Fillable  Do Not Resuscitate Order Document for Wyoming Open Do Not Resuscitate Order Editor Here

Fillable Do Not Resuscitate Order Document for Wyoming

A Wyoming Do Not Resuscitate Order (DNR) form is a legal document that allows individuals to express their wishes regarding medical treatment in the event of a life-threatening situation. By completing this form, you can ensure that your preferences about resuscitation efforts are clearly communicated to healthcare providers. If you’re ready to take this important step, fill out the form by clicking the button below.

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PDF Form Information

Fact Name Description
Purpose The Wyoming Do Not Resuscitate (DNR) Order form allows individuals to express their wishes regarding resuscitation efforts in case of cardiac or respiratory arrest.
Governing Law The DNR Order in Wyoming is governed by Wyoming Statutes § 35-21-1001 to § 35-21-1004.
Eligibility Any adult can complete a DNR Order. It is especially relevant for those with serious health conditions.
Signature Requirement The form must be signed by the individual or their legal representative, as well as a physician.
Placement It is recommended that individuals keep the DNR Order in an easily accessible location, such as on the refrigerator or with other important documents.
Revocation The DNR Order can be revoked at any time by the individual or their legal representative, either verbally or in writing.

Documents used along the form

In addition to the Wyoming Do Not Resuscitate Order form, several other documents can play a crucial role in ensuring that an individual's healthcare preferences are respected. These forms work together to provide clear guidance to medical professionals and loved ones regarding a person's wishes in various medical situations. Below is a list of commonly used documents that complement the DNR order.

  • Advance Healthcare Directive: This document allows individuals to outline their healthcare preferences in advance. It can include instructions about medical treatments, appoint a healthcare proxy, and specify wishes regarding life-sustaining measures.
  • Employment Verification Form: For seamless employment confirmation, utilize our essential Employment Verification document resources to validate job status and income effectively.
  • Living Will: A living will is a specific type of advance directive that focuses on end-of-life care. It details the types of medical treatments an individual does or does not want if they become unable to communicate their wishes.
  • Healthcare Power of Attorney: This legal document designates a trusted person to make healthcare decisions on behalf of an individual if they are unable to do so themselves. This ensures that someone who understands their wishes can advocate for them in medical situations.
  • Physician Orders for Life-Sustaining Treatment (POLST): The POLST form translates a patient’s wishes regarding treatment into actionable medical orders. It is particularly useful for individuals with serious health conditions, ensuring that their preferences are known and followed by healthcare providers.

Understanding these documents can empower individuals and their families to make informed decisions regarding medical care. Each form serves a distinct purpose, collectively ensuring that healthcare preferences are honored and respected during critical moments.

Misconceptions

Understanding the Wyoming Do Not Resuscitate (DNR) Order form is crucial for individuals and families making healthcare decisions. However, several misconceptions can lead to confusion. Here are nine common misunderstandings about the DNR form in Wyoming:

  1. A DNR means no medical care at all.

    This is not true. A DNR order specifically addresses resuscitation efforts in the event of cardiac arrest. Other medical treatments, such as pain management and comfort care, can still be provided.

  2. Only terminally ill patients can have a DNR.

    While many people with terminal conditions choose to have a DNR, it is not limited to them. Anyone can request a DNR based on their personal healthcare wishes.

  3. A DNR is the same as a living will.

    Although both documents relate to end-of-life care, they serve different purposes. A living will outlines a person's wishes regarding medical treatment in various situations, while a DNR specifically addresses resuscitation.

  4. You need a lawyer to complete a DNR.

    This is a common misconception. Individuals can fill out a DNR form without legal assistance, though consulting a healthcare professional can be beneficial to ensure understanding.

  5. A DNR can only be created in a hospital.

    This is incorrect. A DNR can be established in various settings, including at home or in a nursing facility. It is important to communicate your wishes to your healthcare providers.

  6. Once a DNR is signed, it cannot be changed.

    In fact, a DNR can be revoked or modified at any time. Individuals have the right to change their minds about their resuscitation preferences.

  7. Healthcare providers will ignore a DNR if they believe it’s not in the patient’s best interest.

    Healthcare providers are legally obligated to honor a valid DNR order. They must respect the wishes expressed in the document, provided it is properly completed and signed.

  8. A DNR is only valid if it is on a specific form.

    While Wyoming has a designated DNR form, any written document expressing a person's wishes regarding resuscitation can be considered valid, as long as it is signed and dated.

  9. A DNR is a decision made only by the patient.

    Family members or legal representatives can be involved in the decision-making process. It’s essential for families to discuss these wishes together to ensure everyone understands and respects the patient's preferences.

Understanding these misconceptions can help individuals make informed decisions about their healthcare preferences and ensure that their wishes are respected in critical situations.

Document Example

Wyoming Do Not Resuscitate Order (DNR)

This Do Not Resuscitate Order (DNR) template is specific to the state of Wyoming and is governed by Wyoming state laws regarding advance directives and medical care.

By completing this document, you are indicating your wishes regarding resuscitative measures in case of a medical emergency. Please fill in the required information below:

  • Patient's Full Name: _______________________________
  • Date of Birth: _______________________________
  • Address: ______________________________________
  • City: ________________ State: Wyoming ZIP Code: __________

Below, please indicate your wishes regarding resuscitation:

Do Not Resuscitate (DNR): I, the undersigned, do not wish to receive cardiopulmonary resuscitation (CPR) or other resuscitative measures in the event of a cardiac arrest or respiratory failure. My wishes should be honored as follows:

  1. Signature of Patient: _________________________
  2. Date: _____________________

This Order shall remain in effect until revoked or modified by the patient or patient's legal representative.

Select the applicable option:

  • This DNR Order was signed by me and reflects my wishes.
  • I have discussed the implications of this order with my physician.

Witness Information:

  • Witness #1 Name: _______________________________
  • Partnership of Witness #1: ______________________
  • Signature of Witness #1: ______________________
  • Date: _____________________
  • Witness #2 Name: _______________________________
  • Partnership of Witness #2: ______________________
  • Signature of Witness #2: ______________________
  • Date: _____________________

For this DNR Order to be valid under Wyoming law, it should be signed by a qualified physician or authorized healthcare professional.

Physician's Signature: ___________________________

Date: _____________________

Keep a copy of this document with your health records and share it with your healthcare providers and loved ones.

Wyoming Do Not Resuscitate Order: Usage Guidelines

Filling out the Wyoming Do Not Resuscitate Order form is an important step in ensuring that your medical wishes are known. After completing the form, it should be signed and dated. It is advisable to share copies with your healthcare provider and family members to ensure everyone is aware of your decisions.

  1. Obtain the Wyoming Do Not Resuscitate Order form. This can usually be found online or through a healthcare provider.
  2. Begin by filling in your full name at the top of the form.
  3. Provide your date of birth. This helps to identify you clearly.
  4. Next, include your address. Make sure it is complete and accurate.
  5. Indicate the name of your healthcare provider. This is the person who will be responsible for your medical care.
  6. Sign the form in the designated area. This shows that you agree with the contents of the document.
  7. Date the form to indicate when it was completed.
  8. Make copies of the signed form for your records and to share with your healthcare provider and family members.

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