Do Not Resuscitate Order Form for the State of Arizona

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

A Do Not Resuscitate Order is a legal document that expresses a person's wish not to receive cardiopulmonary resuscitation (CPR) if their heart stops beating or if they stop breathing. In Arizona, this order must be followed by emergency medical personnel, ensuring that individuals' end-of-life wishes are respected.

Who can request a DNR Order in Arizona?

Any adult who is competent and able to make informed decisions regarding their healthcare can request a DNR Order. This includes individuals with terminal illnesses or those who want to ensure their preferences about resuscitation are clearly outlined. Additionally, a legal representative can also initiate the process on behalf of someone unable to make this decision.

How is a DNR Order created in Arizona?

To create a DNR order in Arizona, one must complete a state-approved DNR form, which includes specific information about the patient and their healthcare wishes. This form must be signed by both the patient and a healthcare provider. It's important to ensure that the document is filled out correctly and stored in a place where medical personnel can easily access it when needed.

Will my healthcare provider help me with a DNR Order?

Yes, healthcare providers can assist you in creating a DNR Order. Many providers are familiar with the process and can explain the implications of the order, helping you make an informed choice. It is advisable to have an open discussion with your doctor about your wishes and any healthcare concerns you may have.

How do I ensure that my DNR Order is recognized in an emergency?

To ensure that your DNR Order is recognized during an emergency, keep it easily accessible. Carry a copy of the order at all times, and consider wearing a medical alert bracelet that indicates your DNR status. Inform family members and caregivers of your wishes, so they know how to act appropriately in case of an emergency.

Can I change or revoke my DNR Order?

Yes, you can change or revoke your DNR Order at any time. To do so, simply create a new DNR Order that reflects your current wishes and ensure that the previous order is revoked. Inform all relevant parties, including your healthcare provider and family members, of your decision to ensure they know your most recent wishes.

What happens if I do not have a DNR Order?

If you do not have a DNR Order, emergency medical personnel are required by law to perform resuscitation efforts if your heart stops or you stop breathing. This could involve CPR, intubation, or other life-saving measures. Without an explicit directive, healthcare providers will act to preserve life based on their professional duty and the wishes implied by the absence of a DNR.

Filling out the Arizona Do Not Resuscitate Order form can be a crucial step for individuals planning for their healthcare preferences. However, many make common mistakes that can lead to confusion or complications. It's important to avoid these errors to ensure your wishes are clearly communicated.

One frequent mistake is failing to include the date when the form is signed. This date establishes when the directives become effective. Without it, medical professionals may question the validity of the order or its timeline.

An incomplete or incorrect signature can render the form void. Ensure that all required parties, including a witness if necessary, sign the document where indicated. Double-check to confirm that signatures are legible and do not contain errors. Missing a signature creates delays when attempting to enforce your wishes.

Another common pitfall is using an outdated form. Arizona law occasionally updates these documents. Always verify that you are using the most recent version of the Do Not Resuscitate Order form to avoid issues with acceptance by healthcare providers.

People also often forget to make copies of their completed forms. Keeping a copy on hand allows you to provide it easily to healthcare providers when needed. Additionally, share copies with family members or close friends to ensure they are aware of your wishes.

Inaccurate patient information is another major error. Verify that all personal information, such as your name, address, and date of birth, is correct. Typos or inaccuracies can lead to misunderstandings during a medical emergency.

Many individuals neglect to discuss their decisions with family members. Open conversations about your Do Not Resuscitate Order help ensure that your loved ones understand and support your choices. Without this conversation, misunderstandings may arise during critical moments.

Finally, some people mistakenly believe the process ends once they submit the form. Regularly review your Do Not Resuscitate Order, especially after major life changes such as health status or family dynamics. Keeping your documents up-to-date ensures they accurately reflect your current wishes.

When considering end-of-life decisions and medical care preferences in Arizona, the Do Not Resuscitate Order form is often accompanied by other important documents. Understanding these forms can help ensure that your medical wishes are fulfilled and respected. Below are six common documents frequently used alongside the Do Not Resuscitate Order. Each plays a vital role in advanced healthcare planning.

1. Advanced Directive: This document outlines a person's wishes regarding medical treatment in scenarios where they may not be able to communicate their preferences. It can specify what types of treatments one would or would not want.
2. Healthcare Power of Attorney: This appoints an individual to make healthcare decisions on your behalf if you become incapacitated. This trusted person can advocate for your preferences in medical situations.
3. Living Will: A type of advance directive that specifically outlines what type of medical care you would like to receive or avoid at the end of your life. It typically addresses life-sustaining treatments and conditions.
4. Physician Orders for Life-Sustaining Treatment (POLST): A form that translates a patient's preferences for treatment into actionable medical orders. It is a more specific directive than a living will and is often used for seriously ill patients.
5. Do Not Intubate Order: This document specifically states that a patient does not wish to receive intubation or mechanical ventilation. It complements the DNR order by limiting certain life-sustaining interventions.
6. Palliative Care Agreement: This outlines a patient’s preference for comfort-focused care rather than curative treatment. It emphasizes symptom management and quality of life improvements.

