2012-2025 Form

What is the POLST Form New Jersey Hospital Association

The POLST Form, or Physician Orders for Life-Sustaining Treatment, is a medical order designed to communicate a patient's preferences regarding medical treatment in emergency situations. In New Jersey, the POLST Form is endorsed by the New Jersey Hospital Association to ensure that healthcare providers understand and respect the wishes of patients, particularly those with serious illnesses or advanced age. This form is intended for individuals who are seriously ill or nearing the end of life, allowing them to specify their treatment preferences in a clear and legally binding manner.

How to use the POLST Form New Jersey Hospital Association

Using the POLST Form involves a straightforward process. Patients should engage in discussions with their healthcare providers to understand the implications of their treatment choices. Once the form is completed, it should be signed by both the patient and their physician. The signed POLST Form should be kept in a readily accessible location, such as a medical file or on the refrigerator, to ensure that emergency personnel can easily find it. It is also advisable to share copies with family members and caregivers to ensure everyone is informed of the patient's wishes.

Steps to complete the POLST Form New Jersey Hospital Association

Completing the POLST Form requires several key steps:

1. Initiate a conversation with your healthcare provider about your treatment preferences.
2. Review the available options for life-sustaining treatments, including resuscitation and artificial nutrition.
3. Fill out the form, clearly indicating your preferences for each treatment option.
4. Sign the form alongside your healthcare provider to validate the orders.
5. Distribute copies of the completed form to relevant parties, including family members and emergency contacts.

Legal use of the POLST Form New Jersey Hospital Association

The POLST Form is legally recognized in New Jersey, provided it is completed and signed according to state regulations. It serves as a medical order that healthcare providers are obligated to follow in emergencies. This legal standing ensures that a patient's treatment preferences are honored, reducing the likelihood of unwanted interventions. It is important for patients to understand that the POLST Form is distinct from an advance directive, as it serves as a direct order for medical personnel.

Key elements of the POLST Form New Jersey Hospital Association

The POLST Form includes several critical components that guide medical decision-making:

• Patient Information: Basic details about the patient, including name and date of birth.
• Medical Orders: Clear instructions regarding resuscitation, medical interventions, and preferences for artificial nutrition.
• Signature: Required signatures from the patient and their healthcare provider to validate the form.
• Review Date: A section to note when the form should be reviewed or updated, ensuring it remains current with the patient's wishes.

State-specific rules for the POLST Form New Jersey Hospital Association

In New Jersey, specific rules govern the use and implementation of the POLST Form. These include requirements for who can sign the form, the necessity of a physician's involvement, and the obligation of healthcare providers to adhere to the orders outlined in the form. It is essential for patients and families to familiarize themselves with these regulations to ensure that their wishes are legally protected and respected in medical settings.