Homepage Official Do Not Resuscitate Order Document for Georgia State

Common mistakes

  1. Not Understanding the Purpose: Many individuals fill out the Georgia Do Not Resuscitate Order form without fully understanding its implications. This document indicates that a person does not wish to receive CPR or other life-saving measures in the event of cardiac arrest. It is crucial to consider personal values and medical conditions before making this decision.

  2. Inadequate Signatures: The form requires signatures from both the patient and a physician. Some people forget to obtain the necessary signatures, rendering the document invalid. Ensuring that all required parties sign the form is essential for it to be legally recognized.

  3. Missing Witnesses: In Georgia, the Do Not Resuscitate Order must be signed in the presence of two witnesses. Failing to have witnesses present can lead to complications when the order is needed. Witnesses should be individuals who are not related to the patient and do not stand to gain from the patient's estate.

  4. Not Keeping Copies: After completing the form, individuals often neglect to make copies. It is important to distribute copies to family members, healthcare providers, and keep one for personal records. This ensures that the order is accessible when needed.

  5. Using Outdated Forms: Some people may use older versions of the Do Not Resuscitate Order form. Always check for the most current version, as legal requirements can change. Using an outdated form may lead to confusion or rejection by healthcare providers.

  6. Not Discussing the Order: Failing to communicate the existence of the Do Not Resuscitate Order with family and healthcare providers can lead to misunderstandings during a medical emergency. Open discussions about the order can help ensure that everyone is on the same page regarding the patient’s wishes.

  7. Assuming It’s Permanent: Some individuals mistakenly believe that a Do Not Resuscitate Order is permanent and cannot be changed. In reality, patients have the right to revoke or modify the order at any time, as long as they are mentally competent to do so.

  8. Ignoring State-Specific Requirements: Each state has its own regulations regarding Do Not Resuscitate Orders. People often overlook Georgia-specific requirements, which can lead to complications. Familiarizing oneself with state laws is crucial to ensure the order is valid and effective.

Essential Points on This Form

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

A Do Not Resuscitate Order is a legal document that allows an individual to refuse resuscitation efforts in the event of cardiac arrest or respiratory failure. In Georgia, this order is typically used by patients who have a terminal illness or a condition that significantly limits their quality of life. The DNR order ensures that medical personnel respect the patient’s wishes regarding resuscitation efforts during emergencies.

Who can request a DNR Order in Georgia?

In Georgia, a DNR Order can be requested by an adult patient who is capable of making their own medical decisions. If the patient is unable to make decisions, a legally authorized representative, such as a family member or a designated healthcare proxy, may request the order on their behalf. It is essential that the individual requesting the order understands the implications and is acting in the best interest of the patient.

How is a DNR Order created in Georgia?

To create a DNR Order in Georgia, the patient or their representative must complete the official Georgia DNR Order form. This form must be signed by a physician who is licensed to practice medicine in the state. The completed form should then be kept in a place that is easily accessible to medical personnel, such as in the patient’s medical records or at their residence.

Is a DNR Order valid in all healthcare settings?

Yes, a properly executed DNR Order is valid across various healthcare settings in Georgia, including hospitals, nursing homes, and at home. However, it is crucial for patients and their families to ensure that the order is communicated clearly to all healthcare providers involved in the patient’s care. This helps avoid any confusion during emergencies.

Can a DNR Order be revoked?

Yes, a DNR Order can be revoked at any time by the patient or their authorized representative. To revoke the order, the individual should inform their healthcare provider and may need to complete a written revocation form. It is important to ensure that all relevant parties, including family members and healthcare providers, are made aware of the revocation to prevent any misunderstandings.

What happens if a DNR Order is not followed?

If a DNR Order is not followed, it can lead to unwanted resuscitation efforts, which may be distressing for the patient and their family. In such cases, healthcare providers may face legal consequences for not adhering to the patient’s wishes. It is vital for patients and families to advocate for their rights and ensure that the DNR Order is respected in all situations.

Can a DNR Order be combined with other advance directives?

Yes, a DNR Order can be combined with other advance directives, such as a living will or a healthcare power of attorney. These documents work together to provide a comprehensive view of the patient’s wishes regarding medical treatment and end-of-life care. It is advisable to discuss these documents with a healthcare provider to ensure that all wishes are clearly articulated and legally binding.

Where can I obtain a Georgia DNR Order form?

The Georgia DNR Order form can be obtained from various sources, including healthcare providers, hospitals, and online through the Georgia Department of Public Health website. It is essential to use the official form to ensure that it meets all legal requirements and is recognized by medical professionals across the state.

Georgia Do Not Resuscitate Order Sample

Georgia Do Not Resuscitate Order Template

This Do Not Resuscitate (DNR) Order is created in accordance with Georgia state law.

Patient Information:

  • Name: _____________________________
  • Date of Birth: ______________________
  • Address: ___________________________
  • Phone Number: ______________________
  • Emergency Contact: __________________

Physician's Statement:

I, Dr. ___________________________, a licensed physician in the state of Georgia, have discussed the patient's medical condition and treatment options with the patient (or the patient's legal representative). This patient has expressed their wish regarding resuscitation.

Order:

The patient has selected the following option regarding resuscitation:

  1. Do Not Resuscitate (DNR) - No cardiopulmonary resuscitation (CPR) or advanced cardiac life support (ACLS) will be provided.
  2. Resuscitation is desired.

Signatures:

Patient or Legal Representative Signature: ___________________________ Date: ___________

Physician Signature: ___________________________ Date: ___________

Witness (optional):

Witness Signature: ___________________________ Date: ___________

This DNR Order should be kept with the patient's medical records and readily available to medical personnel.

Key takeaways

Understanding the Georgia Do Not Resuscitate (DNR) Order form is essential for ensuring your healthcare wishes are respected. Here are some key takeaways to keep in mind:

  1. Eligibility: The DNR Order is intended for individuals who have a terminal condition or are in a state where resuscitation would not be beneficial.
  2. Consultation: It is crucial to discuss your wishes with your healthcare provider before completing the form. They can provide guidance based on your medical situation.
  3. Signature Requirement: The form must be signed by the patient or their legal representative, along with a physician's signature to be valid.
  4. Distribution: Once completed, distribute copies of the DNR Order to your healthcare team, family members, and anyone involved in your care.
  5. Revocation: You can revoke the DNR Order at any time. Simply inform your healthcare provider and destroy any copies of the form.
  6. Documentation: Keep the original DNR Order in an easily accessible location. This ensures that it can be readily found in an emergency situation.
  7. State Compliance: Ensure that the form complies with Georgia state laws, as requirements may vary by state.

By understanding these key points, you can make informed decisions about your end-of-life care and ensure that your preferences are honored.

Form Information

Fact Name Details
Definition A Do Not Resuscitate (DNR) Order is a legal document that instructs medical personnel not to perform CPR or other life-saving measures in the event of cardiac arrest.
Governing Law The Georgia Do Not Resuscitate Order is governed by the Georgia Code, specifically O.C.G.A. § 31-39-1 through § 31-39-7.
Eligibility Any adult who is capable of making healthcare decisions can create a DNR order. This includes patients with terminal illnesses or advanced age.
Signature Requirement The DNR order must be signed by a physician and the patient or their legal representative for it to be valid.
Revocation A DNR order can be revoked at any time by the patient or their legal representative. It must be clearly communicated to healthcare providers.