RE: DNR and Advanced Directives

[genie1953]

At our facility our residents are asked at each and every one of their Care Plan meetings whether they would like to make any changes in their DNR status. If the patient is incompetent and/or incapacitated then we discuss it with the family member or guardian if they attend the meeting.  If no family members, guardian, etc ever attend the care plan meetings then they are contacted at least annually to see if they would like to make any changes in their status.  They are also contacted if the resident’s condition declines.  I don’t think it is a state, government, or JCAHO requirement but we have elected to do it anyway.  I believe that our facility policy states that it must be done at least annually.  We also review the Advance Directives with the patient (as long as they are mentally competent) to see if they would like to make any changes. This is also done at each care plan meeting.   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Courtney Hunter Sent: Thursday, April 08, 2004 8:59 AM To: aanac group Subject:   I have 2 questions- first, is there a reg that you have to have a weekly medicare meeting to discuss your medicare A patients?  Or if you do it in morning stand up is it sufficient to cover it.   Second,  Is there a law or reg that a DNR has to be updated yearly?  Thanks in advance for your help.    Courtney Hunter RN