Advanced Directives Policy for Endodontic Practice

Purpose

To establish guidelines for handling advanced directives in endodontic care settings and ensure compliance with state regulations while respecting patient autonomy.

Policy Statement

This practice recognizes and honors patients' rights to make informed decisions about their dental care through advanced directives, including the right to accept or refuse treatment.

Procedures

1. Documentation Requirements

• Inquire about existing advanced directives during initial patient registration
• Maintain copies of advanced directives in patient records
• Update documentation annually or as requested by patient

2. Staff Responsibilities

Front Office Staff

• Request advanced directive documentation during registration
• Scan and attach documents to patient's electronic record
• Flag charts with advanced directive indicator

Clinical Staff

• Review advanced directives before treatment
• Document adherence to specified directives
• Consult with treating endodontist regarding directive implications

3. Types of Recognized Directives

• Medical Power of Attorney
• Living Will
• Do Not Resuscitate (DNR) Orders
• Specific Treatment Restrictions

Implementation

1. Obtain patient's current advanced directive status
2. Document directive details in designated EMR section
3. Review directives with patient annually
4. Update as needed with patient consent

Legal Considerations

• Maintain compliance with state regulations
• Obtain legal counsel review when needed
• Update policy annually per current legislation

Documentation Location

All advanced directives shall be stored:

• In patient's electronic health record
• With clear indication on chart cover
• In emergency protocol manual

Review Date: Annually Last Updated: [Insert Date]