New Mexico Administrative Code
Title 7 - HEALTH
Chapter 27 - EMERGENCY MEDICAL SERVICES
Part 6 - EMERGENCY MEDICAL SERVICES ADVANCE DIRECTIVES
Section 7.27.6.8 - EMS DO NOT RESUSCITATE (DNR) ORDER
Universal Citation: 7 NM Admin Code 7.27.6.8
Current through Register Vol. 35, No. 18, September 24, 2024
A. Execution and duration of an EMS DNR order, including Section A of the MOST form.
(1) Any physician, advanced practice nurse,
or PA may execute an EMS DNR order on behalf of any person with capacity, with
the person's informed consent. The physician, advanced practice nurse, or PA or
designee shall explain to the person the full meaning of the order, the
available alternatives, how the order may be revoked, and answer any questions
the person may have about the order. The person for whom the order is being
executed shall sign the document, as well as the physician, advanced practice
nurse, or PA. A registered nurse may sign the EMS DNR or MOST if a verbal order
for the EMS DNR or MOST has been received from a physician, advanced practice
nurse, or PA; the name of the physician, advanced practice nurse, or PA must be
printed beneath the signature.
(2)
If the person for whom an EMS DNR order is contemplated has appointed an agent
under a durable power of attorney, and the person for whom the DNR order is
contemplated lacks capacity, the physician, advanced practice nurse, or PA or
designee may discuss the situation with the person's authorized health care
decision maker, if any. The physician, advanced practice nurse, PA, or designee
shall explain to the authorized health care decision maker the full meaning of
the order, the available alternatives, how the order may be revoked, and answer
any questions the authorized health care decision maker may have about the
order. If the authorized health care decision maker gives informed consent to
the order, the decision maker will sign the EMS DNR or MOST, as will the
physician, advanced practice nurse, or PA. A registered nurse may sign the EMS
DNR or MOST if a verbal order for the EMS DNR or MOST has been received from a
physician, advanced practice nurse, or PA; the name of the physician, advanced
practice nurse, or PA must be printed beneath the signature.
(3) An EMS DNR or MOST order shall remain in
effect indefinitely unless revoked or unless an expiration date is specified in
the document.
(4) An EMS DNR or
MOST order shall be periodically reviewed by the person for whom the EMS DNR
order is executed or by the authorized health care decision maker.
(5) A person for whom an EMS DNR order is
executed may choose to wear an optional EMS bracelet indicating the existence
of the order.
B. Revocation of an EMS DNR or MOST order.
(1) An
EMS DNR or MOST order may be revoked at any time orally, by executing a
subsequent order, or by performing an act which indicates an attempt to revoke
the order, such as by burning, tearing, canceling, obliterating or destroying
the order or any part of it, by the person on whose behalf it was executed or
by the person's authorized health care decision maker.
(2) If an EMS DNR or MOST order is revoked,
EMS personnel shall initiate appropriate resuscitation measures.
C. Execution and duration of a durable power of attorney.
(1) Any adult with
decisional capacity may execute a durable power of attorney.
(2) A durable power of attorney shall remain
in effect indefinitely unless revoked or unless an expiration date is specified
in the document.
D. Revocation of a durable power of attorney: a durable power of attorney may be revoked at any time by executing a subsequent durable power of attorney or by performing an act which indicates an attempt to revoke the durable power of attorney, such as by burning, tearing, canceling, obliterating or destroying the document, or any part of it, by the person who executed it. It may also be revoked by an oral statement by the person who executed it.
Disclaimer: These regulations may not be the most recent version. New Mexico may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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