Georgia Physician Orders for Life Sustaining Treatment
This file contains essential guidelines for Georgia's Physician Orders for Life-Sustaining Treatment. It provides a detailed form that reflects a patient's medical preferences and decisions. Health care professionals should complete it based on discussions with their patients.
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How do I fill this out?
Filling out the POLST form requires careful consideration of the patient's medical condition and wishes. Begin by engaging in a clear discussion with the patient or their authorized representative. Once you have gathered the necessary information, proceed to fill out the form accurately.
How to fill out the Georgia Physician Orders for Life Sustaining Treatment?
1
Review the patient's medical condition and preferences.
2
Complete the relevant sections of the POLST form.
3
Ensure the form is signed by the physician and the patient or a representative.
4
Provide completed copies to the relevant health care providers.
5
Review the form periodically for any changes in the patient's condition or wishes.
Who needs the Georgia Physician Orders for Life Sustaining Treatment?
1
Patients with serious illnesses who want to specify their treatment preferences.
2
Families who need to ensure their loved ones' wishes are respected.
3
Healthcare professionals who must understand and comply with a patient's advance directives.
4
Authorized representatives acting on behalf of patients who are unable to make decisions.
5
Emergency responders who need quick access to a patient's treatment orders.
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1
Upload your PDF file to PrintFriendly.
2
Use the editing tools to modify text and fields as needed.
3
Add or remove sections to match the patient's preferences.
4
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5
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What are the instructions for submitting this form?
To submit the POLST form, please ensure it is signed by both the physician and the patient or authorized representative. You can send the completed form via email to the designated healthcare provider, fax it to the clinic, or submit a physical copy at the patient's primary care facility. It's important to keep copies for your records and confirm receipt by the healthcare provider.
What are the important dates for this form in 2024 and 2025?
Important dates for this form in 2024 and 2025 include annual reviews and any significant changes in a patient's health status that necessitate updates to the form.
What is the purpose of this form?
The purpose of the POLST form is to communicate a patient's treatment preferences in serious medical situations. It ensures that healthcare professionals respect the patient's decisions regarding life-sustaining treatments. This form serves to clarify medical interventions aligned with the patient's values and desires.
Tell me about this form and its components and fields line-by-line.
- 1. Patient Information: Contains essential details such as the patient's name, date of birth, and contact information.
- 2. CPR Status: Clarifies whether to attempt resuscitation or to allow natural death.
- 3. Medical Interventions: Specifies the level of medical interventions desired, ranging from comfort measures to full treatment.
- 4. Antibiotics: Indicates preferences regarding antibiotic use in medical care.
- 5. Artificial Nutrition/Fluids: Details preferences for administering nutrition and fluids, including any limitations.
- 6. Signatures: Contains sections for required signatures from the physician, patient, and any authorized representatives.
What happens if I fail to submit this form?
If the POLST form is not submitted, healthcare providers may not be aware of the patient's specific treatment preferences. This could lead to unwanted medical interventions that conflict with the patient's desires.
- Lack of Clarity: Without a submitted form, there may be confusion regarding the patient's treatment wishes.
- Potential for Unwanted Interventions: Failure to provide clear directives may result in treatments that contradict the patient's values.
- Legal Implications: Not having a POLST form can create legal gray areas regarding the provision of care.
How do I know when to use this form?
- 1. End-of-Life Care: To outline wishes for care during terminal illness.
- 2. Serious Medical Conditions: For those with chronic, life-threatening illnesses.
- 3. Emergency Situations: To guide emergency responders on the patient's treatment preferences.
Frequently Asked Questions
What is the POLST form?
The POLST form is a Physician Orders for Life-Sustaining Treatment that outlines a patient's wishes regarding medical interventions.
Who should fill out the POLST form?
It should be filled out by a healthcare professional in consultation with the patient or their authorized representative.
How often should the POLST form be reviewed?
The POLST form should be reviewed whenever there is a transfer between care settings or a significant change in the patient's health status.
Can I edit the POLST form after it's been filled?
Yes, you can edit the form using PrintFriendly before finalizing it.
Is a signed POLST form legally binding?
Yes, it is a legally recognized document that communicates a patient's treatment preferences.
What happens if I don't fill out the POLST form?
Without the POLST form, healthcare providers may default to providing full treatment unless otherwise communicated.
Where should I keep the POLST form?
Keep the POLST form accessible, such as in a patient's medical record or with their primary care provider.
Can family members help fill out the POLST form?
Yes, family members can be involved in the discussion and completion of the form if authorized.
How can I access the PDF after editing it?
After editing, you can easily download the PDF for your records or sharing purposes.
Are photocopies of the POLST form valid?
Yes, photocopies and faxes of signed POLST forms are considered valid.
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