{"ref":"GA-HSP-PR-03","title":"Advance Directives, POLST and Do-Not-Resuscitate Orders","category":"Client rights","summary":"Sets out how the Agency gives written information on advance directives and Georgia law at the start of care, records whether each patient has an advance directive, a POLST or a do-not-resuscitate order, honors these documents and their revocation, shares them with facilities where patients live, and states plainly what the Agency cannot do.","inShort":["At the first visit, give the advance directive information (Form GA-HSP-PR-03-A) and ask for copies of any advance directive, POLST or DNR order.","Mark clearly on the face sheet and plan of care whether the patient has an advance directive, POLST or DNR order.","Only a physician writes a DNR order or signs a POLST as the physician. Ask the attending physician if the patient wants one.","With a valid DNR or POLST limiting CPR: do not start CPR, call the hospice on-call nurse. Without one: start CPR and call 911.","If a patient takes back a DNR order in any way, tell the nurse at once; the nurse tells a physician immediately.","For patients in a facility, give the facility copies and agree how the wishes will be carried out."],"primaryCitation":"Ga. Comp. R. & Regs. 111-8-37-.10(1)(q)","citations":["Ga. Comp. R. & Regs. 111-8-37-.10(1)(q)","Ga. Comp. R. & Regs. 111-8-37-.16(4)(c)","Ga. Comp. R. & Regs. 111-8-37-.13(3)","Ga. Comp. R. & Regs. 111-8-37-.18(5)(a)3.(v)(XIV)","O.C.G.A. §31-32-1 et seq.","O.C.G.A. §31-39-1 et seq.","O.C.G.A. §31-1-14"],"federalCitations":["42 CFR §418.52(a)(2)","42 CFR Part 489 Subpart I","42 CFR §489.102","42 CFR §418.104(a)(6)"],"surveyorAsks":["Show me the written information on advance directives this patient received and when, and where the record shows whether the patient has executed an advance directive.","Where is the copy of this patient’s advance directive, POLST or DNR order?"],"forms":[{"ref":"GA-HSP-PR-03-A","title":"Advance Directive Notice and Acknowledgment"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Ga. Comp. R. & Regs. 111-8-37-.10(1)(q); 42 CFR §418.52(a)(2))","5. Information at the Start of Care","6. Statement of Limitation","7. Helping a Patient Make an Advance Directive","8. Honoring Advance Directives, POLST and DNR Orders","9. Revocation and Review","10. Patients in Facilities","11. Staff and Community Education","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":"ga-hospice","state":"Georgia","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}