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  1. Click ‘Get Form’ to open the Texas MOST form in the editor.
  2. Begin by filling in the patient's First Name, Last Name, and Date of Birth at the top of the form. This information is crucial for identifying the patient.
  3. In Section A, select one option regarding resuscitation orders. Choose between 'Attempt Resuscitation' or 'Do Not Attempt Resuscitation/Allow Natural Death'. Ensure you understand the implications of each choice.
  4. Proceed to Section B to indicate the scope of medical interventions. Select either 'Full Interventions', 'Selective Interventions', or 'Comfort Interventions Only' based on the patient's condition and preferences.
  5. In Section C, decide on medically assisted nutrition/hydration options. Choose from 'No medically assisted nutrition', a defined trial, or long-term assistance as appropriate.
  6. Document discussions and signatures in Section D. Ensure that all relevant parties have signed and that their roles are clearly indicated.
  7. Finally, review all entries for accuracy before saving or printing the completed form for distribution with the patient during transfers.

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In some states, these forms are known as MOST (Medical Orders for Scope of Treatment) or MOLST (Medical Orders for Life- Sustaining Treatment), or POST (Physician Orders for Scope of Treatment).
THE PHYSICIAN OR NURSE PRACTITIONER KEEPS A COPY. This is a medical order form that tells others the patients wishes for life-sustaining treatment. A health care professional must complete or change the MOLST form based on the patients current medical condition, values, wishes, and MOLST Instructions.
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.
All health care professionals must follow these medical orders as the patient moves from one location to another, unless a physician, nurse practitioner, or physician assistant examines the patient, reviews the orders, and changes them in consultation with the patient and/or their decision maker.
The MOST form is completed by a health care professional in conversation with a patient or authorized health care agent, then signed by the patient/agent and a physician, advanced practice nurse (APN), or physicians assistant (PA). The physician/APN/PA signature translates patient preferences into medical orders.
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What is the MOST form? It is a physician order set that helps guide care for a patient as their illness progresses. It is documentation, if you will, of a meaningful conversation between a patient and their doctor.

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