Utah Administrative Code
Topic - Health
Title R432 - Health Care Facility Licensing
Rule R432-31 - Provider Order for LifeSustaining Treatment
Section R432-31-4 - Facility Policies and Procedures

Universal Citation: UT Admin Code R 432-31-4

Current through Bulletin 2024-06, March 15, 2024

(1) A health care facility licensee shall establish and implement policies and procedures that conform to Section 75-2a-106.

(2) A health care facility licensee shall ensure policies and procedures address the licensee responsibility to:

(a) determine upon admission whether each individual has a POLST;

(b) the outline that they are not required to offer each individual the opportunity to complete a POLST;

(c) identify individuals who may be offered the opportunity to complete a POLST, that may include individuals who:
(i) have a serious illness and are likely to face a life-threatening health crisis;

(ii) have specific preferences for end -of -life treatments; or

(iii) have declining cognitive abilities and lack a surrogate or guardian to make decisions for them;

(d) identify circumstances under which an individual with a POLST is offered the opportunity to change the order;

(e) maintain the POLST in the individual's medical record;

(f) identify circumstances under which the facility would not follow a POLST;

(g) only permit a qualified provider to assist with the completion of a POLST;

(h) ensure a POLST is signed personally by the physician or APRN, or only by a physician assistant of the person to whom the POLST relates if done so in accordance with Subsection 75-2a-106(11); and

(i) make a referral to the primary care provider to create, replace, or change a POLST, if the licensee's services do not include the supervision of a physician, physician assistant, or advanced practice registered nurse.

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