If you are looking to fill out a Ns Form 159, then you may have lots of questions about how it works and the process involved. This form is used for a variety of applications such as filing taxes, getting insurance quotes, obtaining legal consent and more. Understanding the details on how this form works can be confusing at times, so in this blog post we'll explain what exactly is required when filling out your Ns Form 159, any additional supporting documents needed to complete it properly, and answer some common frequently asked questions that come up often related to this form.
Question | Answer |
---|---|
Form Name | Ns Form 159 |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | VRE, DNR, departmental, Forgetful |
Name: ________________________________________________ Room: _____________ Doctor: __________________________
Allergies: ___________________________________________________________________________________________________
Code Status: Full Code |
DNR Limited Resuscitaion |
|
Fall Risk: Up per Self |
Up with 1 2 3 (circle) |
Unable to stand |
Mental Status: Alert & Oriented Forgeful Confused / Demenia |
||
Barriers: HOH Deaf Poor vision Blind |
Language Barrier |
|
Infecion Risk: MRSA |
VRE |
|
Date
Department
Time Out (name)
Time Back (Name)
Mode of Transportaion
Test Complete and
Report Given
NS Form #159 - 04/09
Name: ________________________________________________ Room: _____________ Doctor: __________________________
Allergies: ___________________________________________________________________________________________________
Code Status: Full Code |
DNR Limited Resuscitaion |
|
Fall Risk: Up per Self |
Up with 1 2 3 (circle) |
Unable to stand |
Mental Status: Alert & Oriented Forgeful Confused / Demenia |
||
Barriers: HOH Deaf Poor vision Blind |
Language Barrier |
|
Infecion Risk: MRSA |
VRE |
|
Date
Department
Time Out (name)
Time Back (Name)
Mode of Transportaion
Test Complete and
Report Given
NS Form #159 - 04/09