POLST POLST Form POLST Brochure

What is the POLST?

The POLST, or Physician Orders for Life-Sustaining Treatment, is a medical order designed to communicate a patient's preferences regarding end-of-life care. It is intended for individuals with serious illnesses or those who are nearing the end of life. The POLST form helps ensure that patients receive the medical treatment they desire, while also providing clarity to healthcare providers about the patient's wishes. In Washington State, the POLST form is recognized as a legal document that must be honored by medical professionals.

Steps to complete the POLST

Completing the POLST form involves several important steps to ensure that it accurately reflects the patient's wishes. First, the patient should discuss their preferences with their healthcare provider, who can help clarify options regarding life-sustaining treatments. Next, the patient or their representative fills out the POLST form, indicating their choices for resuscitation, medical interventions, and other treatments. Once completed, the form must be signed by both the patient and their healthcare provider to validate the orders. It is essential to keep copies of the POLST form in accessible locations, such as with the patient’s medical records and at home.

Legal use of the POLST

The POLST form is a legally binding document in Washington State, provided it is completed and signed according to state regulations. This legal status ensures that healthcare providers must adhere to the patient's documented wishes regarding treatment. The POLST form is particularly important in emergency situations, where quick decisions about medical interventions may be necessary. Understanding the legal implications of the POLST form can help patients and families make informed choices about end-of-life care.

Key elements of the POLST

The POLST form includes several key elements that guide medical decision-making. These elements typically cover:

• Resuscitation preferences: Whether the patient desires CPR or not.
• Medical interventions: Choices regarding the use of life-sustaining treatments, such as intubation or intravenous fluids.
• Comfort measures: Preferences for pain management and comfort care.
• Signature fields: Areas for the patient and healthcare provider to sign, confirming the orders.

Each of these elements plays a crucial role in ensuring that the patient's healthcare aligns with their values and desires.

How to obtain the POLST

In Washington State, the POLST form can be obtained from various sources. Healthcare providers, such as doctors and hospitals, typically have copies available for patients. Additionally, the Washington State Department of Health provides printable versions of the POLST form online. It is important for patients and families to ensure they have the most current version of the form, as updates may occur over time. Once obtained, the form should be filled out carefully to reflect the patient's wishes.

State-specific rules for the POLST

Washington State has specific regulations governing the use of the POLST form. These rules outline who can complete and sign the form, the required content, and how it should be stored and shared. For instance, the form must be signed by both the patient and a licensed healthcare provider to be legally valid. Additionally, healthcare facilities are required to honor the POLST form as part of their patient care protocols. Understanding these state-specific rules is essential for ensuring that the POLST form is used effectively.