POLST Form California PDF

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POLST Form California
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POLST Form California

The POLST form deals with cardiopulmonary resuscitation (CPR), and also levels of intervention desired when a person still has a pulse and/or is breathing, and whether or not a person wants to be fed by artifical means, including feeding tubes. California Probate Code 4780 – 4786.

A POLST form, or Physician Orders for Life-Sustaining Treatment form, is a medical document that specifies treatments a patient wants during a medical crisis. It’s a portable order that’s valid across all medical facilities.

Purpose of POLST Form California

  1. Document a Patient’s End-of-Life Medical Wishes – Specifies whether a patient wants CPR, intensive care, or comfort-focused treatments.
  2. Guide Emergency Medical Personnel (EMS) – Helps first responders know whether to administer life-saving treatments or follow other preferences.
  3. Reduce Unwanted Medical Interventions – Ensures that patients are not given treatments they do not want.
  4. Improve Communication Between Patients & Healthcare Providers – Clarifies medical preferences in a legal and actionable manner.
  5. Support Advance Care Planning – Works alongside an advance directive but is a doctor’s order, making it immediately applicable.

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