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REGION 11 CHICAGO EMS SYSTEM POLICYTitle: Advanced Directives Section: Patient Care Approved: EMS Medical Directors Consortium Effective: August 1, 2018ADVANCED DIRECTIVES I.HEALTH CARE AGENTS/POWER
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How to fill out polst registry do-not-resuscitate orders
How to fill out polst registry do-not-resuscitate orders
01
To fill out POLST (Physician Orders for Life-Sustaining Treatment) registry do-not-resuscitate orders, follow these steps:
02
Start by discussing your end-of-life preferences with your healthcare provider. They can help you understand the options and guide you through the process.
03
Determine if you are eligible for POLST. This varies by state, as each state has its own requirements. In general, POLST is for individuals with serious illness, advanced age, or frailty who want to outline their medical treatment preferences.
04
Obtain the POLST form from your healthcare provider or the appropriate agency in your state. It is important to use the correct form for your state, as requirements can differ.
05
Carefully read the instructions on the form and understand the different sections, which may include choices regarding resuscitation, medical interventions, and specific treatment preferences.
06
Complete the form accurately, providing all necessary information. Make sure to include your full name, date of birth, and any other required identifying details.
07
If you have any questions or need assistance, consult with your healthcare provider or reach out to the agency responsible for POLST in your state.
08
Once the form is filled out, sign it and have it signed by a healthcare professional who is authorized to sign POLST forms.
09
Keep a copy of the completed form for yourself and provide copies to your healthcare proxy, family members, and healthcare providers involved in your care.
10
Periodically review and update the form as your medical condition or preferences change. It is important to ensure the form accurately reflects your current wishes.
11
If you choose to register your POLST form in a registry, follow the specific instructions provided by your state's POLST program or registry.
Who needs polst registry do-not-resuscitate orders?
01
POLST registry do-not-resuscitate orders are designed for individuals who have serious illnesses, advanced age, or frailty and want to specify their preferences regarding life-sustaining treatments.
02
This may include people with terminal conditions, chronic illnesses, or those who prefer to avoid aggressive medical interventions.
03
It is important to consult with a healthcare provider to determine if POLST is appropriate for your specific situation, as eligibility requirements may vary by state.
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What is polst registry do-not-resuscitate orders?
Polst registry do-not-resuscitate orders are medical orders documenting a person's wishes regarding cardiopulmonary resuscitation (CPR).
Who is required to file polst registry do-not-resuscitate orders?
Polst registry do-not-resuscitate orders must be completed by a person's healthcare provider in consultation with the patient or their authorized representative.
How to fill out polst registry do-not-resuscitate orders?
To fill out polst registry do-not-resuscitate orders, healthcare providers must discuss end-of-life care options with the patient or their authorized representative and document their decisions.
What is the purpose of polst registry do-not-resuscitate orders?
The purpose of polst registry do-not-resuscitate orders is to ensure that a person's wishes regarding CPR are known and followed by healthcare providers in the event of a medical emergency.
What information must be reported on polst registry do-not-resuscitate orders?
Polst registry do-not-resuscitate orders must include the patient's name, date of birth, healthcare provider's name, signatures of the patient or their authorized representative, and a statement of the patient's wishes regarding CPR.
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