{"ref":"FL-HC-CR-04","title":"Advance Directives and Do Not Resuscitate Orders","category":"Client rights","summary":"States the Agency's position on advance directives, as Rule 59A-8.0245, F.A.C., requires; gives each adult client, in advance of services, AHCA's advance directive brochure or another written description of Florida law and the Agency's policy; records whether the client has an advance directive and keeps a copy or a record of the request; never conditions services on executing or waiving one; and tells staff exactly when cardiopulmonary resuscitation (CPR) is withheld because a valid Do Not Resuscitate Order is present.","inShort":["Know whether your client has a Do Not Resuscitate Order (DNRO) and where it is kept. It is on the written assignment or task plan.","If the client stops breathing and there is no valid DNRO: call 911. Aides and CNAs start CPR.","If there is a valid DNRO: do not start CPR. Call 911, tell the dispatcher there is a DNRO, and give it to the responders.","Never withhold CPR because a family member asks, and never sign or witness a client's advance directive.","If a client says he or she wants to change or cancel an advance directive, tell the office the same day."],"primaryCitation":"Rule 59A-8.0245, F.A.C.","citations":["Rule 59A-8.0245, F.A.C.","s. 400.487(7), F.S.","s. 401.45(3), F.S.","Rule 64J-2.018, F.A.C.","s. 765.101, F.S.","s. 765.104, F.S.","s. 765.110, F.S.","s. 765.202, F.S.","s. 400.474(1), F.S.","Rule 59A-8.0095(5)(k), F.A.C."],"federalCitations":[],"surveyorAsks":["Show me where this adult client received advance directive information before services started.","Does the record show whether the client has an advance directive, and a copy or your request for one?"],"forms":[{"ref":"FL-HC-CR-04-A","title":"Advance Directive and DNRO Acknowledgment"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Rule 59A-8.0245, F.A.C.)","5. The Agency's Position on Advance Directives","6. Information Given Before Services","7. Advance Directives in the Record and in the Home","8. Do Not Resuscitate Orders","9. What Staff Do When a Client Stops Breathing or Has No Pulse","10. Clients of a Homemaker and Companion Registrant","11. Changes and Revocation","12. No Condition and No Pressure","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"fl-hca","state":"Florida","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}}