Authorized Representatives, Consent, and Advance Directives
Explains who may make decisions for a client, how the Agency records and works with a representative, how it obtains the client's consent to services and respects refusals, why no staff member may ever become a client's decision-maker, and how it gives clients written information about advance directives under Ohio law, records whether a client has one, and knows where any DNR identification is kept.
About this policy
- Policy number
- OH-HC-CR-03
- Version
- 1.0
- Main rule
- ORC 1337.12
- Library
- Ohio home care · 49 policies
- Category
- Client rights
- Sections
- 19
In short
- Always ask the client before each task. If the client says no, stop and tell your supervisor.
- Check the client profile to see who may make decisions for the client and what they may decide.
- Never become a client's power of attorney, guardian or representative, and never sign or witness a client's legal papers.
- Know where the client keeps any DNR identification. Never write on it or move it.
- In an emergency, call 911 and follow Policy OH-HC-SAF-02.
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 (ORC 1337.12)
- 5. Who May Decide for a Client
- 6. Working With a Representative
- 7. Consent to Services and the Right to Refuse
- 8. Staff Never Act as Decision-Makers
- 9. Advance Directive Information
- 10. DNR Identification in the Home
- 11. Minor Clients
- 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
- How do you know who may make decisions for this client, and what can that person decide?
- When do you give clients information about advance directives, and where do you record whether the client has one?
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