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HIPAA PERMITS DISCLOSURE OF POST TO OTHER HEALTH CARE PROVIDERS AS NECESSARY FOR TREATMENT North Dakota POST: Physician Orders for Life Sustaining Treatment
Physician Orders
for LifeSustaining Treatment
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How to fill out nd polst form
How to fill out nd polst form
01
To fill out the ND POLST (Provider Orders for Life-Sustaining Treatment) form, follow these steps:
02
Obtain the ND POLST form from a healthcare provider, hospital, or palliative care program.
03
Begin by providing your personal information, including your name, date of birth, and contact details.
04
Next, indicate your choice for cardiopulmonary resuscitation (CPR). You can choose between Yes, No, or Allow Natural Death (AND).
05
If you choose CPR, specify your preferences for intubation, chest compressions, and defibrillation.
06
The next section pertains to medical interventions such as hospitalization, antibiotics, and artificial nutrition. Indicate your preferences for these interventions.
07
If there are specific medical orders or limits you want to place, provide details in the 'Additional Orders' section.
08
After completing the form, review it carefully to ensure all information is accurate and reflects your preferences.
09
Sign and date the form, and have it signed by your healthcare provider or physician.
10
Keep a copy of the complete and signed ND POLST form for your records, and provide a copy to your designated healthcare surrogate or trusted individuals.
11
It's important to regularly review and update the ND POLST form as your preferences or medical condition may change.
Who needs nd polst form?
01
The ND POLST form is designed for individuals with serious illnesses or advanced chronic conditions who have made informed decisions about their medical care preferences.
02
It is recommended for individuals who are nearing the end of life or have specific medical needs that require clear instructions for healthcare providers.
03
The form is often used by healthcare professionals, emergency medical services, and caregivers to ensure that the individual's wishes regarding life-sustaining treatment are respected.
04
While anyone can discuss their treatment preferences with their healthcare provider, the ND POLST form provides a standardized and legally recognized format to document these preferences.
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