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What information is on a POLST form? Whether you want cardiopulmonary resuscitation (CPR) attempted. Whether you want to go to the hospital or stay where you are. Whether you want to receive care in an intensive care unit and be on a breathing machine, if needed.
A POLST form tells all health care providers during a medical emergency what you want: ?Take me to the hospital? or ?I want to stay here? ?Yes, attempt CPR? or ?No, don't attempt CPR? ?These are the medical treatments I want?
While an Advance Directive is a comprehensive document that covers a wide range of healthcare decisions, a POLST form is focused on end-of-life decisions that require immediate medical attention. For instance, it may specify whether you want to receive CPR, antibiotics, or be put on a ventilator.
Physician Orders for Life-Sustaining Treatment (POLST) The EMSA approved POLST form must be signed and dated by a physician, or a nurse practitioner or a physician assistant acting under the supervision of the physician, and the patient or legally recognized health care decisionmaker.
The Illinois Department of Public Health (IDPH) Uniform Practitioner Orders for Life-Sustaining Treatment (POLST) Form can be used to create a practitioner order that reflects an individual's wishes about receiving cardiopulmonary resuscitation (CPR) and life-sustaining treatments, such as medical interventions and ...