NOTIFICATION OF RESIDENT'S CONDITION
POLICY STATEMENT:
The Division of Veterans Healthcare Services requires each of the New Jersey Veterans Memorial Homes to establish a Medical Services Program that provides the veteran home resident/healthcare representative a full description of the medical condition/plan of treatment.
PURPOSE:
This policy and procedure shall serve to ensure veteran home residents, if competent, or the selected healthcare representative, if the resident is incompetent or it has been determined inadvisable to inform the resident of their medical condition, a full description of the medical condition/plan of treatment. The physician/ advance practice nurse may delegate the notification authority to a licensed professional, depending on the needs of the resident and the situation.
PROCEDURE:
A. New Jersey Veterans Memorial Homes
 |
1. The New Jersey Veterans Memorial Homes shall assure each veteran home resident/healthcare representative receives a complete, full description of the medical condition/plan of treatment interventions. |
B. Competent Residents
1. The physician/ advance practice nurse must inform the resident of changes in their medical status / condition and treatment plan. 2. Documentation of changes must be recorded in the medical record. 3. The physician/ advance practice nurse must record the significant change(s) in status in the medical record containing the following information: |
a. Date and time of communication;
b. To whom the information was
provided; and
c. What information was shared/conveyed.
C. Incompetent Residents
1. The physician/ advance practice nurse must inform the health care representative of any significant change in status/condition and treatment plan. 2. Documentation of changes must be recorded in the medical record. 3. The physician/ advance practice nurse must record the significant change in status in the medical record containing the following information: |
a. Date and time of communication;
b.
To whom the information was provided; and
c. What information was
shared/conveyed.
| 4. The health care representative will be notified of the resident's change in condition within 24 hours, when there is: |
a. An accident or
injury to the resident requiring hospitalization.
b. A significant change
in medical status or the resident becomes critically ill.
c. A transfer
to, or return from, the hospital.
d. A permanent transfer or discharge
out of the facility.
Revised: July 2005
Medical Services - 23-02-004