Valid Do Not Resuscitate Order Template for New Mexico

A Do Not Resuscitate (DNR) Order form in New Mexico is a legal document that allows individuals to express their wishes regarding resuscitation efforts in the event of a medical emergency. This form is crucial for patients who wish to avoid life-saving measures like CPR or intubation when they are facing terminal conditions. Understanding the implications of this order can empower individuals to make informed decisions about their healthcare preferences.

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The New Mexico Do Not Resuscitate (DNR) Order form is an important legal document that allows individuals to express their wishes regarding medical treatment in the event of a life-threatening situation. This form is particularly significant for patients with terminal illnesses, advanced age, or severe health conditions, as it provides clarity on their preferences for resuscitation efforts. By completing the DNR form, patients can communicate their desire to forgo cardiopulmonary resuscitation (CPR) and other life-sustaining measures, ensuring that their choices are respected by medical personnel. The form requires the signature of the patient, along with a witness or a healthcare provider, to validate the individual’s intentions. It is essential for patients and their families to understand the implications of this document, as it plays a crucial role in end-of-life care decisions. Additionally, healthcare providers must be familiar with the DNR protocol to honor the wishes outlined in the form effectively. The DNR Order not only serves as a directive for medical teams but also provides peace of mind to patients and their loved ones during challenging times.

New Mexico Do Not Resuscitate Order Sample

New Mexico Do Not Resuscitate Order

This Do Not Resuscitate (DNR) Order is designed for use by the residents of New Mexico. It authorizes medical personnel not to initiate resuscitation measures in the event of cardiac or respiratory arrest, in accordance with the New Mexico Uniform Health-Care Decisions Act.

Patient Information:

Patient Name: _______________________________
Date of Birth: _____________________________
Address: _________________________________
City, State, Zip Code: ___________________

Patient Declaration:

I, the undersigned, understand the implications of this Do Not Resuscitate Order. I affirm that I am completing this document voluntarily, recognizing that it reflects my preferences regarding medical treatment.

Signature of Patient or Legal Representative: _______________________

Date: ________________________

Witness Information:

Witness Name: _______________________________
Date: ________________________

This document serves as evidence of the patient’s wishes. Medical personnel are required to respect this order. It is advisable for the patient to carry this document at all times and discuss it with family members and healthcare providers.

Emergency Contact:

Name: _______________________________
Phone Number: _______________________

For further clarification or assistance, please consult a healthcare professional or legal expert familiar with New Mexico health care laws.

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Key takeaways

Understanding the New Mexico Do Not Resuscitate (DNR) Order form is crucial for individuals who wish to make their healthcare preferences clear. Here are key takeaways to consider:

What is a DNR? A Do Not Resuscitate Order instructs healthcare providers not to perform cardiopulmonary resuscitation (CPR) if a patient's heart stops beating or they stop breathing.
Eligibility: Any adult can complete a DNR order, provided they are capable of making informed decisions about their medical care.
Consultation: It is highly recommended to discuss your wishes with your healthcare provider before filling out the form. This ensures you understand the implications of a DNR order.
Form Completion: The form must be filled out completely and accurately. Incomplete forms may not be honored by medical personnel.
Signature Requirements: The DNR order must be signed by the patient or their legal representative. A witness signature may also be required.
Distribution: Once completed, share copies of the DNR order with your healthcare provider, family members, and anyone else involved in your care.
Revocation: You can revoke a DNR order at any time. Make sure to inform your healthcare provider and destroy any copies of the old form.
Legal Recognition: New Mexico law recognizes DNR orders, but they may not be valid in other states. Always check local laws if traveling.
Emergency Situations: First responders are trained to follow DNR orders, but it is essential to have the order visible, such as on your refrigerator or in a medical alert bracelet.

Taking the time to understand and properly fill out the New Mexico DNR Order form can provide peace of mind and ensure your healthcare wishes are respected. Don't wait until it's too late; make your preferences known today.