Section R432-31-4 - Facility Policies and Procedures(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.Utah Admin. Code R432-31-4
Amended by Utah State Bulletin Number 2023-12, effective 6/12/2023