Advance Directives, POLST and Do-Not-Resuscitate Orders
Sets out how the Agency gives written information on advance directives and Georgia law at the start of care, records whether each patient has an advance directive, a POLST or a do-not-resuscitate order, honors these documents and their revocation, shares them with facilities where patients live, and states plainly what the Agency cannot do.
About this policy
- Policy number
- GA-HSP-PR-03
- Version
- 1.0
- Main rule
- Ga. Comp. R. & Regs. 111-8-37-.10(1)(q)
- Library
- Georgia hospice · 60 policies
- Category
- Client rights
- Sections
- 19
In short
- At the first visit, give the advance directive information (Form GA-HSP-PR-03-A) and ask for copies of any advance directive, POLST or DNR order.
- Mark clearly on the face sheet and plan of care whether the patient has an advance directive, POLST or DNR order.
- Only a physician writes a DNR order or signs a POLST as the physician. Ask the attending physician if the patient wants one.
- With a valid DNR or POLST limiting CPR: do not start CPR, call the hospice on-call nurse. Without one: start CPR and call 911.
- If a patient takes back a DNR order in any way, tell the nurse at once; the nurse tells a physician immediately.
- For patients in a facility, give the facility copies and agree how the wishes will be carried out.
What's inside
19 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (Ga. Comp. R. & Regs. 111-8-37-.10(1)(q); 42 CFR §418.52(a)(2))
- 5. Information at the Start of Care
- 6. Statement of Limitation
- 7. Helping a Patient Make an Advance Directive
- 8. Honoring Advance Directives, POLST and DNR Orders
- 9. Revocation and Review
- 10. Patients in Facilities
- 11. Staff and Community Education
- 12. Responsibilities
- 13. Records and Compliance Monitoring
- 14. Staff Training
- 15. References
- 16. Related Policies and Forms
- 17. Approval
- 18. Revision History
An inspector may ask
- Show me the written information on advance directives this patient received and when, and where the record shows whether the patient has executed an advance directive.
- Where is the copy of this patient’s advance directive, POLST or DNR order?
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