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The Joint Commission, if you are accredited, speaks to the
resident having the opportunity to review and revise their advance directive -
so this would be a good way to achieve that standard
(RI.2.80).
Holly McGran MSN RN From: genie1953 [mailto:[EMAIL PROTECTED] Sent: Thursday, April 08, 2004 12:35 PM To: [EMAIL PROTECTED] Subject: RE: DNR and Advanced Directives 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----- 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
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