EMSP are authorized to follow Portable Physician DNAR and PPEL Care Orders that are available, known to them, and executed in accordance with Rules 420-5-19-.02 and -.03. In honoring such orders, EMSP shall not withhold comfort care, such as I.V. fluids, oxygen, suction, control of bleeding, administration of pain medication, and the provision of palliative and supportive care. In no event shall an EMSP honor such orders for any patient who is able to, and does express to such personnel the desire to be provided resuscitative measures.

Author: William Crawford, M.D.; Jamie Gray

Statutory Authority: Code of Ala. 1975, §22-18-1, et seq.

Editor’s Note: Rule 420-2-1-.17 was repealed as per certification Filed March 20, 2001; effective April 24, 2001. As a result of this Rule 420-2-1-.20 was renumbered to 420-2-1-.19. Rule .19 was renumbered to .31 as per certification filed April 20, 2011; effective May 25, 2011. Rule 420-2-1-.31 was renumbered 420-2-1-.04 as per certification Filed February 20, 2019; effective April 7, 2019.

History: New Rule: Filed September 20, 1996; effective October 24, 1996. Amended: Filed March 20, 2001; effective April 24, 2001. Repealed and New Rule: Filed December 17, 2007; effective January 21, 2008. Repealed and New Rule: Filed April 20, 2011; effective May 25, 2011. Repealed and New Rule: Filed March 16, 2017; effective April 30, 2017. Repealed and New Rule: Filed February 20, 2019; effective April 7, 2019. Amended: Published September 31, 2019; effective November 14, 2019. Repeal and New Rule: Published April 30, 2020; effective June 14, 2020. Repeal and New Rule: Published February 28, 2022; effective April 14, 2022.