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State POST Program: Insert State Name Here Directions: Please complete the information requested on this form and submit the form and additional information and documents to the National POST Office:

How to fill out state polst program

How to fill out a state POLST program:

1. Familiarize yourself with the purpose and importance of the program: The state POLST (Physician Orders for Life-Sustaining Treatment) program is designed to ensure that the medical treatment preferences of seriously ill or frail individuals are respected. It is a medical order form that provides actionable instructions regarding resuscitation, life-sustaining treatments, and other medical interventions.
2. Obtain the state-specific POLST form: Each state may have its own version of the POLST form, so it is crucial to obtain the correct form for your state. These forms can typically be found on state health department websites or through healthcare providers.
3. Understand the sections of the form: The state POLST form typically includes various sections, such as "CPR," "Medical Interventions," "Artificially Administered Fluids/Nutrition," "Antibiotics," and "Comfort Measures." Familiarize yourself with each section to understand the choices and options available.
4. Discuss the POLST form with your healthcare provider: It is important to have a conversation with your healthcare provider about your treatment preferences and goals of care. They can provide guidance on completing the form accurately and ensure that it aligns with your medical condition and personal wishes.
5. Fill out the form accurately: Follow the instructions provided on the POLST form and complete each section accordingly. Make sure to indicate your preferences regarding resuscitation, intubation, medical interventions, and other treatment options. Some sections may offer choices such as "Full Treatment," "Selective Treatment," or "Comfort Measures Only." Choose the option that best reflects your wishes.
6. Review and sign the form: Carefully review the completed POLST form to ensure that all the information is accurate and reflects your preferences. If any changes are necessary, make them before signing the form. Once you are satisfied with the information, sign the form as required. In some cases, a healthcare professional's signature may also be required.
7. Distribute copies of the form: Provide copies of the signed POLST form to your healthcare proxy, family members, and any other relevant parties involved in your care. It is also recommended to keep a copy readily available in your home or carry it with you in case of emergency.

Who needs a state POLST program?

1. Seriously ill or frail individuals: The state POLST program is specifically tailored to individuals who have serious medical conditions, chronic illnesses, or are in the advanced stages of frailty. It is designed to ensure that their treatment preferences are clearly documented and honored throughout the healthcare system.
2. Individuals with specific treatment preferences: The POLST program is especially relevant for individuals who have strong preferences regarding life-sustaining treatments, resuscitation, or medical interventions. It allows them to communicate these preferences effectively to healthcare providers and ensure that their wishes are respected.
3. Those seeking to avoid unwanted or aggressive treatments: The POLST program is an excellent option for individuals who wish to receive only specific treatments or avoid aggressive medical interventions. It provides a legally binding medical order that guides healthcare providers in providing care that aligns with the individual's values and goals.
4. Patients receiving home-based or hospice care: Individuals who receive home-based care or are enrolled in a hospice program can greatly benefit from the state POLST program. The POLST form serves as a clear guide for healthcare professionals and emergency responders, ensuring that the appropriate level of care and interventions are provided.

Remember, it is essential to consult with your healthcare provider or appropriate authorities in your state for specific instructions and guidelines on filling out the state POLST program.

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What is state polst program?

State POLST (Physician Orders for Life-Sustaining Treatment) is a medical order signed by a healthcare provider that helps ensure patients' wishes regarding end-of-life treatment are honored.

Who is required to file state polst program?

Patients with serious illnesses or frailty are encouraged to discuss and complete a POLST form with their healthcare provider.

How to fill out state polst program?

To fill out a POLST form, patients should have a conversation with their healthcare provider about their values, goals, and treatment preferences.

What is the purpose of state polst program?

The purpose of a POLST form is to document a patient's preferences for life-sustaining treatment and ensure those preferences are followed by healthcare providers.

What information must be reported on state polst program?

A POLST form includes information about a patient's preferences regarding CPR, medical interventions, and other life-sustaining treatments.