Michigan Do Not Resuscitate Form - Revised march 25, 2014 page 5 of 6. I request that in the event my heart and breathing should stop, no person shall attempt to resuscitate me. The purpose of this policy is to provide a guideline to prehospital providers, who under certain circumstances may accommodate patients who do not wish to receive and/or may not benefit from cardiopulmonary resuscitation. The michigan general procedures guideline precedes the dnr order and provides definitions and additional instructions for form use and completion. If you do not have a copy, it can be found at. This order is effective until it is revoked by me.
The purpose of this policy is to provide a guideline to prehospital providers, who under certain circumstances may accommodate patients who do not wish to receive and/or may not benefit from cardiopulmonary resuscitation. If you do not have a copy, it can be found at. Revised march 25, 2014 page 5 of 6. I request that in the event my heart and breathing should stop, no person shall attempt to resuscitate me. This order is effective until it is revoked by me. The michigan general procedures guideline precedes the dnr order and provides definitions and additional instructions for form use and completion.