Fla. Admin. Code Ann. R. 64J-2.018 - Do Not Resuscitate Order (DNRO) Form and Device
(1) As used in this
rule:
(a) "Do Not Resuscitate Order" and
"DNRO" mean DH Form 1896, Do Not Resuscitate Order, 02/2024, which is
incorporated by reference and available from the Department at
www.floridahealth.gov/about/patient-rights-and-safety/do-not-resuscitate/_documents/dnro-updated-form-bw.pdf
and at www.flrules.org/Gateway/reference.asp?No=Ref-17066.
(b) "Do Not Resuscitate Order Device" and
"DNRO Device" mean that portion of DH Form 1896, Do Not Resuscitate Order,
02/2024, consisting of a reduced-size reproduction of the DNRO below the line
indicated by "Cut along line and fold in half to create DNRO Device (wallet
card)."
(c) "Original" means the
completed DNRO or DNRO Device on yellow paper that bears the manual signatures
of the patient or authorized person and the patient's health care provider. Any
shade of yellow is acceptable.
(d)
"Copy" means a counterpart produced from the original, by means of photography,
including enlargements and miniatures; by mechanical or electronic rerecording,
including in an electronic medical record; by chemical reproduction; or by
other equivalent technique that accurately reproduces the completed original,
including any manual handwriting, signatures, and the yellow background of the
original. Any shade of yellow is acceptable.
(2) A DNRO or DNRO Device is not a substitute
for any other oral or written order of a health care provider authorized by law
to direct that cardiopulmonary resuscitation or any life-prolonging procedure
be withheld or withdrawn.
(3) A
DNRO or DNRO Device is not a substitute for an advance directive, living will,
or declaration, as those terms are defined by section
765.101, F.S.
(4) An emergency medical technician (EMT) or
paramedic shall withhold or withdraw cardiopulmonary resuscitation from a
patient:
(a) Upon the presentation of an
original or a copy of an original DNRO, an original or a copy of an original
DNRO Device, or any full size, reduced size, or previous version thereof;
or
(b) Upon the EMT's or
paramedic's observation of such original or copy, or of an original or copy
that is worn or carried on the patient's person so as to be readily apparent to
emergency medical services providers.
(5) An EMT or paramedic is not required to
withhold cardiopulmonary resuscitation if:
(a)
The original or copy of the DNRO is not on yellow paper (of any shade);
or
(b) The content is altered from
the original; or
(c) Any printed
wording on the DNRO is not legible.
(6) The DNRO must be signed by the patient's
physician, osteopathic physician, autonomous advanced practice registered
nurse, or physician assistant and by:
(a) The
patient or the patient's surrogate, proxy, or minor's principal, as those terms
are defined in section
765.101, F.S.; or
(b) A guardian as defined by section
744.102, F.S., or an agent as
defined by section 709.2102, F.S., who is expressly
authorized to make health care decisions for the patient.
(7) An EMT or paramedic shall verify the
identity of the patient by reviewing the patient's driver license or other
photo identification, or upon receipt of an oral statement made by a witness in
the patient's presence.
(8) During
each transport, the EMT or paramedic shall:
(a) Ensure that the DNRO or DNRO Device
accompanies the patient to the receiving facility or agency; and
(b) Provide to the patient comforting,
pain-relieving and any other medically indicated care other than respiratory or
cardiac resuscitation.
(9) The patient may revoke the DNRO at any
time by orally expressing a contrary intent, by expressing a contrary intent in
writing, by failing to present the DNRO to the EMT or paramedic, by physically
destroying the DNRO, or by a writing signed in the same manner as the
DNRO.
Notes
Rulemaking Authority 401.45(5) FS. Law Implemented 401.45(3), 464.0123(3)(a)5 FS.Art. I, Sec. 23, Fla. Const.
New 11-30-93, Amended 3-19-95, 1-26-97, Formerly 10D-66.325, Amended 2-20-00, 11-3-02, 6-9-05, Formerly 64E-2.031.
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