reglab/statecodes huggingface dataset:
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.185 - Suspension of license or certificate for failure to pay child support or comply with certain subpoenas or warrants; reinstatement of license or certificate. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupational and recreational licenses for child support arrearages and for noncompliance with certain processes relating to paternity or child support proceedings.]

1. If the health authority receives a copy of a court order issued pursuant to NRS 425.540 that provides for the suspension of all professional, occupational and recreational licenses, certificates and permits issued to a person who is the holder of a license as an attendant or firefighter employed by a fire-fighting agency or a certificate, the health authority shall deem the license or certificate issued to that person to be suspended at the end of the 30th day after the date on which the court order was issued unless the health authority receives a letter issued to the holder of the license or certificate by the district attorney or other public agency pursuant to NRS 425.550 stating that the holder of the license or certificate has complied with the subpoena or warrant or has satisfied the arrearage pursuant to NRS 425.560.
2. The health authority shall reinstate a license as an attendant or firefighter employed by a fire-fighting agency or a certificate that has been suspended by a district court pursuant to NRS 425.540 if:
(a) The health authority receives a letter issued by the district attorney or other public agency pursuant to NRS 425.550 to the person whose license or certificate was suspended stating that the person whose license or certificate was suspended has complied with the subpoena or warrant or has satisfied the arrearage pursuant to NRS 425.560; and
(b) The person whose license or certificate was suspended pays any fees imposed by the health authority for the reinstatement of a suspended license or certificate.
(Added to NRS by 1997, 2056; A 2005, 333; 2013, 942)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.187 - Application for license or certificate to include social security number. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupational and recreational licenses for child support arrearages and for noncompliance with certain processes relating to paternity or child support proceedings.]

An application for the issuance or renewal of a license as an attendant or firefighter employed by a fire-fighting agency or a certificate must include the social security number of the applicant.
(Added to NRS by 1997, 2056; A 2005, 333; 2013, 943)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.188 - Prohibition on denial of application based on immigration or citizenship status; provision of alternative personally identifying number; confidentiality of social security or alternative personally identifying number.

1. The health authority shall not deny the application of a person for a license or certificate pursuant to NRS 450B.160 or 450B.180 based solely on his or her immigration status.
2. Notwithstanding the provisions of NRS 450B.187, an applicant for a license or certificate pursuant to NRS 450B.160 or 450B.180 who does not have a social security number must provide an alternative personally identifying number, including, without limitation, his or her individual taxpayer identification number, when completing an application.
3. The health authority shall not disclose to any person who is not employed by the health authority the social security number or alternative personally identifying number, including, without limitation, an individual taxpayer identification number, of an applicant for a license for any purpose except:
(a) Tax purposes;
(b) Licensing purposes; and
(c) Enforcement of an order for the payment of child support.
4. A social security number or alternative personally identifying number, including, without limitation, an individual taxpayer identification number, provided to the health authority is confidential and is not a public record for the purposes of chapter 239 of NRS.
(Added to NRS by 2019, 4348)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.190 - Provisional licensing of attendants.

1. The health authority may, at its discretion, issue a provisional license as an attendant to a person who does not meet the qualifications established pursuant to this chapter, if the health authority determines that such issuance will be in the public interest.
2. A provisional license as an attendant must not be made valid for more than 1 year from the date of issuance and is not renewable.
(Added to NRS by 1973, 1144; A 1987, 2208; 1993, 2832)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.1905 - Program of training for certification; maintenance of certification.

1. A program of training for certification as an emergency medical technician must be:
(a) Supervised by a physician and approved by the health authority; or
(b) Presented by a national organization which is nationally recognized for providing such training and approved by the board.
2. A program of training for certification as an emergency medical technician must follow the curriculum or educational standards prepared by the United States Department of Transportation as a national standard for emergency medical technicians.
3. The board may adopt regulations which prescribe other requirements of training for certification as an emergency medical technician.
4. An owner of an ambulance shall not offer emergency medical care to a patient in urgent need of medical care or observation unless the attendant has successfully completed a program of training for certification as an emergency medical technician or is exempt, pursuant to subsection 7 of NRS 450B.160, from the requirement to obtain that training.
5. The board may by regulation prescribe additional requirements for receiving and maintaining certification as an emergency medical technician. The curriculum or educational standards for training must be:
(a) At the level of advanced first aid; or
(b) At least equivalent to any curriculum or educational standards prepared by the Department of Transportation as a national standard for emergency medical technicians.
(Added to NRS by 1985, 2117; A 1987, 2208; 1993, 318, 2832; 2013, 943; 2019, 2093)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.191 - Program of training for certification as advanced emergency medical technician; maintenance of certification; advanced emergency medical technician services prohibited without certification; exceptions.

1. A program of training for certification as an advanced emergency medical technician must be supervised by a licensed physician and approved by the health authority.
2. A program of training for certification as an advanced emergency medical technician must include an approved curriculum in intravenous therapy and the management of a passage for air to the lungs. Only a certified emergency medical technician with experience as established by the board is eligible for this training.
3. In order to maintain certification, each advanced emergency medical technician must annually:
(a) Comply with the requirements established by the board for continuing medical education; and
(b) Demonstrate his or her skills as required by regulation of the board.
4. The board may by regulation prescribe the curriculum and other requirements for training and maintaining certification as an advanced emergency medical technician. The curriculum must be at least equivalent to any curriculum or educational standards prepared by the United States Department of Transportation as a national standard for advanced emergency medical technicians.
5. A person shall not represent himself or herself to be an advanced emergency medical technician unless the person has on file with the health authority a currently valid certificate demonstrating successful completion of the program of training required by this section or is practicing under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by NRS 450B.145.
6. Except as authorized by subsection 7 of NRS 450B.160 and the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by NRS 450B.145, an attendant or firefighter shall not perform, and the owner, operator, director or chief officer of an ambulance or a fire-fighting agency shall not offer, emergency care as an advanced emergency medical technician without fulfilling the requirements established by the board.
(Added to NRS by 1981, 277; A 1981, 1557; 1985, 1695; 1987, 2209; 1993, 319, 2833; 1995, 725; 2005, 333; 2013, 943; 2019, 2094; 2023, 2286)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.1915 - Authorized activities of advanced emergency medical technician.

