Discordant Guidance
Family members sometimes disagree with the POLST or in moments of heightened emotions, are not yet ready to lose their loved one.  Guilt from an estranged family member who recently arrives may also play into the complicated psycho-social factors that contribute to this discordant guidelines.
Family members sometimes disagree with the POLST or in moments of heightened emotions, are not yet ready to lose their loved one.  Guilt from an estranged family member who recently arrives may also play into the complicated psycho-social factors that contribute to this discordant guidelines.
In California, the treating physician and surrogate (family) have the power to override the POLST in the event of incapacity.
Probate Code Section 4780(c): allows a “legally authorized representative” to sign a POLST on behalf of an incapacitated patient.
Probate Code Section 4781.4: in the event of a conflict between POLST and any other
Probate Code Section 4780(c): allows a “legally authorized representative” to sign a POLST on behalf of an incapacitated patient.
Probate Code Section 4781.4: in the event of a conflict between POLST and any other
previous health<unk>  instruction, the latest in time prevails. Thus, the POLST law gives third party “representatives” the ability to countermand a patient’s prior expressions of treatment preferences and make treatment decisions with which the patient has expressly disagreed. 
(http://www.canhr.org/reports/2010/POLST_WhitePaper.pdf)
Physicians are also override POLST forms: (...the statutory authorization for POLST forms provides that “[a] health<unk>  provider shall treat an individual in accordance with a Physician Orders for Life Sustaining Treatment form” but also that “[a] physician may conduct an evaluation of the individual and, if possible, in consultation with the individual, or the individual’s legally recognized health<unk>  decision-maker, issue a new order consistent with the most current information about the individual’s health status and<unk> .” Thus, it clearly provides the treating physician and surrogate power to override the POLST in the event of incapacity) (http://www.americanbar.org/publications/aba_health_esource/2014-2015/october/polst.html)
Physicians are also override POLST forms: (...the statutory authorization for POLST forms provides that “[a] health<unk>  provider shall treat an individual in accordance with a Physician Orders for Life Sustaining Treatment form” but also that “[a] physician may conduct an evaluation of the individual and, if possible, in consultation with the individual, or the individual’s legally recognized health<unk>  decision-maker, issue a new order consistent with the most current information about the individual’s health status and<unk> .” Thus, it clearly provides the treating physician and surrogate power to override the POLST in the event of incapacity) (http://www.americanbar.org/publications/aba_health_esource/2014-2015/october/polst.html)

Slow Codes
When a provider does not think that proceeding with coding a patient is consistent with the patients' wishes, there is a tendency to run a "slow code" (AKA "show code") which was symbolic resuscitations.  The idea behind is to perform a resuscitation to benefit the family whole minimizing harm to the patient.  These types of codes can undermine the trust that patients/families have in health<unk>  providers.  As such, they can be problematic. (https://depts.washington.edu/bioethx/topics/dnr.html)
When a provider does not think that proceeding with coding a patient is consistent with the patients' wishes, there is a tendency to run a "slow code" (AKA "show code") which was symbolic resuscitations.  The idea behind is to perform a resuscitation to benefit the family whole minimizing harm to the patient.  These types of codes can undermine the trust that patients/families have in health<unk>  providers.  As such, they can be problematic. (https://depts.washington.edu/bioethx/topics/dnr.html)
Goals of care
End of life care
Sign out tools
Explosive incident response
Tactical field care
Creative Commons
Poison control
Critical care documentation