Advance Directives, LaPOST and Do-Not-Resuscitate Orders
Sets out how the Agency gives every patient written information on advance directives and LaPOST at the start of care, records whether a directive exists, helps patients who wish to make one, honors DNR orders and LaPOST forms across settings, handles review, voiding and revocation under LAC 48:I Chapter 2, and educates staff and the community.
About this policy
- Policy number
- LA-HSP-PR-03
- Version
- 1.0
- Main rule
- LAC 48:I §8235.D.2.g
- Library
- Louisiana hospice · 60 policies
- Category
- Client rights
- Sections
- 19
In short
- At the first visit, give every patient written information on advance directives and LaPOST, and ask if they have any.
- Record yes or no in a prominent place, and copy every living will, power of attorney, LaPOST and DNR order.
- Follow a valid DNR order or LaPOST. If there is none and the heart or breathing stops, call 911.
- A patient never has to have a DNR order or LaPOST to get hospice care.
- If a patient revokes a LaPOST or other directive, tell the RN case manager at once and write down exactly what was said or done.
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 (LAC 48:I §8235.D.2.g)
- 5. Information at the Start of Care
- 6. Helping a Patient Who Wishes to Make a Directive
- 7. Honoring Directives, LaPOST and DNR Orders
- 8. Review and Revocation
- 9. Conscience Limitations
- 10. Patients in Facilities and Transfers
- 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
- Where in this record do you show whether the patient has an advance directive?
- What written information about Louisiana law did this patient receive, and when?
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