You may have heard about a new kind of health care directive in Indiana, called a Physician Orders for Scope of Treatment (POST) form. Here, we discuss what a POST form is and when you might need one.
What Is a POST Form?
A POST form is a doctor’s order that helps you keep control over medical care at the end of life. Like a Do Not Resuscitate (DNR) order, the form tells emergency medical personnel and other health care providers whether or not to administer cardiopulmonary resuscitation (CPR) in the event of a medical emergency. A POST form may be used in addition to -- or instead of -- a DNR order. The POST form may also provide other information about your wishes for end-of-life health care, as explained just below.
How to Make a POST Form
A health care professional can help you create a POST form if you have an advanced, progressive medical condition and you enter a medical facility or health care setting -- such as a hospital, nursing home, or hospice care in a facility or at home. To be legally valid, a POST form must be dated and signed by a doctor. (Indiana Code § 16-36-6-8.) If a member of the medical staff does not ask you whether you want to create a POST form, you may ask for one.
A POST form is usually printed on brightly colored paper so it will easily stand out in your medical records. The form travels with you if you move from one health care setting to another. You can change it or cancel it at any time.
How Does a POST Form Differ From Other Health Care Directives?
A POST form differs from a DNR order in one important way: A POST form also includes directions about life-sustaining measures in addition to CPR, such as intubation, antibiotic use, and feeding tubes. The POST form helps medical providers understand your wishes at a glance, but it is not a substitute for a properly prepared living will and durable power of attorney for health care.
Taken together, a living will and durable power of attorney for health care provide more information than a POST form, including details about your chosen attorney-in-fact and health care representative, more complete health care wishes, and your preferences for organ donation. Therefore, if you have a POST form, you do not need a DNR order, but you should still complete these two additional health care directives to provide a full set of wishes about your care.
For details about preparing health care directives, see Indiana Living Wills and Powers of Attorney for Health Care: What You Need to Know.
For More Information
To learn more, and to view an example of the Indiana POST form, visit the website of the Indiana University-Purdue University Indianapolis. To prepare a POST form for yourself or a loved one, talk to your doctor.
For general information about how to document your health care wishes, see the Living Wills & Medical Power of Attorney section of Nolo.com.