Utah Admin. Code R432-31-4 - Facility Policies and Procedures
(1) A health care facility licensee shall
establish and implement policies and procedures that conform to Section
75-2a-106.
(2) A health care facility licensee shall
ensure policies and procedures address the licensee responsibility to:
(a) determine upon admission whether each
individual has a POLST;
(b) the
outline that they are not required to offer each individual the opportunity to
complete a POLST;
(c) identify
individuals who may be offered the opportunity to complete a POLST, that may
include individuals who:
(i) have a serious
illness and are likely to face a life-threatening health crisis;
(ii) have specific preferences for end -of
-life treatments; or
(iii) have
declining cognitive abilities and lack a surrogate or guardian to make
decisions for them;
(d)
identify circumstances under which an individual with a POLST is offered the
opportunity to change the order;
(e) maintain the POLST in the individual's
medical record;
(f) identify
circumstances under which the facility would not follow a POLST;
(g) only permit a qualified provider to
assist with the completion of a POLST;
(h) ensure a POLST is signed personally by
the physician or APRN, or only by a physician assistant of the person to whom
the POLST relates if done so in accordance with Subsection
75-2a-106(11);
and
(i) make a referral to the
primary care provider to create, replace, or change a POLST, if the licensee's
services do not include the supervision of a physician, physician assistant, or
advanced practice registered nurse.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
(1) A health care facility licensee shall establish and implement policies and procedures that conform to Section 75-2a-106.
(2) A health care facility licensee shall ensure policies and procedures address the licensee responsibility to:
(a) determine upon admission whether each individual has a POLST;
(b) the outline that they are not required to offer each individual the opportunity to complete a POLST;
(c) identify individuals who may be offered the opportunity to complete a POLST, that may include individuals who:
(i) have a serious illness and are likely to face a life-threatening health crisis;
(ii) have specific preferences for end -of -life treatments; or
(iii) have declining cognitive abilities and lack a surrogate or guardian to make decisions for them;
(d) identify circumstances under which an individual with a POLST is offered the opportunity to change the order;
(e) maintain the POLST in the individual's medical record;
(f) identify circumstances under which the facility would not follow a POLST;
(g) only permit a qualified provider to assist with the completion of a POLST;
(h) ensure a POLST is signed personally by the physician or APRN, or only by a physician assistant of the person to whom the POLST relates if done so in accordance with Subsection 75-2a-106(11); and
(i) make a referral to the primary care provider to create, replace, or change a POLST, if the licensee's services do not include the supervision of a physician, physician assistant, or advanced practice registered nurse.