Ensuring your vital medical information and health care wishes are available to Emergency Responders and Physicians in emergency situations
If you cannot speak for yourself, who will speak for you? If you don't document who will speak on your behlaf, then the choice will be made for you
It is not enough to verbally inform your caregivers of your healthcare wishes. Your wishes must be document and presented in order to be honoured
All your vital information located in a single folder: Personal identification, emergency contacts, medical conditions, decision maker lists and MOST or NO CPR orders
When calling to book your appointment
with your doctor or nurse practitioner,
explain the purpose of your visit
to allow enough time.
Doctors or nurse practitioners are only required to complete the MOST (Medical Order for Scope of Treatment) or No CPR forms. The Doctor or Nurse Practitioner can help with understanding choices for treatments, interventions and potential outcomes.
Talk about what your health might look like in the future.
Explain types of treatments that might be used to make informed decision.
What proposed treatments may be offered to me and how might the treatments improve or worsen my daily life?
Discuss options for care at the end of your life.
Talk about the MOST and NO CPR forms.
Advanced care planning starts with determining your beliefs, values and wishes for future health care treatment, communicating your wishes to close family and friends, and documenting your choices in the event you become incapable of making your own decisions.
Patients have goals other than just living longer
Answers to the following questions will assist health care providers to help you decide what future health care treatments you would or would not accept.
What you your goals and priorities? Health and other? i.e. granddaughters wedding or graduation, watch baseball and eat ice cream.
What gives you joy? Provides your life with meaning and fullfillment? ie. hobbies, time with family, etc.
What are your fears? ie. being a burden on family, struggling to breath.
What abilities are critical, something you can't imagine living without? ie. being able to communicate with others
What would you not want to have done or go through? ie. being kept alive by machines with no chance of recovery
What are you willing to go through for more time? What trade offs are you prepared to make?
An advance care plan lets you share your wishes with others so you will get the care you want and they have the confidence to make the decisions for you when you can't.
I want you to be prepared if you had to make a decision on my behalf.
It's important to me family can understand and honor my wishes.
I want you to know what my health might look like in the future, and I want you to be prepared and make it easier if you had to make decisions on my behalf.
I would like you to go with me to medical appointments, to help understand my health care wishes.
There are different types of legal documents in BC that give others decision making authority over various aspects of your life.
Below is a summary of the key documents you should be aware of.
If you have not legally documented
your decision makers, a temporary
decision maker will be assigned to you.
Complete the Personal Identification section of the document. Make sure to include your name, your Personal Health Number (PHN) (which should be entered into the BC Health Care Card # field), and your family doctor.
Document all medical conditions in the Medical Conditions section of the form. Make sure to include as much detail as possible, as this information could affect your care in an emergency situation.
In the Emergency Contact section include a local contact available to come and help you in an emergency situation and who could secure your home if you are unable to. Someone who lives close by is ideal.
If you are a caregiver, complete the Caregiver section.
If you have forms in your greensleeve that the emergency responders should access, complete the Advance Care Plan Forms section. Make sure to check off which forms should be in your greensleeve.
Complete the Medications section
If you have a Representation Agreement, you already have a decision maker,
and can skip this step if you like. However, filling out the Temporary Substitute Decision Makers (TSDM) form will make it easier for first responders to contact your family . They will have immediate access to contact information for people you would like to make decisions on your behalf.
If you do not have a
Representative Agreement with
someone, your health care decisions
will be made by the people listed
on your Temporary Substitute
Decision Makers form.
Open, complete and print the Temporary Substitute Decision Maker form.
Print the blank Temporary Substitute Decision Maker form and follow the instructions below.
Complete the Personal Identification section at the top of the form. Make sure to include your name and the date you filled out this form.
Complete the Temporary Substitute Decision Maker List section of the form. Enter a name and contact number for the following decision makers:
If there is a person you don't want involved in your health care decisions, make sure to include them in the last section of the form.
The Temporary Substitute Decision
Maker form is only used if you are not
capable of making your own decisions
** must be signed and dated by your doctor
The next steps are critical to
ensure your greensleeve package
is found by emergency responders!
In Langley, emergency responders are trained to look for a green sticker on your apartment or front door. If they see a sticker on your door, they will then look for the other green sticker in your kitchen.
Choose a location that will be accessible to emergency workers when they arrive. Some common places to store your folder would be in a cupboard, drawer or on your fridge.
Apply one green sticker to mark the location of the Greensleeve package inside the home. Apply to the outside of the fridge, cupboard or drawer.
Apply one green sticker outside the entry door of the residence. Apply to front door of house or personal apartment door.
Mark your calendar for 6 months to update your documentation. Make sure to make changes to your documents if your medications change.
The Langley Division of Family Practice has partnered with Langley physicians, hospital emergency department, emergency responders, senior living residences and community organizations to implement a community wide health care emergency MedWatch Program, for all of Langley, BC.
The MedWatch Program was developed out of the need to get vital medical information and health care wishes to emergency responders and physicians in emergency situations. Our goal is to address these challenges and provide first responders access to medical information to help them assess and treat patients.