144A.7A OUT-OF-HOSPITAL DO-NOT-RESUSCITATE ORDERS.
1. If an attending physician issues an out-of-hospital
do-not-resuscitate order for an adult patient under this section, the
physician shall use the form prescribed pursuant to subsection 2,
include a copy of the order in the patient's medical record, and
provide a copy to the patient or an individual authorized to act on
the patient's behalf.
2. The department, in collaboration with interested parties,
shall prescribe uniform out-of-hospital do-not-resuscitate order
forms and uniform personal identifiers, and shall adopt
administrative rules necessary to implement this section. The
uniform forms and personal identifiers shall be used statewide.
3. The out-of-hospital do-not-resuscitate order form shall
include all of the following:
a. The patient's name.
b. The patient's date of birth.
c. The name of the individual authorized to act on the
patient's behalf, if applicable.
d. A statement that the patient is in a terminal condition.
e. The physician's signature.
f. The date the form is signed.
g. A concise statement of the nature and scope of the order.
h. Any other information necessary to provide clear and
reliable instructions to a health care provider.
4. A health care provider may withhold or withdraw resuscitation
outside a hospital consistent with an out-of-hospital
do-not-resuscitate order issued under this section and the rules or
protocols adopted by the department.
5. In fulfilling the instructions of an out-of-hospital
do-not-resuscitate order under this chapter, a health care provider
shall continue to provide appropriate comfort care and pain relief to
the patient.
6. An out-of-hospital do-not-resuscitate order shall not apply
when a patient is in need of emergency medical services due to a
sudden accident or injury resulting from a motor vehicle collision,
fire, mass casualty, or other cause of a sudden accident or injury
which is outside the scope of the patient's terminal condition.
7. An out-of-hospital do-not-resuscitate order is deemed revoked
at any time that a patient, or an individual authorized to act on the
patient's behalf as designated on the out-of-hospital
do-not-resuscitate order, is able to communicate in any manner the
intent that the order be revoked, without regard to the mental or
physical condition of the patient. A revocation is only effective as
to the health care provider upon communication to that provider by
the patient, an individual authorized to act on the patient's behalf
as designated in the order, or by another person to whom the
revocation is communicated.
8. The personal wishes of family members or other individuals who
are not authorized in the order to act on the patient's behalf shall
not supersede a valid out-of-hospital do-not-resuscitate order.
9. If uncertainty regarding the validity or applicability of an
out-of-hospital do-not-resuscitate order exists, a health care
provider shall provide necessary and appropriate resuscitation.
10. A health care provider shall document compliance or
noncompliance with an out-of-hospital do-not-resuscitate order and
the reasons for not complying with the order, including evidence that
the order was revoked or uncertainty regarding the validity or
applicability of the order.
11. This section shall not preclude a hospital licensed under
chapter 135B from honoring an out-of-hospital do-not-resuscitate
order entered in accordance with this section and in compliance with
established hospital policies and protocols.
Section History: Recent Form
2002 Acts, ch 1061, §5
Referred to in § 144A.2, 144A.8, 144A.10, 144A.11
Footnotes
Applicability to and validity of orders executed prior to July 1,
2002; 2002 Acts, ch 1061, §11
144A.7A OUT-OF-HOSPITAL DO-NOT-RESUSCITATE ORDERS.
1. If an attending physician issues an out-of-hospital
do-not-resuscitate order for an adult patient under this section, the
physician shall use the form prescribed pursuant to subsection 2,
include a copy of the order in the patient's medical record, and
provide a copy to the patient or an individual authorized to act on
the patient's behalf.
2. The department, in collaboration with interested parties,
shall prescribe uniform out-of-hospital do-not-resuscitate order
forms and uniform personal identifiers, and shall adopt
administrative rules necessary to implement this section. The
uniform forms and personal identifiers shall be used statewide.
3. The out-of-hospital do-not-resuscitate order form shall
include all of the following:
a. The patient's name.
b. The patient's date of birth.
c. The name of the individual authorized to act on the
patient's behalf, if applicable.
d. A statement that the patient is in a terminal condition.
e. The physician's signature.
f. The date the form is signed.
g. A concise statement of the nature and scope of the order.
h. Any other information necessary to provide clear and
reliable instructions to a health care provider.
4. A health care provider may withhold or withdraw resuscitation
outside a hospital consistent with an out-of-hospital
do-not-resuscitate order issued under this section and the rules or
protocols adopted by the department.
5. In fulfilling the instructions of an out-of-hospital
do-not-resuscitate order under this chapter, a health care provider
shall continue to provide appropriate comfort care and pain relief to
the patient.
6. An out-of-hospital do-not-resuscitate order shall not apply
when a patient is in need of emergency medical services due to a
sudden accident or injury resulting from a motor vehicle collision,
fire, mass casualty, or other cause of a sudden accident or injury
which is outside the scope of the patient's terminal condition.
