{"ref":"LA-HH-PR-02","title":"Advance Directives, LaPOST, and Do-Not-Resuscitate Orders","category":"Client rights","summary":"Sets out how the Agency gives every adult patient written information about the right to accept or refuse treatment and to make an advance directive, documents whether the patient has one, keeps copies of declarations, LaPOST forms and do-not-resuscitate orders in the record and the home, follows them in the home, and never conditions care on whether a patient has one. It applies the Louisiana Natural Death Act (R.S. 40:1151.1 et seq.), the LaPOST law (R.S. 40:1155.1 et seq.) and rule (LAC 48:I Chapter 2), the admission orientation in LAC 48:I §9123.B.3.k, and, if the Agency is Medicare-certified, 42 CFR §489.102.","inShort":["Give advance directive information at the first visit, before any care.","Ask if the patient has a declaration, LaPOST form, DNR order or power of attorney, and record the answer where everyone can see it.","Follow a valid LaPOST form or DNR order in the home.","If there is no valid order, call 911 and start CPR if you are trained.","Tell the clinical manager and the provider the same day if a patient revokes or changes a directive.","Care is the same whether or not the patient has an advance directive."],"primaryCitation":"LAC 48:I §9123.B.3.k","citations":["LAC 48:I §9123.B.3.k","R.S. 40:1151.1","R.S. 40:1151.2","R.S. 40:1151.3","R.S. 40:1151.6","R.S. 40:1155.1","R.S. 40:1155.2","R.S. 40:1155.3","R.S. 40:1155.4","LAC 48:I Chapter 2","LAC 48:I §207","LAC 48:I §209","LAC 48:I §211","LAC 48:I §9125.A.4"],"federalCitations":["42 CFR §489.102","42 CFR §484.50(a)(1)","42 CFR §484.60(a)(2)"],"surveyorAsks":["How and when do you give patients information about advance directives?","Where in this record do you document whether the patient has an advance directive or a LaPOST form?"],"forms":[{"ref":"LA-HH-PR-02-A","title":"Advance Directive and LaPOST Information and Acknowledgment"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I §9123.B.3.k)","5. Information Given at Admission","6. Louisiana Declarations Concerning Life-Sustaining Procedures","7. LaPOST Forms","8. What Staff Do in a Medical Emergency","9. Plan of Care, Records and the Home Folder","10. Conscience Limitation and Transfer","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":"la-hha","state":"Louisiana","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}}