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Who fills out the MOLST form? A clinician (physician, nurse practitioner, or physician assistant) and the person with advanced illness (or their health care agent, if the person lacks capacity).
Sure. MOLST and POLST are two acronyms defining medical orders. The MOLST is the Medical Orders for Life-Sustaining Treatment and the POLST is the Physician Orders for Life-Sustaining Treatment. They're both the same thing, but in different states they call them by those two different names.
The primary differences between the MOLST form and a DNR are: MOLST covers a variety of end-of-life treatments. A DNR only gives instructions about CPR. The MOLST form can also be used in a community setting where the DNR is intended to be used as a directive in a hospital setting.
MOLST orders completed in ance with New York law remain valid when the patient transitions from one health care setting to another. Non-hospital DNR orders, including those on a MOLST form, must be reviewed by a physician, nurse practitioner, or physician assistant at least every 90 days.
There is no expiration date for the MOLST or EMS DNR orders in Maryland. and whenever the patient is transferred between health care facilities or programs, is discharged, has a substantial change in health status, loses capacity to make health care decisions, or changes his or her wishes.
Additionally, a MOLST form goes into effect immediately upon signing and does not expire unless an expiration date is explicitly added. Your healthcare provider should review your wishes and recertify the form every 90 days.
No. A properly completed MOLST form contains legal and valid medical orders. It is not intended to replace traditional advance directives like the health care proxy and living will. For more information about planning for a serious illness, please talk with your healthcare provider.
They might not notice a MOLST form on plain white paper. However, white MOLST forms and photocopies, faxes, or electronic representations of the original, signed MOLST are legal and valid.