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Get the free POLST Practitioner Orders for Life Sustaining Treatment. POLST Practitioner Orders f...

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ADMINISTRATIVE POLICY & PROCEDURES Title: POST Practitioner Orders for Life Sustaining TreatmentPolicy Number: P28CTable of Contents PURPOSE .......................................................................................................................................................
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How to fill out polst practitioner orders for

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How to fill out polst practitioner orders for

01
Get the appropriate polst form from your healthcare provider or the state health department.
02
Read the instructions on the form carefully to understand each section and its purpose.
03
Fill in the patient's personal information, including their full name, date of birth, and contact information.
04
Indicate the patient's current medical condition and their goals for treatment.
05
Review the various treatment options provided on the form, such as CPR, intubation, and artificial hydration/nutrition.
06
Discuss the treatment options with the patient or their designated decision-maker, taking into consideration the patient's wishes, values, and medical prognosis.
07
Select the appropriate treatment options based on the patient's preferences.
08
Make sure to sign and date the form in the presence of a witness, as required by your state's regulations.
09
Distribute copies of the completed polst form to the patient's healthcare providers, family members, and any other individuals involved in the patient's care.
10
Keep the original form in a safe and easily accessible location.

Who needs polst practitioner orders for?

01
Polst practitioner orders are typically completed for individuals with serious or terminal illnesses who need to clearly communicate their treatment preferences.
02
This can include patients with advanced cancer, heart failure, chronic obstructive pulmonary disease (COPD), Alzheimer's disease, or other life-limiting conditions.
03
It is also important for individuals who may be at risk of experiencing a sudden decline in health, such as the elderly or those with chronic conditions.
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Polst practitioner orders are for documenting a patient's preferences for end-of-life care.
Healthcare providers are required to file polst practitioner orders for their patients.
Polst practitioner orders are filled out by healthcare providers in consultation with the patient or their designated healthcare proxy.
The purpose of polst practitioner orders is to ensure that a patient's wishes regarding end-of-life care are followed.
Polst practitioner orders must include information on the patient's preferences for treatments such as CPR, intubation, and artificial nutrition.
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