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Rule 44:05:06 EMS CARDIOPULMONARY RESUSCITATION DIRECTIVES

CHAPTER 44:05:06

EMS CARDIOPULMONARY RESUSCITATION DIRECTIVES

Section

44:05:06:01        Standard form may be used.

44:05:06:02        Contents of standard form.

44:05:06:03        Disposition of form.

44:05:06:04        Optional bracelet may be purchased.

44:05:06:05        Identification of persons with a standard form for an EMS cardiopulmonary resuscitation directive.

44:05:06:06        Procedures to be withheld on a person in cardiac arrest with an apparently valid standard form or bracelet.

44:05:06:07        Procedures to be withheld on a person with an apparently valid standard form or bracelet and not in cardiac arrest.

44:05:06:08        Procedures allowed on a person with an apparently valid standard form or bracelet and not in cardiac arrest.

44:05:06:09        Notice of revocation of an EMS cardiopulmonary resuscitation directive.

44:05:06:10        Absence of an EMS cardiopulmonary resuscitation directive.

44:05:06:11        Non-standard form cardiopulmonary resuscitation directive.


Rule 44:05:06:01 Standard form may be used.

          44:05:06:01.  Standard form may be used. If a person wishes to direct emergency medical service personnel to withhold resuscitation attempts when the person is in cardiopulmonary arrest, the person may complete a standard form for an EMS cardiopulmonary resuscitation directive as provided by this chapter. The department shall provide the standard form to physicians, physician assistants, and nurse practitioners.

 

          Source: 32 SDR 38, effective September 5, 2005; 41 SDR 218, effective July 1, 2015.

          General Authority: SDCL 34-12F-3.

          Law Implemented: SDCL 34-12F-3.

 


Rule 44:05:06:02 Contents of standard form. ARTICLE 44:05

          44:05:06:02.  Contents of standard form. The standard form for an EMS cardiopulmonary resuscitation directive shall include the following information concerning the person who is the subject of the EMS cardiopulmonary resuscitation directive:

 

          (1)  The person's name, date of birth, and gender;

          (2)  The person's eye and hair color;

          (3)  The person's race or ethnic background;

          (4)  If applicable, the name of the hospice program in which the person is enrolled;

          (5)  The name, address, telephone number, and signature of the person's attending physician, physician assistant, or nurse practitioner;

          (6)  The person's signature or mark, or, if applicable, the signature of a person authorized to execute an EMS cardiopulmonary resuscitation directive;

          (7)  The date on which the EMS cardiopulmonary resuscitation directive was signed; and

          (8)  A statement directing emergency medical service personnel to withhold cardiopulmonary resuscitation attempts.

 

          Source: 32 SDR 38, effective September 5, 2005.

          General Authority: SDCL 34-12F-3.

          Law Implemented: SDCL 34-12F-3.

 


Rule 44:05:06:03 Disposition of form.

          44:05:06:03.  Disposition of form. The standard form shall be in triplicate and be distributed as follows:

 

          (1)  The original shall be kept by the person named on the form;

          (2)  The first copy shall be maintained by the physician, physician assistant, or nurse practitioner signing the form; and

          (3)  The second copy shall be mailed to the department by the physician, physician assistant, or nurse practitioner signing the form.

 

          Source: 32 SDR 38, effective September 5, 2005; 41 SDR 218, effective July 1, 2015.

          General Authority: SDCL 34-12F-3.

          Law Implemented: SDCL 34-12F-3.

 


Rule 44:05:06:04 Optional bracelet may be purchased.

          44:05:06:04.  Optional bracelet may be purchased. Any person with a standard form for an EMS cardiopulmonary resuscitation directive completed pursuant to this chapter may purchase a bracelet from the department indicating the person has completed an EMS cardiopulmonary resuscitation directive pursuant to this chapter.

 

          Source: 32 SDR 38, effective September 5, 2005; 41 SDR 218, effective July 1, 2015.

          General Authority: SDCL 34-12F-3.

          Law Implemented: SDCL 34-12F-3.

 


Rule 44:05:06:05 Identification of persons with a standard form for an EMS cardiopulmonary resuscitation directive. ARTICLE 44:05

          44:05:06:05.  Identification of persons with a standard form for an EMS cardiopulmonary resuscitation directive. Emergency medical service personnel shall recognize that a person has executed an EMS cardiopulmonary resuscitation directive pursuant to this chapter if:

 

          (1)  The personnel are presented with the standard form completed pursuant to this chapter; or

          (2)  The person is wearing a bracelet issued as provided by this chapter.

 

          Source: 32 SDR 38, effective September 5, 2005.

          General Authority: SDCL 34-12F-3.

