Do Not Resuscitate (DNR)
Out-of-Hospital Nonresuscitation Act (169 of 2006)
This act is specific to emergency medical service personnel and does not pertain to schools. It is up to each school entity to determine whether or not they will honor a DNR order. Below are some factors to take into consideration:
- Each request for a DNR order should be considered on a case-by-case basis.
- Schools should notify and work with local Emergency Medical Services (EMS) upon receiving a request. It is important to start the conversation with EMS when working on emergency planning before a request for a DNR order is received.
A Guide for Patients and Families
Out-of-Hospital Nonresuscitation Act
On Nov. 29, 2006, Pennsylvania enacted a statute (P.L. 1484, No. 169) that repealed the DNR Act and replaced it with the Out-of-Hospital Nonresuscitation Act (Act) (20 Pa.C.S. 5481-5488). The effective date of the Act is Jan. 28, 2007. The Act empowers a person with an end-stage medical condition, or an appropriate representative of that person, to secure an out-of-hospital DNR order and, at the person's option or the option of an authorized representative, an out-of-hospital DNR bracelet or necklace. These items, just as those that were issued under the former DNR Act, direct EMS personnel in the out-of-hospital setting not to provide the person for whom they were issued with CPR in the event of the person's cardiac or respiratory arrest. The Act also specifies the circumstances under which an appropriate representative of a person who issued a living will under the Living Will Act (20 Pa.C.S. 5441-5447) is able to secure an out-of-hospital DNR order, bracelet or necklace for the person. (The Living Will Act replaced the Advance Declaration for Health Care Act. Hereafter, the repealed Advance Declaration for Health Care Act will be referred to as "the former Living Will Act" and a declaration issued under that statute will be referred to as a "living will," the same as a living will under the Living Will Act.)
More DNR Information