The California Department of Health has issued an All Facilities Letter reiterating the provisions of current law regarding informed consent for prescribing antipsychotic medication in skilled nursing facilities. The letter emphasizes that physicians must obtain informed consent from residents before prescribing, ordering, or increasing an order for antipsychotic medication. Additionally, physicians must seek the resident's consent to notify their designated family member. If the resident consents, the family member must be notified within 48 hours of the prescription or change in order. This notification is not required in certain circumstances, such as if the resident is terminally ill or has not consented to the notification. The letter serves as a reminder for healthcare facilities to follow current laws and be aware of legislative changes.
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