Homepage Official Do Not Resuscitate Order Template Valid Do Not Resuscitate Order Form for New Jersey State
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In New Jersey, the Do Not Resuscitate (DNR) Order form is an essential legal document that empowers individuals to make critical decisions about their medical care in the event of a life-threatening situation. This form is particularly significant for those who wish to decline cardiopulmonary resuscitation (CPR) and other life-sustaining treatments when their heart stops or they stop breathing. By completing a DNR Order, patients can communicate their wishes clearly to healthcare providers, ensuring that their preferences are respected during emergencies. The process involves obtaining a physician’s signature, which validates the order and confirms that the patient understands the implications of their decision. Additionally, the form must be readily accessible to medical personnel, often requiring individuals to carry it at all times or to have it prominently displayed in their medical records. Understanding the nuances of this document can provide peace of mind, allowing individuals and their families to navigate difficult medical situations with clarity and confidence.

Similar forms

  • Living Will: This document outlines a person's wishes regarding medical treatment in situations where they are unable to communicate. Like a DNR, it focuses on end-of-life care and can specify preferences for life-sustaining measures.
  • Healthcare Proxy: A healthcare proxy designates someone to make medical decisions on behalf of another person if they become incapacitated. This can include decisions related to resuscitation, similar to a DNR.
  • Power of Attorney for Healthcare: This legal document allows an individual to appoint someone else to make healthcare decisions. It often includes directives about resuscitation and other critical care choices.
  • POLST (Physician Orders for Life-Sustaining Treatment): A POLST form provides specific medical orders regarding treatment preferences, including resuscitation. It is intended for patients with serious illnesses and complements a DNR.
  • Boat Bill of Sale: This crucial document serves as proof of the transfer of ownership for a boat from one party to another, and it's important for both buyers and sellers to complete it accurately to ensure a smooth transaction. For more details, refer to the Boat Bill of Sale form.
  • Advanced Directive: This is a broader term that includes both living wills and healthcare proxies. It allows individuals to express their wishes about medical care, including resuscitation efforts.
  • Do Not Intubate Order: This document specifically instructs healthcare providers not to perform intubation in the event of respiratory failure. It is similar to a DNR but focuses solely on airway management.
  • Comfort Care Order: This order emphasizes the provision of comfort measures rather than aggressive treatments. It aligns with a DNR by prioritizing quality of life over life extension.
  • End-of-Life Care Plan: This comprehensive plan outlines a patient's preferences for care as they approach the end of life. It may include directives about resuscitation and other critical interventions.

Guidelines on Writing New Jersey Do Not Resuscitate Order

Filling out the New Jersey Do Not Resuscitate Order form is an important step in expressing your medical wishes. After completing the form, it should be shared with your healthcare provider and kept in an accessible location. This ensures that your preferences are respected in a medical emergency.

  1. Obtain the New Jersey Do Not Resuscitate Order form. This can typically be found online or through your healthcare provider.
  2. Fill in your full name, date of birth, and address at the top of the form.
  3. Provide the name of your healthcare representative, if you have one. This person will help ensure your wishes are followed.
  4. Indicate your medical condition and any specific instructions regarding your care.
  5. Sign and date the form. Ensure that your signature is clear and legible.
  6. Have your healthcare representative sign the form as a witness, if required.
  7. Make copies of the completed form. Keep one for yourself and provide copies to your healthcare provider and family members.
  8. Store the original form in a safe but accessible place, such as with your medical records or in a designated folder.

File Information

Fact Name Description
Purpose The New Jersey Do Not Resuscitate (DNR) Order form allows individuals to refuse resuscitation in the event of cardiac or respiratory arrest.
Governing Law The DNR Order is governed by New Jersey Statutes, Title 26, Chapter 2H, specifically N.J.S.A. 26:2H-53 to 26:2H-61.
Eligibility Any adult who is capable of making healthcare decisions can complete a DNR Order. This includes individuals with terminal illnesses or severe medical conditions.
Form Requirements The DNR Order must be signed by the patient and a physician. It may also require a witness signature depending on specific circumstances.
Emergency Medical Services Emergency medical personnel are required to honor a valid DNR Order. This ensures that the individual's wishes regarding resuscitation are respected.
Revocation The DNR Order can be revoked at any time by the patient or their authorized representative. Revocation must be communicated clearly to healthcare providers.