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Washington polst form 2026
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- Click ‘Get Form’ to open the Washington POLST form in the editor.
- Begin by entering the patient's full name and last four digits of their Social Security Number (optional) along with their date of birth. This information is crucial for identifying the patient.
- In Section A, select one option regarding Cardiopulmonary Resuscitation (CPR). Choose either 'Attempt Resuscitation' or 'Do Not Attempt Resuscitation/DNAR'. Remember, selecting DNAR includes comfort measures.
- Proceed to Section B, where you will choose a treatment option: 'Full Treatment', 'Selective Treatment', or 'Comfort-Focused Treatment'. Each option has specific implications for medical interventions.
- Fill in any additional orders that may be necessary, such as dialysis or other treatments, in the designated area.
- Ensure that all required signatures are obtained from both the physician and the patient or legal surrogate. This validates the POLST form.
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polst form washington state pdf
The Portable Orders for Life Sustaining Treatment (POLST) form is a portable physician order form that describes the patients care directions.Read more
What is the POLST form? POLST is a physician order that helps give seriously ill patients more control over their end-of-life care. Produced on distinctiveRead more