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module 3 header Section 2 - Right Actions  
Supporting the process
of making an ADRT
1.Introduction
2.Right Actions
a. The Format of an ADRT?
b. Making your own ADRT
c. Personal Reflection - 5
d. Dealing with an ADRT
e. Clinical Film Scenario - 7: Dealing with an ADRT
f. Supporting
g. Personal reflection - 6
h. Storage & Distribution
of an ADRT
3.Right to change their decision
4.Emergencies
5.The Right Outcomes
6.End of Module Quiz
Dealing with an ADRT
When staff become aware of a patient’s ADRT for the first time they should: -
  • Acknowledge its existence to the patient
  • The maker or nominated individual must provide, a copy of the written ADRT (if life sustaining treatment is being refused)
  • Inform the senior medical practitioner responsible for the patient’s current care
  • The team should clarify its validity and applicability and it should be placed prominently in the care records.
  • Inform the multi-professional team and ensure that the information is mentioned at team handovers
  • When allowed, clarify with relatives and carers that they have been advised of the existence of the ADRT. The maker may have stated that the ADRT remain confidential and not be discussed with anyone other than those providing healthcare.
  • Following a verbal ADRT the maker should be encouraged to complete in a written format – staff may offer the available proforma (Appendix 1)
  • Any team member withconscientious objections to carrying out the instructions in the ADRT should informtheir line manager so that appropriate staffing arrangements can be made.
Further Information: ADRT National Guide - p:20-22 - 9.38-44
Telling people of the decision
It is advised that copies may:
  • Stay at the person’s home / residence
  • Go to other / relatives/carer or preferred person
  • Stay at the Care Home (if a resident)
  • Go to the General Practitioner / Health Centre
  • Go to the Key Worker, Specialist Health, Social or Care Professional
  • Go to the Ambulance service, local Acute Hospital  Trust, NHS Direct, Out of Hours Provider
  • Be sent to the person’s solicitor informing them of its existence if this is considered necessary
Click here: Example form available from National ADRT Guide - Appendix 1 - p:30-33
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