Get the free Mn Polst Form

The Minnesota POLST form is designed to ensure patients\' medical treatment preferences are respected during serious illness and end-of-life care. It reflects patients\' wishes and is part of advance

How to fill out mn polst form

How to fill out mn polst form

1. Obtain the Minnesota POLST form from a reliable source (hospital, physician, or online).
2. Begin by filling out the patient's name, date of birth, and other identifying information at the top of the form.
3. Discuss treatment options with the patient or their health care proxy to ensure understanding and preferences.
4. In Section A, select the desired level of treatment, including resuscitation preferences.
5. In Section B, indicate the medical interventions the patient wishes to receive or omit.
6. In Section C, specify any additional orders, such as antibiotic use or hospital transport.
7. Ensure all sections are completed with clear and legible selections.
8. Sign and date the form at the designated areas, obtaining necessary signatures from the patient or their proxy.
9. Provide copies of the completed POLST form to the patient, their family, and healthcare providers involved in their care.

Who needs mn polst form?

1. Patients with serious illnesses or advanced age who wish to outline their medical treatment preferences.
2. Individuals receiving end-of-life care who want to communicate their choices regarding resuscitation and medical interventions.
3. Health care proxies acting on behalf of patients who are unable to express their wishes.
4. Care providers who need clear guidance on the patient's treatment preferences.

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What is mn polst form?

The MN POLST form (Minnesota Physician Orders for Life-Sustaining Treatment) is a medical order designed to ensure that seriously ill patients receive the type of care they want during a medical emergency.

Who is required to file mn polst form?

The MN POLST form should be completed for patients with serious health conditions, particularly those who are near the end of life or have specific wishes regarding life-sustaining treatment.

How to fill out mn polst form?

To fill out the MN POLST form, a licensed healthcare provider meets with the patient or their legal representative to discuss treatment preferences. Specific options regarding resuscitation and other medical interventions are then documented on the form.

What is the purpose of mn polst form?

The purpose of the MN POLST form is to communicate a patient's preferences regarding medical treatment, particularly during emergencies, and to ensure that these preferences are honored by healthcare providers.

What information must be reported on mn polst form?

The MN POLST form must report the patient's medical decisions regarding resuscitation, other life-sustaining treatments, and additional directives based on the patient's medical condition and personal preferences.