What should a health care surrogate decision maker NOT be?

The health care surrogate decision maker plays a crucial role in making medical decisions on behalf of a resident who may be unable to do so. It is important that the surrogate decision maker is someone who can act in the best interest of the resident, reflecting their preferences, values, and needs.

A staff member of the care facility is not an appropriate health care surrogate decision maker because this position creates a potential conflict of interest. The staff member may have obligations to the facility that could interfere with unbiased decision-making. Their primary role is to provide care, not to make personal medical decisions for the resident. This separation ensures that the choices made are solely for the benefit of the resident without the influence of institutional policies.

In contrast, a legally appointed representative, a family member, or a legally recognized guardian typically have established relationships with the resident and can prioritize their well-being and preferences. This is why the focus is on selecting someone who can make informed decisions that truly reflect the resident's wishes rather than someone whose responsibilities may be aligned with the care facility's interests.