Get the free DRAFT MOLST CHECKLIST - PHYSICIAN GUIDELINES - nysarc

DRAFT MOST CHECKLIST PHYSICIAN GUIDELINES I. Introduction The Public Health Law requires that in order for the MOST form to be used (either in an acute care setting or elsewhere) to express endocrine

How to fill out draft molst checklist

How to fill out the draft molst checklist:

1. Familiarize yourself with the purpose and components of the draft molst checklist. This will help you understand what information needs to be provided.
2. Review the patient's medical records and consult with their healthcare provider to gather all necessary information and ensure accuracy.
3. Start by providing the patient's basic information, such as their name, age, and contact details.
4. Indicate the patient's primary diagnosis or medical condition that warrants the completion of the molst checklist.
5. Specify the patient's goals of care by selecting one of the available options, such as comfort measures only, limited interventions, full treatment, or do not resuscitate.
6. Evaluate the patient's preferred level of medical treatment in various scenarios by indicating their choices for resuscitation, intubation, mechanical ventilation, and intensive care unit utilization.
7. Consider the patient's preferences regarding additional medical interventions, such as artificial hydration and nutrition, antibiotics, and dialysis, and mark their choices accordingly.
8. Discuss the molst checklist with the patient or their designated healthcare proxy to ensure their understanding and involvement in the decision-making process.
9. Have the patient or their legally authorized representative sign the completed draft molst checklist to acknowledge their consent and understanding.
10. Make copies of the signed draft molst checklist and distribute them among the relevant healthcare providers involved in the patient's care.

Who needs the draft molst checklist:

1. Patients with serious or terminal illnesses: The draft molst checklist is particularly important for individuals who have significant medical conditions that may necessitate decisions about the level of medical intervention they desire.
2. Elderly individuals: As people age, they may develop complex medical conditions, making the draft molst checklist valuable in determining their preferred goals of care.
3. Patients with chronic illnesses: Individuals with chronic conditions, such as heart disease, kidney failure, or advanced respiratory diseases, may benefit from completing the draft molst checklist to guide their medical treatment choices.
4. Terminally ill patients: For patients who are terminally ill and approaching the end of life, the draft molst checklist can assist in outlining their preferences for comfort-focused care and avoiding unnecessary interventions.
5. Individuals with advanced directives: Those who have already created advanced directives may benefit from completing the draft molst checklist as it aligns with their previous decisions and helps ensure their wishes are respected.

Overall, the draft molst checklist serves as an essential tool for healthcare providers and patients alike, helping to ensure that medical treatments are aligned with the patient's goals and preferences.

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