Valid Do Not Resuscitate Order Template for Texas

The Texas Do Not Resuscitate (DNR) Order form is an important document that allows individuals to express their wishes regarding resuscitation efforts in the event of a medical emergency. Along with the DNR form, several other documents can be essential for ensuring that a person's healthcare preferences are respected. Below is a list of commonly used forms and documents that complement the DNR Order.

• Advance Directive: This document outlines an individual’s preferences for medical treatment in situations where they cannot communicate their wishes. It often includes instructions regarding life-sustaining treatments.
• Medical Power of Attorney: This form designates a person to make healthcare decisions on behalf of an individual if they become unable to do so. It ensures that someone trusted is in charge of making critical medical choices.
• Living Will: A living will specifies the types of medical treatment an individual wishes to receive or avoid in the event of a terminal illness or irreversible condition. It serves to guide healthcare providers and loved ones.
• Physician Orders for Life-Sustaining Treatment (POLST): This is a medical order that reflects a patient’s wishes regarding treatment options. It is often used for patients with serious illnesses and is recognized across healthcare settings.
• Do Not Intubate (DNI) Order: This order specifically states that a patient does not want to be intubated or placed on a ventilator. It is often used in conjunction with DNR orders.
• Healthcare Proxy: Similar to a medical power of attorney, a healthcare proxy designates someone to make decisions about medical care. This person acts on behalf of the patient when they are incapacitated.
• Organ Donation Consent: This document indicates a person’s wishes regarding organ donation after death. It can be part of a living will or a separate form.
• Patient Advocate Designation: This form allows an individual to appoint a patient advocate to assist with navigating the healthcare system and making medical decisions in line with their wishes.

Having these documents in place can provide clarity and guidance for healthcare providers and loved ones during critical moments. Ensuring that your preferences are documented helps to uphold your rights and wishes regarding medical treatment and end-of-life care.

When filling out the Texas Do Not Resuscitate Order (DNR) form, it is essential to approach the process with care and attention. Below is a list of things to do and avoid to ensure that your wishes are accurately represented.

• Do clearly identify the patient’s full name and date of birth.
• Do ensure that the form is signed by the patient or their legally authorized representative.
• Do include the date the form is completed.
• Do provide copies of the completed form to healthcare providers and family members.

• Don't leave any sections of the form blank.
• Don't forget to check state-specific requirements that may apply.
• Don't use outdated versions of the form.
• Don't assume that verbal instructions are sufficient; written documentation is necessary.

By following these guidelines, you can help ensure that your wishes regarding medical treatment are respected and understood by healthcare providers. Taking the time to fill out the DNR form correctly can provide peace of mind for both the patient and their loved ones.