7 AAC 16.010 - Do-not-resuscitate protocol
(a) This section,
and the Provider Orders for Life Sustaining Treatment (POLST)
Program, adopted by reference in
7
AAC 16.020, establish the do-not-resuscitate (DNR)
protocol for a health care provider to withhold cardiopulmonary resuscitation
under AS
13.52.065. The health care provider
implementing the protocol shall comply with applicable state and federal laws
and regulations related to the provision of or withholding of care.
(b) Unless exempted under (c) of this
section, a health care provider shall first clearly confirm the identity of
patient by one of the following methods:
(1)
the patient communicating the patient's name;
(2) the patient's hospital or other
institutional identification arm band;
(3) the patient being personally known to the
physician or other health care provider;
(4) the patient's driver's license or credit
card;
(5) another person having
identified the patient.
(c) If a patient is unconscious or otherwise
unresponsive to questions regarding the patient's identity, a health care
provider may rely solely on the department-approved DNR necklace or bracelet
worn by the patient, without using other methods to identify the
patient.
(d) Once a patient's
identity is determined under (b) or (c) of this section, a health care provider
shall examine the patient, patient's available medical records, and other
sources to determine the patient's DNR status. The patient's DNR status and the
patient's desire for resuscitative efforts may be determined using the
following:
(1) a department-approved DNR form
for the patient;
(2) a
department-approved DNR card for the patient;
(3) a department-approved DNR necklace or
bracelet worn, or carried, by the patient;
(4) the department's Alaska POLST
(Provider Orders for Life Sustaining Treatment) Form, dated January 4,
2024 and adopted by reference;
(5) an attending physician's, attending
advanced practice registered nurse's, or attending physician assistant's DNR
order, if
(A) the order is in writing and a
copy has been provided or seen by the physician or other health care provider;
or
(B) a verbal order has been
issued directly to a health care provider by the attending physician, attending
advanced practice registered nurse, or attending physician assistant;
(6) a DNR, POLST, or MOLST order
or identification for the patient that is executed or issued in another state
or a territory or possession of the United States and that meets the
requirements of
AS
13.52.150.
(e) A health care provider shall immediately
proceed with patient assessment and care, including cardiopulmonary
resuscitation, until the information required under (b) - (d) of this section
is obtained. Cardiopulmonary resuscitation (CPR) need not be started or
continued if the physician or other health care provider determines that it
would be futile.
(f) After
establishing that a patient is a qualified DNR patient under AS 13.52 and this
chapter, a health care provider may not attempt CPR for a patient who does not
have a pulse or is not breathing. The DNR order does not affect other care or
services that the health care provider has determined are appropriate for the
patient and may lawfully be performed by that provider.
(g) A qualified DNR patient or the patient's
attending physician, attending advanced practice registered nurse, or attending
physician assistant may revoke the patient's DNR status at any time and in any
manner in accordance with AS 13.52.
Notes
Authority:AS 13.52.060
AS 13.52.065
AS 13.52.080
AS 13.52.090
AS 13.52.100
AS 13.52.110
AS 13.52.120
AS 13.52.130
AS 13.52.135
AS 13.52.140
AS 13.52.150
AS 13.52.160
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.