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EMS DNR EMERGENCY MEDICAL SERVICES EMS / DO NOT RESUSCITATE DNR FORM Will your Patients wishes to avoid unwanted resuscitation be honored during a medical emergency outside of the hospital The EMS-Do Not Resuscitate DNR form developed by the EMS Bureau Epidemiology and Response Division of the New Mexico Department of Health instructs EMS personnel to forgo resuscitation attempts in the event of a patient s cardiopulmonary arrest. The form has 3 parts. One for your patient one for your...
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How to fill out where to get dnr forms
How to fill out a DNR form in New Mexico:
01
Obtain a copy of the DNR form: You can obtain a copy of the Do Not Resuscitate (DNR) form from your healthcare provider, hospital, or directly from the New Mexico Department of Health website.
02
Review the instructions: Read the instructions on the DNR form carefully. Make sure you understand the purpose of the form and how it will be used.
03
Complete personal information: Fill in your full legal name, date of birth, address, and contact information in the designated sections of the form.
04
Appoint a healthcare agent (optional): If you wish to appoint a healthcare agent who can make medical decisions on your behalf, include their full name, contact information, and relationship to you.
05
Specify your wishes: In the appropriate sections, indicate whether or not you wish to receive specific life-saving treatments, such as cardiopulmonary resuscitation (CPR), mechanical ventilation, or other medical interventions.
06
Witness and signature: Sign the DNR form in the presence of two adult witnesses who are not your healthcare providers. The witnesses must also sign the form, acknowledging that they witnessed your signature and that you appeared to sign the form voluntarily.
Who needs a DNR form in New Mexico?
01
Individuals with a serious illness: Individuals who have been diagnosed with a serious illness and do not wish to receive life-saving interventions amidst a medical emergency may need a DNR form.
02
Elderly individuals: As people age, they may have specific preferences regarding end-of-life care. Having a DNR form in place ensures that their wishes are respected and followed.
03
Terminally ill patients: Individuals with a terminal illness who have decided to forgo life-sustaining treatments and interventions may need a DNR form to ensure their wishes are honored.
Note: It is essential to consult with your healthcare provider and legal counsel when completing a DNR form to ensure it aligns with your specific medical situation and legal requirements in New Mexico.
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