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invoke hcp

Posted

what am I suppose to do when I get this order from the MD in LTC ? Please somebody answer my question.

Whispera, MSN, RN

Specializes in psych, addictions, hospice, education.

what's hcp?

pink85

Specializes in School Nursing, Pedi., Critical Care.

My question also. What is hcp?

NurseKatie08, MSN

Specializes in Geriatrics, Transplant, Education. Has 13 years experience.

HCP=Health Care Proxy

I would imagine that this order means the resident/patient is deemed unable to make medical decisions for themselves, and that their Health Care Proxy should be contacted for further decision making.

If you aren't sure, you could always ask the MD what they mean..

CapeCodMermaid, RN

Specializes in Gerontology, Med surg, Home Health. Has 30 years experience.

You will need a valid Health Care Proxy...make sure the person who is named is still 1.willing, 2.alive, 3.not in jail! You need an MD order AND a progress note explaining why the doc invoked the HCP. At one place I worked, we had a form the doc filled out which included a brief explanation of why it was necessary to invoke...such as severe dementia or coma...and if the invocation was going to be permanent or temporary.

At the facility I'm at now, we get an order and a progress note then make a copy of the progress note with the reason for the invocation highlighted and we keep it in the advanced directive section of the chart.

achot chavi

Specializes in acute care and geriatric. Has 20 years experience.

I thought you needed 2 docs to sign off on a HCP?

I could be wrong. I would also ask the SW

CapeCodMermaid, RN

Specializes in Gerontology, Med surg, Home Health. Has 30 years experience.

In Massachusetts it only takes one doc OR one NP.

CoffeeRTC, BSN, RN

Has 25 years experience.

I'm not sure we have this law in PA.

CapeCodMermaid, RN

Specializes in Gerontology, Med surg, Home Health. Has 30 years experience.

All this confusion and bruha about health care proxies and who can sign the resident in and who can be told information. Makes me long for the old days...if you were married to someone, and most often you'd been married to them for 50 years or more, they could sign you in and consent to treatment. "Oh, so sorry Mr Jones but just because you've loved and been married to your wife for 64 years doesn't mean you can have any legal standing in the admission process."...I had a nurse who wanted to invoke EVERY resident's health care proxy to make it easier. Yikes! I had to explain it to her....just because you had the foresight to have a proxy doesn't mean you can no longer speak for yourself. I have one hanging on my refrigerator door (along with my own care plan just in case) but I'd kick anyone who tried to invoke it if I could still speak for myself!

achot chavi

Specializes in acute care and geriatric. Has 20 years experience.

you have your own care plan and HCP????on your fridge??? What a way to diet!!!

CapeCodMermaid, RN

Specializes in Gerontology, Med surg, Home Health. Has 30 years experience.

lol...no diet...I just want to make darn sure that if I have to go to a facility they do what I want. No shoes, no socks, no thickened liquids,no Gtube....all the big decisions have been made so my kids won't have to worry if and when the time comes. Somehow I don't think I'll have to worry. I've already been told by most of the facilities around here that they would never admit me because I'm so noncompliant!

lol...no diet...I just want to make darn sure that if I have to go to a facility they do what I want. No shoes, no socks, no thickened liquids,no Gtube....all the big decisions have been made so my kids won't have to worry if and when the time comes. Somehow I don't think I'll have to worry. I've already been told by most of the facilities around here that they would never admit me because I'm so noncompliant!

i prefer to think of it as being self determinate........lol

achot chavi

Specializes in acute care and geriatric. Has 20 years experience.

CCM wrote:"Somehow I don't think I'll have to worry. I've already been told by most of the facilities around here that they would never admit me because I'm so noncompliant!" End quote.

As the KING (of Burgers) said "Have It Your Way"!!!!

I am the worlds worst patient- in the same vein. My son was in the hospital and I didn't care for the treatment and let them know- post-op still dizzy and not yet standing he got meds without a cup of water, I asked the nurse for water and was told- Get it for him yourself (I had no cup or I would have- I had to search far and wide for a cup and ended up stealing one from the nurses room - for which I got yelled at as well)

On Preop- there were other problems as well and I am sure they are still talking about me - the nurse prepped the wrong leg for surgery!!! When I showed her, she said- no, her instructions were to prep the other leg- what does she care. I will not return to that hospital!!!

We are off track here- but CCM- I hear you!!!

Soory, but thanks for the laugh, I am so terrible when certain members of my family are hospitalized the nurses fight "not" to be assigned to my loved ones care. Ofcourse, the nurses who do take care of them are usually ones with experience, do a good basic job with the care, and are not afraid to call a doctor when it is needed. That is the my objective in being a witch. Have a great day.

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