Attorney-Verified Do Not Resuscitate Order Template for Washington State

Understanding the Washington Do Not Resuscitate (DNR) Order form can be challenging. Here are ten common misconceptions about this important document.

1. A DNR means no medical care will be provided. Many people think that having a DNR means all medical care is withheld. In reality, a DNR only specifies that CPR should not be performed if the heart stops or if breathing ceases. Other medical treatments can still be administered.
2. A DNR is only for terminally ill patients. While many individuals with terminal illnesses choose to have a DNR, anyone can request one. It is a personal decision based on individual health care preferences.
3. You can’t change your mind once you have a DNR. This is not true. Individuals can revoke or modify a DNR order at any time, as long as they are competent to make that decision.
4. All health care providers will respect a DNR order. While most providers are trained to recognize and honor DNR orders, it is essential to ensure that the order is properly documented and communicated to all members of the healthcare team.
5. A DNR applies in all situations. A DNR order is specifically for situations where a person’s heart stops or they stop breathing. It does not apply to other medical emergencies or situations where resuscitation may not be necessary.
6. A DNR is the same as a living will. Although both documents relate to medical care preferences, they serve different purposes. A living will outlines a person's wishes regarding medical treatment in various situations, while a DNR specifically addresses resuscitation efforts.
7. You need a lawyer to create a DNR. A DNR form does not require legal assistance to complete. Individuals can fill out the form themselves, though it is advisable to discuss their wishes with healthcare providers.
8. A DNR order is only valid in hospitals. A DNR order can be valid in various settings, including at home or in long-term care facilities, as long as it is properly documented and recognized by the healthcare team.
9. Once signed, a DNR is permanent. A DNR order remains in effect until it is revoked or updated. It can be changed or canceled at any time by the individual or their designated representative.
10. People with DNRs cannot receive comfort care. Individuals with a DNR order can still receive comfort care, including pain management and other supportive treatments, to ensure their comfort and dignity.

Understanding these misconceptions can help individuals make informed decisions about their medical care preferences and ensure that their wishes are respected.

What is a Do Not Resuscitate (DNR) Order in Washington State?

A Do Not Resuscitate Order is a legal document that allows individuals to refuse resuscitation efforts in the event of cardiac arrest or respiratory failure. In Washington State, this order is recognized by healthcare providers and must be followed to respect the patient's wishes regarding end-of-life care.

Who can request a DNR Order?

A DNR Order can be requested by any adult who is capable of making their own healthcare decisions. This includes individuals with terminal illnesses, those facing irreversible conditions, or anyone who wishes to avoid aggressive medical interventions at the end of life.

How do I obtain a DNR Order in Washington?

To obtain a DNR Order, you must have a conversation with your healthcare provider. They will assess your medical condition and discuss your wishes. If you and your provider agree, they will complete the DNR Order form, which you will then need to sign. Make sure to keep copies for your records and share them with family members and healthcare facilities.

Is a DNR Order valid in all healthcare settings?

Yes, a DNR Order is valid in all healthcare settings, including hospitals, nursing homes, and at home. However, it is crucial to ensure that the order is clearly documented and accessible to all healthcare providers involved in your care.

Can a DNR Order be revoked?

Yes, a DNR Order can be revoked at any time. If you change your mind, simply inform your healthcare provider. You can also destroy the original DNR form to indicate that you no longer wish to have it in effect. It’s advisable to communicate this decision to your family and any healthcare providers.

What happens if a DNR Order is not available during an emergency?

If a DNR Order is not available during an emergency, medical personnel are required to provide resuscitation efforts. This is why it is essential to keep a copy of the DNR Order in a visible location, such as on your refrigerator or in a medical alert system, to ensure it is easily accessible in an emergency.

Can family members override a DNR Order?

Family members cannot override a DNR Order that has been properly executed by the patient. However, if the patient is unable to communicate and there is no valid DNR Order in place, family members may be consulted about the patient's wishes regarding resuscitation.

Does a DNR Order affect other medical treatments?

No, a DNR Order specifically addresses resuscitation efforts only. It does not prevent you from receiving other medical treatments, such as pain management, medications, or other supportive care. Your healthcare team will continue to provide appropriate care as needed.

