SME: Medical Director
Last Review Date: 6 /6/07
Last Review Date: 10/19/10
Last Review Date: 08/31/11
UTHCPC follows the patient's wishes regarding resuscitative services and life-sustaining treatment. Decisions regarding withholding resuscitative services or life-sustaining treatment are among the most difficult choices facing UTHCPC patients, families, and health care professionals.
The following UTHCPC documents are required for withholding resuscitation or life-sustaining treatment:
Properly executed Advance Directives
Natural Death Act
The Durable Power of Attorney for Healthcare Act
Texas Law regarding informed consent and the patient's right to accept or refuse medical, surgical, or mental health treatment
Chapter 137 of the Civil Practice and Remedies Code relating to declarations for mental health treatment
It is the policy of UTHCPC to provide resuscitation services for all patients except in the following conditions:
An active Advanced Directive regarding a terminal patient is available
A known Do Not Resuscitate (DNR) status exists
The physician must:
Make every effort to clarify any exceptions to the above procedures
Ensure that the treatment team is aware of these situations and makes treatment decisions accordingly
Obtain prior instructions regarding resuscitation and potential medical emergencies
The treatment team must know the following regarding advance directives:
Whether the patient has a prior Advanced Directive
Has just initiated one
Prefers not to have one
Clinical staff responsibilities:
The social service worker, nurse and attending physician have and must follow the responsibilities described in detail in the "Advanced Directives" document.
Terminal patients are typically transferred to another facility.
Physician responsibilities toward terminal patients:
The attending physician is responsible for the following:
Must enact the advanced directive according to legislative guidelines
If he/she chooses not to follow the patient's advanced directive, must undertake specific alternative actions
The patient may revoke or re-execute an Advanced Directive at any time
Advanced directives information:
Additional details regarding Advanced Directives are found in the State of Texas Health and Safety Code, Chapter 166.
Consultation with appropriate professionals at UTHCPC or in the UT-Houston Health Science Center is advised whenever uncertainty regarding clinical, ethical, or legal issues involved in these decisions exists.
The Joint Commission : Provision of Care
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