Cal. Code Regs. Tit. 22, § 87924 - DO Not Resuscitate Order

(a) A licensee shall not be required to accept or retain a resident who has or requests a Do Not Resuscitate Order.

(b) All of the following conditions shall be met in order for a licensee to ensure that the Do Not Resuscitate Order is implemented:

(1) The resident or the individual who holds Durable Power of Attorney for Health Care of the resident has signed and dated a Do Not Resuscitate Directive.

(A) The resident or the individual who holds Durable Power of Attorney for Health Care of the resident shall have the right to rescind the Do Not Resuscitate Directive.

1. The rescinding statement may be given either verbally or in writing. For verbal rescinding statements, the licensee shall ensure that the rescission is documented immediately in the resident's record.

2. Effective immediately upon the rescinding of the Do not Resuscitate Directive, the Do Not Resuscitate Order shall no longer be applicable.

3. The licensee shall ensure that the resident s primary care physician is contacted immediately to rescind the Do Not Resuscitate Order and the contact is documented in the resident's record.

(2) A standing Do Not Resuscitate Order is signed and dated by the resident's primary care physician.

(3) The appropriately skilled professional is present to carry out the Do Not Resuscitate Order.

(A) For the purpose of this subsection, the appropriately skilled professional is limited to an M.D., R.N., L.V.N., or Nurse Practitioner.

(B) The licensee shall ensure that the appropriately skilled professional documents all factual and medical aspects pertaining to the enactment of the Do Not Resuscitate Order.

(c) The licensee shall ensure that emergency medical care is summoned immediately when a resident stops breathing and any of the conditions specified in (b) above are not met.

(d) The licensee shall ensure that contacts with emergency medical care providers as specified in (c) above are documented in the resident's record.

Notes

Cal. Code Regs. Tit. 22, § 87924

1. New section filed 6-7-91 as an emergency; operative 6-7-91 (Register 91, No. 38). A Certificate of Compliance must be transmitted to OAL by 10-7-91 or emergency language will be repealed by operation of law on the following day.
2. New section refiled 12-3-91 as an emergency; operative 12-3-91 (Register 92, No. 9). A Certificate of Compliance must be transmitted to OAL 4-1-92 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 12-3-91 order transmitted to OAL 4-1-92 and filed 5-13-92 (Register 92, No. 23).
4. Editorial correction of subsection (b)(2) (Register 2002, No. 14).

Note: Authority cited: Section 1568.072, Health and Safety Code. Reference: Sections 1568.03 and 1568.072, Health and Safety Code.

1. New section filed 6-7-91 as an emergency; operative 6-7-91 (Register 91, No. 38). A Certificate of Compliance must be transmitted to OAL by 10-7-91 or emergency language will be repealed by operation of law on the following day.
2. New section refiled 12-3-91 as an emergency; operative 12-3-91 (Register 92, No. 9). A Certificate of Compliance must be transmitted to OAL 4-1-92 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 12-3-91 order transmitted to OAL 4-1-92 and filed 5-13-92 (Register 92, No. 23).
4. Editorial correction of subsection (b)(2) (Register 2002, No. 14).