Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 24 - Division of Health › Rule 016.24.05-003 - Rules for Emergency Medical Services Do Not Resuscitate

Current through Register Vol. 49, No. 6, June, 2024
SECTION I. AUTHORITY
The following Rules and Regulations Pertaining to Emergency
				Medical Services are duly adopted and promulgated by the Arkansas State Board
				of Health pursuant to the authority expressly conferred by Act 1101 of 1993
				(Ark. Code Ann. §
									20-13-901
et
				seq
.) and the laws of the State of Arkansas including without
				limitation, Act 96 of 1913 (Ark. Code Ann. §
									20-7-109 )
DEFINITIONS
1.1 -
			 Definitions:
The following words and terms, when used in these regulations,
				shall have the following meaning unless the context clearly indicates
				otherwise:
"Ambulance Service" means those services authorized and
				licensed by the Department to provide care and transportation of patients upon
				the streets and highways of Arkansas.
"Attending Physician" means the physician who has the primary
				responsibility for the treatment and care of the patient.
"Board" means the State Board of Health.
"Cardiac Arrest" means the cessation of a functional
				heartbeat.
"Cardiopulmonary Resuscitation" means medical procedures
				including: cardiac compression, endotracheal intubation and other advanced
				airway management, artificial ventilation, defibrillation, administration of
				cardiac resuscitation medications, and related procedures.
"Department" means the Division of Health.
"Director" means the State Health Division Director.
"Emergency Medical Services (EMS)" means the transportation and
				medical care provided the ill or injured prior to arrival at a medical facility
				by a certified emergency medical technician (EMT) or other healthcare provider
				and continuation of the initial emergency care within a medical facility
				subject to the approval of the medical staff and governing board of that
				facility.
"Emergency Medical Services Do Not Resuscitate Order ("EMS/DNR
				Order") means a written physician's order in a form consistent with section 2.1
				which authorizes emergency medical services personnel to withhold or withdraw
				cardiopulmonary resuscitation from a particular patient in the event of cardiac
				or respiratory arrest.
"Emergency Medical Services Personnel" ("EMS Personnel") means
				paid or volunteer firefighters, law enforcement officers, first responders,
				emergency medical technicians, or other emergency personnel acting within the
				ordinary course of their professions.
"Emergency Medical Services Do Not Resuscitate ("EMS/DNR")
				Order Implementation Protocol" means a set of instructions developed by the
				emergency medical service provider to respond to emergency medical needs and
				approved by the Medical Director of the Emergency Medical Services
				provider.
"EMS/DNR Order Form" means a document as approved by the Board,
				or one created or used by a physician that is consistent with these
				regulations.
"Health Care Proxy" is a person eighteen (18) years old or
				older appointed by the patient as attorney-in-fact to make health care
				decisions including the withholding or withdrawal of life-sustaining treatment
				If a qualified patient, In the opinion of the attending physician, Is
				permanently unconscious, incompetent, of otherwise mentally or physically
				incapable of communication, as specified in AR Statutes
				20-17-201(10).
"No Code or DNR" means an instruction or order to withhold
				cardiopulmonary resuscitation (cardiac compression, endotracheal intubation and
				other advanced airway management, artificial ventilation, defibrillation,
				administration of cardiac resuscitation medications, and related procedures)
				from the patient in the event of the patient's cardiac or respiratory
				arrest.
"Respiratory Arrest" means cessation of breathing.