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Advance Directives and Do Not Resuscitate Orders

States the Agency's position on advance directives, as Rule 59A-8.0245, F.A.C., requires; gives each adult client, in advance of services, AHCA's advance directive brochure or another written description of Florida law and the Agency's policy; records whether the client has an advance directive and keeps a copy or a record of the request; never conditions services on executing or waiving one; and tells staff exactly when cardiopulmonary resuscitation (CPR) is withheld because a valid Do Not Resuscitate Order is present.

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About this policy
Policy number
FL-HC-CR-04
Version
1.0
Main rule
Rule 59A-8.0245, F.A.C.
Library
Florida home care · 50 policies
Category
Client rights
Sections
20

In short

  • Know whether your client has a Do Not Resuscitate Order (DNRO) and where it is kept. It is on the written assignment or task plan.
  • If the client stops breathing and there is no valid DNRO: call 911. Aides and CNAs start CPR.
  • If there is a valid DNRO: do not start CPR. Call 911, tell the dispatcher there is a DNRO, and give it to the responders.
  • Never withhold CPR because a family member asks, and never sign or witness a client's advance directive.
  • If a client says he or she wants to change or cancel an advance directive, tell the office the same day.

What's inside

20 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (Rule 59A-8.0245, F.A.C.)
  • 5. The Agency's Position on Advance Directives
  • 6. Information Given Before Services
  • 7. Advance Directives in the Record and in the Home
  • 8. Do Not Resuscitate Orders
  • 9. What Staff Do When a Client Stops Breathing or Has No Pulse
  • 10. Clients of a Homemaker and Companion Registrant
  • 11. Changes and Revocation
  • 12. No Condition and No Pressure
  • 13. Responsibilities
  • 14. Records and Compliance Monitoring
  • 15. Staff Training
  • 16. References
  • 17. Related Policies and Forms
  • 18. Approval
  • 19. Revision History

An inspector may ask

  • Show me where this adult client received advance directive information before services started.
  • Does the record show whether the client has an advance directive, and a copy or your request for one?

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