Implementing the Patient Self-Determination Act

An interdisciplinary process action team developed policies and procedures for implementation of the Patient Self-Determination Act. Specific roles were defined for all involved in the process: Admissions Office, Unit Nurse, Social Worker, Attending Physician, Medical Records, Public Affairs, Patient Administration, Legal Office, Medical Library, Medical Law and Chaplain. An educational effort provides orientation for the hospital staff and the community on development of advance directives by patients.