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Respiratory therapy / Emergency medicine / Cardiopulmonary resuscitation / Do not resuscitate / Emergency department / Bilevel positive airway pressure / Tracheal intubation / Medicine / Intensive care medicine / Mechanical ventilation


Plan for Life-Sustaining Treatment (PLST) BAYCREST KEEPS THE ORIGINAL PLST FORM. THE CLIENT TAKES A COPY OF THE PLST FORM DURING TRAVEL TO DIFFERENT CARE SETTINGS. For all clients of Baycrest:
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Document Date: 2014-09-11 09:03:04


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Company

Baycrest / /

MedicalCondition

acute medical illness / illness / /

MedicalTreatment

cardio-pulmonary resuscitation / resuscitation / CPR / mechanical ventilation / Antibiotics / /

Position

TIME PHYSICIAN LICENSE NUMBER PHYSICIAN / Instructions PHYSICIAN SIGNATURE PRINT PHYSICIAN / /

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