Utah Admin. Code R432-31-4 - Facility Policies and Procedures
(1)
A licensee shall establish and implement policies and procedures that comply
with Section
75A-3-106.
(2) A licensee shall ensure policies and
procedures address the licensee's responsibility to:
(a) determine upon admission whether each
individual has an OLST;
(b) ensure
an OLST is done in accordance with Subsection
75A-3-106(3);
(c) identify circumstances when an individual
with an OLST is offered the opportunity to change the order;
(d) identify circumstances when the facility
would not follow an OLST;
(e)
identify any individual who may be offered the opportunity to complete an OLST,
including an individual who has:
(i) a
serious illness and is likely to face a life-threatening health
crisis;
(ii) declining cognitive
abilities and lacks a surrogate or guardian to make decisions for them;
or
(iii) specific preferences for
end-of-life treatments;
(f) make a referral to the primary health
care provider to create, replace, or change an OLST, if the licensee's services
do not include the supervision of a physician, APRN, or physician
assistant;
(g) maintain the OLST in
the individual's medical record;
(h) only permit a qualified provider to
assist with the completion of an OLST; and
(i) outline that they are not required to
offer each individual the opportunity to complete an OLST.
Notes
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