Nurse practitioners' completion of Physician Orders for Scope of Treatment forms in West Virginia: A secondary analysis of 12 months of data from the state registry

Journal of the American Association of Nurse Practitioners
Lori Anne ConstantineAlvin H Moss

Abstract

Advanced care planning documents, such as the Physician Orders for Life-Sustaining Treatment (POLST), require authorized medical provider signatures; only recently have nurse practitioners (NPs) been authorized to sign these forms. Recent legislation in West Virginia (WV) granting NPs signatory authority on POLST forms and the creation of a statewide registry provides an opportunity to examine the completion rates. The aim of this study was to investigate how recent legislation allowing NPs signatory authority for POLST forms has affected POLST completion. Data were obtained from the WV statewide registry of POST forms completed by all authorized personnel. Forms submitted by NPs were compared with those completed by physicians on patient demographics, setting, resuscitation status, level of medical intervention, and errors. Variables were cross-tabulated by provider type to determine whether and how NP POST completion differed from that of physicians. Forty-five NPs submitted 430 POST forms to the WV registry, which constituted 14.4% of the POST forms received. Ten NPs in community and hospital specialist palliative care teams submitted more than two thirds of these 430 forms. Nurse practitioner-completed POST forms were more ...Continue Reading

References

Jul 20, 2010·Journal of Palliative Medicine·Alvin H MossJame Abraham
Jan 5, 2012·JAMA : the Journal of the American Medical Association·Erik K FrommeSusan W Tolle
Mar 8, 2013·The New England Journal of Medicine·Timothy E Quill, Amy P Abernethy
Jun 11, 2014·Journal of the American Geriatrics Society·Erik K FrommeSusan W Tolle
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Oct 20, 2015·Journal of Pain and Symptom Management·Sandra L PedrazaAlvin H Moss
Jul 3, 2017·Journal of the American Medical Directors Association·Alvin H MossCourtney Dunithan

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Citations

Apr 24, 2019·Journal of the American Geriatrics Society·Susan E HickmanGreg A Sachs
Apr 7, 2021·Geriatric Nursing·Zainab Toteh OsakweRose Saint Fleur-Calixte

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