Texas Senate Bill SB11

Texas 2017 - 85th 1st C.S.

Caption

Relating to general procedures and requirements for certain do-not-resuscitate orders; creating a criminal offense.

Impact

The new regulations introduced by SB11 significantly impact how DNR orders are handled in Texas, particularly emphasizing patient and family involvement in end-of-life care decisions. With the introduction of explicit notice requirements and the obligations of healthcare facilities to inform patients and their representatives about DNR orders, the bill seeks to enhance communication and reduce the potential for misunderstandings or conflicts regarding the execution of a DNR order. Additionally, certain protections for healthcare providers against liability are outlined, aiming to mitigate fears of legal repercussions when complying with valid DNR directives.

Summary

SB11 introduces provisions regarding do-not-resuscitate (DNR) orders, establishing procedures and legal protections to guide health care professionals in the issuance and execution of such directives. The bill specifically pertains to DNR orders issued in healthcare facilities, ensuring that they are valid only when issued by the patient's attending physician and accompany the necessary patient consent, whether that consent is written, oral, or conveyed through a legal guardian. By regulating the process for these orders, SB11 aims to clarify the responsibilities of healthcare providers while ensuring that patients' rights to make decisions about their own medical care are protected.

Sentiment

The sentiment regarding SB11 is generally supportive among healthcare professionals who see the need for clearer guidelines in end-of-life care. Proponents argue that the bill fosters respect for patient autonomy and aligns medical practices with ethical standards in healthcare. However, some concerns have been raised about the implications of the legislation, particularly regarding the balance of patient autonomy with the responsibilities of healthcare providers. Critics emphasize the need to ensure that patients and their families are adequately informed and involved in decisions about DNR orders, as misunderstandings in such sensitive situations can lead to distress and dissatisfaction.

Contention

Notable points of contention surrounding SB11 include the extent to which the bill may inadvertently limit patient autonomy if not implemented with adequate safeguards for informed consent. The balance of ensuring rapid and efficient compliance with DNR orders versus honoring patient and family wishes is a critical issue. Ensuring that DNR order protocols do not compromise the quality of care or create barriers in communication between healthcare providers and patients’ families remains a key consideration in legislative and medical discussions about the bill.