Advanced Directives Policy

It is your right to participate in and plan for your healthcare needs. However, at some
point you may become unable to make your own your healthcare decisions. Orchard
Surgical Center, OSC can provide you with a guide that assists you in creating your own
personal Advance Care Directives, including Durable Power of Attorney and Living Will.
This becomes a document that states your preferences about medical care. You do not
need one to receive healthcare services from any provider.
Please note that this guide is not the same as NH statute RSA 137-J. You can obtain
the statutory forms from NH Revised Statutes Annotated 137-J on the Foundation for
Healthy Communities website at The guide we can provide is very
similar to the NH statutes but written in more understandable language.
All OSC patients are asked whether they have advanced care directives and, if so, to
bring a copy with them on their date of surgery. If one cannot be produced and is
desired by you, we will find and provide information about where it can be obtained.
The Advanced Care Directive paperwork will become a permanent part of your medical
record. Should any patient need to be transferred to a hospital, the recovery room
nurse will be responsible for ensuring the hospital is apprised of where the paperwork
may be located.
An Advanced Care Directive is not a DNR order (Do Not Resuscitate). Orchard
Surgical Center does not recognize DNR orders and all patients are asked to grant OSC
permission, in the event of an emergency, to perform any procedures considered
necessary at that time in order to protect life or health or to enable transfer to a hospital,
including, but not limited to, cardiopulmonary resuscitation (CPR) and any other lifesustaining treatment.
To obtain a copy of “Advanced Care Planning Guide-New Hampshire Directives:
Durable Power of Attorney for Healthcare (DPOAH) and Living Will”, please call
Orchard Surgical Center at (603) 401-6466 or print a copy from our website at
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