{"ref":"DC-HH-PR-02","title":"Advance Directives, Medical Orders for Scope of Treatment, and Do-Not-Resuscitate Orders","category":"Client rights","summary":"Requires the Agency to give every adult patient written information on advance directives before care starts, record in a prominent place whether the patient has a durable power of attorney for health care or a MOST Form, follow District law on who may decide for an incapacitated patient, keep and transfer MOST Forms, act correctly in an emergency when a MOST Form or do-not-resuscitate order is present or uncertain, and never condition care on whether a patient has an advance directive.","inShort":["Before care starts, the nurse gives every adult patient information on advance directives and MOST Forms and records whether the patient has one.","Know where the patient’s MOST Form is kept and what it says. Check the alert on the patient’s record.","Never witness or help write a patient’s durable power of attorney for health care. The law does not allow Agency staff to be witnesses.","In an emergency call 911. If there is a valid MOST Form, follow it and give it to the responders. If you are not sure it is still valid, act as if there were none.","If a patient says a MOST Form or other instruction has changed or been canceled, tell the nurse at once."],"primaryCitation":"22-B DCMR §3908.1","citations":["22-B DCMR §3908.1","22-B DCMR §3908.2","22-B DCMR §3912.2","22-B DCMR §3914.3","D.C. Code §21-2201","D.C. Code §21-2202","D.C. Code §21-2204","D.C. Code §21-2205","D.C. Code §21-2206","D.C. Code §21-2210","D.C. Code §21-2221.01","D.C. Code §21-2221.04","D.C. Code §21-2221.05","D.C. Code §21-2221.06","D.C. Code §21-2221.07","D.C. Code §21-2221.08"],"federalCitations":["42 CFR §489.102","42 CFR §484.60(a)(2)","42 CFR §484.50(c)(4)"],"surveyorAsks":["Show me the advance directive information you give patients and when this patient received it.","Where in the record do you note whether the patient has a durable power of attorney for health care or a MOST Form?"],"forms":[{"ref":"DC-HH-PR-02-A","title":"Advance Directive Information and Acknowledgment"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (22-B DCMR §3908.1(e)-(f); 42 CFR §489.102)","5. Information Given Before Care","6. Recording Advance Directives and MOST Forms","7. Durable Power of Attorney for Health Care and Substituted Consent","8. MOST Forms","9. In an Emergency","10. Education of Staff and the Community","11. Complaints","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"dc-hha","state":"Washington, DC","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}