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Date: MOST FACILITY QUESTIONNAIRE Thank you in advance for completing this brief survey on Medical Orders for LifeSustaining Treatment (MOST). We are gathering information from facilities to evaluate
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How to fill out instrument - polst

How to fill out an instrument - POLST:
01
Start by obtaining a copy of the POLST form. You can ask your healthcare provider or find it online.
02
Read the instructions carefully to understand the purpose and components of the form. Make sure you are familiar with the medical terms used.
03
Begin by filling out the personal information section, including the patient's name, date of birth, and contact information.
04
Move on to the section where you will indicate the patient's medical condition. You may need to consult with the healthcare provider to accurately fill in this information.
05
The next step is to decide and document the patient's treatment preferences. This includes their goals of care, such as whether they want life-sustaining treatments, such as CPR or mechanical ventilation.
06
Indicate any specific medical interventions the patient wants or does not want. These may include hospitalization, antibiotics, or artificial nutrition and hydration.
07
If the patient has appointed a healthcare agent or proxy, provide their contact information. This person will be responsible for making medical decisions on behalf of the patient if they cannot express their preferences.
08
Once you have completed filling out the form, review it carefully to ensure accuracy. Make any necessary corrections or additions.
09
The final step is to sign and date the form. The patient should sign if they are capable, and if not, the healthcare agent or proxy can sign on their behalf.
Who needs an instrument - POLST:
01
Individuals with serious or advanced illnesses who have specific preferences regarding medical treatments and interventions.
02
Patients who are nearing the end of life or have chronic conditions that may require medical interventions in the future.
03
Healthcare providers who need clear instructions on a patient's treatment preferences to ensure their wishes are honored.
04
Family members or caregivers who may need guidance on making healthcare decisions for their loved ones.
Remember, the POLST form is a legal document and should be kept in a readily accessible location, such as in a patient's medical records or on their person, to ensure healthcare providers can follow the documented preferences during an emergency.
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What is instrument - polst?
The instrument - POLST stands for Physician Orders for Life-Sustaining Treatment. It is a medical order that outlines a patient's wishes regarding medical treatment.
Who is required to file instrument - polst?
The instrument - POLST is typically completed by a patient in consultation with their healthcare provider.
How to fill out instrument - polst?
The instrument - POLST should be completed by the patient or their healthcare proxy, in consultation with their healthcare provider. It includes decisions about CPR, intubation, and other life-sustaining treatments.
What is the purpose of instrument - polst?
The purpose of the instrument - POLST is to ensure that a patient's wishes regarding medical treatment are honored, especially in emergency situations.
What information must be reported on instrument - polst?
The instrument - POLST should include information about the patient's preferences for CPR, intubation, and other life-sustaining treatments, as well as any do-not-resuscitate orders.
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