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First, although there are pilot programs in place, there is no agreement among leaders on a single form to use within the state. Statewide form uniformity and consistency is critical for the portability of the document throughout the state, as well as to adopt EMS protocols that allow for implementation of POLST form orders. Second, some of the pilots are using forms that adopt many POLST-like characteristics but are not medical orders. These forms may cause confusion when presented outside of Nebraska and ault likely not allow for patient treatment wishes to be followed during a medical crisis outside the state.

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