Ohio Do Not Resuscitate Order (DNR) Form

In this guide, you will learn about DNR order, what it is and what it takes to get one, and also learn how to create a Do-Not-Resuscitate form if you are a resident in the state of Ohio.

Create a Personalized Ohio DNR Order Form online in under 5 minutes!

Build Your Document

Answer a few simple questions to make your document in minutes

Save and Print

Save progress and finish on any device, download and print anytime

Sign and Use

Your valid, lawyer-approved document is ready

... or download your Ohio DNR Order Form as a  PDF file
Create a Personalized Ohio DNR Order Form online in under 5 minutes!

What is DNR?

The DNR acronym stands for Do-Not-Resuscitate. This means that a person having a signed DNR order does not want to be CPRed (receive cardiopulmonary resuscitation). With such an order, paramedics should not perform CPR treatment to restart the heartbeat or make a patient breathe again. Instead, they should allow so-called natural death.

How Can a Person Get a DNR Form?

To get a printable DNR form, one must contact their physician or other professionally trained and certified medical specialist. The DNR form must comply with a state’s federal law. Reasons for obtaining a DNR form must be included in a patient’s medical record.

Another critical requirement towards the DNR form is that it must not contradict medical standards. Also, a form-signing doctor must be sure that the form does not contradict the patient’s will or the will of the person representing the patient.

The DNR form can also be part of the patient’s Living Will. If a person is dying and cannot express their will for any reason, the CPR refusal mentioned in the Living Will becomes the equivalent of the separate DNR form. So, a patient does not need to create a DNR form if they had already noted in the Living Will that they wished not to get CPRed.

How Can You Be Sure That Medical Personnel Knows That You Have a DNR Order?

There are several ways to let medical specialists know that you have a DNR form and wish not to receive CPR treatment during an emergency. Once you sign the DNR form, you will get a DNR ID.

The types of DNR ID include:

  • a card to keep in your wallet;
  • a special bracelet;
  • a necklace with a DNR logo and your name on it;
  • a completed DNR ID form;
  • a Living Will that will inform the reader that it must be regarded as a DNR identification.

What Does the Ohio DNR Order Do?

When signed, a DNR form for the state of Ohio will specify the list of dos and don’ts for the medical personnel.

The allowed medical procedures include:

  • Airway suctioning
  • Administering oxygen
  • Comforting
  • Splinting/immobilizing
  • Bleeding control
  • Painkilling
  • Emotional support
  • Contacting other healthcare facilities

The restricted medical measures are:

  • Indirect heart massage
  • Artificial airway insertion
  • The use of resuscitative medication
  • Defibrillation
  • Respiratory assistance
  • Cardiac monitoring
  • Intravenous Fluid Resuscitation

The Ohio DNR Order operates strictly according to Chapter 3701-62 of the Ohio Laws and Administrative rules. A physician must also append their signature to make the form valid.

Template Preview
Create a Personalized Ohio DNR Order Form online in under 5 minutes!

Filling Out the Ohio DNR Form

filling out the ohio dnr form

The Ohio DNR Comfort Care form is a two-page document with fields and checkboxes. It only takes a few steps to fill out the form and sign it.

1. Specify the Case for the DNR Order

First of all, when creating a DNR order in the state of Ohio, you will need to check one of the two boxes that specify the exact case for when the DNR order should be used:

  • DNRCC—for all types of emergencies;
  • DNRCC-Arrest—for the cases of cardiac arrests or respiratory arrests.

step 1 to filling out the ohio dnr form specify the case for the dnr order

2. Provide Personal Information

Then, you will need to provide the patient’s personal information. The fields must include:

  • Patient’s full name and address
  • Birthdate
  • Gender
  • Signature

step 2 to filling out the ohio dnr form provide personal information

3. Specify the Status of the DNR Order

step 3.1 to filling out the ohio dnr form specify the status of the dnr order

Your physician must fill out the following part of the Ohio DNR form. First of all, your physician must specify the status of the DNRCC order:

  • Is it a Do-Not-Resuscitate order?
  • Or is it a part of the Living Will?

step 3.2 to filling out the ohio dnr form specify the status of the dnr order

Next, your physician will need to provide personal information, including the full name, address, phone number, signature, and date of signing.

After the operations as mentioned above, your Ohio DNRCC order is signed and activated.

Published: Apr 5, 2022