OBER|KALER Attorneys at Law Maryland Attorney General's Office
Policy & Procedure Table of Contents
POLICY
PROCEDURE
  1. LEGALLY AUTHORIZED DECISION MAKERS
    1. Direct Decision Making By a Competent Resident
      1. Decision Making Generally
      2. Informed Consent Generally
      3. Do Not Resuscitate Requests
    2. Direct Decision Making By Advance Directives
      1. Written Advance Directives with Health Care Instructions
      2. Written Advance Directives Appointing an Agent
      3. Requirements for Written Advance Directives
      4. Oral Advance Directives
    3. Actions Relating to Advance Directives
    4. Surrogate Decision Making
      1. Priority Among Surrogate Decision Makers
      2. Dispute Among Surrogates
      3. Restrictions on Surrogate Decisions
      4. Actions Relating to Surrogate Decision Making
      5. Guardianship
  2. PHYSICIAN CERTIFICATIONS
    1. Certification of Incapacity
    2. Certification of End-Stage, Persistent Vegetative, or Terminal Conditions
    3. Actions Relating to Certifications
  3. CIRCUMSTANCES WHERE CONSENT IS NOT REQUIRED
    1. Providing Treatment Without Consent
    2. Withholding Treatment Without Consent
      1. Medically Ineffective Treatment
      2. Ethically Inappropriate Treatment
      3. Do Not Resuscitate Orders
  4. PROCEDURE IF FACILITY CANNOT COMPLY WITH HEALTH CARE INSTRUCTIONS
    1. Transfers
    2. Petition to Patient Care Advisory Committee or Court
  5. EFFECT OF COMPLIANCE OR NON-COMPLIANCE WITH THIS POLICY6
    1. Immunity for Good Faith Compliance
    2. Penalties for Non-Compliance
  6. ASSISTING RESIDENT SELF-DETERMINATION
    1. Action
    2. Special Instructions for All Staff
  7. INSTRUCTIONS ON CURRENT LIFE-SUSTAINING TREATMENT OPTIONS FORM
    1. Instructions on Current Life-Sustaining Treatment Options Form
    2. Voluntary Use of the Form
    3. Preparation of the Form
    4. Transfer of a Resident
  8. EMERGENCY MEDICAL SERVICES "DO NOT RESUSCITATE" ORDERS
    1. Purpose and Completion of EMS/DNR Orders
    2. Use of EMS/DNR Orders in this Facility
GLOSSARY

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