Advance Directives, Patient Advocate Designations, Do-Not-Resuscitate Orders, and MI-POST
Sets out how the Agency gives every adult patient written information about the right under Michigan law to accept or refuse treatment and to make advance directives before the patient comes under the Agency's care, records whether the patient has a patient advocate designation, living will, out-of-hospital do-not-resuscitate order or POST form, puts that information in the plan of care, follows valid documents, never conditions care on them, and educates staff and the community, as 42 CFR §489.102 requires.
About this policy
- Policy number
- MI-HH-PR-02
- Version
- 1.0
- Main rule
- 42 CFR §489.102
- Library
- Michigan home health · 57 policies
- Category
- Client rights
- Sections
- 21
In short
- Give every adult patient the advance directive information at the first visit, before any care.
- Ask about a patient advocate designation, living will, out-of-hospital DNR order, MI-POST form or guardian, and record the answers on the face sheet.
- A patient advocate decides only after two doctors (or a doctor and a psychologist) find the patient unable to take part in decisions.
- Know each patient's DNR and POST status before you visit. Never make care depend on whether a patient has a document.
- Do not act as a witness to a patient's documents.
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 (42 CFR §489.102)
- 5. Michigan Law in Brief
- 6. At Admission, Before Care
- 7. Recording and Care Planning
- 8. When a Patient Advocate or Guardian Acts
- 9. Patients Who Cannot Receive the Information at Admission
- 10. Statement of Limitation
- 11. Following Documents During Care
- 12. If a Patient Is Found Without Signs of Life
- 13. Staff and Community Education
- 14. Responsibilities
- 15. Records and Compliance Monitoring
- 16. Staff Training
- 17. References
- 18. Related Policies and Forms
- 19. Approval
- 20. Revision History
An inspector may ask
- When does this patient receive your advance directive information, and where is that documented?
- Where in the clinical record would I find whether the patient has executed an advance directive?
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