Each of these documents plays a crucial part in the broader context of healthcare decision-making. Together, they provide clarity on your medical preferences and ensure that your wishes are followed, even if you cannot voice them yourself. It is crucial to discuss these forms with family members and healthcare providers to create a comprehensive plan that reflects your values and desires.

The Do Not Resuscitate (DNR) Order form is similar to several other medical and legal documents that express a patient's wishes regarding medical treatment. Here are nine such documents:

• Living Will: This document outlines a person's preferences for medical treatment in situations where they are unable to communicate their wishes. It often includes instructions related to end-of-life care, much like the DNR form.
• Health Care Proxy: A health care proxy designates an individual to make medical decisions on behalf of someone if they are incapacitated. This can complement a DNR order by ensuring that the appointed individual understands the patient's wishes regarding resuscitation.
• Durable Power of Attorney for Health Care: Similar to a health care proxy, this document gives another person the authority to make health care decisions for the signer, often including decisions about resuscitation efforts.
• POLST (Physician Orders for Life-Sustaining Treatment): This is a medical order that specifies a patient's treatment preferences and directives regarding resuscitation and other interventions. It is actionable immediately and serves a purpose similar to that of a DNR order.
• Advance Directive: An advance directive encompasses both a living will and a health care proxy. It serves to communicate health care preferences regarding resuscitation and other life-sustaining treatment options.
• Cardiopulmonary Resuscitation (CPR) Directive: This document specifically addresses a patient's preferences about the administration of CPR. It may be used alongside a DNR order to clarify intent.
• Emergency Medical Services (EMS) Directive: This document specifically informs first responders regarding a person's treatment preferences in emergencies, including a DNR order. It guides them in making quick decisions consistent with the patient's wishes.
• Do Not Intubate (DNI) Order: This order specifically prohibits the use of intubation for patients who, similar to those with a DNR order, wish to avoid invasive life-sustaining measures.
• Patient-Provider Agreement: This document may be used to clarify a patient's wishes about various treatments, including resuscitation. It reinforces the understanding between patient and healthcare provider regarding the DNR order and other related wishes.

When completing the Arizona Do Not Resuscitate Order form, it is vital to follow specific guidelines to ensure your wishes are accurately documented. Below is a list of important dos and don'ts.

• Do consult with your healthcare provider before completing the form.
• Do ensure that all information is accurate and legible.
• Do discuss your decision with family members to ensure understanding and support.
• Do sign and date the form in the appropriate sections.
• Do keep a copy for your records and provide copies to your healthcare providers.

• Don't use the form without understanding its implications.
• Don't hesitate to seek clarification if you do not understand any part of the form.
• Don't forget to review the form periodically to ensure it still reflects your wishes.
• Don't sign the form unless you are of sound mind and freely making your decision.
• Don't discard copies without ensuring that relevant parties have received their copies.

Many people have misunderstandings about the Arizona Do Not Resuscitate (DNR) Order. It is important to clarify these misconceptions to ensure that individuals make informed choices. Here are seven common misconceptions:

• A DNR means you will not receive any medical treatment. This is not true. A DNR order specifically relates to resuscitation efforts, such as CPR, in case of a cardiac or respiratory arrest. Other medical treatments can still be provided.
• A DNR order is only for hospice patients. This is a common belief, but it is incorrect. Anyone can request a DNR order, regardless of their health status or whether they are in hospice care.
• Having a DNR order means you are giving up on life. Many people think that signing a DNR means they want to stop all efforts to live. In reality, it often reflects a choice for comfort rather than aggressive interventions in a medical crisis.
• A DNR is permanent and cannot be changed. This is false. A DNR order can be revoked at any time by the patient or their legal representative. It is a flexible document that can change with the patient’s wishes.
• All hospitals and emergency services recognize DNR orders. While most do, it is crucial for individuals to ensure their DNR order is in the proper format and that all necessary parties are aware of it. Some emergency responders may have specific protocols they follow.
• You need a lawyer to create a DNR order. It is not necessary to consult a lawyer to make a DNR order in Arizona. Patients or their representatives can complete the form themselves, although guidance may be helpful in some cases.
• A DNR order will prevent you from being admitted to the hospital. This misconception often causes fear. A DNR does not affect your eligibility for hospital admission or other medical care; it only pertains to resuscitation efforts.

Understanding these points can help individuals navigate their healthcare choices more effectively. It ensures that personal wishes are respected while receiving appropriate care.

Here are key takeaways regarding the Arizona Do Not Resuscitate Order (DNR) form:

1. Understand the Purpose: The DNR form is designed to communicate your wishes about resuscitation in case of a medical emergency.
2. Eligibility: Anyone over the age of 18 can complete a DNR order, provided they are capable of making their own health care decisions.
3. Completion: Fill out the form clearly and accurately. Make sure all sections are completed to avoid confusion in an emergency.
4. Signature Requirement: Your signature is required on the form. This reflects that you are aware of its implications.
5. Consent of Medical Provider: A physician must sign the DNR form to validate it. This ensures it meets all legal requirements.
6. Keep Copies: After completing the form, keep several copies. Distribute them to your doctor, healthcare proxy, and family members.
7. Review Regularly: Check your DNR order periodically to ensure it still reflects your wishes. Update it as necessary.

Communicating your choices clearly can relieve burden during difficult times. Make sure everyone involved understands your wishes and the implications of the DNR order.