2017 Nyc Remac - Dnr/molst (Appendix C)

Front 1

MOLST stands for....

Back 1

Medical Orders for Life-Sustaining Treatment

Front 2

This act allows family members to make health care decisions on behalf of patients who lose their ability to make decisions.

Back 2

FHCDA

Family Health Care Decisions Act

(June 1, 2010)

Front 3

Nonhospital DNR orders are now governed by Public Health Law Article ____.

Back 3

29

Front 4

DOH has approved an Out of Hospital DNR form for use outside of Article ___ licensed facilities, intended for patients not originating from a hospital or nursing home.

Back 4

28

Front 5

True or False

A DNR bracelet alone is assumed to be a valid DNR order, regardless of the presence of documentation.

Back 5

True

Front 6

True or False

MOLST forms replace DNR orders.

Back 6

False

MOLST provides an alternative and includes additional information about life-ending treatment preferences.

Front 7

Unlike DNR orders, the MOLST form documents ____ orders.

Back 7

DNI

Front 8

True or False

MOLST should not be honored by EMS agencies.

Back 8

False.

The Department has now approved the MOLST form.

Front 9

True or False

If the patient has an outdated version of the MOLST in place, it is still considered valid.

Back 9

True

Front 10

True or False

MOLST is valid without the need for a standard one-page DNR order.

Back 10

True

Front 11

True or False

Despite MOLST, EMS agencies must still honor the standard, one-page DNR or bracelet.

Back 11

True

Front 12

True or False

DNR bracelets apply to DNI.

Back 12

False.

Bracelets refer to DNR only. There are presently no out-of-hospital DNI bracelets.

Front 13

True or False

MOLST DNI orders do not apply to EMS.

Back 13

False.

DNI orders include EMS.

Front 14

DNI orders are found in section ___ of the MOLST.

Back 14

E

Front 15

In the event that a MOLST form is unsigned by a physician...

Back 15

...begin resuscitation and contact medical control.

Front 16

What color is an original MOLST form?

Back 16

Pink

Front 17

True or False

A black and white copy of a MOLST form is valid.

Back 17

True

Front 18

True or False

MOLST DNI orders only applies to patients in full cardiac arrest.

Back 18

False

A DNI patient in progressive or impending pulmonary failure should not be intubated.

Front 19

True or False

Non-hospital DNR orders only applies to patients in full cardiac arrest.

Back 19

False.

DNR also applies to respiratory (pulmonary) arrest.

Front 20

Both forms (DNR and MOLST) must be authorized by ______.

Back 20

a physician

Front 21

All DNR and MOLST forms should be considered valid unless...

Back 21

...it is known that the medical order has been revoked.

Front 22

If an EMS provider is uncertain how to proceed...

Back 22

...contact medical control.

Front 23

If DNR contradicts MOLST, which one should be honored?

Back 23

Follow the most recently dated authorization.

Front 24

True or False

Follow DNI orders in all instances, even if DNR is more recently dated than MOLST.

Back 24

True

DNR does not address DNI

Front 25

If you encounter a MOLST for that predates the 2010 statute....

Back 25

...honor it.

Front 26

True or False

Relief of foreign body choking is usually appropriate.

Back 26

True

Front 27

If a DNR order is presented after CPR has been started...

Back 27

...stop CPR.

Front 28

A copy of the MOLST/DNR should be attached to the _____.

Back 28

PCR

Front 29

True of False

MOLST may prohibit the starting of an IV.

Back 29

True

Front 30

True of False

MOLST may prohibit transport.

Back 30

True