Maryland Medical Order for Life-Sustaining Treatment / MOLST
Overview of this form
The Maryland Medical Order for Life-Sustaining Treatment (MOLST) is a critical medical order form created to document a patient's preferences regarding cardiopulmonary resuscitation (CPR) and other life-sustaining treatments. Unlike standard advance directives, this form serves as a direct order for medical personnel, ensuring that healthcare providers respect the will of the patient in emergency situations. It is completed and signed by a physician, nurse practitioner, or physician assistant based on discussions with the patient or their authorized decision-maker, making it valid throughout all healthcare facilities in Maryland.
Form components explained
- Patient identification: Includes the patient's name and date of birth.
- CPR status: Options for how EMS should respond in the event of cardiac arrest.
- Medical treatment options: Sections for artificial ventilation, blood transfusion, hospital transfer, and other treatment directives.
- Certification section: Ensures that orders are based on informed consent from the patient or their decision-maker.
- Signature requirements: Must be signed and dated by the healthcare provider completing the form.
Situations where this form applies
This form should be used when a patient wishes to make their medical treatment preferences clear, particularly regarding end-of-life care. It is essential for patients with serious, chronic, or life-threatening conditions who may require urgent medical attention. Using the MOLST ensures that healthcare professionals will follow the patient's specific treatment wishes during emergencies or hospitalizations.
Intended users of this form
- Patients with serious or terminal illnesses who want their treatment preferences documented.
- Individuals who have advance directives and wish to ensure they are followed by emergency medical services.
- Families or authorized decision-makers discussing treatment options with healthcare providers.
- Healthcare practitioners, including physicians, nurse practitioners, and physician assistants, fulfilling their legal obligation to document patient wishes.
Steps to complete this form
- Identify the patient: Fill in the patient's last name, first name, and date of birth.
- Select CPR status: Choose one option regarding resuscitation efforts in the event of cardiac arrest.
- Complete treatment sections: Choose one option in applicable sections (e.g., artificial ventilation, blood transfusion) to outline the desired medical interventions.
- Certification: Indicate who authorized the orders in the certification section.
- Sign the form: Ensure the healthcare provider's signature, name, license number, and date complete the form.
Is notarization required?
In most cases, this form does not require notarization. However, some jurisdictions or signing circumstances might. US Legal Forms offers online notarization powered by Notarize, accessible 24/7 for a quick, remote process.
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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.
Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.
Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.
If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.
We protect your documents and personal data by following strict security and privacy standards.
Mistakes to watch out for
- Failing to properly sign and date the form, which renders it invalid.
- Leaving sections blank without indicating they are not applicable.
- Not discussing the form with the patient or authorized decision-maker before completing it.
- Failing to provide a copy of the completed form to the patient or authorized decision-maker within the required timeframe.
Advantages of online completion
- Convenience: Easily download and complete the Maryland MOLST form from your device.
- Editability: Make necessary adjustments before finalizing the document, ensuring accuracy.
- Reliability: Access accurate and up-to-date legal language drafted by licensed attorneys.
Quick recap
- The MOLST is a vital document for recording patient preferences regarding life-sustaining treatments.
- It ensures immediate compliance with a patientâs wishes during emergencies.
- The form must be signed by a healthcare provider to be valid and shared with relevant parties.
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FAQ
The primary difference between and POLST and DNR is that a POLST covers a variety of end-of-life treatments. A DNR only gives instructions about CPR. With a POLST, seniors can specify: If they do or don't want CPR.
Medical Orders for Life- Sustaining Treatment (MOLST in OH), Physician Orders for Scope of Treatment (POST in IN), or Pennsylvania Orders for Life-Sustaining Treatment (POLST in PA) is a program designed to improve the quality of care patients receive at the end of life by stating patient goals for care and preferences
The primary difference between and POLST and DNR is that a POLST covers a variety of end-of-life treatments. A DNR only gives instructions about CPR. With a POLST, seniors can specify: If they do or don't want CPR.
MOLST is a form that contains directions about CPR and other life-sustaining treatments specific to your current condition. To be valid, a MOLST form must be signed and dated by a licensed Maryland medical provider a physician, nurse practitioner or physician's assistant.
A physician/nurse practitioner/physician assistant must sign the MOLST form. All health care professionals must follow these medical orders as the patient moves from one location to another, unless a physician/nurse practitioner/physician assistant examines the patient, reviews the orders, and changes them.
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