Ohio Administrative Code|Rule 3701-62-04 | Do-not-resuscitate identification.

                                                

(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authorizes the withholding or withdrawal of CPR that has not been revoked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withdrawal of CPR and that has not been revoked pursuant to section 2133.04 of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'sauthorized 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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