Advance Care Directives for health professionals
The Advance Care Directives Act 2013 (SA) and changes to the Consent to Medical Treatment and Palliative Care Act 1995 came into effect on 1 July 2014. Together these changes pave the way for a rights-based, person-centred approach to health care.
What this means for previous Advance Care Directives
The Advance Care Directive Form replaces Medical Powers of Attorney, Enduring Powers of Guardianship and Anticipatory Directions with a single Advance Care Directive Form. Already completed Enduring Power of Guardianships, Medical Powers of Attorney and Anticipatory Directions are still legally effective unless an Advance Care Directive Form is completed.
The Advance Care Directive Form and Kit are available both in hardcopy and electronically from the Advance Care Directive website. To order consumer materials, see the How can I order Advance Care Directive information? fact sheet (PDF 492KB).
What it means for staff
Changes to clinical care, administrative processes for SA Health services and structures across SA Health are underway. The changes will enable access to Advance Care Directives at the point of care when needed so staff will know who to contact for third party consent. Clinical care practices are changing to support person centred care.
SA Health staff should be asking patients at admission whether they have an Advance Care Directive (when relevant) and, if so, who has been appointed as their Substitute Decision Maker/s. Staff should also be ensuring that any Advance Care Directive provided by a patient is a certified copy (PDF 58KB).
Tools to assist staff
See the following tools and information sheets to assist you:
- Advance Care Directive fact sheet (PDF 315KB)
- Advance Care Directive frequently asked questions (PDF 95KB)
- Advance Care Directive Policy Directive (PDF 507KB)
- Advance Care Directives and Mental Health Treatment Orders fact sheet (PDF 92KB)
- Consent to Medical Treatment and Health Care Policy Guideline (PDF 2.08MB)
- Consent to Medical Treatment and Healthcare frequently asked questions (PDF 1.11MB)
- Consent to Medical Treatment and Healthcare flowchart (PDF 90KB)
- Consent and Advance Care Directives Fast Facts (PDF 347KB)
- Decision-making capacity fact sheet (PDF 87KB)
- Decision-making pathway for substitute decision makers (PDF 539KB)
- Help Us Help You flyer - Essential contacts (PDF 115KB)
- How can I order Advance Care Directive information? fact sheet (PDF 492KB)
- How to Certify Copies of Advance Care Directives fact sheet (PDF 52KB)
- How to file hard copy Advance Care Directive, Advance Care Plan and Resuscitation Alert forms in medical records (PDF 396KB)
- Replacing a revoked/cancelled Advance Care Directive in the medical record (PDF 272KB)
- Supporting a person to make their own decision fact sheet (PDF 65KB)
- Transitional provisions for Enduring Powers of Guardianship fact sheet (PDF 181KB)
- “What documents do you have?” fact sheet (PDF 1753KB)
- SLS notice 4/16 — ACD & 7 Step/Resuscitation Plan Classifications (PDF 274KB)
National Safety and Quality Service Standards
These changes support the National Safety and Quality Service Standards:
- Standard 2 - Partnering with Consumers
- Standard 8 - Recognising and Responding to Acute Deterioration
To assist staff understand and apply the SA Health Advance Care Directive policy directive a number of educational training resources have been developed. See the Advance Care Directives education and training page for more information.
Where to get help and advice
SA Health services have local mentors and advisers who can provide SA Health staff with help and advice about Advance Care Directives according to local policies and protocols, see also the Advance Care Directive Policy Directive (PDF 507KB) and Policy Guideline (PDF 2.08MB)
If further help and advice is required please contact Office of the Public Advocate on (08) 8342 8200. The Office of the Public Advocate's Dispute Resolution Service can also provide information and advice around Advance Care Directives.