Can midlevel providers (NP, PA) complete the MOLST form and issue DNR and other orders for life sustaining treatments?
While New York State Law allows only a doctor to complete a DNR order, practicality demands that there is a mechanism for conveying this order when the doctor is not on site. The midlevel provider NP/PA may complete MOLST after a discussion with the attending or covering physician and the physician issues a verbal order. The midlevel notes this in the medical record and the MOLST form and the physician signs the order later. Verbal orders are acceptable, in accordance with facility or community policy. The orders should be cosigned by an attending physician within a specified brief period of time; for example, within 24 hours in a hospital, and within 1-7 days in a nursing home.
Related Questions
- Can midlevel providers (NP, PA) complete the MOLST form and issue DNR and other orders for life sustaining treatments?
- Are verbal orders for DNR given to nurses, nursing supervisors, residents, NP, or PAs acceptable?
- Are verbal orders for DNR given to nurses, nursing supervisors, residents, NP, or PA’s acceptable?
