MISSISSIPPI PHYSICIAN ORDERS FOR SUSTAINING TREATMENT (POST)
This document is based on this person’s current medical condition and wishes and
is to be reviewed for potential replacement in the case of a substantial change in
HIPAA permits disclosure of POST to other health professionals as necessary
Patient Last Name
Patient First Name/Middle
Patient Date of Birth
Effective Date (Form must be
reviewed at least annually)
Any section not completed indicates preference for full treatment for that section
in Each of
CARDIOPULMONARY RESUSCITATION (CPR): Patient has no pulse AND is not breathing.
Attempt Resuscitation (CPR)
Do Not Attempt Resuscitation (DNR)
When not in cardiopulmonary arrest, follow orders in B, C, and D.
MEDICAL INTERVENTIONS: If the patient has pulse AND breathing OR has pulse and is NOT breathing.
Full Sustaining Treatment: Transfer to a hospital if ind