7. An out-of-hospital do-not-resuscitate order is deemed revoked
at any time that a patient, or an individual authorized to act on the
patient's behalf as designated on the out-of-hospital
do-not-resuscitate order, is able to communicate in any manner the
intent that the order be revoked, without regard to the mental or
physical condition of the patient. A revocation is only effective as
to the health care provider upon communication to that provider by
the patient, an individual authorized to act on the patient's behalf
as designated in the order, or by another person to whom the
revocation is communicated.
8. The personal wishes of family members or other individuals who
are not authorized in the order to act on the patient's behalf shall
not supersede a valid out-of-hospital do-not-resuscitate order.
9. If uncertainty regarding the validity or applicability of an
out-of-hospital do-not-resuscitate order exists, a health care
provider shall provide necessary and appropriate resuscitation.
10. A health care provider shall document compliance or
noncompliance with an out-of-hospital do-not-resuscitate order and
the reasons for not complying with the order, including evidence that
the order was revoked or uncertainty regarding the validity or
applicability of the order.
11. This section shall not preclude a hospital licensed under
chapter 135B from honoring an out-of-hospital do-not-resuscitate
order entered in accordance with this section and in compliance with
established hospital policies and protocols.
Section History: Recent Form
2002 Acts, ch 1061, §5
Referred to in § 144A.2, 144A.8, 144A.10, 144A.11
Footnotes
Applicability to and validity of orders executed prior to July 1,
2002; 2002 Acts, ch 1061, §11
144A.7A OUT-OF-HOSPITAL DO-NOT-RESUSCITATE ORDERS.
1. If an attending physician issues an out-of-hospital
do-not-resuscitate order for an adult patient under this section, the
physician shall use the form prescribed pursuant to subsection 2,
include a copy of the order in the patient's medical record, and
provide a copy to the patient or an individual authorized to act on
the patient's behalf.
2. The department, in collaboration with interested parties,
shall prescribe uniform out-of-hospital do-not-resuscitate order
forms and uniform personal identifiers, and shall adopt
administrative rules necessary to implement this section. The
uniform forms and personal identifiers shall be used statewide.
3. The out-of-hospital do-not-resuscitate order form shall
include all of the following:
a. The patient's name.
b. The patient's date of birth.
c. The name of the individual authorized to act on the
patient's behalf, if applicable.
d. A statement that the patient is in a terminal condition.
e. The physician's signature.
f. The date the form is signed.
g. A concise statement of the nature and scope of the order.
h. Any other information necessary to provide clear and
reliable instructions to a health care provider.
4. A health care provider may withhold or withdraw resuscitation
outside a hospital consistent with an out-of-hospital
do-not-resuscitate order issued under this section and the rules or
protocols adopted by the department.
5. In fulfilling the instructions of an out-of-hospital
do-not-resuscitate order under this chapter, a health care provider
shall continue to provide appropriate comfort care and pain relief to
the patient.
6. An out-of-hospital do-not-resuscitate order shall not apply
when a patient is in need of emergency medical services due to a
sudden accident or injury resulting from a motor vehicle collision,
fire, mass casualty, or other cause of a sudden accident or injury
which is outside the scope of the patient's terminal condition.
7. An out-of-hospital do-not-resuscitate order is deemed revoked
at any time that a patient, or an individual authorized to act on the
patient's behalf as designated on the out-of-hospital
do-not-resuscitate order, is able to communicate in any manner the
intent that the order be revoked, without regard to the mental or
physical condition of the patient. A revocation is only effective as
to the health care provider upon communication to that provider by
the patient, an individual authorized to act on the patient's behalf
as designated in the order, or by another person to whom the
revocation is communicated.
8. The personal wishes of family members or other individuals who
are not authorized in the order to act on the patient's behalf shall
not supersede a valid out-of-hospital do-not-resuscitate order.
9. If uncertainty regarding the validity or applicability of an
out-of-hospital do-not-resuscitate order exists, a health care
provider shall provide necessary and appropriate resuscitation.
10. A health care provider shall document compliance or
noncompliance with an out-of-hospital do-not-resuscitate order and
the reasons for not complying with the order, including evidence that
the order was revoked or uncertainty regarding the validity or
applicability of the order.
11. This section shall not preclude a hospital licensed under
chapter 135B from honoring an out-of-hospital do-not-resuscitate
order entered in accordance with this section and in compliance with
established hospital policies and protocols.
Section History: Recent Form
2002 Acts, ch 1061, §5
Referred to in § 144A.2, 144A.8, 144A.10, 144A.11
Footnotes
Applicability to and validity of orders executed prior to July 1,
2002; 2002 Acts, ch 1061, §11
