To find Laws and Regulations related to POLST Use in Oregon, click >>HERE<<.

Portable Orders for Life-Sustaining Treatment – The POLST form is a medical order set intended for patients with advanced illness or frailty, though accurate predictions cannot be made but death is likely in the foreseeable future. Note: Health care professionals are advised against the use of POLST in those individuals with stable disabilities who do not have a serious illness that is in the advanced stages. (See Guidelines on POLST Use for Persons with Significant Disabilities who are Now Near the End of Life.)

The POLST form transforms a patient’s treatment plan and goals of care into a medical order. Emergency medical responders and emergency medicine health care professionals follow these orders, unless new information is presented by a patient or their legal decision-maker.

The POLST process encourages shared, informed medical decision-making leading to a set of portable medical orders that respects the patient’s goals for care concerning the use of cardiopulmonary resuscitation (CPR) and other medical interventions, and is applicable across health care settings. POLST orders should be reviewed and revised when the patient’s wishes or health status changes.

No. Completion of POLST forms should never be mandatory. Facilities may have policies requiring certain patients be offered the opportunity to have the conversation and complete one, but completion of a POLST form should always be voluntary. (Refer to DHS Administrative Alerts).

There may be value in the process of having a POLST conversation, even if a POLST form is not completed as a result of the conversation. The POLST process allows patients to have a better awareness of their options for treatment going forward and health care professionals to better understand their patient’s goals of care.

POLST forms may be ordered only by health care professionals from medical institutions with an authorized signer of: MD, DO, NP, PA or ND, including hospitals, clinics, hospices, memory care units and SNFs.

POLST forms can be requested by using the order form in our Resources section found by clicking >>HERE<<.

The Oregon Medical Board and the Oregon POLST Program advise against routine completion of ‘Full Code’ POLST forms for patients.

A POLST is most helpful for individuals who wish to set limits about the medical treatments they would receive if an emergency occurred today, in their current state of health.

For Oregonians who wish to receive aggressive treatments initially (including CPR), a POLST is unlikely to be helpful as this is the treatment that will automatically be provided.

There are potential harms of completing a “Full Code” POLST:

• Most patients with “Yes to CPR” treatment preference are better served by completing an advance directive.
• Potential for goal-discordant treatment exists.

For example: A patient signs a POLST form for “CPR/Full Treatment.” Several years later, the patient’s health has deteriorated. The prior POLST no longer reflects the patient’s treatment preferences but has not been voided. An emergency occurs, and the medical team provides treatment in accordance with the POLST, delaying important conversations about prognosis and treatment preferences. This situation becomes particularly challenging if the patient has lost decision-making capacity in the years since the POLST was completed, placing additional emotional burden on surrogate decision makers.

Please remember that a POLST can never be required. POLST should not be used in lieu of a facility code status order.

POLST forms should be offered to patients with advanced illness or who are older or frail and wish to set limits about the medical treatments they would receive if an emergency occurred today, in their current state of health. Read the Oregon Medical Board Report article: Appropriate Use of the Oregon POLST Form.

Note: Health care professionals are advised against the use of POLST in those individuals with stable disabilities who do not have a serious progressive illness that is in the advanced stages.

Health care professionals and social workers who are qualified to have end-of-life conversations can assist patients and/or their health surrogates to complete POLST forms.

Only an MD, DO, NP, PA or ND are able to sign a POLST form to make it valid. Read more from our Health Care Professional Regulations. 

EMS, ED and long-term care facility personnel are required to follow the signed medical orders within a POLST until or unless they have information to the contrary.

Read more at Laws and Regulations related to POLST Use in Oregon.

POLST forms should be offered to patients with advanced illness or who are older and frail and may or may not want all forms of medical treatment.

Click here for a short, easy to read factsheet about the Oregon POLST form for anyone new to POLST.

Click the language for the factsheet in: Spanish, Arabic, Chinese-Simplified, Chinese-Traditional, Japanese, Korean, Russian, Ukrainian or Vietmanese.

