Alaska Comfort One Program
Do Not Resuscitate Protocol and Identification
Purpose of the Comfort One (DNR) Program:
Some individuals who are terminally ill do not wish to have life-saving measures, such as cardiopulmonary resuscitation (CPR), performed on them when their breathing and heartbeat stop. The Comfort One Program was established in 1996 to help health care providers identify terminally-ill people who have expressed these wishes. State regulations contain a do-not-resuscitate (DNR) protocol for physicians and other health care providers which sets out a standardized procedure for the withholding of CPR from patients who have chosen to participate in the DNR program. In implementing the protocol, the physician or other health care provider must comply with applicable state and federal laws and regulations related to the provision of or withholding of care.
How the Program Works:
A qualified patient is enrolled in the Comfort One Program by his or her physician who fills out a Program enrollment form. The patient is given a copy of the form and a wallet card at the time of enrollment in the Program. Some patients choose to purchase an optionalComfort One© Bracelet, which provides additional evidence of Program enrollment.
Under the statewide protocol, CPR will not be started, and will be stopped if already in progress on patients who are confirmed to be enrolled in the Comfort One Program.
In 1998, a bill was passed into law which removed the duty of a peace officer to respond to an expected home death, provided that law enforcement has been notified of the impending home death and there are no suspicious or unusual circumstances surrounding the death: AS 12.65.007. A copy of the Comfort One enrollment form may be sent to law enforcement to provide advance notice of an expected home death.