Admission and Recertification Advance Directives It is required that the patient/client be informed about Advance Directives as recognized by the state during the admission process. In Texas, Advance Directives include: • Living Will / Directive to Physician • Out of Hospital DNR • Medical Power of Attorney • Declaration of Mental Health In the event the patient/client has an Out of Hospital DNR, the admitting clinician should make every attempt to obtain a copy for the Agency’s record. If the patient/client has a Medical Power of Attorney, the name and phone number should be documented. The admitting clinician will: • Identify if the patient/client has Advance Directives. • Assist the patient/client and/or significant other with a decision regarding an OOH-DNR in the event death is imminent. • Provide written materials and document patient/client education on Advance Directives. Review the following form: Online Bookmark Title of Policy Patient Rights and Responsibilities TX Advance Directives TX Admit Pack (AP) Out of Hospital DNR TX Safety/OSHA Emergency Preparedness and Response Plan The Agency is required to complete an internal review of the Emergency Preparedness and Response Plan at least annually, and after each actual emergency response, to evaluate its effectiveness and to update the plan as needed. Specified management personnel will be involved in the development, maintenance, and implementation of the plan. Review the following policy and procedure: Online Bookmark Title of Policy Environmental/Safety/Equipment Management (EC) Emergency Preparedness and Response Plan Texas Regulations Emergency Preparedness and Response Plan
