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Health Care Proxies

posted Mar 5, 2014, 6:31 AM by PC/SM Chief Resident   [ updated Mar 5, 2014, 6:32 AM ]
We have a new flow for getting HCP paperwork done in clinic.  Your nurse will give your patient the HCP paperwork and introduce it, encouraging them to fill it out while waiting for you.  When you get into the room, you discuss it with your patient, if they are ready to finish it, put out your WHITE flag.  Your nurse will come in, witness the paperwork if needed (you do need two witnesses), make two photocopies, give the original and a copy to the patient, and keep a copy for EPF.  You nurse will then go ahead and document the HCP in EMR.  Although in some ways this is "just paperwork," it will hopefully prompt you and your patient (and their family!) to start a discussion about advance directives!   See attached flow for details regarding how to input HCP, etc.  For advance directives paperwork, you can find links to Montefiore papers and the NYS MOLST under Forms.   

A few additional things: Note that we are focusing on patients >65 for HCP forms.  Also note that although this is a "standardized flow" you should huddle with your nurse about it, and change it if needed to fit you and your nurse's styles better.  There are also going to be days when you are too busy to do HCP paperwork - just tell your nurse that you cannot do them that day.