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Y Resuscitation: a 30 Year Review. Schneider, Nelson, and Brown. J of Am Board of Family Pract. 1993, 6:91-101. CPR and variability in treatment Patients who are free living and independent prior to CPR have a higher survival rate at discharge (19%) than those who are homebound (.

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Patients have a right to participate in medical decision-making regarding their treatment plan. Can an out-of-state POLST form be honored? Generally yes, so long as it is valid (with required signatures and dates). Check with your state contact to confirm (look up at .polst.org/map; click on your state contacts).

The DNR guides Emergency Medical Service (EMS) providers and can give EMS permission not to perform cardiopulmonary resuscitation (CPR), whereas a POLST might include a DNR instruction regarding CPR, but provides more instructions regarding additional medical interventions.

This map recognizes the POLST Programs which are active in National POLST activities. Programs which are using the National POLST Form (Arizona, Maine, New Hampshire, Iowa, Alabama) are outlined in dark pink; programs that have adapted the National POLST Form are outlined in medium pink (West Virginia, Alaska, Idaho).

A POLST form is a physician order set that travels with a patient from one place of treatment to another. The form discusses the patient's preferred method of treatment, specifically regarding CPR status, intensity, and use of additional methods like antibiotics.

POLST forms vary from state to state, and may differ in name and structure depending on which state you live in—but they're conceptually the same across all states. Many states do not yet have a POLST form. If your state is not listed below, visit the POLST website to check the status of your state's POLST program.

A POLST form is a physician order set that travels with a patient from one place of treatment to another. The form discusses the patient's preferred method of treatment, specifically regarding CPR status, intensity, and use of additional methods like antibiotics.

This map recognizes the POLST Programs which are active in National POLST activities. Programs which are using the National POLST Form (Arizona, Maine, New Hampshire, Iowa, Alabama) are outlined in dark pink; programs that have adapted the National POLST Form are outlined in medium pink (West Virginia, Alaska, Idaho).

A Texas physician then directs other health care professionals to comply with the patient order. The POLST form is simple and permits the physician to order that wide range of care be withheld.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232