1. Except as otherwise provided in this section and NRS 449A.557, a provider of health care shall comply with a valid Provider Order for Life-Sustaining Treatment form, regardless of whether the provider of health care is employed by a health care facility or other entity affiliated with the physician, physician assistant or advanced practice registered nurse who executed the POLST form.
2. A physician, physician assistant or advanced practice registered nurse may medically evaluate the patient and, based upon the evaluation, may recommend new orders consistent with the most current information available about the patient’s health status and goals of care. Before making a modification to a valid POLST form, the physician, physician assistant or advanced practice registered nurse shall consult the patient or, if the patient lacks decisional capacity, shall make a reasonable attempt to consult the representative of the patient and the patient’s attending physician, attending physician assistant or attending advanced practice registered nurse.
3. Except as otherwise provided in subsection 4, a provider of health care who is unwilling or unable to comply with a valid POLST form shall take all reasonable measures to transfer the patient to a physician, physician assistant, advanced practice registered nurse or health care facility so that the POLST form will be followed.
4. Life-sustaining treatment must not be withheld or withdrawn pursuant to a POLST form of a patient known to the attending physician, attending physician assistant or attending advanced practice registered nurse to be pregnant, so long as it is probable that the fetus will develop to the point of live birth with the continued application of life-sustaining treatment.
5. Nothing in this section requires a provider of health care to comply with a valid POLST form if the provider of health care does not have actual knowledge of the existence of the form.
(Added to NRS by 2013, 2287; A 2017, 460, 1764, 3922)—(Substituted in revision for NRS 449.695)
Structure Nevada Revised Statutes
Chapter 449A - Care and Rights of Patients
NRS 449A.007 - "Board" defined.
NRS 449A.011 - Community health worker" defined. [Effective through December 31, 2021.]
NRS 449A.013 - Community health worker pool" defined. [Effective through December 31, 2021.]
NRS 449A.015 - "Community triage center" defined. [Effective through December 31, 2021.]
NRS 449A.017 - "Division" defined.
NRS 449A.019 - "Facility for hospice care" defined. [Effective through December 31, 2021.]
NRS 449A.021 - "Facility for intermediate care" defined. [Effective through December 31, 2021.]
NRS 449A.025 - "Facility for refractive surgery" defined. [Effective through December 31, 2021.]
NRS 449A.027 - "Facility for skilled nursing" defined. [Effective through December 31, 2021.]
NRS 449A.031 - "Facility for the dependent" defined.
NRS 449A.043 - "Hospice care" defined. [Effective through December 31, 2021.]
NRS 449A.045 - "Hospital" defined.
NRS 449A.052 - "Mobile unit" defined. [Effective through December 31, 2021.]
NRS 449A.054 - "Nursing pool" defined. [Effective through December 31, 2021.]
NRS 449A.056 - "Obstetric center" defined. [Effective through December 31, 2021.]
NRS 449A.058 - "Palliative services" defined. [Effective through December 31, 2021.]
NRS 449A.060 - Peer support recovery organization" defined. [Effective through December 31, 2021.]
NRS 449A.062 - Peer support services" defined. [Effective through December 31, 2021.]
NRS 449A.064 - "Provider of health care" defined.
NRS 449A.068 - "Psychiatric hospital" defined. [Effective through December 31, 2021.]
NRS 449A.071 - "Registered nurse" defined.
NRS 449A.073 - "Residential facility for groups" defined. [Effective through December 31, 2021.]
NRS 449A.075 - "Rural clinic" defined. [Effective through December 31, 2021.]
NRS 449A.081 - "Terminally ill" defined.
NRS 449A.103 - Facility to forward medical records upon certain transfers of patient.
NRS 449A.106 - Specific rights: Information concerning facility; treatment; billing; visitation.
NRS 449A.109 - Specific rights: Designation of persons authorized to visit patient in facility.
NRS 449A.153 - "Hospital care" defined.
NRS 449A.156 - "Responsible party" defined.
NRS 449A.165 - Manner of collection.
NRS 449A.203 - "Aversive intervention" defined.
NRS 449A.206 - "Chemical restraint" defined.
NRS 449A.209 - "Corporal punishment" defined.
NRS 449A.212 - "Electric shock" defined.
NRS 449A.215 - "Emergency" defined.
NRS 449A.221 - "Mechanical restraint" defined.
NRS 449A.224 - "Person with a disability" defined.
NRS 449A.227 - "Physical restraint" defined.
