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Finally, to be valid, the patient must have the POLST form with them when EMS personnel arrive. In Texas, if a patient is wearing a DNR bracelet, the existence of a valid OOH-DNR can be presumed by EMS personnel.
How does one get a MOST form? It is often a form a medically fragile patient fills out with their primary care physician, a hospitalist (if they are in the hospital), or a nurse if they are being admitted to Palliative Care or Hospice. These are living documents which change as a patient's health circumstances change.
The MOST form is a physician order set that helps guide care for a patient as their illness progresses. It is the end result of a meaningful conversation between a patient and their doctor and/or trained facilitator.
A POLST form tells all health care providers during a medical emergency what you want: \u201cTake me to the hospital\u201d or \u201cI want to stay here\u201d \u201cYes, attempt CPR\u201d or \u201cNo, don't attempt CPR\u201d \u201cThese are the medical treatments I want\u201d
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