300 Circle Front Dr. • Evansville, IN 47715

Advance directives

Your wishes. Your care.

Tell your care team about your health care decisions and the person authorized to speak for you.

Review draft — not an adopted public notice. Facility approval and completion are required before publication.

OrthoSurg ASC LLC • Effective: pending approval • Last reviewed: pending approval

Tell us about your decisions

An advance directive can document health care choices and identify a person authorized to make decisions when you cannot. You are not required to have an advance directive to receive care. Bring a copy of any advance directive, health care power of attorney or representative document, and discuss it with the care team before your procedure.

We record whether a directive has been provided and include the document in the medical record as appropriate. The authority of a representative depends on the document and applicable law.

The center's resuscitation and transfer policy

Discuss your wishes before surgery or anesthesia

Under the policy proposed for this center, if a patient experiences cardiac or respiratory arrest or another life-threatening condition, staff will attempt resuscitation and arrange transfer to a hospital for a higher level of care.

The supplied policy does not provide for implementing a do-not-resuscitate request at the center. If you have a living will, a do-not-resuscitate order or other treatment limits, discuss them with your surgeon and anesthesia team before agreeing to your procedure.

Your care team should explain this policy and any limitations in advance. If the policy does not meet your wishes, discuss alternatives with your physician, including whether another setting is appropriate. Do not wait until arrival to raise these concerns.

When transfer is needed, the receiving hospital will evaluate and implement directives according to its policies and applicable law. A legally authorized representative may participate in decisions within that person's authority.

Indiana information and forms

For information about Indiana advance directives, visit the Indiana Department of Health Advance Directives Resource Center. Staff can help you obtain available information. Call 812-401-9171 with questions about providing a copy or discussing the center's policy.

This page provides facility information, not individual legal advice. Review your documents and wishes with your health care team and, when appropriate, a legal adviser.

Care starts with understanding.
Free language assistance and appropriate communication aids are available.

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