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Valid South Dakota Do Not Resuscitate Order Document

A South Dakota Do Not Resuscitate Order (DNR) form is a legal document that allows individuals to express their wishes regarding resuscitation efforts in the event of a medical emergency. By completing this form, individuals can ensure that their preferences are respected and communicated to healthcare providers. If you want to take control of your medical decisions, consider filling out the form by clicking the button below.

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The South Dakota Do Not Resuscitate (DNR) Order form serves as a crucial document for individuals who wish to express their preferences regarding medical treatment in the event of a life-threatening situation. This form allows patients to communicate their desire not to receive cardiopulmonary resuscitation (CPR) or other life-saving measures if their heart stops or they stop breathing. It is essential for ensuring that a person's wishes are respected by medical professionals and emergency responders. The DNR Order must be signed by a physician and should include specific details, such as the patient's name, date of birth, and the signature of the patient or their legal representative. Additionally, the form may require the inclusion of a witness signature to validate the document. Understanding the implications of this order is vital for individuals, families, and healthcare providers, as it facilitates informed decisions about end-of-life care while promoting patient autonomy and dignity.

Document Example

South Dakota Do Not Resuscitate Order

This document serves as a Do Not Resuscitate (DNR) Order in accordance with the specific statutes of South Dakota. It indicates the wish of the undersigned individual or his/her authorized legal representative that no resuscitation should be done in case of cardiac or respiratory arrest.

Please fill in the required information where indicated:

Patient Information

Name: ________________________________________
Date of Birth: _______________________________
Address: _____________________________________
City: ___________________ State: SD Zip: ________

Legal Representative Information (if applicable)

Name: ________________________________________
Relationship to Patient: _______________________
Contact Number: ______________________________

Physician Information

Name: ________________________________________
License Number: _____________________________
Contact Number: ______________________________

By signing this document, the individual or their authorized legal representative acknowledges their understanding that:

Resuscitation will not be attempted if the person's heart stops beating or if they stop breathing.
This order does not impact the provision of other medical treatments aimed at providing comfort and pain relief.
The order can be revoked at any time by the patient or their legal representative.

This document must be signed by the patient (or their legal representative) and the attending physician to be valid.

Signature of Patient or Legal Representative

_________________________________________ Date: ________________

Signature of Attending Physician

_________________________________________ Date: ________________

This DNR order is subject to the laws and regulations of the state of South Dakota. It is recommended that this document be reviewed by a legal advisor familiar with such laws.

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File Features

Fact Name	Description
Definition	A Do Not Resuscitate (DNR) Order is a legal document that instructs medical personnel not to perform cardiopulmonary resuscitation (CPR) in the event of cardiac arrest.
Governing Law	The South Dakota Do Not Resuscitate Order is governed by South Dakota Codified Laws, specifically SDCL 34-12C.
Eligibility	Any adult capable of making their own healthcare decisions can complete a DNR order. This includes individuals with terminal illnesses or severe medical conditions.
Form Requirements	The DNR order must be signed by the patient or their legal representative and a physician to be valid.
Location of Form	Patients should keep the DNR order in an easily accessible location, such as on their refrigerator or with their medical records.
Revocation	Patients can revoke a DNR order at any time, verbally or in writing, as long as they are competent to do so.
Emergency Services	Emergency medical services (EMS) personnel are required to honor a valid DNR order presented at the scene of a medical emergency.
Advance Directives	A DNR order is a type of advance directive, which allows individuals to express their healthcare preferences in advance of a medical crisis.
Public Awareness	Education about DNR orders is crucial for patients and families to ensure informed decision-making regarding end-of-life care.

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