Get Kokua Mau Polst

The Kokua Mau Polst is an essential document that outlines an individual’s healthcare preferences in critical situations. This guide provides clear and supportive instructions on how to fill out this form online effectively.

Follow the steps to complete the Kokua Mau Polst online.

1. Click ‘Get Form’ button to access the Kokua Mau Polst form and open it in the online editor.
2. Begin by entering the patient’s first and middle name, along with their date of birth in section A. This information is vital for accurate identification.
3. Select the appropriate response in section B concerning cardiopulmonary resuscitation (CPR). You have the option to choose 'Attempt Resuscitation/CPR' or 'Do Not Attempt Resuscitation/DNAR.' If the patient has a pulse, proceed to fill out the medical interventions section.
4. In the medical interventions section, choose an option: 'Comfort Measures Only,' 'Limited Additional Interventions,' or 'Full Treatment.' Provide details for any additional orders if necessary.
5. Move to section C to indicate preferences regarding artificially administered nutrition. Select 'No artificial nutrition by tube,' 'Long-term artificial nutrition by tube,' or 'Defined trial period of artificial nutrition by tube,' including the goal if applicable.
6. In section D, indicate if the document was discussed with the patient or a legally authorized representative. If the latter is chosen, select the appropriate role from the options available.
7. Ensure the signatures in section D are completed by both the provider and the patient or their representative. The provider must print their name, include their phone number, provider signature, and license number.
8. Review all sections to confirm that the form is filled out accurately. Ensure comprehensive answers are provided where necessary.
9. Once all the information is finalized, save your changes, and utilize the options for downloading, printing, or sharing the completed Kokua Mau Polst form as needed.

Complete the Kokua Mau Polst document online to ensure your health care preferences are clearly expressed.