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Utah Department of Health: Bureau of Licensing
THE PHYSICIAN ORDERS FOR LIFESUSTAINING TREATMENT (POST)
Instruction Guide for Patients and Family Members
What is the POST form?
The POST (Physician
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How to fill out polst

How to fill out a POLST?
01
Start by downloading a POLST form from your state's health department website or ask your healthcare provider for a copy.
02
Review the instructions on the form carefully before filling it out. The form may have different sections or categories that require specific information.
03
Begin by providing personal information such as your name, date of birth, and contact information. Make sure the information is accurate and up to date.
04
Move on to the section that addresses medical treatment preferences. Here, you will indicate your preferences for emergency medical interventions, resuscitation, and life-sustaining treatments. You can choose whether you want to receive CPR, antibiotics, ventilator support, or artificial nutrition.
05
Provide information about any specific medical conditions you may have, such as allergies or chronic illnesses, which could impact your medical treatment options.
06
If you have already discussed your healthcare wishes with your healthcare provider, make sure to include any specific instructions or limitations they have advised, which are relevant to your current health status.
07
Ensure that you sign the POLST form. Depending on your state, your signature may need to be witnessed by one or more individuals (e.g., a healthcare professional, family member, or notary public).
08
Make copies of the completed and signed POLST form for yourself, your healthcare provider, and anyone else involved in your care, such as family members or caregivers. Additionally, keep the original document in a safe and accessible place.
Who needs a POLST?
01
Individuals with serious or terminal illnesses who wish to outline their preferences regarding medical treatment and end-of-life care.
02
Patients who have discussed their medical treatment wishes with their healthcare provider and want to ensure that their preferences are respected and followed, even in emergency situations.
03
Older adults who have advanced health conditions and desire to convey their treatment wishes to healthcare professionals, caregivers, and family members.
Remember, a POLST form serves as a medical order that guides healthcare professionals in providing appropriate treatment. It is important to regularly review and update your POLST as your health condition or treatment preferences change.
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What is polst?
POLST stands for Physician Orders for Life-Sustaining Treatment. It is a medical order that outlines a patient's preferences regarding life-sustaining treatments.
Who is required to file polst?
POLST must be completed by a physician or other authorized healthcare provider after discussing treatment options with the patient or their authorized representative.
How to fill out polst?
POLST should be filled out by a healthcare provider based on the patient's preferences after a thorough discussion. It is important to review and update the form regularly.
What is the purpose of polst?
The purpose of POLST is to ensure that a patient's wishes regarding life-sustaining treatments are honored, especially in emergency situations.
What information must be reported on polst?
POLST typically includes information about the patient's preferences regarding CPR, intubation, antibiotics, and other life-sustaining treatments.
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