Get the free California POLST Form - St Johns Seminary - ldysinger stjohnsem
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CaliforniaPOLSTForm InordertomaintaincontinuitythroughoutCalifornia, pleasefollowthese instructions: ***CopyorprintPOLSTformon65#CoverPulsarPinkcardstock.*** WausauPulsarPinkcardstockisavailableonlineandatsomeoffice
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How to fill out california polst form
How to fill out California POLST form:
01
Start by obtaining the California POLST form. You can download it from the California POLST website or request a copy from your healthcare provider.
02
Begin by filling out the "Patient Information" section. Provide the patient's full name, date of birth, and any relevant contact information.
03
In the "Out-of-Hospital Do Not Attempt Resuscitation (DNR) Order" section, specify the patient's preferences regarding resuscitation. This includes whether they want cardiopulmonary resuscitation (CPR), intubation, and defibrillation.
04
Proceed to the "Patient Preferences for Scope of Treatment" section. Here, indicate the patient's desired level of medical intervention, such as the use of antibiotics, artificially administered fluids, and artificial feeding.
05
In the "Medical Interventions Orders" section, indicate any specific medical interventions or treatments that the patient wants or does not want. For example, the use of pain medication, antibiotics, or artificial ventilation.
06
If the patient has any specific instructions or preferences regarding life-sustaining treatment, these can be detailed in the "Additional Treatment Preferences" section.
07
The "Physician Orders for Life-Sustaining Treatment" section is to be completed by a healthcare professional. They will confirm and sign the form, verifying that it accurately reflects the patient's preferences and medical condition.
Who needs California POLST form:
01
Patients with serious illness or advanced chronic conditions who may benefit from documenting their end-of-life treatment preferences.
02
Patients who wish to provide guidance to healthcare professionals regarding medical interventions during emergencies or when they are unable to communicate their preferences.
03
Individuals who want to ensure that their end-of-life wishes are honored and avoid potentially unwanted medical interventions.
It is important to note that the decision to complete a POLST form should be made in consultation with a healthcare provider, who can provide guidance based on the individual's specific medical circumstances and preferences.
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What is california polst form?
The California POLST form is a medical order form that summarizes a patient's wishes for end-of-life care.
Who is required to file california polst form?
Patients with serious illnesses, advanced frailty, or nearing the end of life are encouraged to complete a POLST form.
How to fill out california polst form?
The POLST form is typically completed by a healthcare professional in collaboration with the patient or their representative.
What is the purpose of california polst form?
The purpose of the California POLST form is to ensure that a patient's preferences for end-of-life care are honored by healthcare providers.
What information must be reported on california polst form?
The POLST form includes information about the patient's preferences for CPR, intubation, antibiotics, and other life-sustaining treatments.
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