Medical Orders for Life-Sustaining Treatment (MOLST) Program

The Governor recently signed legislation allowing the use of the MOLST form for out of hospital care. The Medical Orders for Life-Sustaining Treatment (MOLST) Program is designed to improve the quality of care people receive at the end of life by translating patient/resident goals and preferences into medical orders. 

The MOLST form is a bright pink medical order form signed by a New York State Licensed physician that communicates patient wishes regarding life-sustaining treatment to health care providers. The form includes medical orders and patient preferences regarding:

·         CPR (cardiopulmonary resuscitation)

·         Intubation and mechanical ventilation

·         Artificial hydration and nutrition

·         Future hospitalization and transfer

We are currently awaiting a policy and procedure from the NYS DOH Bureau of EMS.  The links listed below will provide additional information and EMS training materials.  THIS PROGRAM IS NOW IN EFFECT.

MOLST Information and FAQ

MOLST EMS Training Program

MOLST Form

 

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Occupational Exposure – Ryan White Law Update

 

The federal Ryan White act contained a provision for notification of possible exposure to infectious diseases including HIV. Unfortunately, a change in the federal law eliminated these provisions.  Recent and existing NYS law addresses exposure concerns and notifications.  Below, please find information detailing the procedure for obtaining patient information in an exposure, and a training PowerPoint.

Guidance letter for occupational exposure to HIV

NYS Law (10 NYCRR section 63.8)

EMS Training Program

 

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