Advanced Directives-DNR Requests,Living Will, Health Care Proxy

POLICY:
 
This facility does not honor any Do Not Resuscitate orders or 
Living Will options.  
 
The term 'Advanced Directives' encompasses the four different 
types:
 
A Health Care Proxy allows the patient to appoint a 
healthcare agent - that is, someone they trust to make health 
care decisions for them if they are unable to make decisions 
for themselves; there are restrictions regarding 
relationships between the health care proxy and the patient.
 
A Living Will allows the patient to leave written 
instructions that explain their health care wishes, 
especially about end-of-life care. 
 
A Living Will together with a Health Care Proxy lets the 
patient state their health care wishes and name a health care 
agent.
 
A Do Not Resuscitate Order (DNR) only lets the patient 
express their wish to do without cardiopulmonary 
resuscitation (CPR) 
 
Should a patient inform the organization that they have an 
Advanced Directive; Health Care Proxy, DNR or a Living Will, 
the patients are then informed that should an emergency 
situation arise the patient will be treated with life saving 
measures and then transferred to a facility that will honor 
their Advanced Directive options.

Patients having or presenting Health Care Proxy information, 
DNRs, Living Wills, will have such documentation kept on 
file.  Should the situation arise and the patient is 
transferred to the hospital due to an emergent situation, 
this documentation will go with the patient and the receiving 
facility will be informed of this documentation.
 
Anyone wishing information on Advanced Directives of any type 
should be provided with the information and forms which can 
be downloaded from the Department of Health Website. Should a 
patient wish to sign a Health Care Proxy form, they may do so 
at that time; however the patient should again be advised of 
the organization's policy on Advanced Directives.  
 
MEDICARE ONLY
 
This organization provides the patient or as appropriate the 
patient's representative in advance of the date of the 
procedure, with information concerning its policies on 
advance directives, including a description of applicable 
State health and safety laws and if requested official State 
advance directive forms. The patient or as appropriate the 
patient's representative is informed of the patient's right 
to make informed decisions regarding the patient's care.
 
The organization then documents in a prominent part of the 
patient's current medical record whether or not the 
individual has executed an advance directive. 

Approved By Governing Board    
PR.7
Control #264.7
GUPTA GASTRO