Josephine is an 89-year-old woman who resides at an assisted living facility where she is receiving hospice care due to advanced illness. One evening, Josephine becomes confused and falls while trying to get out of bed. The assisted living facility calls the paramedics for assistance. Upon arrival, paramedics find Josephine alert but confused, in no apparent distress, yet hypotensive and mildly hypoxic. They administer 2L of oxygen and a fluid bolus. The facility staff inform EMS that Josephine is receiving hospice care, and the hospice team advised Josephine to return to bed. The paramedics review Josephine’s POLST form. This documentation was completed 4 years prior. It indicates Josephine’s wishes are for SECTION A: NO CPR and SECTION B: Selective Care: Primary goal is treating medical conditions with limited medical measures (including transfer to the hospital if indicated).