Module #1: Foundation: Informed Consent Policy Updates

• Identify the importance of decision-making capacity assessment when obtaining patient consent
• Recognize the legal hierarchy of priority for surrogate decision-making on behalf of the incapacitated patient
• Discuss the difference in implied consent in emergent procedures and two-physician authorization in non-emergent procedures for unrepresented individuals
• Describe the role of interdisciplinary team members to protect the patient’s rights to appropriate informed consent processes

Module #2: Ethics: Authorization, Consent and Vulnerable Individuals 

• Identify how to extend the right to self-determination to the authority granted by the law to individuals to represent the incapacitated patient’s interests
• Define beneficence and non-maleficence in the authorization of proceeding with a procedure for the incapacitated patient in the absence of their ability to provide consent for themselves
• Adopt a common language to focus on the authority granted by law to be a legally-authorized representative (LAR) or legally-authorized surrogate decision-maker (LASDM) on behalf of the incapacitated patient

Module #3 Foundation: Texas Advance Directive Act Updates

• Discuss the history of the Texas Advance Directive Act
• Identify the substantive changes to the Texas Advance Directive Act in HB 3162
• Discuss strategies for applying these changes to practice in order to protect the rights of the patient or surrogate decision-maker
• Recognize opportunities to involve Ethics and Legal colleagues early in treatment disputes.

Module #4: Disability Ethics 

• Identify the authority provided to the ethics committee in dispute resolution for life-sustaining treatment as outlined in the Texas Advance Directive Act
• Define disability as utilized in the Texas Advance Directive Act
• Recognize biased language and ableist bias
• Identify and discuss ways to improve the quality and equity of care provided to individuals with disabilities

Module #5: Foundation: Incapacity Holds

• Identify the similarities of the laws providing various emergency detention procedures
• Discuss the limitations of the laws providing various emergency detention procedures
• Identify barriers people with mental health illness face in accessing health care

Module #6: Medical Incapacity and the Vulnerable

• Discuss the limits of emergency detention laws for mental illness
• Discuss ethical concerns underlying the limitations of detention for those with medical incapacity
• Summarize and discuss the medical incapacity holds that exist in other states or institutions

Module 7: Safe and Effective Pain Management – Education on Prescribing Opioids

• Recognize criteria for assessment of a patient’s pain
• Compare pharmacologic and non-pharmacologic interventions for pain management
• Recognize symptoms of patients at risk for respiratory depression and define appropriate use of IV and intranasal naloxone
• Identify the Medications for Opioid Use Disorder (MOUD)
• Define opioid stewardship, CDC guidelines, and requirements by the Texas Medical Board (TMB)