TX HHS Form 1591. Provider Advocate Committee (PAC) Acting as the Client's Responsible Adult

The TX HHS Form 1591, Provider Advocate Committee (PAC) Acting as the Client's Responsible Adult, is a crucial document that helps solve the problem of ensuring the health care decisions of individuals who cannot make their own choices. In situations where an individual lacks capacity to make decisions regarding their health care and does not have a willing and able adult to participate in decision-making, the PAC acts as the responsible adult (CRA) to approve or deny delegation of tasks by registered nurses (RNs) to unlicensed personnel.

The form requires specific information, including the individual's name, the RN's name, and the task(s) being delegated. The PAC must review the decision for delegation on an annual basis or when changes in the individual's condition warrant a revision. Key features of the form include the requirement for at least three members to comprise the PAC, consisting of an assessing RN, the program provider's CEO/designee, and a person responsible for service delivery oversight.

The TX HHS Form 1591 is used in situations where individuals require assistance with health care decision-making. The form helps ensure that delegation of tasks by RNs to unlicensed personnel is appropriate and promotes safety for the individual. Key points to note include:

• The PAC acts as the CRA only when an individual lacks capacity to make decisions regarding their health care.
• The PAC must review the decision for delegation on at least an annual basis or when changes in the individual's condition warrant a revision.
• The form requires specific information, including the individual's name and the task(s) being delegated.