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CONSENT FOR MEDICAL CARE SERVICES
POLICY STATEMENT:
The Division of Veterans Healthcare Services requires each of the New Jersey
Veterans Memorial Homes to establish a Medical Services Program that assures
that veteran home residents and/or their legal representatives give prior
authorization to the medical staff and/or advance practice nurses to administer
necessary, non-invasive methods of testing and diagnosis, care and treatment,
to include nursing care considered routine by standards of medical practice.
PURPOSE:
This policy and procedure shall serve to ensure that veteran home residents,
or their medical power of attorney or proxy, give prior authorization/consent
to the medical staff and/or advance practice nurses to administer necessary
and non-invasive methods of testing and diagnosis, care and treatment, to
include nursing care considered routine by standards of medical practice.
PROCEDURE:
A. New Jersey Veterans Memorial Homes
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1. The New Jersey Veterans Memorial Homes shall assure that each veteran
home resident, if competent, or their legal guardian/healthcare representative
if incompetent, gives prior authorization or consent to the medical staff
and/or advance practice nurses to administer necessary and non-invasive
methods of testing and diagnosis, care and treatment, to include nursing
care considered routine by standards of medical practice. |
B. Department of Social Services
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1. The Social Services Case Manager shall procure
authorization/consent from the resident, if competent, or from
the resident's legal guardian or health care representative if
incompetent, for the New Jersey Veterans Memorial Home medical
staff and/or advance practice nurses to administer necessary and
non-invasive methods of testing and diagnosis, care and treatment,
which includes nursing care considered routine by standards of
medical practice, at the time of admission. |
C. Department of Medical Services
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1. The Primary Care/Attending Physician shall procure
authorization/consent from the resident, if competent, or from
the resident's legal guardian/health care representative, if incompetent,
for the New Jersey Veterans Memorial Home medical staff and/or
advance practice nurses to administer necessary and non-invasive
methods of testing and diagnosis, care and treatment, which includes
nursing care considered routine by standards of medical practice,
as needed. |
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a. The physician/advance practice nurse shall inform
the veteran home resident, if competent, or the healthcare representative,
if deemed incompetent, of the total health status and ensure involvement
in the assessment and care planning process, this is to include: |
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1. Discussion of diagnosis (es)
2. Treatment Option(s)
3. Risks involved
4. Prognosis |
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b. The physician/advance practice nurse shall ensure
that all recommendations for treatment/medications are addressed
with the veteran home resident, if competent, or the healthcare
representative, if deemed incompetent, and documented in the Medical
Record. |
Note: In emergency situations where the resident is incompetent, the guardian/health
care representative is unable to be contacted, or there is no legal guardian/health
care representative, the resident will be sent to the nearest hospital for
treatment.
Revised: July 2005
Medical Services -
23-02-002
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