Last Steps ACP Facilitator Certification

Respecting Choices® Last Steps® ACP Facilitator Certification is designed for health care professionals, such as nurses, social workers, chaplains, physicians

and others involved in assisting those with serious illness or frailty in making treatment decisions. Our target audience is individuals who are First Steps ACP Facilitators.

Purpose: To improve the effectiveness of the Last Steps® ACP Facilitator Certification program through facilitation skills training.

Course Objectives

A. Describe the goals of the Last Steps ACP program; a POLST Paradigm Program

B. Identify interview skills for facilitating Last Steps ACP conversations

C. Identify skills to assist individuals in making informed treatment decisions, to include CPR, limitations on treatment and comfort care

D. Develop strategies to create a POLST form that accurately reflects an individual’s treatment preferences

E. Identify systems to honor the POLST plan

F. Demonstrate beginning competency in facilitating Last Steps ACP conversations through role-play activities


1. Completion of the Respecting Choices® Online ACP Facilitator Core Curriculum. The online component includes interactive courses intended to help you learn basic ACP concepts and to come to the course prepared for a more robust classroom experience. Contact hours for the online prerequisite are available through Respecting Choices. Upon completion of the five individual modules, you will be able to download a contact hour certificate.

Registration Fee: $250
Includes the cost of the pre-course modules from Respecting Choices. Continuing education units/hours available at this program are 6.75 social work CEUs and 6.75 CEs for nurses.* Registration fees are nonrefundable.

Registration Deadline: Space is limited; please register by Nov. 2. Registration is not considered complete until payment has been received.


7:30 a.m. Registration opens

8 a.m. Introductions and Welcome

8:20 a.m. Last Steps® ACP, a POLST Paradigm Program

8:45 a.m. Review of Last Steps ACP Facilitation Skills

9:45 a.m. Break

10 a.m. Practice Role-Play Exercise No. 1

10:45 a.m. Help Make Informed Treatment Decisions

11:15 p.m. Practice Role-Play Exercise No. 2

Noon Lunch

12:30 p.m. Help Make Informed Treatment Decisions (continued)

1:30 p.m. Practice Role-Play Exercise No. 3

2:15 p.m. Break

2:30 p.m. Making POLST Work: What the Facilitator Needs to Know

3:15 p.m. Final Competency Role Play

4:15 p.m. Summary/Evaluation

4:30 p.m. Adjourn


The term “certification,” as used in Respecting Choices® educational programs and products means that Gundersen Health System issues a certificate upon fulfillment of the following elements:

1) Completion of a specified Respecting Choices educational program with standardized content and processes;

2) Successful demonstration of skills associated with the specified program and

3) If applicable, an 80 percent or higher score on a written examination associated with the specified program.

The Respecting Choices certification programs are not credentialed by a national accreditation body.

*Hospice of the Red River Valley is a pre-approved provider of the NDBSWE for social work CEUs. This program meets the continuing education requirements for social workers. There will be a total of 6.75 CEUs for social workers.

This continuing nursing education activity was approved by the Western Multi-State Division, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Arizona, Colorado, Idaho, and Utah Nurses Associations are members of the Western Multi-State Division.