The Illinois Department of Public Health has recently published a revised version of the IDPH Uniform DNR Advance Directive, which may also be referred to as a POLST form. This revised DNR form is a signed medical order that travels with the patient to assure that a patient's treatment preferences are honored across settings of care. The POLST model, new to Illinois, is a nationally recognized best practice. For more information on the National POLST Initiative, go to www.polst.org.
POLST is designed to:
The POLST form is an advance directive in accordance with Illinois law. It is not intended to replace a power of attorney for health care (POAHC) form. The POLST form should be used in addition to the POAHC form for appropriate patients. Use of the POLST form will be appropriate for:
Old IDPH DNR Advance Directives||
New IDPH DNR Advance Directives (POLST)|
Form intended to indicate: do not attempt resuscitation||
Allows patient to accept CPR|
Form did not give clear choices for pre-arrest treatment||
Form divided into 3 sections|
A. Cardiopulmonary Resuscitation
B. Medical Intervention (pre-arrest)
C. Artificially Administered Nutrition
For more information on POLST, visit the Ethics page on the NCH Intranet. Additional education will be provided during April and May. For questions, contact Spiritual Care at ext. 2010 or Gloria Reidinger at ext. 7970.