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Client Representatives, Advance Directives, and MOST

Sets out who may act as a client representative and how the Agency records and works with one, how the Agency asks about, records and locates each client's advance directives (living will and durable power of attorney for health care), general power of attorney or guardianship papers and MOST form, what staff do and never do with these documents, and how they are used in an emergency.

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About this policy
Policy number
DC-HC-CR-02
Version
1.0
Main rule
22-B DCMR §9910.1(e)
Library
Washington, DC home care · 50 policies
Category
Client rights
Sections
18

In short

  • A client representative is the person the client names in the service agreement, or a person with legal authority such as a power of attorney or guardian.
  • Always speak to the client first. Involve the representative as the client wishes or as the legal papers allow.
  • Know where the client keeps any MOST form or advance directive. It is on the emergency information sheet.
  • Never sign as a witness, act as an agent, or help fill in or change an advance directive or MOST form.
  • In an emergency call 911 and give EMS the MOST form or advance directive if you can find it quickly. EMS decides what applies.

What's inside

18 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 (22-B DCMR §9910.1(e))
  • 5. Who Is a Client Representative
  • 6. Working with a Client Representative
  • 7. Asking About Advance Directives and MOST
  • 8. What Staff Never Do
  • 9. Keeping the Information Current
  • 10. Use in an Emergency
  • 11. Responsibilities
  • 12. Records and Compliance Monitoring
  • 13. Staff Training
  • 14. References
  • 15. Related Policies and Forms
  • 16. Approval
  • 17. Revision History

An inspector may ask

  • Who is this client's representative, and where is the written designation or legal document in the record?
  • Does this client have a living will, a durable power of attorney for health care or a MOST form? Where is it kept, and how do aides know?

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