R432-31-4. Facility Policies and Procedures

(1) Health care facilities must establish and implement policies and procedures that conform to Section 75-2a-106.

(2) Health care facilities policies and procedures must assure that:

(a) the facility determines upon admission whether each individual has a Life with Dignity Order;

(b) the facility is not required to offer all individuals the opportunity to complete a Life With Dignity Order;

(c) the facility determines which individuals may be offered the opportunity to complete a Life with Dignity Order, which 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 to make decisions for them;

(d) the facility identifies circumstances under which an individual with a Life with Dignity Order shall be offered the opportunity to modify the order;

(e) the facility maintains the Life with Dignity Order in the individual's medical record;

(f) the facility identifies circumstances under which it would not follow a Life With Dignity Order;

(g) only qualified providers, as per Utah Code 75-2a-106(2) assist with the completion of a Life With Dignity Order. Qualified providers include;

(i) the physician, advanced practice registered nurse, or physician assistant of the person to whom the life with dignity order relates; or

(ii) a health care provider who is acting under the supervision of a person described in Subsection (2)(g)(i)and is a licensed nurse, physician assistant, or mental health professional.

(h) a Life With Dignity order shall be signed personally by the physician or APRN, or, subject to 75-2a-106(11), physician assistant of the person to whom the life with dignity order relates;

(i) if the licensed health care facility's services do not include the supervision of a physician, physician assistant or advanced practice registered nurse, the facility shall make a referral to the primary care provider to create, replace or modify a Life With Dignity Order.