What is required to change or modify a POLST Form?

• A. Verbal agreement between patient and provider
• B. Completion of a new POLST Form
• C. A simple amendment by a nurse
• D. An email directive from the patient

Answer: (C)

POLST forms are portable medical orders that guide life-sustaining treatment across care settings. To change or modify a POLST, updates must be documented as a formal amendment on the existing form. A simple amendment by a nurse is the efficient, approved way to reflect new preferences without drafting a completely new form, and it should be dated and signed so EMS can rely on it in emergencies. This approach keeps the original form in use while ensuring the patient’s current wishes are accurately represented. Verbal changes, email directives, or informal notes do not create an enforceable order, and while issuing a new POLST form is possible, the standard mechanism for updates is a straightforward amendment initiated by a clinician.