http://www.fpnotebook.com/
Provider's Orders for Life Sustaining Treatment
Aka: Provider's Orders for Life Sustaining Treatment, Do-Not-Reuscitate, DNR, POLST
- See Also
- Advance Care Planning
- Definition
- Order prohibits Cardiopulmonary Resuscitation (CPR)
- Includes Do-Not-Intubate (DNI)
- Implementation varies by state (e.g. DNR as outpatient)
- Independent of Advance Directive
- Management: Provider's Orders for Life Sustaining Treatment (POLST)
- Indicated for patients in Nursing Homes, Assisted Living, and Life Expectancy <12 months
- Single page portable doument that transfers between care systems
- Addresses multiple medical interventions (DNR/DNI, comfort care, antibiotics, nutrition)
- Form travels with patient and copies sent to EMR, EMS, facilities and family
- References
- Olson (2010) Park Nicollet Primary Care Update CME, Minneapolis, MN