| Rule Number: |
11P038 |
| Title: |
Rules for Advance Directives for Health Care and Surrogate Consent for Do-Not-Resuscitate Orders (DNR) and Clinician Orders for Life Sustaining Treatment (COLST). |
|
Type:
|
Standard |
|
Status:
|
Withdrawn |
| Agency: |
Department of Health, Agency of Human Services
|
| Legal Authority: |
3 V.S.A. § 801(b)(11) ; 18 V.S.A. §§ 102, 104, and 3003(a) and 18 V.S.A. Chapter 231 §§ 9708 and 9719. |
| Summary:
| The proposed amendments to the Advance Directives for Health Care Rules are required by Act 60 (2011) to incorporate new provisions relating to the authority of an individual who is not an agent or guardian of a patient, but who is a family member or known close friend, to provide informed consent as a surrogate for a do not resuscitate order (DNR) or a clinician order for life-sustaining treatment (COLST) for a patient without capacity to consent to those orders. The proposed rules amend the mandatory DNR/COLST form and provide new mandatory minimum requirements for DNR identification bracelets, anklets, and necklaces. The rule amendments provide access to a hospital's internal ethics protocols when those eligible to serve as a surrogate cannot reach consensus. |
| Persons Affected:
| People for whom a clinician authorizes a do not resuscitate order (DNR) or a clinician order for life-sustaining treatment (COLST) or a DNR identification bracelet, anklet or necklace; people without an agent appointed in an advance directive or a guardian for whom a DNR or COLST order may be authorized and their family members and close friends; providers of DNR identification products; the following and their respective associations: clinicians, hospitals, nursing homes, residential care facilities, home care provider services, hospice care services, ambulance and first responder services,and emergency medical services personnel; patients, organizations and associations interested in end of life care, health care ethics and surrogate cons |
| Economic Impact:
| The economic impact of the rule is expected to be minimal. Patients with DNR identification will be required to obtain new DNR ID products of their choice with the required minimum information. Clinicians and health care facilities may need to reproduce new copies of the mandatory DNR/COLST form, if the revised form is ultimately adopted in the final rule. Hospitals will need to provide copies of their written ethics protocols when requested by individuals unable to reach consensus on who should serve as surrogate for the patient. If consensus can not be reached fro a hospital inpatient the hospital will be required to provide an ethics consultation |
| Posting date: |
Nov 30,2011 |
| Information for Contact # 1 |
|
Level:
|
Primary
|
|
|
| Name: |
Dixie Henry |
|
|
|
Agency:
|
Department of Health, Agency of Human Services
|
|
|
| Address: |
PO Box 70 |
|
|
| City: |
Burlington |
|
|
| State: |
VT |
|
|
| Zip: |
05401 |
|
|
| Telephone: |
802-863-7281 |
|
|
| Fax: |
802-951-1275 |
|
|
Email: |
dixie.henry@ahs.state.vt.us
|
|
|
| Website Address: |
http://healthvermont.gov/admin/public_comment.aspx
|
|
|
| Information for Contact # 2 |
|
Level:
|
Secondary
|
|
|
| Name: |
Bessie Weiss, Assistant Attorney General |
|
|
|
Agency:
|
Department of Health, Agency of Human Services
|
|
|
| Address: |
PO Box 70, 108 Cherry Street |
|
|
| City: |
Burlington |
|
|
| State: |
VT |
|
|
| Zip: |
05401 |
|
|
| Telephone: |
802-652-2092 |
|
|
| Fax: |
802-951-1211 |
|
|
Email: |
bessie.weiss@ahs.state.vt.us
|
|
|
| |
|
|
|
