2011-2025 Form

What is the Polst Form

The POLST (Physician Orders for Life-Sustaining Treatment) form is a medical document that outlines a patient's preferences regarding medical treatment in emergency situations. It is designed for individuals with serious illnesses or those who are nearing the end of life. The form is intended to communicate the patient's wishes to healthcare providers, ensuring that they receive the appropriate level of care based on their preferences.

The POLST form is legally recognized in many states, allowing it to guide medical decisions, especially when the patient is unable to communicate their wishes. It typically includes specific instructions about resuscitation, medical interventions, and other treatment options, making it a vital tool for both patients and healthcare professionals.

How to use the Polst Form

Using the POLST form involves several key steps to ensure that it accurately reflects the patient's wishes. First, it is essential to have a conversation with a healthcare provider who can explain the implications of the choices available on the form. This discussion should cover the patient's medical condition, treatment options, and potential outcomes.

Once the patient has made informed decisions, the form should be completed with the assistance of the healthcare provider. It is crucial to ensure that the form is signed by both the patient (or their legal representative) and the physician to make it valid. After completion, the POLST form should be kept in an easily accessible location, such as a medical record or on the refrigerator, to ensure that emergency responders can find it quickly.

Steps to complete the Polst Form

Completing the POLST form requires careful consideration and collaboration with healthcare professionals. Here are the steps to follow:

1. Consult with a healthcare provider: Discuss your health status and treatment options.
2. Review the POLST form: Understand the choices available regarding life-sustaining treatments.
3. Make informed decisions: Decide on the level of care you wish to receive in emergencies.
4. Complete the form: Fill out the POLST form in detail, ensuring clarity in your preferences.
5. Sign the form: Obtain signatures from both the patient and the physician to validate the document.
6. Distribute copies: Provide copies to your healthcare providers and keep one in a visible location.

Legal use of the Polst Form

The POLST form is legally binding in many states, provided it is completed correctly. Its legal status allows healthcare providers to follow the patient's wishes regarding medical treatment, even when the patient is unable to communicate. To ensure the POLST form is legally valid, it must be signed by a licensed physician and the patient or their authorized representative.

It is important to note that the legal recognition of the POLST form can vary by state. Therefore, individuals should familiarize themselves with their state’s specific laws regarding POLST forms to ensure compliance and proper use.

Key elements of the Polst Form

The POLST form includes several key elements that outline a patient's treatment preferences. These elements typically consist of:

• Resuscitation preferences: Indicating whether the patient wishes to receive CPR or other resuscitation efforts.
• Medical interventions: Choices regarding the use of advanced medical treatments, such as intubation or mechanical ventilation.
• Comfort measures: Preferences for palliative care, focusing on comfort and quality of life rather than aggressive treatment.
• Patient and physician signatures: Required to validate the form and ensure that the patient's wishes are legally recognized.

How to obtain the Polst Form

Obtaining a POLST form is a straightforward process. It can typically be acquired through healthcare providers, hospitals, or local health departments. Many states also provide downloadable versions of the POLST form on their health department websites. It is advisable to consult with a healthcare professional to ensure that the correct version of the form is used, as some states may have specific requirements or variations.

Once obtained, individuals should fill out the form with the assistance of their healthcare provider to ensure that all preferences are accurately documented and understood.