Doh 5003 molst form-2025

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The MOLST form is not an advance directive because it is a medical document that contains actionable medical orders that are effective immediately based on a patients current medical condition. Advance directives, including living wills, are legal documents that are effective only after the patient has lost capacity.
But a DNR order only tells healthcare workers not to perform cardiopulmonary resuscitation (CPR). A MOST form can deal with more issues. It can give directions for other life-sustaining things, like breathing tubes, feeding tubes and medicine.
Questions About who (health professionals) should sign patients MOLST forms: Who fills out the MOLST form? ➢ A clinician (physician, nurse practitioner, or physician assistant) and the person with advanced illness (or the persons legally authorized representative) if the person lacks capacity.
For example, DNR (Do Not Resuscitate order) issued on a MOLST form is effective in hospitals, nursing homes and community settings. The MOLST serves as a single document that contains a patients goals and preferences regarding: Resuscitation instructions when the patient has no pulse and/or is not breathing.
Your healthcare provider should review your wishes and recertify the form every 90 days. Although providers may choose to use a form other than the MOLST, the MOLST form is the only form authorized in New York State for documenting Do Not Intubate (DNI) orders outside of the hospital setting.

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No. A properly completed MOLST form contains legal and valid medical orders. It is not intended to replace traditional advance directives like the health care proxy and living will. For more information about planning for a serious illness, please talk with your healthcare provider.
Yes. The New York State Department of Health (NYSDOH) approved the physician, nurse practitioner, or physician assistant order form, the Medical Orders for Life-Sustaining Treatment (MOLST), as a Do Not Resuscitate (DNR) form that can be used in any setting.

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