Valid Do Not Resuscitate Order Template for the State of Georgia

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

A Do Not Resuscitate Order is a legal document that allows a person to refuse cardiopulmonary resuscitation (CPR) and other life-saving measures in the event of a medical emergency where their heart or breathing stops. In Georgia, a DNR order is typically used by individuals who have a terminal illness or are in a state where resuscitation would not improve their quality of life. This order specifically instructs healthcare providers not to initiate CPR if a patient suffers from a cardiac arrest or respiratory failure.

Who can request a DNR Order in Georgia?

In Georgia, a DNR order can be requested by individuals who are at least 18 years old and are capable of making their own medical decisions. Additionally, legal guardians or family members may advocate for a DNR order on behalf of minors or incapacitated adults. It is advisable to consult with a healthcare provider or legal professional to ensure that all requirements and procedures are followed correctly.

How is a DNR Order implemented in Georgia?

A DNR order is implemented once it is properly completed, signed, and placed in a visible location within the individual's medical records. Physicians, physician assistants, or nurse practitioners must authorize the order with their signatures. The completed DNR form should be shared with hospitals, emergency medical services, and other healthcare providers involved in the individual's care to ensure its validity and enforcement during emergencies.

Can a DNR Order be revoked in Georgia?

Yes, a DNR order can be revoked at any time by the individual who issued it. Revocation can occur either verbally or through the destruction of the written document. It is important for the individual to communicate their decision to healthcare providers and ensure that their medical records are updated accordingly. Healthcare providers must respect the wishes of the patient regarding a DNR order, whether it is to uphold or revoke it.

1. Failing to understand the implications of a Do Not Resuscitate (DNR) order. Many individuals fill out the form without fully realizing what it means. A DNR order indicates that in the event of cardiac or respiratory arrest, medical personnel should not attempt resuscitation.

2. Providing vague instructions. Specificity is key. It's essential to clearly indicate that you do not want resuscitative efforts in certain situations.

3. Not signing or dating the form. This is a critical oversight. The DNR order must be signed and dated by the individual or their authorized representative to be legally effective.

4. Neglecting to discuss the DNR order with loved ones or healthcare providers. Engagement and communication are vital. Discussing the decision ensures that everyone understands your wishes and that medical professionals are aware of your preferences.

5. Using outdated or incorrect forms. Always ensure that you are using the most recent version of the DNR order form. State regulations may change, leading to legal issues if an outdated document is used.

6. Not considering all aspects of end-of-life care. A DNR is just one part. Individuals should also think about other healthcare preferences, such as advance directives or living wills.

7. Forgetting to provide copies of the signed DNR order to family, healthcare providers, or emergency medical services. Without copies, the document may not be honored when needed. It's crucial to distribute this information widely.

8. Assuming that a DNR order is a "no treatment" decision. A DNR only addresses resuscitation efforts. Individuals may still receive other forms of medical treatment and care.

9. Failing to review or update the DNR order periodically. Life circumstances change. Regular reviews ensure that the DNR reflects your current wishes and healthcare status.

When dealing with end-of-life care and medical decisions, several key documents often accompany the Georgia Do Not Resuscitate Order (DNR). Understanding these forms can provide clarity and support the wishes of the individual. Here are nine important documents commonly used in conjunction with a DNR:

1. Advance Directive for Health Care: This document outlines an individual's preferences for medical treatment and the appointment of a healthcare proxy. It specifies what actions should be taken if the person becomes unable to communicate their wishes.
2. Living Will: Similar to an advance directive, a living will provides specific instructions regarding medical treatment preferences, especially in situations involving terminal conditions or irreversible illnesses.
3. Physician Orders for Life-Sustaining Treatment (POLST): This order translates a person’s wishes about life-sustaining treatments into actionable medical orders. It is particularly useful for individuals with serious health conditions.
4. Medical Power of Attorney: This document designates an individual to make healthcare decisions on behalf of someone else when they are unable to do so. It ensures that someone trustworthy communicates the person’s wishes.
5. HIPAA Release Form: This form allows the designated individuals access to a patient’s medical records. It is essential for anyone involved in care decisions to stay informed about the patient's medical status.
6. Do Not Intubate (DNI) Order: Distinct from a DNR, a DNI order specifically prevents medical staff from placing a patient on a ventilator. This document clarifies the individual's wishes regarding artificial means of breathing.
7. Emergency Medical Services (EMS) Protocol: This is a protocol that EMTs follow in the event of an emergency. It may include specific instructions related to the DNR, ensuring that the individual’s wishes are respected during emergencies.
8. Personal Health History Form: Compiling a personal health history helps medical staff understand the patient’s previous illnesses and treatments. This information can guide decisions in accordance with the patient’s overall wishes.
9. Family and Caregiver Communication Plan: This document outlines how patients’ wishes will be communicated to family members and caregivers. It ensures that everyone involved is on the same page regarding care preferences.

These documents collectively support the healthcare wishes of individuals, ensuring their preferences are respected during critical moments. Utilizing them effectively can help facilitate more informed and compassionate care decisions.

