Compassion and Support


Patients & Families

EMS MOLST Training

EMS Star of Life

Medical Orders for Life-Sustaining Treatment - Professionals

The MOLST EMS Training is specifically designed to provide an overview of the MOLST Program and MOLST Comprehension for First Responders and EMS Personnel.

The New York State Department of Health (NYSDOH) revised the MOLST for (DOH-5003) in June of 2010 to make it more user-friendly and to align the form with the procedures and decision making standards set forth in the Family Health Care Decisions Act (FHCDA).

Step 1
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Step 5

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Continuing Education for EMS Providers

EMS providers should view Video 1and MOLST Comprehension Review or use the EMS presentation at Print Documents. The Post Test Evaluation will provide useful data for the MOLST Community Pilot Project.


Key Points

  • It is distributed as a BRIGHT PINK, cardstock, multi-page form, but it can be photocopied and faxed while remaining a medical order and legally binding.
  • It may replace a NYS non-hospital Do Not Resuscitate (DNR) form.
  • The NYS non hospital DNR form is still valid.
  • It includes information to be used in other health care settings such as the hospital (i.e. placement of feeding tubes, and so on).
  • Remember to ask is the MOLST form is present.
  • Add "D" to the SAMPLE acronym:
    • S - Signs and Symptoms
    • A - Allergies
    • M - Medication(s)
    • P - Pertinent past medical history
    • L - Last oral intake
    • E - Events leading up to contacting 911
    • D - Do you have advance directives and medical orders
            (i.e. non-hospital DNR or MOLST)? 

NYSDOH Bureau of EMS (BEMS) Policy Statements and Memos

Policy Statements


EMS Enrichment Resources

EMS MOLST Implementation Steps

EMS Education Outline MOLST Form EMS Power Point Presentation (pps) EMS Power Point Handout