What is POLST?
The Provider Orders for Life Sustaining Treatment (POLST) form gives seriously ill patients more control over their end-of-life care, including medical treatment, extraordinary measures (such as a ventilator or feeding tube) and cardiopulmonary resuscitation (CPR).
A POLST order helps ensure that medical care provided in the emergency department and out-of-hospital settings is consistent with the patient’s desires. For example, a Wyoming POLST order marked with “Do Not Resuscitate” tells emergency medical technicians, first responders and other emergency healthcare staff members not to attempt cardiopulmonary resuscitation on the person for whom the order is issued if that person suffers cardiac or respiratory arrest.
POLST bracelets can be an-easy-to-see POLST notice for healthcare providers. Sticky J Medical ID is the Wyoming Department of Health’s authorized source for POLST bracelets in Wyoming. The Wyoming surgical stainless steel POLST bracelet is available for $27.90 by mail order from StickyJ Medical ID. An order form can be downloaded here. Bracelets can also be ordered online at https://www.stickyj.com/category/dnr-jewelry-bracelets, the StickyJ Medical ID website. Please note a completed POLST form is needed for bracelet orders.
Spanish Education Form
This Spanish WyoPOLST form is intended for educational purposes only, to aid Spanish readers to have the full understanding of what they are agreeing to with their medical provider. There is no need to print the Spanish education WyoPOLST form on gold paper, ordinary plain paper will suffice. It will continue to be the case that the only officially recognized WyoPOLST form will be in English and printed on gold paper, as per legislation. Medical providers will need to print off the education form as an accompaniment to the English WyoPOLST, and review it with your patients alongside the English version.
Statute and Rules
POLST Statute: Click here
POLST Rules: Click here
For More Information
For more information about the WyoPOLST program, please contact Mark Kelly – WyoPOLST Program Manager at 307-777-7988 or email at Mark.Kelly1@wyo.gov.