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There are currently two types of DNR orders: 1) "DNR Comfort Care," and 2) "DNR Comfort Care - Arrest." Upon the issuance of either order, standard forms of identification are provided for in OAC rule 3701-62-04.
MOST is a medical order and must be reviewed and signed by a licensed physician (MD/DO), physician assistant, or nurse practitioner to be valid. Be sure to document the basis for the order in the progress notes of the medical record. Mode of communication (e.g., in person, by telephone, etc.) also should be documented.
The MOST form is a doctor's order regarding end-of-life care. This form is intended for chronically or seriously ill patients who will interact with many health care professionals where a standardized form is helpful.
The MOST or POLST, like the DNR, indicates if they do or don't want CPR, but it also specifies what type of life-prolonging medical interventions they'd want on top of comfort care, if any; under what circumstances they would want to be moved to a hospital and whether they want a feeding tube and if so, for how long.
MOST stands for: Medical Orders for Scope of Treatment. In an emergency or urgent situation, if you are unable to express your wishes, a MOST will help ensure your health care treatment aligns with your wishes.