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Get Ut Physician Order For Life Sustaining Treatment 2009-2025
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How to fill out the UT Physician Order for Life Sustaining Treatment online
Filling out the UT Physician Order for Life Sustaining Treatment is an essential step in documenting a person’s wishes regarding medical treatment and interventions. This guide provides clear and supportive instructions to help you navigate the process online.
Follow the steps to complete your physician order form successfully.
- Select the ‘Get Form’ button to access the UT Physician Order for Life Sustaining Treatment form and open it in your preferred editing platform.
- Begin by filling in the patient's details, including their last name, first name, middle initial, and date of birth. Ensure that the information is accurate and clearly legible.
- Enter the physician's name and contact information, including the effective date of this order and the physician's phone number. This information is crucial for verification.
- Move to Section A and select one of the two options based on the treatment preferences when the patient has no pulse and is not breathing: either attempting to resuscitate or indicating a do-not-resuscitate order. Include any additional instructions if needed.
- Proceed to Section B to select the treatment options when the patient has a pulse and is breathing. Choose one from the following options: comfort measures only, limited additional interventions, or full treatment. Provide any necessary instructions or clarifications.
- In Section C, indicate the choice regarding antibiotics by checking the appropriate box, ensuring to highlight any other instructions.
- Section D requires you to check the options related to artificially administered fluids and nutrition. Decide on feeding tube preferences and IV fluids, as well as additional clarifications.
- In Section E, specify who was discussed regarding the order (patient, parent, surrogate, or other), along with their contact information.
- Add any notes regarding patient preferences for life-sustaining treatment and indicate if an advance directive exists. Ensure to summarize the patient's medical condition and treatment choice.
- Collect all necessary signatures on the form: the individual's preparing the form (if not the physician), the signing physician, any second physician (if needed), and the patient or their surrogate. Ensure that all printed names, phone numbers, and dates signed are included.
- After completing the form, review it for accuracy. Save your changes, and once confirmed, you may download, print, or share the completed document as needed.
Begin filling out your UT Physician Order for Life Sustaining Treatment online today.
POLST and DNR serve different purposes. While a DNR only addresses resuscitation methods, the UT Physician Order for Life Sustaining Treatment gives you control over various medical treatments. POLST allows you to specify not only your preferences for resuscitation but also your decisions regarding hospitalization, artificial nutrition, and more, making it a comprehensive tool for end-of-life care.
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