a DNR. This includes individuals with terminal illnesses or those who have a limited life expectancy. Additionally, a legally authorized representative, such as a healthcare proxy or power of attorney, can request a DNR on behalf of someone who is unable to make decisions for themselves.

How do I obtain a DNR form in California?

You can obtain a DNR form from various sources, including:

• Your healthcare provider or physician.
• Hospitals and medical facilities.
• California Department of Public Health’s website.

Once you have the form, it must be completed and signed by both you and your physician to be valid.

What information is required on the DNR form?

The DNR form typically requires the following information:

1. Your full name and date of birth.
2. Your physician’s name and contact information.
3. A statement indicating your desire not to receive CPR.
4. Signatures from both you and your physician.

Ensure that all information is accurate and up to date to avoid any complications during a medical emergency.

Is a DNR order valid in all healthcare settings?

Yes, a DNR order is valid across various healthcare settings in California, including hospitals, nursing homes, and emergency medical services. However, it is important to ensure that the order is clearly visible and accessible to all healthcare providers involved in your care.

Can a DNR order be revoked or changed?

Yes, you have the right to revoke or change your DNR order at any time. To do this, simply destroy the existing DNR form and inform your healthcare provider of your decision. It is advisable to create a new DNR form if you wish to establish a different directive.

What should I discuss with my healthcare provider regarding a DNR?

When considering a DNR, it is crucial to have an open discussion with your healthcare provider. Topics to cover include:

• Your medical condition and prognosis.
• Your values and preferences regarding end-of-life care.
• Alternative treatment options and palliative care.

These conversations can help ensure that your healthcare wishes are understood and respected.

Are there any legal implications of having a DNR order?

Having a DNR order is a legally binding directive that informs medical personnel of your wishes regarding resuscitation. It protects healthcare providers from legal liability when they follow the order. However, it is essential to ensure that the DNR is properly executed and that all parties involved are aware of it to avoid any potential misunderstandings.

When filling out the California Do Not Resuscitate Order form, it’s important to be careful and informed. Here are some key things to keep in mind:

• Do discuss your wishes with your healthcare provider before completing the form.
• Do ensure that the form is signed by you and a witness or your healthcare provider.
• Do keep copies of the completed form in a safe place and share them with family members.
• Don't use a form that is not the official California Do Not Resuscitate Order.
• Don't forget to review and update your wishes if your health situation changes.
• Don't assume that verbal instructions are enough; always have the form completed and signed.

Understanding the California Do Not Resuscitate (DNR) Order form is crucial for individuals and families making end-of-life decisions. Unfortunately, several misconceptions can lead to confusion and misinterpretation of this important document. Here are four common misconceptions:

1. A DNR Order means that no medical care will be provided.

   This is a significant misunderstanding. A DNR order specifically addresses the use of cardiopulmonary resuscitation (CPR) in the event of cardiac arrest. It does not imply that other forms of medical treatment or care will be withheld. Patients can still receive comprehensive medical care and interventions as deemed appropriate by their healthcare providers.

2. Only terminally ill patients can have a DNR Order.

   This is not true. While many people associate DNR orders with terminal illnesses, anyone can request a DNR order, regardless of their health status. The decision to have a DNR is personal and can be made by individuals who wish to avoid aggressive resuscitation efforts in specific situations.

3. A DNR Order is permanent and cannot be changed.

   This misconception can cause unnecessary anxiety. In California, individuals can revoke or modify their DNR orders at any time. It is essential to communicate any changes to healthcare providers and ensure that updated documentation is available in medical records.

4. A DNR Order is only valid in a hospital setting.

   Many people believe that DNR orders apply only within hospitals. However, in California, DNR orders can be effective in various settings, including at home or in long-term care facilities. It is vital to ensure that the order is clearly documented and communicated to all caregivers involved in a person's care.

By addressing these misconceptions, individuals can make informed decisions about their healthcare preferences and ensure that their wishes are respected in critical situations.

The California Do Not Resuscitate (DNR) Order form is a crucial document for individuals wishing to communicate their preferences regarding resuscitation efforts in the event of a medical emergency. It is often accompanied by other forms and documents that provide a more comprehensive view of a person's healthcare wishes. Below are four commonly used documents that complement the DNR Order.

• Advance Healthcare Directive: This document allows individuals to outline their preferences for medical treatment and appoint a healthcare agent. It serves to guide healthcare providers in making decisions aligned with the individual's values and wishes when they are unable to communicate.
• Physician Orders for Life-Sustaining Treatment (POLST): The POLST form translates a patient's wishes regarding life-sustaining treatments into actionable medical orders. It is particularly useful for individuals with serious illnesses and ensures that their treatment preferences are honored across different healthcare settings.
• Healthcare Proxy: A healthcare proxy is a legal document that designates a specific person to make medical decisions on behalf of an individual if they are incapacitated. This document can work in tandem with a DNR Order, ensuring that someone trusted is making choices aligned with the individual’s wishes.
• Living Will: A living will is a type of advance directive that specifically addresses an individual's preferences regarding end-of-life care. It provides guidance on the types of medical interventions a person does or does not want, particularly in situations where they cannot express their wishes.

These documents collectively enhance the clarity of an individual's healthcare preferences. By utilizing them alongside the California DNR Order form, individuals can ensure that their wishes are respected and understood by healthcare providers and loved ones during critical moments.