{"ref":"OH-HH-PR-02","title":"Advance Directives and Do-Not-Resuscitate Orders","category":"Client rights","summary":"Gives every adult patient written information about Ohio advance directives before care is provided, records whether the patient has a living will declaration, durable power of attorney for health care or do-not-resuscitate (DNR) order, never conditions care on having one, explains how staff recognize valid Ohio DNR identification in the home and follow the DNR protocol, and sets out what to do in a cardiac or respiratory arrest.","inShort":["Give every adult patient the advance directive information before any care, and record whether they have a living will, a health care power of attorney or a DNR order.","Never pressure a patient to make, or not make, an advance directive. Do not witness or notarize one.","In the home, follow a DNR only if there is valid Ohio DNR identification, such as the state of Ohio DNR order form or a DNR bracelet, necklace or wallet card.","If a patient stops breathing and there is no valid DNR identification, call 911 and start CPR if you are trained.","Send the DNR identification with the patient if they go to a hospital or other facility, and tell the clinical manager about any change in the patient’s wishes."],"primaryCitation":"42 CFR §489.102","citations":["ORC 2133.02","ORC 1337.12","ORC 2133.21","ORC 2133.22","ORC 2133.211","OAC 3701-62-04","OAC 3701-62-05","OAC 5160-1-17.2(J)"],"federalCitations":["42 CFR §489.102","42 CFR §484.60(a)(2)(xv)","42 CFR §484.50(c)(4)"],"surveyorAsks":["Show me the advance directive information you give patients, and when you gave it to this patient.","Where in this record do you document whether the patient has an advance directive?"],"forms":[{"ref":"OH-HH-PR-02-A","title":"Advance Directive Information and Acknowledgment"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §489.102)","5. Giving the Information","6. When the Patient Is Incapacitated at the Start of Care","7. Ohio Advance Directives: What Staff Need to Know","8. Recording and Sharing the Patient’s Choices","9. DNR Identification in the Home","10. Checking a DNR Order","11. Response to Cardiac or Respiratory Arrest","12. Statement of Limitation and Conscience Objections","13. Complaints, Staff Education, and Community Education","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. Revision History"],"version":"1.0","sample":false,"pack":"oh-hha","state":"Ohio","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}}