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A POA doesn't have to sitting on ones lap to do a good job. Many times my cousin was hospitalized, I did go there several times, but mostly handled it via phone.
Support your sister, you are local so you can do the leg work, think "Team"!
I was Trustee of Trust for him. I managed his Trust account which took in his SS from a bank that had and still has banks all over our state. So no problem given that the branch manager in HIS town communicated well with the branch manager in MINE, and I had a "personal banker" assigned due to the size of his CDs with the bank.
I signed all his checks as either Trustee or at POA, according to what type of check it was and what entity it was going to.
To answer what happens in an emergency? Phones happen. They sure happened for me, and in the time of Covid, too.
Please don't be jealous of sister. This is ONE HARD job and will be made harder for her doing it by long distance. I spent an entire day on the phone with Spectum Co. when they inadvertently cut my brother's phone off, instead of his neighbors in his ALF. From 1030 a.m. to 4:30 pm I talked to just about every state in the union and not a few countries as they tried to fix this. I was kept so busy making and mailing copies of Trust and of POA papers to different entities I nearly went mad. It took a year to get the files and the monthly accountings for records and my bro straight. I kept a daily dedicated diary. I was so anxious at times I could virtually levitate. It was a steep learning curve. So the only question here is if Sister is capable of this and fully understands her fiduciary/legal duties.
Like you Mom, my brother CHOSE who he wanted to do this and felt was most capable. It turned out I got very very good INDEED at it and I was able to keep him and his money safe and well cared for during his last years diagnosed with probably early onset Lewy's Dementia. I am proud of the work I did, but it was a heck of a load.
Do the right thing. Offer your Sis any help you can. She is going to need it.
To answer the question "what happens in emergency"? Phones happen. They surely did happen for me.
If there is an emergency, your sister will need to be contacted. She can then either make decisions over the phone for your mom, or drive in and make them in person.
You are no longer obligated to make sure mom gets to medical or legal appointments. You also should not be paying, or assisting with paying, any of mom's bills with mom's (or your own) funds. This is now your sister's responsibility.
If an emergency such as shut off of utilities, or foreclosure/eviction occurs, or if mom misses doctors appointments and her health suffers, or mom goes without food due to lack of ability to purchase groceries, you can contact APS and hire an attorney and go to court to get guardianship/conservatorship.
Hopefully your sister does a great job, and everything goes smoothly! Your mom is in my prayers.
My Mom went to the emergency room to a hospital she attended prior. I and my sister-in-law are on the hospital list of contacts for my Mom. To put me on that list, I did not need any documents because my mother was fully capable at that time and there to say, yes to adding me to the contacts. However, if I now wanted to change my sister-in-law to my sister, I needed to vouch that I was POA because my Mom is no longer considered competent.
When my sister attempted to get information about my Mom, she was denied access. However, on a conference call with my sister-in-law, my sister, and the hospital, my sister could do all the talking.
I could create a hospital account in my Mom's name, and share the password with my sister, and they would not be the wiser.
As long as both your and your sister get along, all will be well.
However, if you are objecting or asking for the hospital to do something they "doubt", then they will ask you if you are the medical POA or equivalent.