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Get Printable Polst Form Nj
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How to fill out the Printable Polst Form Nj online
Filling out the Printable Polst Form Nj is an important step in ensuring that your medical treatment preferences are respected. This guide provides clear instructions on how to complete the form accurately and efficiently online.
Follow the steps to fill out the Printable Polst Form Nj online.
- Press the ‘Get Form’ button to obtain the Printable Polst Form Nj and open it in the editor.
- Begin by entering the person’s name in the designated fields, along with their date of birth. This information is crucial for identifying the individual the form pertains to.
- In the goals of care section, articulate the specific hopes for treatment. Consider what the person aims to achieve through their medical care, such as length of life or quality of life.
- Select the appropriate medical interventions in Section B. Choose from full treatment, limited treatment, or symptom treatment only, based on the preferences of the person.
- Indicate preferences regarding artificially administered fluids and nutrition in Section C. Choose whether to offer food/fluids by mouth and whether to include artificial nutrition.
- In Section D, specify the preferences for cardiopulmonary resuscitation (CPR) and airway management. Decide whether to attempt resuscitation or allow natural death.
- If the person may lose decision-making capacity, designate a surrogate decision-maker in Section E. Determine their authority to modify or revoke POLST orders.
- Ensure signatures are gathered in Section F, where the physician or advanced practice nurse must sign the form for it to be valid. Also include signatures from the person or surrogate.
- After completing all sections of the form, review it for accuracy. Users can save their changes, download the document, print it, or share it as needed.
Complete your Printable Polst Form Nj online today to ensure your healthcare preferences are respected.
Because the POLST form is a medical order, emergency medical personnel are required to follow its instructions regarding CPR and other emergency medical care. The POLST form is printed on bright pink paper so it will be easily recognizable by all health care personnel.
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