10/01/2026
Deputy Chief Dustin Fitch has been a first responder for over 24 years. Highlands County Fire & Rescue was created in 2018 when communities in Highlands County just could not sustain a volunteer system anymore. In that time, they have added 3 new fire trucks, with 3 more on the way. A new state of the art fire station is being built out by the racetrack, and they have received state appropriations for the new Lake Placid fire station.
After being approached by Cora Schwingel of Change of Pace to create a presentation regarding Do Not Resuscitate Orders, he has since given several talks to disseminate information to the public.
The State of Florida dictates very clear rules for first responders. There is a difference between Advance Directives and a Do Not Resuscitate Order. First Responders must see the actual DH1896, the form provided on the Florida Deptartment of Health website. It also has to be printed on yellow paper, which is required by Florida Law for enforcement. The form is a one-page form which is necessary in emergencies. It is easy for the first responders to recognize the form. They are mandatated to follow this form--NOT advance directives.
DNRO's apply to two things: an individual whose heart has stopped, or they cease to breathe on their own without intervention. Chief Fitch also pointed out that it must be the current revision of form DH-1896.
Chief Fitch suggests that you first have a talk with your friends, family and loved one about your wishes so everyone is on the same page. Your doctor must be made aware of your wishes as well, so have that conversation with them as well so they can give their okay. Download the DH-1896 form from the FLDOH website and sign it. It doesn't have to be notarized. Take it to Office Depot and have them make lots of copies. The new form has a wallet sized section you can cut out and put in your wallet. Since first responders need to see your ID, keeping it with your drivers license makes it easy to find. When you give your advanced directives to your doctors, family, and medical surrogate, include a copy of the DNRO.
Chief Fitch says the biggest part of the job is being a patient advocate. They want to follow your wishes. Always call 911! Our first responders want to provide us with the best care possible. He pointed out that if a person is a DNRO-possessing individual, there is no charge if that person passes on the scene, or in the back of the ambulance. In fact, his department is recognized as being in the top 1% in the Southeast US for correct billing.
To find the DNR order form, and read more information on the laws, please visit
AÂ do not resuscitate order (DNRO)Â is a form or patient identification device developed by the Florida Department of Health to identify people who do