          Law Implemented: SDCL 34-12F-3.

 


Rule 44:05:06:06 Procedures to be withheld on a person in cardiac arrest with an apparently valid standard form or bracelet ARTICLE 44:05

          44:05:06:06.  Procedures to be withheld on a person in cardiac arrest with an apparently valid standard form or bracelet. If a person with an apparently valid standard form for an EMS cardiopulmonary resuscitation directive or bracelet as provided by this chapter goes into cardiac or respiratory arrest, emergency medical service personnel shall withhold, or, if already begun, immediately withdraw the following resuscitation measures:

 

          (1)  Chest compressions;

          (2)  Defibrillation;

          (3)  Advanced airway procedures;

          (4)  Assisted breathing; or

          (5)  Administration of resuscitation medications.

 

          Source: 32 SDR 38, effective September 5, 2005.

          General Authority: SDCL 34-12F-3.

          Law Implemented: SDCL 34-12F-3.

 


Rule 44:05:06:07 Procedures to be withheld on a person with an apparently valid standard form or bracelet and not in cardiac arrest. ARTICLE 44:05

          44:05:06:07.  Procedures to be withheld on a person with an apparently valid standard form or bracelet and not in cardiac arrest. If a person with an apparently valid standard form for an EMS cardiopulmonary resuscitation directive or bracelet as provided in this chapter is dying in the natural course of an illness or disease but has not gone into cardiac arrest, emergency medical service personnel shall withhold, or, if already begun, immediately withdraw the following resuscitation measures:

 

          (1)  Advanced airway procedures;

          (2)  Cardiac medications; and

          (3)  Assisted breathing.

 

          Source: 32 SDR 38, effective September 5, 2005.

          General Authority: SDCL 34-12F-3.

          Law Implemented: SDCL 34-12F-3.

 


Rule 44:05:06:08 Procedures allowed on a person with an apparently valid standard form or bracelet and not in cardiac arrest. ARTICLE 44:05

          44:05:06:08.  Procedures allowed on a person with an apparently valid standard form or bracelet and not in cardiac arrest. If a person with an apparently valid standard form for an EMS cardiopulmonary resuscitation directive or bracelet as provided by this chapter is dying in the natural course of illness or disease but has not gone into cardiac arrest, emergency medical service personnel may perform the following measures:

 

          (1)  Assist with maintaining an open airway, including suctioning;

          (2)  Administer oxygen;

          (3)  Administer pain medications (if authorized by a physician);

          (4)  Control bleeding; and

          (5)  Provide comfort care and emotional support to both patient and family.

 

          Source: 32 SDR 38, effective September 5, 2005.

          General Authority: SDCL 34-12F-3.

          Law Implemented: SDCL 34-12F-3.

 


Rule 44:05:06:09 Notice of revocation of an EMS cardiopulmonary resuscitation directive.

          44:05:06:09.  Notice of revocation of an EMS cardiopulmonary resuscitation directive. If an EMS cardiopulmonary resuscitation directive as provided by this chapter is revoked pursuant to SDCL 34-12F-8, the person revoking the directive shall notify, in writing, the department, the attending physician, physician assistant, or nurse practitioner, and any emergency medical response agency who has actual knowledge of the EMS cardiopulmonary resuscitation directive.

 

          Source: 32 SDR 38, effective September 5, 2005; 41 SDR 218, effective July 1, 2015.

          General Authority: SDCL 34-12F-3.

          Law Implemented: SDCL 34-12F-3.

 


Rule 44:05:06:10 Absence of an EMS cardiopulmonary resuscitation directive. ARTICLE 44:05

          44:05:06:10.  Absence of an EMS cardiopulmonary resuscitation directive. In the absence of any valid EMS cardiopulmonary resuscitation directive, emergency medical service personnel shall presume a person's consent to cardiopulmonary resuscitation.

 

          Source: 32 SDR 38, effective September 5, 2005.

          General Authority: SDCL 34-12F-3.

          Law Implemented: SDCL 34-12F-3.

 


Rule 44:05:06:11 Non-standard form cardiopulmonary resuscitation directive. ARTICLE 44:05

          44:05:06:11.  Non-standard form cardiopulmonary resuscitation directive. Any competent adult may execute a cardiopulmonary resuscitation directive by other than the standard form for an EMS cardiopulmonary resuscitation directive. If emergency medical services personnel are presented with such a directive, the personnel may comply with the directive to the best of their understanding of it and their ability to do so, consistent with their training, the protocols under which their agency operates, and any medical direction received.

 

          Source: 32 SDR 38, effective September 5, 2005.

          General Authority: SDCL 34-12F-3.

          Law Implemented: SDCL 34-12F-3.

 


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