Revision and revocation of a medical orders for scope of treatment form duty to inform.

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(1) (a) A health care provider may revise the provisions of an adult's executed medical orders for scope of treatment form only if:

(I) (A) The adult's medical condition has changed since the adult or the adult's authorized surrogate decision-maker executed the form; or

(B) The provisions of the form are not, in the provider's independent medical judgment, medically appropriate;

  1. The provider consults with the adult or, if the adult lacks decisional capacity, the adult'sauthorized surrogate decision-maker concerning the revision of the form; and

  2. The adult or, if the adult lacks decisional capacity, the adult's authorized surrogate decision-maker consents to the revision of the provisions of the form.

(b) If a health care provider revises an adult's executed medical orders for scope of treatment form pursuant to paragraph (a) of this subsection (1):

  1. The provider shall record the revisions on the form; and

  2. The provider and the adult or, if the adult lacks decisional capacity, the adult's authorizedsurrogate decision-maker, shall sign and date the form.

  1. An adult who has decisional capacity and has executed a medical orders for scope of treatment form may revoke his or her consent to all or part of the form at any time and in any manner that clearly communicates an intent to revoke all or part of the form.

  2. Except as provided in section 15-18.7-110 (3), the authorized surrogate decision-maker foran adult who lacks decisional capacity may revoke the adult's previously executed medical orders for scope of treatment form.

  3. Emergency medical service personnel, a health care provider, or an authorized surrogatedecision-maker who becomes aware of the revocation of a medical orders for scope of treatment form shall promptly communicate the fact of the revocation to a physician, advanced practice nurse, or physician assistant who is providing care to the adult who is the subject of the form.

Source: L. 2010: Entire article added, (HB 10-1122), ch. 279, p. 1280, § 1, effective August 11. L. 2016: (4) amended, (SB 16-158), ch. 204, p. 726, § 13, effective August 10.

Cross references: For the legislative declaration in SB 16-158, see section 1 of chapter 204, Session Laws of Colorado 2016.


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