Nevada updates do-not-resuscitate order regulations for patients and minors

In a pivotal moment for end-of-life care in Nevada, the State Legislature has introduced Senate Bill 294, a measure aimed at clarifying and expanding the protocols surrounding do-not-resuscitate (DNR) orders. Introduced on March 6, 2025, the bill seeks to address the complexities of patient autonomy and medical decision-making, particularly for those facing terminal conditions.

Under the proposed legislation, healthcare providers—including physicians, physician assistants, and advanced practice registered nurses—would be empowered to issue DNR orders only to patients deemed to be in a terminal state. Crucially, the bill stipulates that such orders must be agreed upon in writing by the patient while they are still capable of making informed decisions. For minors, the bill introduces additional safeguards, requiring consent from a parent or legal guardian, alongside the minor's own agreement if they are deemed mature enough to understand the implications.

The bill also outlines a streamlined process for obtaining a DNR identification, mandating that patients inform their immediate family members or legal guardians of their decision to apply for such identification. This provision aims to foster transparency and communication within families during what can be an emotionally charged time.

As discussions around Senate Bill 294 unfold, it has sparked notable debates among lawmakers, healthcare professionals, and advocacy groups. Proponents argue that the bill enhances patient rights and ensures that individuals have a say in their medical treatment, particularly in their final days. Critics, however, express concerns about the potential for misunderstandings or coercion, especially among vulnerable populations.

The implications of this legislation extend beyond individual patient care; they touch on broader social and ethical issues surrounding end-of-life decisions. Experts suggest that the bill could set a precedent for how states handle DNR orders, potentially influencing similar legislation across the country.

As the Nevada Legislature continues to deliberate on Senate Bill 294, the outcome remains uncertain. However, the discussions surrounding it highlight a growing recognition of the importance of patient autonomy in healthcare, a topic that resonates deeply with many families navigating the complexities of terminal illness. The bill's fate will likely shape the landscape of end-of-life care in Nevada for years to come, making it a critical issue for both lawmakers and constituents alike.