Assigned to HEA                                                                                FOR CAUCUS & FLOOR ACTION

 

 

 

 


ARIZONA STATE SENATE

Phoenix, Arizona

 

REVISED

FACT SHEET FOR S.B. 1323

 

do not resuscitate orders

 

Purpose

 

Exempts the enforcement of prehospital medical care directives for medical emergencies involving children or disabled adults in  public or private schools,  unless the school is a licensed health care institution.

 

Background

 

Prehospital medical care directives allow a person, in advance, to direct the withholding of cardiopulmonary resuscitation by emergency medical system and hospital emergency department personnel in the event the person suffers from cardiac or respiratory arrest.  Cardiopulmonary resuscitation includes cardiac compression, defibrillation, artificial ventilation, endotracheal intubation, other advanced airway management, administration of advanced cardiac life support drugs and related emergency medical procedures but does not include other medical interventions such as intravenous fluids, oxygen or other therapies deemed necessary to provide comfort care or alleviate pain.

 

In recent years, legal rulings and policy changes have expanded educational opportunities for children and adults with disabilities or handicaps.  As a result, some children who have chronic or terminal conditions may be at risk of dying while attending school.  Some of these students may have a prehospital medical care directive.  According to an American Academy of Pediatrics policy statement, school officials may be concerned with the effects of do not resuscitate orders on a school.  Among potential areas of concern for school officials are the effect on other students and liability issues if school personnel misinterpret the order.

 

There are no costs to the state general fund associated with the provisions of this measure.

 

Provisions

 

1.      Exempts the enforcement of prehospital medical care directives for medical emergencies involving children or disabled adults in  public or private schools, unless the school is a licensed health care institution.

 

2.      Makes technical corrections.

 

3.      Provides for a general effective date.

 

 

Amendments Adopted in Committee

 

Specifies the exemption of enforcement of prehospital medical care directives applies only to public or private schools that are not licensed health care institutions.

 

Senate Action

 

HEA                2/20/01            DPA    8-0-0-0

 

 

Prepared by Senate Staff

February 22, 2001