Cardiology Practice Advanced Directives Policy

Purpose

To establish standardized procedures for managing advanced directives in cardiology practice, ensuring compliance with state laws and patient wishes regarding end-of-life care.

Policy Statement

This practice recognizes and respects patients' rights to make informed decisions about their medical care, including end-of-life decisions, through advanced directives.

Procedures

1. Documentation Requirements

• Inquire about existing advanced directives during initial patient registration
• Maintain copies of advanced directives in prominent location within EMR
• Update documentation annually or as requested by patient
• Scan physical copies into designated EMR section

2. Staff Responsibilities

Front Desk Staff

• Request advanced directive documentation during registration
• Forward documents to medical records department
• Provide advanced directive forms upon request

Clinical Staff

• Review advanced directives during initial assessment
• Document location of advanced directives in patient chart
• Communicate directives to all treating physicians

Physicians

• Discuss advanced directives during initial consultation
• Document discussions in medical record
• Respect and follow stated wishes within legal parameters

3. Types of Advanced Directives Recognized

• Living Will
• Durable Power of Attorney for Healthcare
• Do Not Resuscitate (DNR) Orders
• POLST/MOLST Forms

4. Emergency Situations

• Follow advanced directives unless:
  • Directives conflict with standard of care
  • Legal questions exist about validity
  • Emergency prevents document verification

Compliance

All staff members must comply with this policy. Violations may result in disciplinary action.

Review and Updates

This policy will be reviewed annually and updated as needed to reflect changes in regulations or practice requirements.