{"ref":"GA-HC-CR-03","title":"Responsible Parties, Consent, and Advance Directives","category":"Client rights","summary":"Sets out who may act for a client as the client's responsible party under Ga. Comp. R. & Regs. 111-8-65-.03(r), how the Agency checks and records that authority, how consent to services is obtained and respected, and what staff do when a client has an advance directive for health care, a do-not-resuscitate order, or a POLST form under Georgia law. No private home care rule requires the Agency to give advance directive information; the advance directive steps in this policy are the Agency's own standards.","inShort":["If the client can make decisions, the client decides, even if a relative disagrees.","Only the responsible party named on the client's form may act or get information for the client. Check with the office if unsure.","Ask before every task and respect a refusal on the day, even if a family member agreed to it.","Know where the client keeps any do-not-resuscitate order or POLST form. In an emergency call 911 first and give the form to the responders.","Do not help fill in, sign or witness an advance directive. Refer questions to your supervisor."],"primaryCitation":"Ga. Comp. R. & Regs. 111-8-65-.03(r)","citations":["Ga. Comp. R. & Regs. 111-8-65-.03(r)","Ga. Comp. R. & Regs. 111-8-65-.09(2)(a)","Ga. Comp. R. & Regs. 111-8-65-.09(2)(a)10","Ga. Comp. R. & Regs. 111-8-65-.09(4)(a)1","Ga. Comp. R. & Regs. 111-8-65-.09(4)(b)2","Ga. Comp. R. & Regs. 111-8-65-.11(1)","Ga. Comp. R. & Regs. 111-8-65-.12(2)","Ga. Comp. R. & Regs. 111-8-65-.12(2)(c)","O.C.G.A. §31-32-1 et seq.","O.C.G.A. §31-32-2","O.C.G.A. §31-39-1 et seq.","O.C.G.A. §31-39-2","O.C.G.A. §31-39-4","O.C.G.A. §31-39-7","O.C.G.A. §31-1-14","O.C.G.A. §29-4-1 et seq."],"federalCitations":["45 CFR §164.502(g)"],"surveyorAsks":["Who is the responsible party for this client, and what document shows their authority?","This client's daughter signed the service agreement. How did you decide she could?"],"forms":[{"ref":"GA-HC-CR-03-A","title":"Responsible Party Designation"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Ga. Comp. R. & Regs. 111-8-65-.03(r), -.09(2)(a))","5. Identifying the Responsible Party","6. Consent to Services","7. Information and Records","8. Advance Directives","9. Do-Not-Resuscitate Orders and POLST Forms","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. Points to Note","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"ga-phc","state":"Georgia","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}}