Advance Directives and Do Not Resuscitate Orders
Implements Rule 59A-38.015, F.A.C. and 42 CFR §418.52(a)(2): at admission the Agency asks about advance directives, gives Form SCHS-4-2006 (or a substantially similar document) and written information on its resuscitation policies and the Florida Do Not Resuscitate Order (DH Form 1896), files any advance directive in the interdisciplinary record, never conditions admission or care on whether one exists, honors valid DNROs under s. 400.6095(8), F.S., and resolves conflicts under Chapter 765, F.S.
About this policy
- Policy number
- FL-HSP-PR-03
- Version
- 1.0
- Main rule
- Rule 59A-38.015, F.A.C.
- Library
- Florida hospice · 60 policies
- Category
- Client rights
- Sections
- 21
In short
- At admission, ask about advance directives and a DNRO, give Form SCHS-4-2006 and Form FL-HSP-PR-03-A, and file copies in the record.
- Never make admission or care depend on signing, changing or giving up an advance directive.
- Valid DNRO (DH Form 1896, yellow, signed): no CPR, give comfort, call the on-call nurse.
- No DNRO and no physician order: call 911 and start basic CPR, then call the on-call nurse.
- Tell the nurse and physician at once if a patient changes or cancels a DNRO or directive.
What's inside
21 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (Rule 59A-38.015, F.A.C.; s. 400.6095(3), (8), F.S.; 42 CFR §418.52(a)(2))
- 5. At Admission
- 6. Never a Condition of Admission or Care
- 7. Resuscitation and Do Not Resuscitate Orders
- 7.1 What makes a DNRO valid
- 7.2 What staff do in an emergency
- 7.3 Orders, transport and revocation
- 8. Carrying Out Advance Directives and Resolving Conflicts
- 9. Keeping Wishes Current
- 10. Staff and Community Education
- 11. Responsibilities
- 12. Records and Compliance Monitoring
- 13. Staff Training
- 14. References
- 15. Related Policies and Forms
- 16. Approval
- 17. Revision History
An inspector may ask
- Show me the advance directive information you give at admission, including Form SCHS-4-2006 and the information on DH Form 1896.
- Where in the record do you document whether the patient has an advance directive? Show me the copy in the record.
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