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Why is the patient or Substitute Decision-Maker (SDM) not required to sign the DNR Confirmation Form?

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Why is the patient or Substitute Decision-Maker (SDM) not required to sign the DNR Confirmation Form?

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Patient or SDM consent for the patients plan of treatment will have been obtained and documented in the patients health care record. The DNR Confirmation Form is simply documentation by a physician or nurse of what is already known so that the plan with respect to CPR can be continued by paramedics and firefighters.

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