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Get the free Introduction: POLST and the Oregon POLST Registry

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2015 Annual ReportCONNECTIONCOMPASSIONINNOVATIONTable of Contents Executive Summary .................................................................................................................................................................
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How to fill out an introduction POLST and form:

01
Start by gathering the necessary information and documents, including the blank introduction POLST and form.
02
Begin by filling out the patient's personal information, such as their name, date of birth, and contact information.
03
Provide the patient's emergency and primary care contact information, as well as any specific healthcare providers involved in their care.
04
Indicate the patient's medical condition and any specific diagnoses or medical concerns that should be considered.
05
Next, address the patient's goals of care and treatment preferences. This may include instructions regarding resuscitation, intubation, comfort measures, and other medical interventions.
06
If the patient has any specific medical interventions they wish to avoid, such as certain medications or procedures, make sure to document these as well.
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Lastly, review the completed introduction POLST and form for accuracy and completeness before obtaining the necessary signatures.
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Sign and date the introduction POLST and form, ensuring that all individuals involved in the decision-making process, including the patient or their legally authorized representative, also sign and date the form.

Who needs an introduction POLST and form?

01
Patients who have a serious or chronic medical condition and are at risk of experiencing a medical emergency.
02
Individuals who have specific goals of care and treatment preferences that they wish to communicate to healthcare providers.
03
Patients who desire to have their treatment preferences honored in the event of an emergency or a change in their medical condition.
04
Those who wish to avoid unwanted or unnecessary medical interventions or procedures.
05
Individuals who want to ensure their healthcare providers are aware of their wishes and preferences in order to guide appropriate medical care decisions.
It is important to consult with healthcare professionals or legal experts for specific guidance and assistance when filling out an introduction POLST and form, as requirements may vary depending on the jurisdiction and individual circumstances.
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Introduction POLST stands for Physician Orders for Life-Sustaining Treatment. It is a form that documents a patient's wishes regarding medical treatment.
The introduction POLST form is typically completed by a patient in consultation with their healthcare provider.
The introduction POLST form should be filled out by the patient with guidance from their healthcare provider.
The purpose of the introduction POLST form is to ensure that a patient's wishes regarding life-sustaining treatment are documented and followed.
The introduction POLST form typically includes information about the patient's preferences regarding cardiopulmonary resuscitation, intubation, and other life-sustaining treatments.
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