If a completed MOLST form is present upon admission or transfer to a health care facility and the patient does not remember the conversation, how should the health care professional proceed?
Assess patient capacity at the time of form completion. Was patient deemed to have decisional-capacity at the time of MOLST completion, as evidenced by the fact that the patient completed the form and no supplemental documentation is completed and attached? Review admission or transfer papers for evidence of documentation of the conversation. If no documentation is present, verify information through a conversation with the physician who completed the MOLST form. The physician license # and phone/pager # is on the MOLST form. Reassess patient capacity at the time of transfer as the patient may have had capacity when the MOLST form was completed but lost capacity in the interim. If capacity is intact, the patient’s goals for care may have changed. Initiate a goal-based discussion, per the 8-Step Protocol and complete a new MOLST consistent the patient’s current preferences.
Related Questions
- If a completed MOLST form is present upon admission or transfer to a health care facility and the patient does not remember the conversation, how should the health care professional proceed?
- If a patient from another county completes a MOLST in a health care facility in Monroe or Onondaga county, can the MOLST be used in the community after discharge?
- Who can complete a MOLST form with the patient or Health Care Agent?
