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MOLST (Medical Orders for Life-Sustaining Treatment) is a form used in New York State to document end-of-life care decisions. It is a legally binding document that outlines an individual's wishes for life-sustaining treatments, such as cardiopulmonary resuscitation (CPR), artificial nutrition, and/or hydration.
Who is required to file molst form ny?
In New York State, the Medical Orders for Life-Sustaining Treatment (MOLST) form is required to be completed for all adults and children with a serious illness or disability. The form must be completed by a qualified healthcare practitioner (e.g., physician, physician assistant, nurse practitioner).
What is the purpose of molst form ny?
The MOLST (Medical Orders for Life-Sustaining Treatment) form is a medical order form used in New York State to document a patient's end-of-life wishes, such as a Do Not Resuscitate (DNR) order or the use of a feeding tube. The purpose of the MOLST form is to ensure that a patient's wishes are followed in the event of a medical emergency.
What information must be reported on molst form ny?
The MOLST form (Medical Orders for Life Sustaining Treatment) is a medical order form that records a patient's wishes regarding life-sustaining treatments. The form must include the following information:
1. Patient Information: Name, date of birth, address, phone number.
2. Physician Information: Name, address, and phone number.
3. Care Team: Names of any caretakers or other healthcare providers.
4. Treatment Preferences: Instructions for life-sustaining treatments, such as cardiopulmonary resuscitation, intubation, artificial nutrition, and hydration.
5. Advanced Directive: Any instructions for end-of-life care, such as the patient's choice of comfort care or hospice care.
6. Signature: The patient or legally authorized representative must sign the form.
7. Date: The date the form was completed.
What is the penalty for the late filing of molst form ny?
The penalty for the late filing of the Medical Orders for Life-Sustaining Treatment (MOLST) form in New York may vary depending on the specific circumstances and the entity involved. However, there is no explicit information available regarding a specific penalty or fine for late filing. It is recommended to contact the New York State Department of Health or consult with a legal professional to get accurate and up-to-date information on any penalties or consequences associated with late filing of the MOLST form.
How to fill out molst form ny?
To fill out the MOLST (Medical Orders for Life-Sustaining Treatment) form in New York, follow these steps:
1. Obtain the MOLST form: You can obtain a blank MOLST form from your healthcare provider, hospital, or online through New York State's Department of Health website.
2. Read the instructions: Take some time to read the instructions provided with the form. It will guide you on how to complete each section.
3. Complete the patient information: Fill in all the required patient information, including name, date of birth, address, and contact information.
4. Review healthcare proxy designation: If the patient has assigned a healthcare proxy or appointed a healthcare agent, ensure the correct information is provided in this section. The healthcare proxy is an individual authorized to make medical decisions on behalf of the patient if they are unable to do so.
5. Discuss treatment preferences: It is essential to have a detailed conversation with the patient's healthcare provider about their preferences regarding life-sustaining treatment. Understand the various treatment options and their potential benefits and risks. Discuss the patient's goals, values, and any existing or anticipated medical conditions.
6. Complete treatment decisions: The form consists of multiple sections, each representing different treatment options. Based on the patient's preferences, select the appropriate choice for each section. Some common sections include CPR (Cardiopulmonary Resuscitation), medical interventions, artificial nutrition, and hydration.
7. Consider comfort measures: Discuss the patient's preferences for comfort measures, including pain management, relief from shortness of breath, and other comfort-focused interventions.
8. Indicate restrictions or limitations: If there are any specific restrictions or limitations the patient wishes to place on their medical care, indicate them clearly in the appropriate sections.
9. Healthcare professional's signature and date: Once you have completed all sections of the form, sign and date it. Ensure a healthcare professional, such as a physician or nurse practitioner, also signs and dates the form as a witness to your decisions.
10. Distribute copies: Make copies of the completed MOLST form. Keep one copy for your records and provide copies to the patient, the healthcare proxy or agent, primary care provider, and any relevant healthcare facilities or providers involved in the patient's care.
Remember, the MOLST form should always be discussed with the patient's healthcare provider to ensure clarity and understanding of the available options and their implications.
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