Tuesday Tip: Family Authorization is not Always Enough

With your hectic schedule, it is sometimes easy to overlook simple compliance issues. Advanced Healthcare Studies’ “Tuesday Tips” will bring you a quick, helpful idea each week that can assist you in your operations related to regulatory compliance. We know that many of you implement outstanding practices in your community, and we welcome your ideas as well. If you have a tip that you would like to share, just reply by email and we may share your tip in a future “Tuesday Tip.”

Tip: Family authorization is not always enough

Although families play an important role in operating our communities, we cannot always rely solely on them for decisions about our resident’s care. Here are a few examples:

1. Missed Medication

If a resident in your ARF or RCFE misses a dose of medication due to refusal we must notify the prescribing physician as well as the responsible party.

Refer to Title 22, Chapter 8, Section 87465

Refer to Title 22, Chapter 1, Section 80075

2. Modified Diets

Most of us have had diabetic residents refuse to follow their diet plan, such as eating some cake after dinner or having a regular soda. Once again in these situations we must notify their physician for further direction.

So remember, the family is an important part of quality resident care but many times you must go beyond them when handling challenging situations — for your resident’s safety and to protect your own risk.

This tip was provided by Advanced Healthcare Studies — your source for operational and training products and services.


Josh Allen, RN

Advanced Healthcare Studies, LLC

One Response to “Tuesday Tip: Family Authorization is not Always Enough”

  1. any refusal need to be documented at all times.

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