The POLST form is a medical order and must be signed by the MD/DO/NP/PA/ND to be valid. Patients or their legal surrogate decision maker should be encouraged to sign, but the form is legally valid without their signature. Read more from our Health Care Professional Regulations. 

Fax or eFAX completed POLST forms to the Oregon POLST Registry at: 503-418-2161. Do NOT email forms.

It is the legal responsibility of the health care professional who completes the POLST form or their designee to submit a copy to the Oregon POLST Registry. Follow the Directions for Health Care Professionals found on the back of the POLST form.

The only exception is when a patient chooses not to have it submitted. The checkbox in Section D must be checked documenting that the patient does not want to have a POLST submitted to the Registry.

A patient with capacity, or the legal decision maker of a patient without capacity, can void the form and request alternative treatment. If the patient no longer wishes to have POLST orders, the form should be voided.

Note: If a new form is completed, the Registry automatically archives the older form upon receipt of the new form.

• For facilities using a paper form, draw a line through sections A through E and write “VOID” in large letters if POLST is replaced or becomes invalid, and send a copy of the voided form to the Oregon POLST Registry.

• If included in an electronic medical record, follow voiding procedures of facility/community, and send a copy of the voided form to the Oregon POLST Registry.

POLST forms should be reviewed periodically and updated if:

• The patient is transferred from one care setting or care level to another (including upon admission or at discharge), or
• There is a substantial change in the patient’s health status.

The front page of the Oregon POLST form has been translated into the following 14 languages for educational purposes only:

• Amharic
• Arabic
• Chinese (Traditional)
• Chinese (Simplified)
• French (European)
• German
• Japanese
• Korean
• Russian
• Somali
• Spanish
• Tagalog
• Ukrainian
• Vietnamese

These translated versions of the Oregon POLST form are not valid forms. They are for educational purposes only. Translated versions are offered to improve POLST health literacy during conversations among health care professionals, their patients and health surrogates.

A signed POLST must be in English, so emergency personnel can read and follow the orders.

The POLST form is read by emergency medical personnel, nurses, and physicians who may read and speak only English. For POLST Forms to be portable, they must be in English.

Spanish and 13 other translated versions of the POLST form are available to improve POLST health literacy during conversations between health care professionals and their patients and health surrogates who may not use English as their first language.

Translated versions of the front page of the POLST may be downloaded for educational purposes from this list:

• Amharic
• Arabic
• Chinese (Traditional)
• Chinese (Simplified)
• French (European)
• German
• Japanese
• Korean
• Russian
• Somali
• Spanish
• Tagalog
• Ukrainian
• Vietnamese

Health care interpreter services should be used when the patient and/or family/surrogate has limited English proficiency. The signed version of the POLST form must be completed in English, so emergency medical personnel can understand and follow these medical orders.

Translated versions of the Oregon POLST form are available for educational purposes only. An educational brochure for patients explaining POLST and educational videos in Spanish are available at our webpage: Español.

No. The POLST is a medical order set for EMS and other health care professionals to guide treatment in a crisis. The Advance Directive is a legal document to: 1) Share an adult’s values and goals regarding care treatment in future states of health and 2) Name a person to serve as their health care representative. Read more by clicking HERE.

No. Only an Advance Directive may be used to appoint a health surrogate who can create or void an Oregon POLST form for a person without capacity.

Refer to the current Guidelines on POLST Use for Persons with Significant Disabilities who are Now Near the End of Life.

Note: Health care professionals are advised against the use of POLST in those individuals with stable disabilities who do not have a serious illness that is in the advanced stages. See the Oregon DHS Office of Developmental Disabilities Services fact sheet on POLST use.

Additional resources for health care professionals are also available on our Resources webpage. Resources include downloadable educational materials, presentations, research publications and Department of Human Services Provider Alerts, including other Laws and Regulations related to POLST use in Oregon.