NRS 450B.520
Application for do-not-resuscitate identification: Form
- requirements.
1.
A qualified patient may apply to the health authority for a do-not-resuscitate identification by submitting an application on a form provided by the health authority. To obtain a do-not-resuscitate identification, the patient must comply with the requirements prescribed by the board and sign a form which states that the patient has informed each member of his or her family within the first degree of consanguinity or affinity, whose whereabouts are known to the patient, or if no such members are living, the patient’s legal guardian, if any, or if he or she has no such members living and has no legal guardian, his or her caretaker, if any, of the patient’s decision to apply for an identification.2.
An application must include, without limitation:(a)
Certification by the patient’s attending physician or attending advanced practice registered nurse that the patient suffers from a terminal condition;(b)
Certification by the patient’s attending physician or attending advanced practice registered nurse that the patient is capable of making an informed decision or, when the patient was capable of making an informed decision, that the patient:(1)
Executed:(2)
Was issued a do-not-resuscitate order pursuant to NRS 450B.510;(c)
A statement that the patient does not wish that life-resuscitating treatment be undertaken in the event of a cardiac or respiratory arrest;(d)
The name, signature and telephone number of the patient’s attending physician or attending advanced practice registered nurse; and(e)
The name and signature of the patient or the agent who is authorized to make health care decisions on the patient’s behalf pursuant to a durable power of attorney for health care decisions.
Source:
Section 450B.520 — Application for do-not-resuscitate identification: Form; requirements., https://www.leg.state.nv.us/NRS/NRS-450B.html#NRS450BSec520.