State of Utah Rule R432-31 v3.1 February 2019 (http://health.utah.gov/hflcra/forms.php) COMPLETING POLST - This form is intended for both adult and pediatric patients. - The POLST is not an Advance Directive and does not replace it. The POLST is a Medical Order. - When available, review the Advance Directive and POLST form to ensure consistency.
Advance Care Directives | Bureau of Emergency Medical Services - Utah
A “Provider Order for Life Sustaining Treatment” (POLST), or “Life With Dignity Order,” is a physician order sheet based on patient wishes and medical indications for life-sustaining treatment. It is sometimes referred to as a “Do Not Resuscitate” (DNR) form, but …
Utah Advance Health Care Directive Forms and Instructions - Utah ...
Nov 6, 2024 · Information compiled from the Utah Hospital Association with the goal to improve the end-of-life care for residents in Utah. Resources include: Advanced Directives, Health Care Power-of-Attorney, POLST form, Hospice Care, and Palliative Care information.
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Leaving Well: Utah Guide to End-of-Life Health Care - POLST
Utah POLST. Download. The POLST form (Physician Order for Life Sustaining Treatment) is a medical order, like a prescription for medication, which must be prepared by a licensed health care provider. Learn more about POLST, and the ePOLST electronic registry, and download a sample of the Utah POLST form in both English and Spanish from the Utah ...
- When available, review the Advance Directive and POLST form to ensure consistency. - The POLST must be completedby a medical provider (MD/DO/PA/APRN) based on patient preferences and medical indications.
Jun 12, 2023 · POLST Forms. (1) Except as outlined in Section R432-2-10, an individual who desires to execute a POLST shall use a form or electronic format approved by the department.
Apr 25, 2018 · complete a POLST form based on the patient’s expressed treatment preferences. The completed POLST form is a standing medical order for emergency medical care. The goal of this POLST Conversation Guide is to help prepare health care professionals to conduct these thoughtful conversations. Definitions:
POLST must be signed by a physician and the patient or decisionmaker to be valid. Verbal orders are acceptable with follow-up signature by physician in accordance with facility/community policy. If a translated form is used with patient or decisionmaker, attach it …
Utah - POLST
Contact Us. National POLST Coalition. c/o Louisiana Health Care Quality Forum. 8550 United Plaza Blvd. Ste. 301. Baton Rouge, LA 70809.
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