How can I ensure my DNR Order is respected?

To ensure that your DNR Order is respected, communicate your wishes clearly with your healthcare providers and family members. Keep copies of the order in multiple locations, and consider carrying a medical alert card that indicates your DNR status. Regularly review your order with your healthcare provider to confirm it remains current.

Are there any legal implications of having a DNR Order?

A DNR Order is a legally binding document in Washington State. It is important to complete it correctly and ensure it is signed by both you and your healthcare provider. Having a valid DNR Order protects your rights and ensures that your end-of-life wishes are honored. Consult with a legal professional if you have specific questions regarding its implications.

Understanding the Washington Do Not Resuscitate (DNR) Order form is crucial for ensuring your healthcare preferences are honored. Here are some key takeaways:

• The DNR order allows individuals to refuse cardiopulmonary resuscitation (CPR) in case of cardiac or respiratory arrest.
• It is essential to have a DNR order signed by a physician to be valid in Washington state.
• The form should be easily accessible to emergency responders and healthcare providers, preferably kept in a visible location.
• Discuss your wishes with family members and healthcare providers to ensure everyone understands your preferences.
• Review and update your DNR order regularly, especially if your health status changes.
• In Washington, a DNR order is specific to emergency situations and does not affect other medical treatments.
• Make sure to carry a copy of the DNR order with you at all times, especially when traveling or visiting hospitals.
• Consider discussing your decision with a legal advisor or healthcare advocate for additional support and guidance.

Guide to Using Washington Do Not Resuscitate Order

Filling out the Washington Do Not Resuscitate Order form is an important step in expressing your healthcare preferences. This document allows you to communicate your wishes regarding resuscitation in a medical emergency. Follow these steps to complete the form accurately.

1. Obtain the Washington Do Not Resuscitate Order form. You can find it on the Washington State Department of Health website or through your healthcare provider.
2. Begin by entering your full name at the top of the form. Ensure that your name is spelled correctly.
3. Provide your date of birth. This helps to confirm your identity.
4. Fill in your address, including city, state, and ZIP code. This information is necessary for identification purposes.
5. Next, designate a healthcare representative if you wish to appoint someone to make decisions on your behalf. Include their name and contact information.
6. Indicate your wishes regarding resuscitation. Carefully read the options provided and mark the one that reflects your preferences.
7. Sign and date the form at the designated area. Your signature validates the document.
8. Consider having a witness sign the form as well. This step is not always required, but it can add an extra layer of validity.
9. Make copies of the completed form. Keep one for your records and provide copies to your healthcare provider and any designated representatives.

Once you have completed the form, ensure that it is easily accessible to your healthcare providers. This will help ensure that your wishes are known and respected in any medical situation.

1. Not discussing the decision with healthcare providers: Many individuals fill out the Do Not Resuscitate Order form without having a thorough conversation with their doctors. This can lead to misunderstandings about what the order entails and its implications for care.

2. Failing to update the form: Life circumstances change, and so can a person's wishes regarding resuscitation. People often forget to revise their DNR orders after significant life events, such as a diagnosis change or a shift in personal values.

3. Not signing the form: A common oversight is neglecting to sign the DNR order. Without a signature, the document may not be considered valid, rendering it ineffective in emergency situations.

4. Inadequate witness requirements: Some individuals do not ensure that the form is witnessed according to state requirements. Without the necessary witnesses, the order may not hold up legally when it is needed.

When filling out the Washington Do Not Resuscitate Order form, it's important to approach the process with care and clarity. Here’s a list of things you should and shouldn't do:

• Do ensure that you fully understand the implications of a Do Not Resuscitate (DNR) order before completing the form.
• Do consult with your healthcare provider to discuss your wishes and any medical conditions that may influence your decision.
• Do clearly indicate your wishes by filling out the form completely and accurately.
• Do sign and date the form to validate your intentions.
• Don't fill out the form under pressure or without fully considering your options.
• Don't forget to share copies of the completed form with your healthcare providers and family members.
• Don't assume that verbal instructions are enough; always document your wishes in writing.

Taking these steps can help ensure that your healthcare preferences are respected and understood. It's essential to communicate openly about your wishes with those involved in your care.