[Commander]

[Commander]

heres a sample of the form

http://www.compassionandsupport.org/...molst_form.pdf

[Ryno1611]

For people who don't know, MOLST is Medical Orders for Life Saving Treatment. It's lays out what the pt or family wants to have done, whether its a DNR/DNI, orders for a feeding tube, antibiotic treatment, intubation or be put on a ventilator.

[Kool Aid Stirrer]

The form is actually specific as to a pts wishes. It can be broken down to all different ways of sustaining life, not just a plain dnr......been used upstate for a couple years now

[Commander]

The MOLST program began as an alternate DNR piolt program back in 2005 for Monroe and Onondaga counties. The program had such positive comments and reviews that nys doh decided to use the forms throughout the state.

[Battalion9]

Policy Statement from DOH:

STATE OF NEW YORK – DEPARTMENT OF HEALTH
INTEROFFICE MEMORANDUM

To: Regional Emergency Medical Service Councils
Regional Emergency Medical Advisory Committee Members
From: Edward G. Wronski, Director
Bureau of Emergency Medical Services
Subject: Medical Orders for Life Sustaining Treatment (MOLST)
Date: July 18, 2008

This is to advise you that on July 7, 2009 the Governor signed Chapter 197 of the Laws of 2008 which allows for the use of the MOLST form. The law is effective immediately. The Bureau of Emergency Medical Services is preparing a policy statement discussing this law and the use of the MOLST form that will be sent to you and all ambulance and EMS services. MOLST may be honored immediately and used instead of a non-hospital DNR order. The non-hospital DNR order is still a valid document and is an option for a patient. The MOLST form has now been approved as an alternative form.

Ambulance services and others may call you with questions. Please remember that the MOLST form and process is not a Department of Health program although it is supported by us. You may refer them to the WEB page housed at the MOLST Training Center at htttp://www.compassionandsupport.org. It is my understanding an updated EMS page is being prepared by Excellus BlueCross BlueShield to address the training needs of EMS providers since passage of this legislation.
Some key points that will help you answer questions about this law, MOLST and the existing DNR form are:
1. MOLST may be used instead of a non-hospital DNR form.
2. The non-hospital DNR form is still a valid form.
3. The MOLST form provides DNR information. It also contains instruction for advanced life support providers on whether to intubate the patient or not when the patient has progressive or impending pulmonary failure without acute cardiopulmonary arrest.
4. The MOLST form is a bright pink, multiple paged form that is easily identified.
5. The MOLST includes information to be used in other health care settings such as the hospital.

Once the bureau policy is finalized we will place it on the WEB and include a link to the MOLST site.
Please call me if you have any questions.

[brandweer]

actually, although a good idea, it is not a State DOH program or policy. It is a law that the legislature passed on their own. We are waiting for the actual policy statement to be promulgated. The letter posted was just a heads up and not a policy statement.

[ride-n-fly]

When did we start honoring pre-hospital DNI's?

[Yaaaargh]

Originally Posted by ride-n-fly

When did we start honoring pre-hospital DNI's?

According to the policy statement...

"This is to advise you that on July 7, 2008 the Governor signed Chapter 197 of the Laws of 2008 which allows for the use of the MOLST form. The law is effective immediately"

The original said July 7, 2009 which I assume was an error... barring time travel or some such case.

[ride-n-fly]

Originally Posted by Yaaaargh

The original said July 7, 2009 which I assume was an error... barring time travel or some such case.

well idk about you but my time machine still is awaiting the flux capacitor

[Ryno1611]

I have to correct myself....MOLST is Medical Orders for Live Sustaining Treatment, not Saving.

[tl254truckie]

i was looking over the doh website...i saw this letter...i'm concerned why this has not been more widely publized...am I reading it wrong?






http://www.health.state.ny.us/profes.../dcl_molst.pdf

[brandweer]

There are links to the molst information, sample forms and an online training program for CME credit. The state keeps advising they are sending out a state wide policy, so we are waiting for the state policy rather then duplicate efforts.