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Get the free APPROVAL: DO NOT RESUSCITATE/POLST FORM ORDERS

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Policy Number: Original Issue Date: Last Reviewed/Revised: Effective Date: Next Review:508 September 1993 October 2021 January 10, 2022, October, 2023EMERGENCY MEDICAL SERVICES POLICIES and PROCEDURES DO
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How to fill out approval do not resuscitatepolst

01
Obtain the appropriate forms for approval do not resuscitate/polst from a healthcare provider or facility.
02
Fill out the forms with accurate and updated information regarding the patient's medical history, current health status, and wishes for resuscitation.
03
Make sure to consult with the patient and/or their designated healthcare proxy or family members to ensure their wishes are accurately reflected on the forms.
04
Review the filled out forms with a healthcare provider to ensure they are legally binding and in compliance with state laws and regulations.
05
Keep the completed forms in a readily accessible location for healthcare providers to reference in the event of an emergency.

Who needs approval do not resuscitatepolst?

01
Approval do not resuscitate/polst is typically needed by individuals who have terminal illnesses or are at high risk of cardiac arrest and do not wish to receive resuscitative measures.
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Approval Do Not Resuscitate (DNR) POLST is a medical order that specifies a patient's wishes regarding resuscitation in the event of a cardiac or respiratory arrest.
Approval Do Not Resuscitate (DNR) POLST must be filed by a healthcare provider after discussing the option with the patient or the patient's authorized decision maker.
To fill out Approval Do Not Resuscitate (DNR) POLST, healthcare providers must have a conversation with the patient or the patient's authorized decision maker to understand their wishes and preferences regarding resuscitation.
The purpose of Approval Do Not Resuscitate (DNR) POLST is to allow patients to specify their preferences regarding resuscitation and ensure that healthcare providers honor those wishes in the event of a cardiac or respiratory arrest.
Approval Do Not Resuscitate (DNR) POLST must include information about the patient's preferences regarding resuscitation, as well as any specific instructions or limitations they wish to specify.
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