Las Vegas hospitals frequently require notarization during evening and overnight hours when urgent medical decisions arise. After 8 PM, mobile notaries handle medical powers of attorney, healthcare directives, and consent forms directly at patient bedsides. Administrators coordinate late-night notarization through credential checks, HIPAA-compliant workflows, and nurse-assisted access to ensure privacy and security. Facilities like Sunrise Hospital, Valley Hospital, and UMC depend on late-night services to avoid treatment delays and maintain compliance while meeting patient and family needs at critical moments.