59MDWI44-150 governs advance directives and end-of-life medical treatment, including informed consent, patient choices, and do-not-resuscitate orders.
View 59MDWI44-150 on armypubs.army.mil
It establishes policies and procedures for advance directives, same-day surgery, and do-not-resuscitate orders in specified clinical settings. It requires staff to provide information, document patient decisions, and follow applicable Texas law.
Applies to: This instruction applies to all personnel assigned, attached, or on contract to the 59th Medical Wing (59 MDW) with the exception of the 959th Medical Group, Air National Guard, or Air Force Reserve.
The 59 MDW will comply with Texas law on ADs and the law regarding informed consent and the patient’s right to accept or refuse medical or surgical treatment. (paragraph 2)
Honor ADs completed in other states, so long as the document appears valid (signed, dated, and witnessed). (paragraph 2)
The PCM will discuss with interested patients the information necessary for the patient to make an informed decision to either make or not make an AD. (paragraph 2)
If the answer is yes and the AD is not yet uploaded in Genesis, the clinic will instruct the patient to bring a copy of their AD on the day of surgery. (paragraph 2)
Surgery should not be ruled out solely because a DNR order has been written. (paragraph 2)