Purpose : Template for out of hospital doctor’s order that indicates patient preferences for resuscitation and scope of treatment, intended to be completed for seriously ill or frail patients and to be followed by emergency medical providers.

 

Admin time :  x min.  Variable

User Friendly :  High

Administered by : Doctor in charge.

 

Content : .Medical orders that an individual's healthcare provider uses to tell other providers what treatments the individual wants when the individual cannot speak for his/her-self.

 

Author : National POLST Paradigm Task Force (2008), National POLST (2016), Update (2018 and 2020)

​

Copyright : May be used for non-commercial, personal purposes.

Any copy or distribution of the materials, or portion thereof, must include copyright notice, and all other copyright and other proprietary notice contained on the materials.