Printable Do Not Resuscitate Order Form for Illinois

A Do Not Resuscitate (DNR) Order in Illinois is a legal document that allows individuals to refuse cardiopulmonary resuscitation (CPR) and other life-saving measures in the event of cardiac arrest. This form is crucial for ensuring that a person's end-of-life wishes are respected by medical professionals. Understanding the implications and proper use of the DNR Order can help families make informed decisions during challenging times.

Modify Do Not Resuscitate Order

The Illinois Do Not Resuscitate (DNR) Order form serves as a critical document for individuals who wish to express their preferences regarding medical treatment in emergency situations. This form allows patients to indicate their desire not to receive cardiopulmonary resuscitation (CPR) or other life-sustaining measures in the event of cardiac arrest or respiratory failure. It is essential for ensuring that healthcare providers respect the wishes of patients, particularly those with terminal illnesses or advanced age. The DNR Order must be completed and signed by the patient or their authorized representative, and it requires the signature of a physician to be valid. This legally binding document can be presented in various medical settings, including hospitals, nursing homes, and emergency medical services. Understanding the implications of the DNR Order is vital for both patients and their families, as it fosters informed decision-making about end-of-life care. Additionally, the form emphasizes the importance of communication between patients, families, and healthcare providers, ensuring that everyone involved is aware of the patient's wishes regarding resuscitation efforts.

File Characteristics

Fact Name	Description
Definition	The Illinois Do Not Resuscitate (DNR) Order form is a legal document that allows a person to refuse resuscitation efforts in the event of cardiac arrest or respiratory failure.
Governing Law	This form is governed by the Illinois DNR Order Act, which outlines the requirements and procedures for creating and implementing a DNR order.
Eligibility	Any adult can create a DNR order, provided they are of sound mind and understand the implications of the document.
Signature Requirement	The form must be signed by the individual or their legally authorized representative to be considered valid.
Healthcare Provider's Role	A physician must sign the DNR order, confirming that the patient is aware of their medical condition and the consequences of refusing resuscitation.
Revocation	The DNR order can be revoked at any time by the individual or their representative, and this revocation must be documented.
Emergency Medical Services	Emergency medical personnel are required to honor a valid DNR order, provided it is clearly presented at the time of an emergency.
Documentation	It is essential to keep the DNR order in a location that is easily accessible to healthcare providers and emergency responders.
Limitations	The DNR order specifically applies to resuscitation efforts and does not affect other medical treatments, such as pain relief or comfort care.
Form Availability	The Illinois DNR Order form can be obtained from healthcare providers, hospitals, or online resources provided by the state.

Other Common State-specific Do Not Resuscitate Order Templates

What Are the 2 Types of Dnr? - A DNR does not mean that other medical treatments will not be provided; it simply focuses on the circumstances of cardiac arrest.

Dnr Form - An important aspect of advance care planning for individuals with specific health concerns.

State Dnr Form - People with chronic illnesses frequently consider DNR orders as part of their ongoing care planning.

▼ Do Not Resuscitate Order PDF Form

Misconceptions

Understanding the Illinois Do Not Resuscitate (DNR) Order form is crucial for making informed healthcare decisions. However, several misconceptions can cloud judgment. Here are seven common misunderstandings:

A DNR means I will not receive any medical care.
This is false. A DNR specifically addresses resuscitation efforts in case of cardiac or respiratory arrest. It does not prevent you from receiving other forms of medical treatment.
I need a lawyer to complete a DNR form.
This is not true. You do not need legal representation to fill out a DNR form. It is designed for patients and their healthcare providers to complete together.
A DNR is only for terminally ill patients.
This misconception overlooks the fact that anyone can choose a DNR order, regardless of their health status. It’s a personal choice based on individual values and preferences.
This is incorrect. You can revoke or modify a DNR order at any time. Your healthcare provider must honor your current wishes.
A DNR is the same as a living will.
While both documents address end-of-life decisions, they serve different purposes. A living will outlines your preferences for medical treatment, while a DNR specifically concerns resuscitation efforts.
Healthcare providers will ignore a DNR if they disagree with it.
This is a misconception. Healthcare providers are legally obligated to respect a valid DNR order, regardless of personal beliefs.
I can only have a DNR if I am in a hospital.
This is false. A DNR order can be established in various settings, including at home or in a long-term care facility. It’s essential to communicate your wishes clearly with all caregivers.

Dos and Don'ts

When filling out the Illinois Do Not Resuscitate Order form, it’s crucial to approach the task with care. Here are some important dos and don’ts to keep in mind:

Do ensure that you fully understand the implications of the order before signing.
Do discuss your wishes with your healthcare provider and loved ones.
Do keep the completed form in a visible and accessible place.
Do review and update the order as needed, especially if your health status changes.

Don’t fill out the form under pressure or without adequate information.
Don’t forget to sign and date the form; an unsigned document may not be valid.

Don’t assume that verbal instructions are enough; written documentation is essential.

Don’t neglect to inform emergency contacts about the existence of the order.

Key takeaways

Filling out the Illinois Do Not Resuscitate Order (DNR) form is an important step for individuals who wish to express their healthcare preferences. Here are some key takeaways to keep in mind:

The DNR form allows you to indicate that you do not want to receive CPR or other resuscitative measures in the event of cardiac arrest.

It is essential to have the form signed by a physician to ensure it is valid and recognized by medical personnel.

You should discuss your wishes with your family and healthcare providers before completing the form to ensure everyone understands your preferences.

Once completed, keep the DNR form in an easily accessible place, such as on your refrigerator or with your medical records.

Make copies of the DNR form to share with your healthcare providers, family members, and anyone who may be involved in your care.

Review and update the DNR form regularly to ensure it still reflects your wishes, especially after significant life changes.