New York MOLST Medical Orders for Life-Sustaining Treatment
This document provides medical orders for life-sustaining treatment, helping patients convey their wishes. It's essential for individuals facing serious health conditions, ensuring their care aligns with their goals. The MOLST form must be completed by a healthcare professional based on the patient's condition and values.
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How do I fill this out?
Filling out the MOLST form is essential for conveying your health care preferences. Start by accurately entering patient details and resuscitation instructions. Ensure that a healthcare professional reviews and signs the document for validity.
How to fill out the New York MOLST Medical Orders for Life-Sustaining Treatment?
1
Gather necessary personal information including name and date of birth.
2
Decide on resuscitation preferences and other life-sustaining treatments.
3
Consult with a healthcare professional about the patient's condition and wishes.
4
Ensure the form is signed by a physician or nurse practitioner.
5
Keep the original MOLST form accessible during travel to different care settings.
Who needs the New York MOLST Medical Orders for Life-Sustaining Treatment?
1
Patients with serious health conditions who want to express their treatment preferences.
2
Family members or health care proxies needing guidance on resuscitation decisions.
3
Healthcare professionals responsible for complying with patient care orders.
4
Individuals residing in long-term care facilities needing clear medical orders.
5
Surrogates or decision-makers acting on behalf of patients with I/DD.
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What are the instructions for submitting this form?
To submit the MOLST form, provide completed copies to your healthcare provider for their records. You may also email scanned copies to your healthcare proxy or upload them onto patient portals where available. It's recommended to keep a copy for yourself and share it with family members involved in your care.
What are the important dates for this form in 2024 and 2025?
It is crucial to regularly review and update the MOLST form, especially if there are changes in health status or treatment preferences. For 2024-2025, ensure that any updates reflect current wishes and legal requirements.
What is the purpose of this form?
The purpose of the MOLST form is to ensure that a patient's preferences regarding life-sustaining treatment are clearly documented and communicated. It serves as a critical medical order that must be followed by healthcare providers across different settings. By using this form, patients can make informed choices about their care and ensure that these choices are respected.
Tell me about this form and its components and fields line-by-line.
- 1. Patient Information: Includes name, address, date of birth, and sex.
- 2. Resuscitation Instructions: Choices regarding CPR orders and DNR preferences.
- 3. Advance Directives: Sections to note existing advance directives like health care proxies.
- 4. Signature: Signature fields for the patient and healthcare providers.
- 5. Review and Renewal: Information on periodic review of the MOLST orders.
What happens if I fail to submit this form?
Failure to submit the MOLST form may result in not having your medical preferences communicated to healthcare providers. This can lead to unwanted treatments or lack of necessary medical interventions as per your wishes.
- Unwanted Treatments: Patients may receive care that goes against their stated wishes.
- Legal Implications: Lack of proper documentation may create conflicts among caregivers.
- Healthcare Confusion: Providers may not have clear guidelines on how to treat the patient.
How do I know when to use this form?
- 1. Serious Health Conditions: Use the form for chronic illnesses or conditions that may affect life expectancy.
- 2. Long-term Care Transition: Complete the MOLST when moving to a different healthcare facility.
- 3. Advance Care Planning: Utilize the form in discussions with healthcare providers about future medical interventions.
Frequently Asked Questions
What is the MOLST form?
The MOLST form outlines a patient's wishes regarding life-sustaining treatment and resuscitation.
Who can fill out the MOLST form?
Typically, a physician or nurse practitioner completes the MOLST based on the patient's condition.
Can I edit the MOLST form?
Yes, you can easily edit the MOLST form using PrintFriendly's PDF editing tools.
What should I do with the completed MOLST form?
Keep the original MOLST form accessible and provide copies to your healthcare providers.
How do I share the MOLST form?
You can share the MOLST form via email or social media using PrintFriendly's share features.
Is my information safe when using PrintFriendly?
Our platform allows you to edit and download documents securely; however, please do not share sensitive information online.
What is the purpose of the MOLST form?
The MOLST form helps patients communicate their medical treatment preferences and ensures their wishes are honored.
Who needs a MOLST form?
Individuals with serious health conditions, their surrogates, and healthcare providers can benefit from a MOLST form.
Can I use the MOLST form in different care settings?
Yes, the MOLST form should be honored across different care settings as long as it's properly signed.
What to do if my medical wishes change?
If your wishes change, inform your healthcare provider and ensure the MOLST form is updated appropriately.
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