Responsible Parties, Informed Consent, and Advance Directives
Identifies and records who may act for each client, obtains the informed agreement of the client (or of the responsible party when the client has been found not competent) before services start and before any change, respects the client's right to refuse any service, and records whether the client has an advance directive, a portable do-not-resuscitate order or a MOST form so that staff know where to find it.
About this policy
- Policy number
- NC-HC-CR-03
- Version
- 1.0
- Main rule
- G.S. 131E-144.3(1), (9)
- Library
- North Carolina home care · 50 policies
- Category
- Client rights
- Sections
- 17
In short
- Know who the client's responsible party is.
- Ask before each task. A client may refuse any task.
- Record a refusal and tell your supervisor before the end of the shift, or at once if it puts the client at risk.
- Know where the client's DNR order or MOST form is kept.
- Never witness, sign or draft legal papers for a client.
What's inside
17 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (G.S. 131E-144.3(1), (9))
- 5. Identifying the Responsible Party
- 6. Informed Agreement to Services
- 7. Clients Who May Lack Capacity
- 8. Refusal of Services or Tasks
- 9. Advance Directives
- 10. Responsibilities
- 11. Records and Compliance Monitoring
- 12. Staff Training
- 13. References
- 14. Related Policies and Forms
- 15. Approval
- 16. Revision History
An inspector may ask
- Who is this client's responsible party, and what document shows that person's authority?
- Show me the client's or responsible party's approval of the services and the signed plan of care. Was it signed before services started?
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