Oregon Physician Orders for Life-Sustaining Treatment
This file contains the official Oregon POLST form, detailing healthcare orders related to life-sustaining treatment. It is crucial for patients with advanced illnesses to communicate their medical care preferences. Follow the guidelines to ensure the form is filled out correctly.
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How do I fill this out?
Filling out the Oregon POLST form involves providing detailed information about your medical preferences. Be sure to discuss your choices with your healthcare provider to ensure your wishes are accurately represented. Review the guidelines to complete each section thoughtfully.
How to fill out the Oregon Physician Orders for Life-Sustaining Treatment?
1
Discuss your treatment preferences with your healthcare provider.
2
Complete each section of the POLST form as per your wishes.
3
Ensure that all required signatures are provided.
4
Submit the completed form to the appropriate registry.
5
Review the form periodically to ensure it reflects your current preferences.
Who needs the Oregon Physician Orders for Life-Sustaining Treatment?
1
Patients suffering from severe chronic illnesses need this form to outline their treatment preferences.
2
Healthcare providers require this form to adhere to patient wishes during critical care.
3
Family members of patients may need this document to understand and support care decisions.
4
Legal representatives need the POLST to ensure compliance with the patient's healthcare wishes.
5
Healthcare facilities must use this form to standardize and follow patient treatment protocols.
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1
Open the Oregon POLST form in PrintFriendly's PDF editor.
2
Use the editing tools to fill in your details and treatment preferences.
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What are the instructions for submitting this form?
To submit the Oregon POLST form, ensure it is completed with all necessary information and signatures. You can send a copy of both sides of the POLST form via mail to the Oregon POLST Registry at 3181 SW Sam Jackson Park Rd., Portland, OR 97239. Alternatively, you can fax the form to 503-418-2161. It's crucial to keep a copy for your records and ensure that your healthcare provider has access to it for implementation.
What are the important dates for this form in 2024 and 2025?
The Oregon POLST form is updated every two to three years. Check for the most current version periodically to ensure compliance with healthcare standards. Important review dates include any time there is a change in health or treatment preference.
What is the purpose of this form?
The Oregon Physician Orders for Life-Sustaining Treatment (POLST) form serves to communicate a patient's wishes regarding medical treatments during serious health conditions. It is designed for individuals with advanced illnesses to ensure their care preferences are honored. The POLST form provides clarity and direction for healthcare providers during critical treatment decisions, making it an essential component of patient care planning.
Tell me about this form and its components and fields line-by-line.
- 1. Patient Information: Contains the patient's name, date of birth, gender, and contact details.
- 2. Cardiopulmonary Resuscitation (CPR): Specifies patient preferences for resuscitation efforts.
- 3. Medical Interventions: Outlines patient choices regarding various medical treatments and interventions.
- 4. Artificially Administered Nutrition: Indicates whether the patient prefers nutrition by mouth or artificial means.
- 5. Signature Section: Includes signatures of the patient or their representative and the healthcare provider.
What happens if I fail to submit this form?
Failure to submit the POLST form can lead to confusion regarding a patient's treatment preferences during critical medical situations. Healthcare providers may not be aware of the patient's wishes, potentially leading to unwanted treatments. It is essential to ensure that the form is submitted and accessible to relevant parties.
- Lack of Treatment Clarity: Without submission, healthcare providers might proceed with treatments the patient does not want.
- Delays in Care Decisions: Care teams may face challenges in decision-making without clear guidance from the POLST form.
- Increased Family Stress: Families may experience added stress and confusion regarding care choices in emergencies.
How do I know when to use this form?
- 1. Advanced Illness Care: Patients should use the POLST form for care planning discussions with their healthcare team.
- 2. Healthcare Transitions: Utilize the form during transitions between different care settings.
- 3. Emergency Situations: The POLST form serves as a critical document during emergencies to guide treatment.
Frequently Asked Questions
What is the Oregon POLST form?
The Oregon POLST form is a medical order that outlines a patient's preferences for life-sustaining treatment.
Who should fill out the POLST form?
Patients with advanced illnesses should fill out the POLST form in consultation with their healthcare provider.
How can I edit the POLST form?
You can edit the POLST form using PrintFriendly’s PDF editor, allowing you to customize your preferences.
Is the POLST form mandatory?
No, the POLST form is voluntary and should reflect the patient's current healthcare wishes.
Can I share the POLST form with my family?
Yes, you can easily share your completed POLST form with family and healthcare providers.
How do I ensure my POLST form is updated?
Review your POLST form periodically, especially after any changes in your health status.
What happens if I don't submit the POLST form?
Not submitting the POLST form means that your treatment preferences may not be known during critical health care decisions.
How do I submit the POLST form?
You can submit the POLST form to the Oregon POLST Registry by mail or fax after completion.
Where can I find more information about the POLST program?
For more information, visit the Oregon POLST website at www.orpolst.org.
What should I do if my health changes?
You should revisit and potentially revise your POLST form if your health changes significantly.
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