{"ref":"MI-HC-SAF-02","title":"Medical Emergencies, Changes in Condition, and Death in the Home","category":"Service delivery","summary":"Sets out what direct care workers do in a medical emergency (call 911 first, then the office), how they respect a client's do-not-resuscitate order under the Michigan Do-Not-Resuscitate Procedure Act, how they observe and report changes in a client's condition, and what they do if a client dies or is found dead at home. Covers the reports that follow: notice to MDHHS of a Home Help client's hospitalization or a facility stay, and MI Choice unexpected deaths reported to the waiver agency within two business days.","inShort":["In an emergency, call 911 first, then call the office.","Stay with the client until responders take over.","If the client has a do-not-resuscitate order, tell the 911 dispatcher and show it to responders.","Report any change in the client's condition to your supervisor the same shift.","You do not pronounce death; call 911 or the hospice as the care plan says, and do not move the client."],"primaryCitation":"MPM Home Help §8.2","citations":["MPM Home Help §8.2","MPM Home Help §8.6.E.2","MPM Home Help §4.3.C","MPM MI Choice Waiver §4.1.D","MPM MI Choice Waiver §4.5","MPM MI Choice Waiver §9.17","MPM MI Choice Waiver §10.4.A","MPM MI Choice Waiver §10.4.C","MCL 333.1051 et seq.","MCL 333.1052","MCL 333.1053","MCL 333.1060","MCL 333.1061","MCL 333.1062","MCL 333.1063","MCL 333.1064","MCL 333.1033"],"federalCitations":[],"surveyorAsks":["What does your worker do if she arrives and the client is not breathing?","How do your workers know whether a client has a do-not-resuscitate order, and where it is kept?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (MPM Home Help §8.2)","5. Recognizing a Medical Emergency","6. What To Do in a Medical Emergency","7. Do-Not-Resuscitate Orders","8. Changes in Condition","9. Death in the Home","10. Reports After a Death","11. Support for Workers","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":"mi-hca","state":"Michigan","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}}