Medical Orders for Life Sustaining Treatment - Patients & Families

When to Review and Renew a MOLST Form

The entire MOLST form should be reviewed and renewed by a physician:

• Periodically
• When the individual is transferred from one facility to another
• When there is a substantial change in the person’s health status (improvement or deterioration)
• The individual’s preferences for treatments change
  

The DNR Order on the MOLST form must be reviewed and renewed by a physician as required by New York State law and regulations:

• Hospital: at least every 7 Days
• Nursing Home/Skilled Nursing Facility: at least every 60 Days
• Nonhospital/Community Setting: at least every 90 Days
  

NOTE: This order remains valid and must be followed, even if it has not been reviewed and renewed within the appropriate time period. Under New York State law, this order is valid unless revoked.

Completing a new form is NOT required every time a MOLST is reviewed and renewed. If an update is needed, it can be recorded in the appropriate section of the form.

It is the responsibility of the physician to determine, within the appropriate period of time, whether the orders contained on the MOLST form continue to be appropriate.

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