in-20260325-IR-836260097NRA: INDIANA EMERGENCY MEDICAL SERVICES COMMISSION

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Summary

ADOPTED BY: Indiana Emergency Medical Services Commission (EMSC) The Indiana Department of Homeland Security (IDHS) and the Indiana EMS Commission develop this policy to provide guidance on Do Not Resuscitate devices and recognition by field clinicians. This policy addresses identification devices for do not resuscitate (DNR) orders. IC 16-36-5-17 assigns the Indiana EMS Commission with developing out of hospital DNR identification devices. A. The Indiana EMS Commission recognizes and authorizes any field clinician to recognize any medical DNR identification device, regardless of vendor, that meets the following standards: B. Because IC 16-36-5-17 requires an actual DNR declaration and order meeting the statutory requirements, therefore only a bracelet and necklace that complies with the foregoing and issued based upon an actual DNR declaration and order will be accepted. Any vendor shall produce the actual DNR declaration and order upon request by an EMS provider if the DNR order is recognized and relied upon in the prehospital setting. C. Because of the time constraints related to cardiac arrest and a need for timely determination of DNR status, a field clinician may rely upon a DNR bracelet or necklace with the above elements when acting in good faith. The actual DNR declaration may be requested from the vendor post-response.

The agency’s own summary, as published.

The rule, in full

238 words as published, March 25, 2026. View the original →

INDIANA EMERGENCY MEDICAL SERVICES COMMISSION NONRULE POLICY DOCUMENT TITLE: EMS – Do Not Resuscitate Devices DOCUMENT #: 2026-1 – EMSC DATE ADOPTED: March 13, 2026 ADOPTED BY: Indiana Emergency Medical Services Commission (EMSC) Overview The Indiana Department of Homeland Security (IDHS) and the Indiana EMS Commission develop this policy to provide guidance on Do Not Resuscitate devices and recognition by field clinicians. Background This policy addresses identification devices for do not resuscitate (DNR) orders. IC 16-36-5-17 assigns the Indiana EMS Commission with developing out of hospital DNR identification devices. Policy A. The Indiana EMS Commission recognizes and authorizes any field clinician to recognize any medical DNR identification device, regardless of vendor, that meets the following standards: B. Because IC 16-36-5-17 requires an actual DNR declaration and order meeting the statutory requirements, therefore only a bracelet and necklace that complies with the foregoing and issued based upon an actual DNR declaration and order will be accepted. Any vendor shall produce the actual DNR declaration and order upon request by an EMS provider if the DNR order is recognized and relied upon in the prehospital setting. C. Because of the time constraints related to cardiac arrest and a need for timely determination of DNR status, a field clinician may rely upon a DNR bracelet or necklace with the above elements when acting in good faith. The actual DNR declaration may be requested from the vendor post-response. Replaces Policy Document: New

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