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Official Do Not Resuscitate Order Template for Colorado State

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In the state of Colorado, the Do Not Resuscitate (DNR) Order form plays a crucial role in ensuring that individuals can make their own healthcare decisions, especially in critical situations. This form allows patients to express their wishes regarding resuscitation efforts in the event of a cardiac or respiratory arrest. It is essential for individuals to understand that a DNR order is not a declaration of a person's overall health status or a refusal of all medical treatment; rather, it specifically addresses the desire to forego life-saving measures in particular circumstances. The DNR form must be completed and signed by a qualified medical professional, and it requires the patient’s consent or the consent of their legal representative. Additionally, it is important to keep this document accessible, as emergency responders and healthcare providers need to be aware of the patient's wishes. Understanding the implications of a DNR order can empower individuals to make informed decisions about their end-of-life care, ensuring that their preferences are respected during critical moments.

Key takeaways

When considering the Colorado Do Not Resuscitate (DNR) Order form, it is essential to understand its implications and proper usage. Here are some key takeaways:

  • Purpose of the DNR Order: The form allows individuals to express their wishes regarding resuscitation efforts in the event of a medical emergency.
  • Eligibility: The DNR Order can be completed by adults who are capable of making their own healthcare decisions. It is important that the individual understands what a DNR means.
  • Signature Requirements: The form must be signed by the patient and a physician. This ensures that the order is valid and recognized by medical professionals.
  • Distribution: Once completed, copies of the DNR Order should be shared with healthcare providers, family members, and anyone involved in the individual’s care to ensure their wishes are honored.

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Dos and Don'ts

When filling out the Colorado Do Not Resuscitate Order form, it is essential to follow certain guidelines to ensure that the document is completed correctly and effectively. Here are seven key dos and don'ts to consider:

  • Do ensure that you fully understand the implications of a Do Not Resuscitate Order.
  • Do consult with a healthcare professional to discuss your wishes and any medical conditions.
  • Do complete the form in clear, legible writing to avoid any misunderstandings.
  • Do sign and date the form to make it legally valid.
  • Don't use the form if you are unsure about your decision; take time to reflect.
  • Don't forget to provide copies of the completed form to your healthcare providers and family members.
  • Don't leave the form in a place where it may be overlooked; keep it accessible and visible.

PDF Form Details

Fact Name Description
Definition A Do Not Resuscitate (DNR) Order is a legal document that instructs medical personnel not to perform cardiopulmonary resuscitation (CPR) if a patient's heart stops or they stop breathing.
Governing Law The Colorado Do Not Resuscitate Order is governed by Colorado Revised Statutes § 25-48-101 et seq.
Eligibility Any adult who is capable of making informed medical decisions can complete a DNR order. This includes individuals with terminal illnesses or severe medical conditions.
Form Requirements The Colorado DNR Order must be signed by the patient or their legal representative and a physician. It should be printed on a specific form provided by the state.
Validity A DNR order remains valid as long as it is properly completed and signed. It does not expire unless revoked by the patient.
Revocation Patients have the right to revoke their DNR order at any time. This can be done verbally or in writing.
Emergency Response Emergency medical services (EMS) personnel are required to honor a valid DNR order. They will not initiate CPR if the order is presented at the scene.