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Chart Documentation Form Aligns with Legal Requirements Checklist #1 Adult patients with medical decision-making capacity (For use in any setting) Complete each step, check the appropriate lines and
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How to fill out molst chart documentation adult
How to fill out molst chart documentation adult:
01
Start by gathering all the necessary information about the adult patient, such as their full name, date of birth, and contact information.
02
Next, review the patient's medical history and any relevant medical documentation to gain a complete understanding of their current health condition.
03
Assess the patient's current medical status, including any chronic illnesses, terminal conditions, or advanced diseases that may influence their treatment decisions.
04
Have a conversation with the patient or their designated healthcare proxy to discuss their treatment preferences, goals, and wishes for medical care.
05
Based on the discussion, complete the sections of the molst chart related to the patient's medical interventions, including resuscitation, intubation, and ventilation.
06
Make sure to accurately document the patient's preferences for tube feeding, dialysis, antibiotics, and other life-sustaining treatments.
07
If the patient has specific instructions regarding their end-of-life care or the use of palliative measures, ensure those details are properly documented in the appropriate sections of the molst chart.
08
Once you have completed all the relevant sections, review the molst chart with the patient or their healthcare proxy to ensure everyone understands the documented preferences and treatment decisions.
09
Obtain the necessary signatures from the patient or their healthcare proxy, as well as any healthcare providers involved in the patient's care.
10
Store the completed molst chart documentation in the patient's medical records and communicate its existence and contents to other healthcare providers involved in their care.
Who needs molst chart documentation adult?
01
Patients with advanced illnesses or terminal conditions who wish to document their treatment preferences and goals.
02
Elderly patients who may have multiple chronic illnesses and want to ensure their care aligns with their wishes.
03
Individuals with pre-existing medical conditions that could affect their decision-making capacity or ability to communicate their treatment preferences.
04
Patients who want to clearly communicate their preferences regarding life-sustaining treatments and end-of-life care to healthcare providers and family members.
05
Healthcare providers, including physicians, nurses, and emergency medical personnel, who need access to clear and concise medical treatment directives for patients in critical situations.
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What is molst chart documentation adult?
MOLST chart documentation for adults is a medical order form that outlines a patient's preferences for life-sustaining treatment.
Who is required to file molst chart documentation adult?
MOLST chart documentation for adults is typically filled out by healthcare providers in consultation with patients.
How to fill out molst chart documentation adult?
MOLST chart documentation for adults is filled out by providing information on the patient's preferences for specific medical interventions.
What is the purpose of molst chart documentation adult?
The purpose of MOLST chart documentation for adults is to ensure that a patient's wishes regarding their medical treatment are followed.
What information must be reported on molst chart documentation adult?
MOLST chart documentation for adults typically includes information on CPR, intubation, and other life-saving measures.
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