| 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 |
|