Document Name

MOLST (Medical orders for life sustaining treatments) has taken the place of the Comfort Care/Do Not Resuscitate Verification.  However, existing DNRs will be honored.

Where do you get the form

You can find it on the mass.gov site or you can get it from your physician.

Who signs the form

The form is signed by the physician, a nurse practitioner or a physician’s assistant and the patient.

Who can request the form

Any adult can complete a MOLST form.

Patient Identification

The Comfort Care/DNR verification is the only document that EMS personnel can use to verify a DNR order is valid.  If a person has a MOLST, the form itself can be used.

How do you obtain a DNR or MOLST bracelet

Your physician must order a DNR bracelet for you.  The MOLST application contains bracelet inserts that can be used in generic wrist bracelets.

Revoking a DNR or MOLST

An EMS/DNR Order or MOLST may be revoked at any time.  

Photocopy

Photocopies of the form or the bracelet inserts are considered authentic DNR or MOLST documents. Because EMTs are trained to look for a bright pink form in outpatient settings, it is highly recommended that a bright pink-colored DNR or MOLST form stays with the patient at all times.

State info link

http://www.mass.gov/eohhs/gov/departments/dph/programs/hcq/oems/comfort-care/

http://www.molst-ma.org/

Other links

http://www.vialoflife.com/

DNR Bracelet links

Your physician must order a DNR braclet on your behalf.

Special Notes

Order a Vial of Life decal for your front door. The decal informs Emergency Medical Services team a DNR or MOLST has been prepared and can be found in your refrigerator.