New jersey polst blank 2025

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The document outlines the New Jersey Practitioner Orders for Life-Sustaining Treatment (POLST), which is a medical order sheet that reflects a patient's treatment preferences based on their current medical condition and wishes. It includes sections for goals of care, medical interventions, artificial nutrition, cardiopulmonary resuscitation (CPR) preferences, and airway management. The POLST form must be completed by a physician or advanced practice nurse and is valid across all healthcare settings in New Jersey. It emphasizes the importance of dignity, respect, and the ability to modify or void orders as needed.

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What is the difference between a POLST and a DNR order?

A POLST is more comprehensive than a Do Not Resuscitate order. A DNR is a stand-alone document that tells emergency medical personnel whether to perform CPR if your heart and breathing stop and you are unresponsive. A POLST includes your instructions about whether or not to perform CPR, but it doesnt stop there.

Do not resuscitate form near New Jersey?

Patients and/or their families/surrogate may request a DNR order from the patients physician. The NJ Outof-Hospital DNR form is enclosed (pages 13-14) for your use or may be obtained from New Jersey Health Decisions by calling (973) 857-5552 (an administrative fee of $5.00 will be charged by NJHD).

What is the purpose of a POLST form?

The Physician Orders for Life Sustaining Treatment (POLST) form is a written medical order from a physician, nurse practitioner or physician assistant that helps give people with serious illnesses more control over their own care by specifying the types of medical treatment they want to receive during serious illness.

What is the difference between a POLST and a MOLST?

POLST or POST (physician/provider orders for life-sustaining treatment). MOLST (medical orders for life-sustaining treatment). COLST (clinician orders for life-sustaining treatment). MOST (medical order for scope of treatment).

What makes a POLST form invalid?

First, as noted earlier, POLST forms that document inconsistent care preferences or lack a required signature are not enforceable.

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What is a POLST form in NJ?

The POLST form is a medical order, like a prescription, that is completed and used by medical professionals to inform them about what treatments you would or would not want during a medical emergency. It must be signed by a doctor, physician assistant or advance practice nurse and a patient or decision maker.

What is the difference between an advance directive and a POLST form?

An advance directive is a direction from the patient, not a medical order. In contrast, a POLST form consists of a set of medical orders that applies to a limited population of patients and addresses a limited number of critical medical decisions.

New jersey polst blank 2025

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