Advance Directives, Patient Advocates, Do-Not-Resuscitate Orders and MI-POST
Sets out how the Agency gives each adult patient written information about advance directives and Michigan law at the start of hospice care, records whether the patient has a patient advocate designation, an out-of-hospital do-not-resuscitate order or a physician orders for scope of treatment (POST) form, helps patients who want to make one, honors and reviews these documents, handles revocations, and never makes care depend on whether a patient has one.
About this policy
- Policy number
- MI-HSP-PR-03
- Version
- 1.0
- Main rule
- 42 CFR §418.52(a)(2)
- Library
- Michigan hospice · 59 policies
- Category
- Client rights
- Sections
- 20
In short
- At admission, give every adult patient the written advance directive information and record on Form PR-03-A what documents the patient has.
- Copy each document for the record. A DNR order or POST form stays in the home where it can be found.
- A patient advocate may decide only after two clinicians have found in writing that the patient cannot decide. Check this first.
- Never witness a patient advocate designation, DNR order or POST form. Never make care depend on whether the patient has one.
- If a patient says he or she wants to cancel a DNR order or POST form, write down what was said and tell the attending physician and case manager the same day.
What's inside
20 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 §418.52(a)(2))
- 5. Michigan Law in Brief
- 6. At the Start of Care
- 7. Statement of Limitation
- 8. Helping a Patient Who Wants to Plan Ahead
- 9. Honoring the Patient's Decisions
- 10. Revocation and Review
- 11. Minors and Patients in Facilities
- 12. Staff and Community Education
- 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
- When and how do you give patients written information about advance directives and Michigan law?
- Where in this record is it documented whether the patient has an advance directive?
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