Physician Orders for Life-Sustaining Treatment (POLST) Forms in Nebraska

Nebraska doesn't yet offer a POLST form, but here's how you can get many of the same benefits.

A POLST 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. Typically, a POLST form also provides other information about your wishes for end-of-life health care, such as your directions about intubation and feeding tubes.

Nebraska is one of just a few states that is not yet developing a POLST program. But that doesn’t mean you can’t get many of the benefits of a POLST form. Nebraska offers other health care forms that allow you to convey the same set of wishes to your health care providers.

Nebraska Living Wills and Medical Powers of Attorney

To cover the same ground as a POLST, you need to prepare the forms below that are relevant to your situation, and then make sure that health care providers know your wishes. Here are the forms to consider:

Living will.  A living will documents the type of care you want (or don't want) if you become incapacitated and unable to speak for yourself. A living will bears no relation to the conventional will or living trust used to leave property at death; it's strictly a place to spell out your health care preferences.

Durable power of attorney for health care.  This document does the important job of appointing someone you trust to be your health care agent, often called your “attorney-in-fact” in Nebraska, to make any necessary health care decisions for you and to see that doctors and other health care providers give you the type of care you wish to receive.

To learn more about these health care documents, see  Nebraska Living Wills and Durable Powers of Attorney for Health Care: What You Need to Know.

DNR order.  A DNR order tells emergency medical personnel what to do if you stop breathing or your heart stops beating. Specifically, the order tells them that you don’t want cardiopulmonary resuscitation (CPR), artificial breathing tubes, electric heart shocks, or other invasive emergency techniques. To learn more, see  Do Not Resuscitate Orders  -- and if you want to prepare a DNR order, talk to your doctor. A DNR order is valid only if a doctor signs it.

Make Your Wishes Known

The best way to be certain that medical professionals know and understand your health care preferences is name your health care attorney-in-fact in a durable power of attorney for health care. Your attorney-in-fact will be legally empowered to speak for what you want if you become unable to speak for yourself.

You may also want to consider giving copies of your health care forms to:

  • your doctor or other regular health care providers
  • the office of any hospital or other care facility in which you are likely to receive treatment
  • the patient representative of your HMO or insurance plan
  • immediate family members, and
  • close friends.

Finally, some states have an advance directive registry where you can put your documents on file. Nebraska doesn’t have such a registry but you may want to consider putting your documents on file at the  U.S. Living Will Registry. Some doctors and hospitals check such registries before providing care to patients.

Learn More About POLST Forms

To find out more about POLST forms and to stay informed about efforts to create a POLST program in Nebraska, visit  Polst.org.

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