{"ref":"DC-HC-CR-02","title":"Client Representatives, Advance Directives, and MOST","category":"Client rights","summary":"Sets out who may act as a client representative and how the Agency records and works with one, how the Agency asks about, records and locates each client's advance directives (living will and durable power of attorney for health care), general power of attorney or guardianship papers and MOST form, what staff do and never do with these documents, and how they are used in an emergency.","inShort":["A client representative is the person the client names in the service agreement, or a person with legal authority such as a power of attorney or guardian.","Always speak to the client first. Involve the representative as the client wishes or as the legal papers allow.","Know where the client keeps any MOST form or advance directive. It is on the emergency information sheet.","Never sign as a witness, act as an agent, or help fill in or change an advance directive or MOST form.","In an emergency call 911 and give EMS the MOST form or advance directive if you can find it quickly. EMS decides what applies."],"primaryCitation":"22-B DCMR §9910.1(e)","citations":["22-B DCMR §9910.1(e)","22-B DCMR §9910.1(f)","22-B DCMR §9910.1(g)","22-B DCMR §9911.1(d)","22-B DCMR §9914.2(a)","22-B DCMR §9914.2(e)","22-B DCMR §9914.2(f)","22-B DCMR §9914.2(g)","22-B DCMR §9916.2(b)","22-B DCMR §9916.2(e)","22-B DCMR §9999.1","D.C. Code §21-2201 et seq.","D.C. Code §21-2202","D.C. Code §21-2204","D.C. Code §21-2205","D.C. Code §21-2210","D.C. Code §21-2221.01 et seq.","D.C. Code §7-621 et seq."],"federalCitations":[],"surveyorAsks":["Who is this client's representative, and where is the written designation or legal document in the record?","Does this client have a living will, a durable power of attorney for health care or a MOST form? Where is it kept, and how do aides know?"],"forms":[{"ref":"DC-HC-CR-02-A","title":"Client Representative and Advance Directive Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (22-B DCMR §9910.1(e))","5. Who Is a Client Representative","6. Working with a Client Representative","7. Asking About Advance Directives and MOST","8. What Staff Never Do","9. Keeping the Information Current","10. Use in an Emergency","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"dc-hca","state":"Washington, DC","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}