Advanced Directives and Neurological Care Policy

Purpose

To establish standardized procedures for handling advanced directives in neurological care settings and ensure compliance with state laws while respecting patient autonomy.

Scope

This policy applies to all healthcare providers and staff members within the neurology practice who interact with patients regarding advanced directives.

Policy Components

1. Documentation Requirements

• Inquire about existing advanced directives during initial patient visits
• Maintain copies of advanced directives in EMR
• Update documentation annually or upon patient request
• Flag charts with prominent advanced directive indicators

2. Patient Rights and Responsibilities

• Inform patients of their right to create, modify, or revoke advanced directives
• Provide educational materials regarding neurological-specific considerations
• Document patient decisions regarding life-sustaining treatments
• Respect cultural and religious preferences

3. Specific Neurological Considerations

• Cognitive capacity assessment documentation
• Specific instructions for:
  • Seizure management
  • Mechanical ventilation
  • Artificial nutrition/hydration
  • Pain management
  • Neurodegenerative disease progression

4. Emergency Protocols

• Clear communication channels with emergency services
• Readily accessible advanced directive information
• Protocol for temporary suspension of directives

5. Staff Training Requirements

• Annual training on advanced directive policies
• Documentation of staff competency
• Regular updates on state law changes

Review and Updates

This policy shall be reviewed annually and updated as needed to reflect current legal requirements and best practices.

References

[State-specific legal requirements and guidelines to be inserted]