Advance Directives It is required that the patient/client be informed about advance directives as recognized by the state (e.g., Living Will, Out of Hospital DNR, Medical Power of Attorney) during the admission process. In the event the patient/client has an advance directive 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 DNR in the event death is imminent. • Provide written materials and document patient/client education on Advance Directives. Review the following policy and procedure: Online Bookmark Title of Policy Admit Pack (AP) Patient Rights and Responsibilities, Advance Directives and DNR Home Safety Assessment The safety education must be individualized to the patient’s/client’s needs instead of providing generic safety information (i.e., COPD patients/clients need education on oxygen safety, patients/clients receiving injections require instructions on disposal of biohazard waste). The admitting clinician must educate the patient/client when appropriate concerning: • Fire prevention safety • Prevention of falls and other injuries • Bathroom safety • Weather precautions • Poison prevention • Hazardous waste/sharps disposal • Oxygen/medical gases safety Medication Profile A complete and comprehensive medication review will be performed by the RN upon admission. All medications – prescription, over-the-counter, herbals, oxygen, samples, home remedies, etc. – are included. All medications are reviewed to identify any potential adverse effects and drug reactions
