IPOST (Iowa Physician Orders for Scope of Treatment)

What is it?

  • IPOST stands for Iowa Physician Orders for Scope of Treatment. It communicates and directs your care in a medical crisis.
  • IPOST is a recognizable and standardized state form that  gives people control over the treatments they want.
  • Completing the IPOST form is voluntary, and it belongs to you.
  •  A copy will not be kept as part of your healthcare provider’s medical record.

Why have an IPOST form?

  • You can lift a burden from those you love by completing an Advance Directive and IPOST form.
  • When seriously ill, an IPOST offers you and your loved ones assurance that you will receive the treatments you want.
  • You can also direct what treatments you do not want to have.

How is it used?

  • In a medical situation, IPOST directs emergency staff, such as First Responders, EMTs, Paramedics, and Providers to the type of care you do or do not want. 
  • IPOST orders show what treatments you want now, in your current state of health.

IPOST overview

  • IPOST form belongs to the patient.
  • IPOST form is a medical order, recognized statewide.
  • IPOST can be completed by any individual, regardless of age, who has a chronic or serious medical condition or who is frail and elderly.

Who completes and signs the IPOST form? 

  • You and your healthcare provider will talk about choices you have. A health care provider must sign the IPOST form.
  • You may discuss your wishes with a social worker, nurse, or trained facilitator who will help you complete the form and then have it signed later by your healthcare provider.
  • If you are unable to speak for yourself, your healthcare agent or representative can speak on your behalf.

The IPOST form asks for information about: 

  • Your medical conditions
  • Whether or not you want cardiopulmonary resuscitation (CPR - a lifesaving method used when someone’s breathing or heartbeat has stopped. It is used in many emergencies, such as a heart attack or near drowning).
  • Whether or not you want to be on a breathing machine
  • Use of antibiotics in your treatment
  • IV fluids and/or tube feeding

What if I change my mind?

  • The IPOST can be reviewed, changed, or voided at any time.
  • • Contact your health care provider’s office at any time if you want to make changes to your IPOST.

Where do I keep my IPOST form?

  • The IPOST form goes where you go−at home, the hospital, or long-term care facility.
  • At home−keep on refrigerator. EMS personnel are trained to look for it there.
  • During your hospital stay or at health care facilities−it’s kept on the medical chart and then returned to you upon discharge. The IPOST form will travel with you.

Ask your healthcare provider.

Regional Family Health: 563-927-7777

Regional Medical Home Care: 563-927-7303