The Homewood Fire Department provides both Basic Life Support (BLS) and Advanced Life Support (ALS) emergency medical services. An ALS call represents the highest level of care that the Department provides and may include the administration of various medications. Basic Life Support medical services are less serious in nature and do not require advanced medical care.
Contact the Fire Department at 708-206 -3400 regarding any questions pertaining to Emergency Medical Services.
Do Not Resuscitate Information
If you have a serious or terminal illness, you may not want CPR (cardiopulmonary resuscitation) or other forms of resuscitation if they would only prolong your death and perhaps increase your pain. In such cases, your doctor may write a "DNR" (do not resuscitate) order in your medical record. This "do-not-resuscitate" order authorizes other healthcare providers to withhold measures to restart your heart or breathing.
Illinois has a "pre-hospital" DNR program that can make your wishes known to emergency responders and others outside the hospital setting. This program is primarily designed to help people in the final stages of a terminal illness or who are suffering from another serious condition and are certain they do not want to receive emergency treatment.
Pre-Hospital DNR Program
Paramedics and other emergency responders working outside the hospital generally have a duty to provide CPR and other forms of resuscitation. But some people may not want to be revived. Over half of the states now have "pre-hospital" DNR programs so that a doctor's DNR order can be honored outside of the hospital setting. Illinois’ program is administered by the Illinois Department of Public Health.
Getting More Information
If you want to learn more about pre-hospital DNR programs, discuss the issue with your physician. He or she can explain what will happen if you decide to forego resuscitation and whether it is medically appropriate for you to do so.
If you need more information after talking with your physician, you may wish to contact a local hospice or similar organization, professionals such as nurses, social workers, counselors, and chaplains for additional information.
The Illinois Department of Public Health’s Advance Directives and DNR information site contains detailed information about the Illinois DNR program, as well as the officially recognized DNR form. For additional information regarding DNR decisions, you may also search the Internet using the search term "do not resuscitate."
DNR Form Requirements
For a DNR order to be valid in the pre-hospital setting, and honored by EMS professionals such as paramedics and emergency medical technicians, it must contain certain minimum information. A valid DNR order must be a written document, which has not been revoked, containing at least the following information. The Illinois Department of Public Health has created a uniform form which should be used to indicate the patient’s wishes to pre-hospital care providers. (If the IDPH form is reproduced, brightly colored paper is to be used). The minimum required information is as follows:
- Name of patient
- Name and signature of attending physician
- Effective date
- The words "Do Not Resuscitate"
- Evidence of consent (any of the following):
- Signature of patient, or
- Signature of legal guardian, or
- Signature of durable power of attorney for health care agent, or
- Signature of surrogate decision-make
A Living Will cannot be Accepted nor Recognized by EMS Providers
Revoking a DNR Order
You (or your legal representative on your behalf) can change your mind at any time about having a DNR order. The DNR order can be revoked in a variety of ways, such as by writing “VOID” in large letters across the front of the form. If you revoke a DNR order, you also should tell your family members, as well as each health-care professional and provider that has received a copy of the order. You may then choose not to have a DNR order, or you may choose to complete a new DNR order reflecting any changes you wish.