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PA Bulletin, Doc. No. 03-832

NOTICES

Out-of-Hospital Do-Not-Resuscitate Items Vendor

[33 Pa.B. 2226]

   Under 28 Pa. Code § 1051.21(c) (relating to securing out-of-hospital DNR orders, bracelets and necklaces), the Department of Health (Department) has contracted with Philip Levin Company to serve as the vendor from which physicians and their agents may purchase out-of-hospital do-not-resuscitate (DNR) order forms, bracelets and necklaces to provide to qualified patients or the surrogates of those patients. An out-of-hospital DNR order, bracelet or necklace may be issued for a qualified patient only by a physician who has primary responsibility for the medical care and treatment of that patient. A displayed out-of-hospital DNR order, bracelet and necklace directs emergency medical services providers to withhold providing cardiopulmonary resuscitation to the patient in the event the patient experiences cardiac or respiratory arrest.

   Forms to purchase out-of-hospital DNR order forms, bracelets and necklaces may be secured from Philip Levin Company, 3301-C Hoffman Street, Harrisburg, PA 17110, (717) 233-8844. Alternatively, the form may be secured from the Department's website, www.health.state.pa.us, through the link pertaining to out-of-hospital DNR orders. Upon completion of the Out-of-Hospital DNR Supply Order Form, physicians or their agents may send the completed form to Philip Levin Company by fax to (717) 233-6574 or mail.

   Persons with a disability who require an alternate format of this notice (for example, large print, audiotape, Braille) should contact Robert Gaumer, Department of Health, Emergency Medical Services Office, Room 1032, Health and Welfare Building, Harrisburg, PA 17120, (717) 787-8740. Speech or hearing impaired persons may use V/TT: (717) 783-6154 or the Pennsylvania AT&T Relay Service at (800) 654-5984 [TT].

ROBERT S. MUSCALUS, D.O.,   
Acting Secretary

[Pa.B. Doc. No. 03-832. Filed for public inspection May 2, 2003, 9:00 a.m.]


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