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living will declaration that includes language that authorizes the withholding or withdrawal of CPR that has not been revoked pursuant to section 2133.04 of the Revised Code and that the declaration has become operative in accordance with section 2133.03 of the Revised Code;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The person has executed a living will declaration that authorizes the withholding or withdrawal of CPR and that has not been revoked pursuant to section 2133.04 of the Revised Code, and the declaration has become operative in accordance with section 2133.03 of the Revised Code; or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.
Supplemental Information