{"ref":"FL-HH-PR-02","title":"Advance Directives and Do Not Resuscitate Orders","category":"Client rights","summary":"States the Agency's position on Florida advance directive law, requires each adult patient to receive the AHCA advance directive brochure (or an equivalent description of Florida law) and the Agency's written advance directive policy in advance of services, requires the record to show whether the patient has an advance directive and to hold a copy or a documented request for one, forbids conditioning care on an advance directive, and sets how staff honor a valid Florida Do Not Resuscitate Order (DNRO).","inShort":["Before services start, every adult patient gets the state advance directive brochure and our advance directive information.","Ask whether the patient has a living will, a health care surrogate, or a Do Not Resuscitate Order (DNRO). Put a copy in the record, or write down that you asked for one.","Never require a patient to sign or give up an advance directive to get care.","Only a valid Florida DNRO lets you withhold CPR. A living will or a family request is not enough.","If a patient stops breathing and there is no valid DNRO, call 911 and start CPR if you are trained."],"primaryCitation":"Rule 59A-8.0245, F.A.C.","citations":["Rule 59A-8.0245, F.A.C.","Rule 59A-8.0245(1), F.A.C.","Rule 59A-8.0245(2), F.A.C.","Rule 59A-8.0245(3), F.A.C.","s. 400.487(7), F.S.","s. 401.45, F.S.","Rule 64J-2.018, F.A.C.","s. 765.110, F.S.","s. 765.101, F.S.","s. 765.401, F.S.","Chapter 765, F.S.","s. 400.474(1), F.S."],"federalCitations":["42 CFR §489.102","42 CFR §484.60(a)(2)(xv)"],"surveyorAsks":["When do you give patients advance directive information? Show me where this patient's record says whether the patient has an advance directive.","This patient has a living will. Where is the copy? If you do not have it, where did you document that you asked for it?"],"forms":[{"ref":"FL-HH-PR-02-A","title":"Advance Directive Information and Acknowledgment"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Rule 59A-8.0245, F.A.C.)","5. Information Given Before Services Begin","6. Asking About and Recording Advance Directives","7. Patients Who Are Incapacitated at the Start of Care","8. What Staff Need to Know About Florida Advance Directives","9. Statement of Limitation","10. Do Not Resuscitate Orders","10.1 Checking a DNRO","10.2 Response to a Cardiac or Respiratory Arrest During a Visit","11. Complaints, Staff Education, and Community Education","12. Prohibited Conduct","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-hha","state":"Florida","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}}