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Get Nj Polst 2012-2025
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How to fill out the NJ POLST online
Completing the New Jersey Practitioner Orders for Life-Sustaining Treatment (POLST) is an essential step in ensuring that one's medical wishes are respected. This guide provides clear guidance for users to fill out the NJ POLST form online with confidence.
Follow the steps to fill out the NJ POLST form smoothly.
- Use the 'Get Form' button to access the NJ POLST document and open it for completion.
- Begin by entering the person’s name (last, first, middle) and their date of birth. Ensure accuracy in this information as it is crucial for identification.
- In the Goals of Care section, specify the person's desired outcomes for treatment. This can include aspirations such as longevity or improved quality of life.
- Proceed to the Medical Interventions section, where you can indicate whether to pursue full treatment, limited treatment, or symptom treatment only. Be specific about preferences regarding hospital transfers as necessary.
- Next, fill out the Artificially Administered Fluids and Nutrition section. Indicate preferences for oral offerings and choices regarding artificial nutrition.
- Move to the Cardiopulmonary Resuscitation (CPR) section. Specify whether to attempt resuscitation or allow natural death. Address preferences for airway management.
- Designate a surrogate decision maker if applicable. Indicate if they can modify or revoke POLST orders based on the person's wishes.
- Ensure that this document is signed by the designated physician or advanced practice nurse. Collect their printed name, signature, and license number for validation.
- Lastly, review the completed POLST form. Save changes, download, print, or share the document as needed for future reference.
Take the next step in your healthcare journey by completing the NJ POLST online today.
A NJ POLST requires the signatures of the patient or their legal representative as well as the attending physician. This ensures that the patient's wishes are formally acknowledged and legally binding. Completing the form correctly is crucial for ensuring your healthcare preferences are respected in emergency situations.
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