Are there any federal or state guidelines addressing the issue of advances directives in OBS practices?
Federal law requires all providers, including physicians in private practice, which would include an OBS practice, to ask their patients whether they have any advance directives – mainly a health care proxy. If the patient requests information on advance directives, the providers should be prepared to either give them such information or refer them to DOH’s website which has the information ( www.nyhealth.gov). DOH advises persons who have completed a health care proxy form to bring a copy with them if they are having any type of OBS procedure. The OBS practice should reiterate this as part of their pre-op instructions. Then, if a decision regarding patient care is needed to be made during the surgery, while the patient was under deep sedation, the patient’s agent would be able to make the decision. If the patient does not have a completed health care proxy form, but would like to complete one before surgery, the OBS practice should either have some routinely available or should downlo
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