Do-Not-Resuscitate (DNR) Form

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Understanding CCLD Forms

Title 22, §87101(d)(9), a "Do-Not-Resuscitate" or DNR Form ". . . means the pre-hospital do-not-resuscitate forms developed by the California Emergency Medical Services Authority. . ."  [and others.]  "These forms, when properly completed by the resident or (in certain instances) a resident's Health Care Surrogate Decision Maker and, by a physician, alert pre-hospital emergency medical services personnel to the resident's wish to forego resuscitative measures in the event of the resident's cardiac or respiratory arrest."

Review the resident's file to validate the resident's signed DNR is in the file, and verify the facility knows its responsibility to immediately provide the DNR to emergency responders

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