You may have heard about a new kind of health care directive in Iowa, called a Physician Orders for Scope of Treatment (IPOST) form. Here, we discuss what an IPOST form is and when you need one.
What Is an IPOST Form?
An IPOST 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. An IPOST form may be used in addition to -- or instead of -- a DNR order. The IPOST form may also provide other information about your wishes for end-of-life health care, as explained just below.
How to Make an IPOST Form
A health care professional can help you create an IPOST form if 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, an IPOST form must be signed by a qualified health care provider, such a physician or nurse practitioner. (Iowa Statutes § 144D.2.) If a member of the medical staff does not ask you whether you want to create a IPOST form, you may ask for one.
The IPOST 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 an IPOST Form Differ From Other Health Care Directives?
An IPOST form differs from a DNR order in one important way: The IPOST form also includes directions about life-sustaining measures in addition to CPR, such as intubation, antibiotic use, and feeding tubes. The IPOST 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 a Durable Power of Attorney for Health Care provide more information than an IPOST form, including details about your health care agent, more complete health care wishes, and your preference for organ donation. Therefore, if you have an IPOST form, you do not need a DNR order, but you should still complete a Living Will and a Durable Power of Attorney for Health Care to provide a full set of wishes about your care.
For details about making these important additional health care documents, see Iowa Living Wills and Durable Powers of Attorney for Health Care: What You Need to Know.
For More Information
To learn more, and to download an IPOST toolkit, visit the website of the Iowa Healthcare Collaborative. To prepare an IPOST 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 Powers of Attorney section of Nolo.com.