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Advance Directives

Sets out the written notice every client receives about the Agency’s advance directive policy, who receives it when the client is incapacitated, how a directive is recorded and honored, and the $500 penalty for failing to give the notice.

Preview: full text with a package
About this policy
Policy number
TX-AD-01
Version
1.0
Main rule
26 TAC §558.283
Library
Texas home care · 46 policies
Category
Client rights
Sections
17

In short

  • Before your first visit, your supervisor will tell you if the client has an advance directive, like a DNR.
  • If a client stops breathing or has no signs of life, call 911 right away, even if they have a DNR.
  • Tell the responders about the DNR and where it is kept. Stay with the client and follow their instructions.
  • Never fill out or witness an advance directive for a client, and never give advice about one.
  • If a client or family asks you to act on a directive, politely say no and call your supervisor right away.

What's inside

17 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (26 TAC §558.283)
  • 5. Notice to the Client
  • 6. When the Client Is Incapacitated
  • 7. Procedures the Agency Will Not Provide or Withhold
  • 8. Procedure
  • 9. Administrative Penalty
  • 10. Responsibilities
  • 10.1 Staff Training
  • 11. Records and Compliance Monitoring
  • 12. References
  • 13. Related Documents
  • 14. Approval
  • 15. Revision History

An inspector may ask

  • Show me the advance directive notice a client received and the date services began.
  • What does your policy say about any procedure the Agency will not provide or withhold under a directive?

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