Or. Admin. Code § 333-270-0040 - Submission of POLST Forms
(1)
Physicians, nurse practitioners, physician associates and naturopathic
physicians are required to submit or cause to be submitted:
(a) Completed POLST forms they have signed ,
unless the patient has opted out of the Registry ; and
(b) Revocations of which they are
aware.
(2) Any person
may submit a completed POLST form or revocation to the Registry , regardless of
when the POLST form was completed.
(3) In order for a POLST form to be
considered complete, the form must be signed by a physician , nurse
practitioner , physician associate or naturopathic physician and the form and
any supporting documentation shall include, but is not limited to:
(a) The patient 's full name;
(b) The patient 's date of birth;
(c) Orders related to cardiopulmonary
resuscitation;
(d) The legible,
printed name of the physician , nurse practitioner , physician associate or
naturopathic physician authorizing the medical order; and
(4) If a POLST form is submitted
and determined to be incomplete, the Registry will notify the submitter that
the form is incomplete, describe the missing information, and request that the
form be resubmitted once it is complete.
(5) A POLST form submitted under this rule
may be submitted by facsimile or mail. If the Registry develops a secure method
of accepting POLST forms electronically, POLST forms may be submitted
electronically.
(6) The Registry
shall record in the Registry records, as soon as reasonably possible after
receipt of the POLST form , the following:
(a)
The information from a POLST form described in subsections (3)(a) through (e)
of this rule; and
(b) Instructions
if any, regarding medical interventions, use of antibiotics, and artificially
administered nutrition.
(7) If a revocation is submitted to the
Registry , that patient 's POLST form shall be removed as soon as reasonably
possible from the active Registry database. The Registry shall retain the POLST
form for documentation, program evaluation and research purposes.
(8) The first time a physician , nurse
practitioner , physician associate or naturopathic physician submits a POLST
form to the Registry , the Registry shall verify that the physician , nurse
practitioner , physician associate or naturopathic physician is licensed , in
Oregon, or is otherwise permitted to practice under ORS
677.060(1) or
678.031(1).
(9) The Registry shall notify, in writing, a
patient , or a patient 's personal representative if known, and the health care
provider who signed the POLST form or revocation when the Registry has received
a POLST form or revocation . The notification required by this section only
applies if the POLST form or revocation contains contact information for the
patient , patient 's personal representative , and health care provider . The
notification shall inform the person to contact the Registry if any of the
information on the POLST form or revocation is incorrect.
(10) Notification under section (9) of this
rule shall be documented by the Registry and the documentation shall include
the date of notification and who was notified.
(11) A person reporting information to the
Registry in good faith is immune from any civil or criminal liability that
might otherwise be incurred or imposed with respect to the reporting of
information to the Registry .
(12)
The Registry or any contractor that operates and maintains the Registry is not
responsible for:
(a) Verifying the accuracy
of the information on a POLST form or revocation submitted to the Registry ,
except as specified in section (8) of this rule; or
(b) Actions taken pursuant to information
that was fraudulently submitted to the Registry .
NOTE: Practitioners may obtain
Notes
Statutory/Other
Statutes/Other Implemented: ORS 127.663-127.684
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