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POST White form Layout 1 2/27/14 4:53 PM Page 1 HIPAA PERMITS DISCLOSURE OF POST TO OTHER HEALTHCARE PROFESSIONALS AS NECESSARY NEW JERSEY PRACTITIONER ORDERS FOR LIFE-SUSTAINING TREATMENT (POST)
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How to fill out polst form new jersey
How to fill out polst form new jersey?
01
Obtain the polst form from a healthcare provider or download it from a reliable source.
02
Read the instructions carefully to understand the purpose of each section and the information required.
03
Provide personal information such as name, date of birth, and contact details in the designated fields.
04
Indicate your medical provider's contact information for communication purposes.
05
Specify your preferences regarding life-sustaining treatment, including resuscitation, intubation, and artificial nutrition.
06
If you have any specific treatment limitations or preferences, clearly state them in the appropriate section.
07
Discuss your choices with your healthcare provider and ensure that they are accurately reflected in the form.
08
Sign the form, and have it signed by a witness, if required, to validate its authenticity.
09
Make copies of the completed form for your healthcare providers, family members, and personal records.
Who needs polst form new jersey?
01
Individuals who have a serious illness or are nearing the end of life can benefit from having a polst form in New Jersey.
02
It is especially important for patients who desire clear and specific instructions regarding their medical treatment preferences in emergency situations.
03
Healthcare professionals, including doctors, nurses, and emergency medical personnel, rely on the polst form to understand and honor a patient's healthcare choices accurately.
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What is polst form new jersey?
The POLST (Physician Orders for Life-Sustaining Treatment) form in New Jersey is a medical order designed for patients with serious illnesses to specify their preferences for treatment. It is a physician-signed document that outlines a patient's wishes regarding emergency medical care.
Who is required to file polst form new jersey?
The POLST form is typically completed and signed by a physician in consultation with the patient or their authorized representative. It is intended for patients with serious health conditions or those who may be nearing the end of life.
How to fill out polst form new jersey?
To fill out the POLST form in New Jersey, a healthcare provider must meet with the patient or their decision-maker to discuss treatment options. The form is then completed, indicating the patient's preferences regarding resuscitation, medical interventions, and other treatment choices. It must be signed by both the physician and the patient.
What is the purpose of polst form new jersey?
The purpose of the POLST form in New Jersey is to ensure that patients with serious health conditions receive medical care that aligns with their personal treatment preferences and values, especially in emergency situations.
What information must be reported on polst form new jersey?
The POLST form in New Jersey requires information such as the patient's preferences regarding resuscitation (whether to perform CPR), the level of medical intervention desired (such as hospitalization or comfort measures), and the patient's medical condition and prognosis.
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