Maryland Medical Orders for Life-Sustaining Treatment
This file contains the Maryland Medical Orders for Life-Sustaining Treatment (MOLST) that provides detailed instructions for emergency medical services. It is essential for patients and providers to ensure patient preferences in medical care are honored. This form is vital for anyone looking to express their wishes regarding life-sustaining treatments.
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How do I fill this out?
To fill out the MOLST form, start by entering the patient's information at the top of the document. Next, review the sections related to life-sustaining treatments and make selections based on the patient's preferences. Finally, ensure a licensed practitioner signs and dates the form to validate the orders.
How to fill out the Maryland Medical Orders for Life-Sustaining Treatment?
1
Enter the patient's full name and date of birth.
2
Select only one choice from Section 1 regarding CPR status.
3
Complete sections 2-9 only if they apply to the patient's care.
4
Ensure the form is signed and dated by the practitioner.
5
Provide a copy to the patient or authorized decision-maker within 48 hours.
Who needs the Maryland Medical Orders for Life-Sustaining Treatment?
1
Patients diagnosed with serious illnesses who want to ensure their treatment preferences are respected.
2
Healthcare agents acting on behalf of patients who need clear resuscitation and treatment directives.
3
Family members of patients who wish to prevent unwanted medical interventions.
4
Medical professionals responsible for providing care to patients needing clear orders.
5
Care facilities that require documentation of patient treatment preferences.
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Upload the MOLST form to PrintFriendly's editor.
2
Navigate through the document, selecting fields you want to edit.
3
Make the necessary changes to the form as needed.
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Use the signature feature if required.
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Download or share the edited PDF from the editor.
What are the instructions for submitting this form?
Submit the completed MOLST form to the healthcare provider overseeing the patient's care, ensuring it is noted in their medical record. You can also fax the completed form to relevant healthcare facilities, ensuring it reaches the intended medical personnel. It is advisable to keep a copy for your records, highlighting the patient's wishes clearly.
What are the important dates for this form in 2024 and 2025?
There are no specific expiration dates for the MOLST form in Maryland. However, it is important to review and update it annually or when significant health changes occur. Always ensure that healthcare providers are aware of the most up-to-date version.
What is the purpose of this form?
The purpose of the MOLST form is to provide clear and actionable medical orders that reflect a patient's wishes regarding life-sustaining treatment. This form empowers patients to express their treatment preferences in critical situations, ensuring their desires are honored. It serves as a key communication tool between patients, their families, and medical professionals.
Tell me about this form and its components and fields line-by-line.
- 1. Patient Information: Includes the patient's name, date of birth, and gender.
- 2. CPR Status: Details the patient's preferences regarding cardiopulmonary resuscitation.
- 3. Artificial Ventilation: Indicates the patient's choices for ventilatory support.
- 4. Blood Transfusion: States whether blood products may be administered.
- 5. Transfer Orders: Provides directives for transferring the patient to a hospital.
- 6. Medical Workup: Notes permissions for diagnostic testing.
- 7. Antibiotics: Specifies the use of antibiotics, if needed.
- 8. Fluid and Nutrition: Outlines the administration of fluids and nutrition.
- 9. Dialysis: Indicates preferences related to dialysis treatments.
- 10. Other Orders: Captures any additional medical directives not covered in previous sections.
What happens if I fail to submit this form?
If the MOLST form is not submitted, healthcare providers may not be aware of the patient's wishes, potentially leading to unwanted medical interventions. This could result in emergency medical personnel performing interventions that contradict the patient's preferences. It is crucial to ensure timely submission to guarantee respect for the patient's directives.
- Uncoordinated Care: Lack of a submitted form can lead to confusion about the patient's treatment preferences.
- Informed Decision-Making: Healthcare providers may not have essential information to make informed decisions.
- Patient Distress: Without clear orders, patients may face unwanted resuscitation or treatments during emergencies.
How do I know when to use this form?
- 1. Serious Illness Diagnosis: When patients are diagnosed with serious or terminal illnesses, they can use the MOLST form to clarify their treatment preferences.
- 2. Care Transition: During transitions between healthcare facilities, it is essential to have an updated MOLST form.
- 3. End of Life Planning: Patients planning for end-of-life care can utilize the MOLST form to ensure their wishes are documented.
Frequently Asked Question
What is the MOLST form?
The MOLST form is a medical order form that details a patient's preferences for life-sustaining treatment.
How do I fill out the MOLST form?
You can fill out the MOLST form by entering patient information and selecting preferences in the designated sections.
Can I edit the MOLST form after downloading?
Yes, you can edit the MOLST form using PrintFriendly's PDF editor.
Do I need a doctor's signature?
Yes, the MOLST form must be signed and dated by a physician, NP, or PA to be valid.
How do I share the MOLST form?
You can share the MOLST form using the share options available in PrintFriendly.
What happens if I don't submit the MOLST form?
Failure to submit the form could result in uncoordinated care regarding the patient's wishes.
Is the MOLST form valid everywhere?
Yes, the MOLST form is valid in all health care facilities and programs throughout Maryland.
Where should I keep the MOLST form?
It should be kept in a safe and readily accessible place for healthcare providers to find.
When can I update the MOLST form?
You can update the MOLST form whenever there is a change in the patient's health status or treatment preferences.
How do I submit the MOLST form?
Submit the completed form to the patient's healthcare provider or facility for inclusion in the patient's medical record.
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