{"ref":"OH-HC-CR-03","title":"Authorized Representatives, Consent, and Advance Directives","category":"Client rights","summary":"Explains who may make decisions for a client, how the Agency records and works with a representative, how it obtains the client's consent to services and respects refusals, why no staff member may ever become a client's decision-maker, and how it gives clients written information about advance directives under Ohio law, records whether a client has one, and knows where any DNR identification is kept.","inShort":["Always ask the client before each task. If the client says no, stop and tell your supervisor.","Check the client profile to see who may make decisions for the client and what they may decide.","Never become a client's power of attorney, guardian or representative, and never sign or witness a client's legal papers.","Know where the client keeps any DNR identification. Never write on it or move it.","In an emergency, call 911 and follow Policy OH-HC-SAF-02."],"primaryCitation":"ORC 1337.12","citations":["ORC 1337.12","ORC 1337.11 to 1337.17","ORC 2133.01, 2133.02","ORC 2133.21 to 2133.26","OAC 3701-62-04","OAC 3701-62-05","OAC 5160-1-33","OAC 5160-45-03(A)(3)","OAC 173-39-02(B)(8)(j)","OAC 5160-44-31(F)","OAC 5160-44-32","OAC 5160-1-17.2(J)"],"federalCitations":["42 U.S.C. §1396a(w)","42 CFR §489.102"],"surveyorAsks":["How do you know who may make decisions for this client, and what can that person decide?","When do you give clients information about advance directives, and where do you record whether the client has one?"],"forms":[{"ref":"OH-HC-CR-03-A","title":"Authorized Representative Designation"},{"ref":"OH-HC-CR-03-B","title":"Advance Directive and DNR Information Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (ORC 1337.12)","5. Who May Decide for a Client","6. Working With a Representative","7. Consent to Services and the Right to Refuse","8. Staff Never Act as Decision-Makers","9. Advance Directive Information","10. DNR Identification in the Home","11. Minor Clients","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":"oh-hca","state":"Ohio","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}}