{"ref":"PA-HC-SAF-02","title":"Medical Emergencies, Advance Directives, and Changes in Condition","category":"Service delivery","summary":"Tells direct care workers how to recognize and report changes in a consumer’s condition, what to do in a medical emergency (call 911 first), how the Agency records and respects a consumer’s advance health care directive and Pennsylvania out-of-hospital do-not-resuscitate order, and what to do when a consumer dies, with the reports that follow.","inShort":["In an emergency, call 911 first, then the office.","Tell the 911 dispatcher right away if the consumer has an out-of-hospital DNR order, bracelet, or necklace, or a POLST form, and show it to the responders.","Follow the dispatcher’s instructions. You do not decide whether to start or stop CPR.","Know where the consumer’s Emergency Information Sheet is kept, and give it to responders.","Report changes in the consumer to your supervisor: urgent changes before you leave, other changes the same day."],"primaryCitation":"28 Pa. Code §611.55(b)(7)","citations":["28 Pa. Code §611.55(b)(4)","28 Pa. Code §611.55(b)(7)","20 Pa.C.S. §5422","20 Pa.C.S. §5428","20 Pa.C.S. §5442","20 Pa.C.S. §5483","20 Pa.C.S. §5484","20 Pa.C.S. §5485","20 Pa.C.S. §5486","20 Pa.C.S. §5487","35 P.S. §10225.701","28 Pa. Code §51.3(g)(1)","28 Pa. Code §51.3(g)(2)","55 Pa. Code §52.3"],"federalCitations":[],"surveyorAsks":["What does a direct care worker do if they find a consumer unresponsive?","How does the worker know whether this consumer has an out-of-hospital do-not-resuscitate order, and what do they do with it?"],"forms":[{"ref":"PA-HC-SAF-02-A","title":"Emergency Information Sheet"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (28 Pa. Code §611.55(b)(7))","5. Recognizing and Reporting Changes in Condition","6. In a Medical Emergency","7. Advance Directives and Out-of-Hospital DNR Orders","7.1 Asking and Recording","7.2 What the Law Says about DNR Orders","7.3 What Workers Do","8. When a Consumer Dies","9. The Emergency Information Sheet","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","sample":false,"pack":"pa-hca","state":"Pennsylvania","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}}