General information:
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Advance directives are legal documents outlining an individual's general wishes for medical care. These are completed in "advance" of becoming too sick to make decisions for yourself. Advance directives are recommended for everyone age 18 and older (including mature and emancipated minors).
Requests related to cardiopulmonary resuscitation (CPR) listed in advance directives cannot be honored by emergency medical service (EMS) providers because they are NOT medical orders.
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Medical orders (POST and DNR) are legal documents outlining an individual's wishes for specific medical care. Medical orders can be honored by all health care professionals (including emergency medical service [EMS] providers).
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According to WV Health Care Decisions Act, directions provided in advance directives (i.e. the "special directives or limitations" section) take precedence over medical orders in the event that the documents are in conflict with each other. At the time of completion of medical orders, providers are encourage to review advance directives to ensure that they are consistent with medical orders.
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It is strongly encouraged that all forms are submitted to the WV e-Directive Registry.
The Registry makes individuals' wishes available to treating health care professionals 24/7, so individuals' wishes can be honored throughout the continuum of care.
The Registry is accessible by WV EMS providers through MEDCOM.
The Registry acts as the single source of truth by ensuring all documents released by the Registry are completed validly in accordance with WV health care law.
Disclosure: The information and resources on this website are for general informational purposes only and not intended as legal or professional advice. While we strive to present information correctly, we make no guarantees of accuracy or completeness. Use of this information is at your own risk, and WV Center for End-of-Life Care is not liable for any outcomes. For specific advice, consult a qualified professional.