Doh Molst Form

What is the DOH MOLST Form?

The DOH MOLST (Medical Orders for Life-Sustaining Treatment) form is a crucial document used in New York to communicate a patient's preferences regarding life-sustaining treatments. It is designed for individuals with serious health conditions who wish to outline their treatment preferences in a clear and legally binding manner. The form ensures that healthcare providers are aware of and respect the patient's wishes, especially in emergency situations. This form is particularly important for patients in long-term care settings, as it provides specific instructions on the types of medical interventions a patient does or does not want.

How to Use the DOH MOLST Form

Using the DOH MOLST form involves several key steps to ensure that it accurately reflects the patient's wishes. First, the patient or their legal representative should discuss their treatment preferences with a healthcare provider. This conversation should cover various scenarios, including resuscitation and the use of life-sustaining treatments. Once the preferences are established, the form can be filled out, ensuring that all sections are completed accurately. After completion, the form should be signed by both the patient and the healthcare provider to validate it. It is essential to keep copies of the form in accessible locations, such as with the patient's medical records and with family members.

Steps to Complete the DOH MOLST Form

Completing the DOH MOLST form requires careful attention to detail. Here are the steps to follow:

• Discuss treatment preferences with a healthcare provider.
• Obtain a blank DOH MOLST form from a healthcare facility or online.
• Fill out the patient information section, including name, date of birth, and medical record number.
• Specify preferences regarding resuscitation and other life-sustaining treatments in the designated sections.
• Sign and date the form, ensuring it is witnessed by the healthcare provider.
• Make copies for the patient, healthcare provider, and family members.

Legal Use of the DOH MOLST Form

The DOH MOLST form is legally recognized in New York State, provided that it is completed and signed according to the state's regulations. It serves as a medical order and must be honored by all healthcare providers. The form's legal status ensures that patients' treatment preferences are respected, reducing the likelihood of unwanted medical interventions. It is important for patients and families to understand that the MOLST form is not a living will but a medical order that must be followed by healthcare professionals.

Key Elements of the DOH MOLST Form

The DOH MOLST form includes several key elements that are critical for effective communication of a patient's wishes. These elements include:

• Patient Information: Basic identification details of the patient.
• Resuscitation Preferences: Clear instructions on whether to perform CPR or other resuscitation measures.
• Life-Sustaining Treatment Preferences: Options for various treatments, such as intubation and artificial nutrition.
• Signature Section: Required signatures from the patient and healthcare provider to validate the form.

Who Issues the DOH MOLST Form?

The DOH MOLST form is typically issued by healthcare providers, including hospitals, nursing homes, and palliative care organizations. These institutions ensure that patients have access to the form and can receive assistance in completing it. Additionally, the New York State Department of Health provides guidance and resources related to the MOLST form, ensuring that it is used correctly and effectively across various healthcare settings.