Commissioner’s Office Approval
The following procedure requires approval from the Commissioner’s Office / DAIL Nurse Consultants prior to Guardian consent:
Steps for Obtaining Commission’s Office Approval:
When a facility contacts you to request consent for an initial gastrostomy tube placement, please get their contact information (name and telephone number) and let them know that a DAIL Nurse Consultant will be in touch with them.
Please email the name of the individual under guardianship, the name of the contact person, and their telephone number to BOTH DAIL Nurse Consultants.
Please be sure to include BOTH DAIL Nurse Consultants in all communications to ensure timely response as they cover for one another when one is out.
One of the DAIL Nurse Consultants will contact the provider and discuss what options are available for the individual to ensure the best interests of the individual.
The DAIL Nurse Consultant will discuss with the provider what they may need for review.
The DAIL Nurse Consultant will review the information submitted.
The DAIL Nurse Consultant may see that it is very evident what is in the best interest of the individual under guardianship and provide approval to the Guardian to give consent.
If it is not immediately clear whether the procedure is in the best interest of the individual, the DAIL Nurse Consultant will then forward their professional opinion to the Guardianship Director for review, who will then forward the information to the DAIL Commissioner for final review.
The Guardian and Guardianship Supervisor will be notified of any updates in the process as they occur.
If approved, the DAIL Nurse Consultant will notify the Guardian and Guardian Supervisor, who will then give consent for the procedure to be performed. The DAIL Nurse Consultant will enter an event in KYGFIS to include physician statements, medical records, and email chains if applicable.
The Guardian/Guardian Supervisor will document the name of the person that they give consent to.
If denied, the DAIL Nurse Consultant will discuss options with the Guardianship Director, request more information if necessary, and notify the Guardian and Guardian Supervisor accordingly. The DAIL Nurse Consultant will document the denial in KYGFIS along with all the information that was received.