Physical Therapy Advanced Directives Policy and Protocol

Purpose

To establish guidelines for the management and implementation of advanced directives in physical therapy practice, ensuring compliance with state laws and patient rights.

Scope

This policy applies to all physical therapy staff members, including licensed physical therapists, physical therapy assistants, and support staff.

Policy Statement

1. Documentation Requirements

• Verify existence of advanced directives during initial evaluation
• Document advanced directive status in patient's medical record
• Maintain copies of relevant directives in designated section of EMR

2. Staff Responsibilities

Physical Therapist

• Review advanced directives during initial patient assessment
• Ensure treatment plan aligns with directive specifications
• Document any modifications to care based on directives

Support Staff

• Request advanced directive documentation from referring facilities
• Maintain current copies in patient records
• Alert clinical staff to presence of directives

3. Implementation Procedures

1. Initial Assessment

   • Inquire about existing advanced directives
   • Document status in evaluation form
   • Request copies if applicable

2. Treatment Modifications

   • Adjust interventions as specified
   • Document compliance measures
   • Communicate restrictions to team members

4. Emergency Protocols

• Follow directive specifications during emergencies
• Maintain emergency contact information
• Document all emergency-related decisions

Compliance

Failure to comply with this policy may result in disciplinary action and/or legal liability.

Review Schedule

This policy shall be reviewed annually and updated as needed.

Approval Signatures:

Practice Director: _______________ Date: _______________

Clinical Supervisor: _____________ Date: _______________