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CAPC Palliative Care Discussion Forum
Pediatric Palliative Care

In Reply To: POLST and pediatrics
Previous Message: Re:POLST and pediatrics

Post Re:POLST and pediatrics
Author: StacyRemke [CAPC/PCLC Faculty]
Date: Aug 31, 2009 12:33 pm
Our hospital is just in the early stages of looking at adapting POLST, so don't have much to offer on that score yet. I can say that in our state,the honoring of DNR forms/ orders by community EMT providers is at their discretion, so that comes with some issues. We coach families about that, so that they understand that if they call 911 they may risk having interventions they would not like to have for their child. We try to communicate with EMS providers in advance when we can so they have a heads up on the context and hopefully agree to honor orders. We also talk with families extensively about options they have when their child stops breathing or has an event: call us, comfort their child(ren), etc. so that they feel some anticipatory planning is in place. Other experiences?
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