Current through all regulations passed and filed through September 16, 2024
(A) The following items are approved as DNR
identification:
(1) A do-not-resuscitate order
documented on the state of Ohio DNR order form
depicted in appendix A to this rule. This form may be reproduced as
needed;
(2)
A
copy of an individual's living will declaration
that
includes language that authorizes the withholding
or withdrawal of CPR that has not been
revoked pursuant to section
2133.04 of the Revised Code and
that the declaration has become operative in accordance with section
2133.03 of the Revised
Code;
(3) A transparent
hospital-type bracelet with an insert containing the
logo and the individual's identifying information as depicted in appendix
B to this rule;
(4) A necklace
bearing both the logo depicted in appendix C to this rule and the person's
name. If the person is a "DNR Comfort Care - Arrest" patient as specified in
rule 3701-62-05 of the Administrative
Code, the necklace shall also include the word
"arrest" ;
(5) A bracelet bearing both the logo depicted
in appendix C to this rule and the person's name. If the person is a "DNR
Comfort Care - Arrest" patient as specified in rule
3701-62-05 of the Administrative
Code, the bracelet shall also include the word
"arrest" ;
(6) A wallet card bearing the logo and the individual's identifying
information as depicted in appendix D to this rule. This card may be
reproduced as needed; and
(7) A
printed form of a living will declaration sold or
otherwise distributed in accordance with section
2133.07 of the Revised Code, if
the declarant specifies on the form that the declarant wishes to use it as DNR
identification.
(B) A
person is eligible to obtain DNR identification if either of the following
circumstances exist:
(1) The person has
executed a living will declaration that
authorizes the withholding or withdrawal of CPR and that has not been revoked
pursuant to section 2133.04 of the Revised Code, and
the declaration has become operative in accordance with section
2133.03 of the Revised Code;
or
(2) The person's
authorized health care provider, has issued a current
do-not-resuscitate order, in accordance with the do-not-resuscitate protocol
specified in rule
3701-62-05 of the Administrative
Code, for that person, and has documented the grounds for the order in that
person's medical record. The do-not-resuscitate order itself, or copies of that order, may be used as DNR
identification if it is documented on the form depicted in appendix A to this
rule.
(C) A person may
obtain DNR identification in the following manner:
(1) In the case of the form specified in
paragraph (A)(1) of this rule, by obtaining a copy of the form from a physician,
APRN,
PA, or health care facility and completing the form in conjunction with
the person's authorized
health care provider.
(2) In
the case of the wallet card specified in paragraph (A)(6) of this rule, by
doing both of the following:
(a) Obtaining
both the DNR order form specified in paragraph
(A)(1) of this rule and the wallet card from a physician,
APRN,
PA, or health care facility; and
(b) Completing both the
DNR order form and card in conjunction with the
person's authorized
health care provider.
(3) In the case of the hospital-type bracelet
specified in paragraph (A)(3) of this rule, by doing both of the following:
(a) Obtaining a DNR order from the person's
authorized health care provider; and
(b) Acquiring a bracelet containing a
completed insert bearing the logo and identifying
information from
an authorized health care provider,
health care facility, or pharmacy. The physician, authorized
health care provider, facility, or pharmacy shall not issue a bracelet to
the person unless the person presents a DNR order form.
(4) In the case of the necklace specified in
paragraph (A)(4) of this rule and the bracelet specified in paragraph (A)(5) of
this rule, by doing both of the following:
(a) Obtaining a DNR order from the person's
authorized health care provider; and
(b) Acquiring a necklace or bracelet
bearing both the logo depicted in appendix C to this
rule and the person's name, from a person or government entity that
manufactures or distributes it. The order for the necklace or bracelet shall be
accompanied by a copy of the DNR order form.
(5) In the case of a living will declaration form specified in paragraph
(A)(7) of this rule, by obtaining and completing the form in the manner
required by sections 2133.01 to
2133.15 of the Revised Code and
specifying on the form that the declarant wishes to use it as DNR
identification. If the declarant wishes to be a "DNR Comfort Care - Arrest"
patient, as specified in rule
3701-62-05 of the Administrative
Code, the declarant shall include a statement in the living will declaration that in the event of a cardiac
arrest or a respiratory arrest, the declarant is not to receive CPR.
(D)
A
do-not-resuscitate order documented on the DNR order form depicted in appendix
A to this rule shall not be altered or modified in any way, including not being
written upon to provide instructions or directions for the individual's care.
Any medical orders, instructions, or information, other than those required
elements of the form itself, that are written on an authorized
do-not-resuscitate order form are not transportable and are not provided
protections or immunities under this chapter.
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