NRS 449A.230 - "Verbal and mental abuse" defined.
NRS 449A.233 - Aversive intervention: Prohibition on use.
NRS 449A.236 - Forms of restraint: Restrictions on use.
NRS 449A.239 - Physical restraint: Permissible use; report of use in emergency.
NRS 449A.242 - Mechanical restraint: Permissible use; report of use in emergency.
NRS 449A.245 - Chemical restraint: Permissible use; report of use.
NRS 449A.248 - Authorized use of certain forms of restraint by certain facilities.
NRS 449A.251 - Education and training of members of staff of facility.
NRS 449A.254 - Violations: Criminal penalties; ineligibility for employment; disciplinary action.
NRS 449A.303 - Aftercare" defined.
NRS 449A.306 - Caregiver" defined.
NRS 449A.309 - Representative of the patient" defined.
NRS 449A.400 - Short title; uniformity of application and construction.
NRS 449A.406 - "Advanced practice registered nurse" defined.
NRS 449A.409 - "Attending advanced practice registered nurse" defined.
NRS 449A.412 - "Attending physician" defined.
NRS 449A.415 - "Declaration" defined.
NRS 449A.418 - "Life-sustaining treatment" defined.
NRS 449A.421 - "Person" defined.
NRS 449A.424 - "Provider of health care" defined.
NRS 449A.427 - "Qualified patient" defined.
NRS 449A.430 - "Terminal condition" defined.
NRS 449A.433 - Declaration relating to use of life-sustaining treatment.
NRS 449A.442 - Time declaration becomes operative; duty of providers of health care.
NRS 449A.445 - Revocation of declaration; entry of revocation in medical records of declarant.
NRS 449A.448 - Recording determination of terminal condition and declaration.
NRS 449A.454 - Written consent to withhold or withdraw life-sustaining treatment.
NRS 449A.457 - Transfer of care of declarant.
NRS 449A.460 - Immunity from civil and criminal liability and discipline for unprofessional conduct.
NRS 449A.503 - "Advanced practice registered nurse" defined.
NRS 449A.506 - "Attending advanced practice registered nurse" defined.
NRS 449A.509 - "Attending physician" defined.
NRS 449A.512 - "Attending physician assistant" defined.
NRS 449A.515 - "Do-not-resuscitate identification" defined.
NRS 449A.518 - "Do-not-resuscitate order" defined.
NRS 449A.521 - "Emergency care" defined.
NRS 449A.524 - "Health care facility" defined.
NRS 449A.527 - "Life-resuscitating treatment" defined.
NRS 449A.530 - "Life-sustaining treatment" defined.
NRS 449A.533 - "Other types of advance directives" defined.
NRS 449A.536 - "Physician assistant" defined.
NRS 449A.539 - "Provider of health care" defined.
NRS 449A.542 - "Provider Order for Life-Sustaining Treatment form" or "POLST form" defined.
NRS 449A.545 - "Representative of the patient" defined.
NRS 449A.548 - Board to prescribe standardized POLST form; requirements.
NRS 449A.554 - Revocation of POLST form; entry of revocation in medical records of patient.
NRS 449A.557 - Conflict with other advance directive or do-not-resuscitate identification.
NRS 449A.572 - Unlawful acts; penalty.
NRS 449A.578 - Validity of POLST form executed in another state.
NRS 449A.603 - "Advance directive for psychiatric care" or "advance directive" defined.
NRS 449A.606 - "Attending physician" defined.
NRS 449A.609 - "Principal" defined.
NRS 449A.612 - "Provider of health care" defined.
NRS 449A.615 - "Psychiatric care" defined.
NRS 449A.618 - Execution of advance directive; period of effectiveness.
NRS 449A.624 - Requirements for advance directive to become operative; effect.
NRS 449A.627 - No presumption concerning intention of person without advance directive.
NRS 449A.630 - Provider to make advance directive part of principal’s medical record.
NRS 449A.636 - Provider to comply with advance directive; exceptions.
NRS 449A.639 - Transfer of care of principal.
NRS 449A.703 - "Advance directive" defined.
NRS 449A.706 - "Registrant" defined.
NRS 449A.709 - "Registry" defined.
NRS 449A.712 - Establishment and maintenance; information to be included in Registry.
NRS 449A.715 - Registration of advance directive: Requirements; duties of Secretary of State.
NRS 449A.718 - Access to advance directive.
NRS 449A.721 - Removal of advance directive of deceased registrant.