Iowa Admin. Code r. 641-142.4 - EMS providers
(1)
Uniform protocol. EMS providers shall act in accordance with
the department's OOH DNR protocol when implementing an OOH DNR order EMS
service programs shall incorporate the OOH DNR protocol as part of their
service protocols and, using educational materials consistent with the
curriculum developed and approved by the department, shall inform and educate
EMS providers on the protocol's requirements as well as the requirements of
Iowa Code chapter 144A and these rules.
(2)
Responsibility of the EMS
provider The EMS provider responding outside a hospital as a member of
a service program shall:
a. Evaluate the
patient's status and needs through an assessment consistent with the provider's
training and certification.
b.
Determine the existence of an OOH DNR order or that the patient is wearing an
OOH DNR identifier
c. Honor the OOH
DNR order or OOH DNR identifier worn by the patient.
d. Discontinue resuscitation if the OOH DNR
order or OOH DNR identifier worn by the patient is discovered after
resuscitation has begim.
e. Follow
the OOH DNR protocol.
f. Provide
comfort care to the patient at all times.
g. Contact on-line medical direction for
further instructions as necessary to provide appropriate patient
care.
h. If uncertainty exists
regarding the validity or applicability of the OOH DNR order or identifier, the
EMS provider shall provide the necessary and appropriate
resuscitation.
i. Document
compliance or noncompliance with the OOH DNR order and the reasons for not
complying with the order, including evidence that the order was revoked or
imcertainty regarding the validity or applicability of the order
Notes
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