Hawaii polst 2026

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The document outlines the Physician Orders for Life-Sustaining Treatment (POLST) form, which allows patients to specify their medical treatment preferences in critical situations. It emphasizes the importance of following these orders, the necessity of physician and surrogate signatures for validity, and the legal implications under HIPAA for disclosing POLST to healthcare professionals. The document details various treatment options, including resuscitation preferences, medical interventions, and nutrition administration, while also providing guidance on modifying or voiding the POLST as needed.

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Click ‘Get Form’ to open the Hawaii POLST in the editor.
Begin by entering the patient's last name, first/middle name, and date of birth in the designated fields. This information is crucial for identifying the individual.
In Section A, select one option regarding cardiopulmonary resuscitation (CPR). Choose 'Attempt Resuscitation/CPR' if you wish for resuscitation efforts to be made, or 'Do Not Attempt Resuscitation/DNR' if you prefer a natural death.
Move to Section B and check one option for medical interventions. Options include 'Comfort Measures Only', 'Limited Additional Interventions', or 'Full Treatment'. Each choice outlines different levels of care based on patient comfort and medical needs.
In Section C, indicate preferences for artificially administered nutrition. You can choose from options such as 'No artificial nutrition by tube' or specify a defined trial period.
Finally, ensure that all required signatures are obtained in Section D. The physician must sign along with the patient or their surrogate to validate the form.

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