Get Provider Order For Life-sustaining Treatment (polst) Utah ...

Filling out the Provider Order For Life-Sustaining Treatment (POLST) is an important step in establishing medical preferences. This guide will walk you through the process of completing the POLST form in Utah, ensuring that your treatment choices are clearly documented and respected.

Follow the steps to effectively complete your POLST form online.

1. Click the ‘Get Form’ button to obtain the POLST document and open it in your preferred editor.
2. Start by filling in the patient's name, date of birth, and last four digits of their Social Security number. Ensure the information is accurate to prevent any confusion regarding the patient's identity.
3. Complete the address section, including street, city, state, and zip code.
4. Enter the name and phone number of the medical provider who will oversee the patient's care. This is a crucial field as it links the POLST to the responsible medical professional.
5. In Section A, choose the appropriate CPR treatment option. Select either 'Attempt to resuscitate' or 'Do not attempt or continue any resuscitation (DNR).' If the patient does not wish to express a preference, select that option.
6. Move to Section B to indicate the desired medical interventions when the patient has a pulse and is breathing. Options include 'Full treatment,' 'Limited additional interventions,' 'Comfort measures,' or 'No preference.' Carefully consider the implications of each choice.
7. Complete Section C by selecting your preference regarding artificial nutrition. Options are 'Trial period of artificial nutrition with feeding tube,' 'No artificial nutrition,' or 'I do not wish to express a preference.' If a trial period is desired, describe the goals and time period.
8. If an advance directive exists, confirm it in Section D. Indicate whether an advance directive is available and has been reviewed for consistency with the POLST.
9. Review the section for additional instructions or clarifications, especially if there are specific goals or time periods for any interventions.
10. Ensure that all required signatures are completed at the end of the form. The patient or their surrogate must sign alongside the medical provider. Remember that for minors, two signatures from medical providers are required.
11. Once the form is entirely filled out, save your changes, then download, print, or share the completed POLST document as needed.

Take action today by completing your Provider Order For Life-Sustaining Treatment (POLST) online to ensure your healthcare preferences are documented.