| Description |
The Marriott-Slaterville City History Collection was created by the residents of the town to document their history. The collection includes Autobiographies, Oral Histories, History of Marriott, History of Slaterville, and the History of the Merging Townships to create Marriott-Slaterville City. This information has left behind rich histories, stories and important information regarding the history of the Marriott-Slaterville area. |
| OCR Text |
Show Information Distributed to Seniors in November 2008 page 1 of 2 Physician Order for Life Sustaining Treatment (POLST) State of Utah Health Care Facility Rule R432-031 Physician Order for Life Sustaining Treatment Physician Order For Life Sustaining Treatment Last Name of Patient/Resident: This is a physician order sheet based on patient/resident wishes and medical indications for life-sustaining treatment. If this is in First Name/Middle Initial: the clinical record, this should be placed in a prominently visible part of the patient's record. When need occurs, first follow these orders, then contact the physician. Date of Birth: (ANY SECTION NOT COMPLETED INDICATES ALL TREATMENT IN THAT SECTION WILL BE PROVIDED) Section A Treatment options when the patient/resident has NO pulse and is NOT breathing: Check one _Resuscitate _Do not attempt or continue any resuscitation (DNR) Section B Treatment options when the patient/resident has pulse and is breathing: Check one _Comfort measures only: Oral and body hygiene, reasonable efforts to offer food and fluids orally, medication, oxygen, positioning, warmth, and other measures to relieve pain and suffering. Privacy and respect for the dignity and humanity of the patient/resident. Other instructions: Transfer only if comfort measures can no longer be effectively managed at current setting. Transfer only if necessary to:_ _Limited additional interventions: Includes care above. May also include suction, treatment of airway obstruction, bag-mask/demand valve, monitor cardiac rhythm, medications, IV fluids. Transfer to hospital if indicated, but no endotracheal intubation or longterm life support measures. Other instructions, specify:_ _Full treatment: Includes all cares above plus endotracheal intubation and cardioversion. Section C Antibiotics: Comfort measures are always provided. _No antibiotics, except if needed for comfort _Intravenous antibiotics Oral antibiotics Intramuscular antibiotics apply Other instructions: Section D Artificially administered fluid and nutrition: Feeding tube IV fluids Check all that apply - - _Defined trial period of feeding tube _Defined trial period of IV fluids _Long-term feeding tube _IV fluids Other instructions: Section E Discussed with _Patient/resident Check all that apply _Legal representative _Other (specify):_ Contact name and phone number:_ A COPY OF THIS FORM MUST ACCOMPANY PATIENT/RESIDENT ON TRANSFER OR DISCHARGE (INCLUDING TRANSFERS TO HOSPITAL EMERGENCY DEPARTMENTS) 90 |