The Georgia Do Not Resuscitate Order (DNR) form shares characteristics with an Advance Directive for Healthcare. An Advance Directive allows individuals to outline their preferences for medical treatment in the event they become unable to communicate. This document provides guidance for healthcare providers and family members regarding the individual’s wishes, much like a DNR specifies the desire to forego resuscitation. Both documents require the patient’s signature and, in some cases, a witness or notary, to ensure their validity and authenticity, prioritizing the patient's autonomy in healthcare decision-making.

Another similar document is the Living Will, which details a person’s preferences concerning end-of-life care. This document can specify the types of medical treatments an individual wants to receive or refuse in critical situations. While a DNR specifically instructs healthcare providers not to perform CPR or other resuscitative measures, a Living Will addresses a broader range of medical interventions. Like the DNR, a Living Will aims to honor the patient’s wishes and guide medical personnel in adhering to those wishes during a medical crisis.

The Healthcare Power of Attorney (POA) is also comparable to the DNR. A Healthcare POA designates an individual, often referred to as an agent, to make medical decisions on behalf of the patient if they become incapacitated. While a DNR directly communicates the patient's desire about resuscitation, a Healthcare POA can address various medical decisions. It is designed to ensure that the patient’s wishes are respected when they cannot advocate for themselves, thus functioning as a vital complement to the directives outlined in a DNR.

Finally, the Physician Orders for Life-Sustaining Treatment (POLST) form is another document with similar purposes. The POLST form translates patient preferences into actionable medical orders, addressing various treatment options at the end of life. This form is often used when individuals have serious illnesses or are approaching the end of life. While the DNR focuses specifically on resuscitation preferences, the POLST covers a wider array of interventions, ranging from resuscitation to artificial nutrition, aiding healthcare providers in delivering care that aligns with the patient’s wishes.

When filling out the Georgia Do Not Resuscitate (DNR) Order form, it's important to follow certain guidelines. Here are some dos and don'ts to keep in mind:

• Do ensure that the form is properly completed and signed by the patient or their legal representative.
• Do include dates on the form to clearly indicate when it was filled out.
• Do keep a copy of the completed form for your personal records.
• Do discuss your wishes with your healthcare provider to ensure they understand your decisions.
• Do inform family members about the DNR order to avoid confusion during medical emergencies.

• Don't use a previously completed form that has not been updated or revoked.
• Don't forget to review the form regularly, especially if your health status changes.
• Don't assume medical personnel will know your preferences without having the DNR order on file.
• Don't leave the form unsigned, as this could invalidate your wishes.

• Misconception 1: A DNR means that a person will not receive any medical care.

This is false. A Do Not Resuscitate (DNR) order specifically pertains to the refusal of resuscitation efforts in the event of cardiac or respiratory arrest. Other medical treatments and interventions can still be provided.

• Misconception 2: A DNR is only for terminal cases.

While many people associate DNRs with terminal conditions, anyone can have a DNR regardless of their health status. It’s about preferences for emergency medical care.

• Misconception 3: A DNR order must always be in writing to be valid.

In Georgia, a DNR order should be documented in writing to be effective. However, verbal orders can sometimes be recognized if certain criteria are met. Always check with local regulations.

• Misconception 4: A DNR is permanent and cannot be changed.

This is incorrect. A DNR order can be revoked or modified at any time by the patient, or their legal representative, as long as it is done in an appropriate manner.

• Misconception 5: Healthcare providers are required to honor a DNR in all situations.

Healthcare professionals must adhere to the DNR order unless it contradicts their moral or ethical beliefs. In such cases, they should refer the patient to another provider.

• Misconception 6: DNR orders are the same as living wills.

This misconception overlooks the nuances. While both documents represent patient wishes, a living will manages broader healthcare decisions, while a DNR focuses specifically on resuscitation efforts.

• Misconception 7: A DNR only applies in hospitals.

A DNR order is effective wherever the individual is receiving care, whether in a hospital, nursing home, or at home. Emergency medical personnel should have access to the order.

• Misconception 8: All family members must agree on a DNR order.

As a rule, the individual’s healthcare decisions, including a DNR, can be made without requiring unanimous consent from family members. The person’s wishes take precedence.

• Misconception 9: Having a DNR order means giving up on life.

Choosing a DNR is not about refusing life; it is about understanding the quality of life and making informed choices about medical interventions in critical situations.

• Misconception 10: DNR orders are difficult to obtain.

In Georgia, obtaining a DNR order involves simple processes, usually requiring a discussion with a healthcare provider. Once established, individuals can easily request changes or confirmations.

Here are some important points to consider regarding the Georgia Do Not Resuscitate (DNR) Order form:

1. The DNR form is intended for individuals who do not wish to receive cardiopulmonary resuscitation (CPR) in the event of cardiac arrest.
2. It is essential to discuss your wishes with your healthcare provider before completing the form.
3. The form must be signed by a physician to be considered valid.
4. Patients should keep a copy of the DNR order in a readily accessible place, such as with their medical records or on the refrigerator.
5. It is advisable to share copies of the signed DNR form with family members and caregivers.
6. The DNR order should be reviewed regularly to ensure it still reflects the patient's wishes.
7. Emergency medical personnel are trained to respect the DNR order, and it should be easily recognizable to them.
8. Revoking or changing a DNR order can be done at any time, but a new signed form will be required.