An advanced emergency medical technician may perform any procedure and administer any drug:
1. Approved by regulation of the board; or
2. Authorized pursuant to NRS 450B.1975, if the advanced emergency medical technician has obtained an endorsement pursuant to that section.
(Added to NRS by 1981, 278; A 1987, 2210; 2009, 1533; 2013, 944)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.195 - Program of training for certification as paramedic; maintenance of certification; paramedic services prohibited without certification; exceptions.

1. Only a certified emergency medical technician with experience as established by the board is eligible for training as a paramedic.
2. A program of training for certification as a paramedic must be supervised by a licensed physician and approved by the health authority.
3. To maintain certification, each paramedic must annually:
(a) Comply with the requirements established by the board for continuing medical education; and
(b) Demonstrate his or her skills as required by regulation of the board.
4. The board may by regulation prescribe the curriculum and other requirements for training and maintaining certification as a paramedic. The curriculum must be at least equivalent to any curriculum or educational standards prepared by the United States Department of Transportation as a national standard for paramedics.
5. A person shall not represent himself or herself to be a paramedic unless the person has on file with the health authority a currently valid certificate evidencing the person’s successful completion of the program of training required by this section or is practicing under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by NRS 450B.145.
6. Except as authorized by subsection 7 of NRS 450B.160 and the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by NRS 450B.145, an attendant or firefighter shall not perform, and the owner, operator, director or chief officer of an ambulance or a fire-fighting agency shall not offer, emergency care as a paramedic without fulfilling the requirements established by the board.
(Added to NRS by 1973, 610; A 1975, 38; 1979, 71; 1981, 1555; 1985, 1696; 1987, 2210; 1993, 319, 2833; 1995, 725; 2005, 334; 2013, 944; 2019, 2094; 2023, 2287)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.197 - Authorized activities of certain paramedics and emergency medical services registered nurses.

An attendant or a firefighter who is a paramedic or emergency medical services registered nurse may perform any procedure and administer any drug:
1. Approved by regulation of the board; or
2. Authorized pursuant to NRS 450B.1975, if the attendant or firefighter who is a paramedic has obtained an endorsement pursuant to that section.
(Added to NRS by 1973, 610; A 1975, 38; 1981, 1556; 1985, 1696; 1987, 2211; 2005, 334; 2009, 1534; 2013, 945; 2015, 1729)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.1975 - Endorsement to administer immunizations, dispense medication and respond to public health needs.

1. An advanced emergency medical technician or a paramedic who holds an endorsement to administer immunizations, dispense medication and prepare and respond to certain public health needs issued in accordance with the regulations adopted pursuant to this section may:
(a) Administer immunizations and dispense medications;
(b) Participate in activities designed to prepare the community to meet anticipated health needs, including, without limitation, participation in public vaccination clinics; and
(c) Respond to an actual epidemic or other emergency in the community,
under the direct supervision of the local health officer, or a designee of the local health officer, of the jurisdiction in which the immunization is administered or the medication is dispensed or in which the emergency or need exists.
2. The district board of health, in a county whose population is 700,000 or more, may adopt regulations for the endorsement of advanced emergency medical technicians and paramedics pursuant to this section. The regulations must:
(a) Prescribe the minimum training required to obtain such an endorsement;
(b) Prescribe the continuing education requirements or other evidence of continued competency for renewal of the endorsement;
(c) Prescribe the fee for the issuance and renewal of the endorsement, which must not exceed $5; and
(d) Not require licensure as an attendant as a condition of eligibility for an endorsement pursuant to this section.
3. The State Board of Health shall, for counties whose population is less than 700,000, adopt regulations for the endorsement of advanced emergency medical technicians and paramedics pursuant to this section. The regulations must:
(a) Prescribe the minimum training required to obtain such an endorsement;
(b) Prescribe the continuing education requirements or other evidence of continued competency for renewal of the endorsement;
(c) Prescribe the fee for the issuance and renewal of the endorsement, which must not exceed $5;
(d) To the extent practicable, authorize local health officers to provide the training and continuing education required to obtain and renew an endorsement; and
(e) Not require licensure as an attendant as a condition of eligibility for an endorsement pursuant to this section.
4. As used in this section:
(a) "Emergency" means an occurrence or threatened occurrence for which, in the determination of the Governor, the assistance of state agencies is needed to supplement the efforts and capabilities of political subdivisions to save lives, protect property and protect the health and safety of persons in this State, or to avert the threat of damage to property or injury to or the death of persons in this State.
(b) "Local health officer" means a city health officer appointed pursuant to NRS 439.430, county health officer appointed pursuant to NRS 439.290 or district health officer appointed pursuant to NRS 439.368 or 439.400.
(Added to NRS by 2009, 1532; A 2011, 1270; 2013, 945)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.199 - "Emergency medical provider" defined.

As used in this section and NRS 450B.1993 and 450B.1996, unless the context otherwise requires, "emergency medical provider" means an emergency medical technician, advanced emergency medical technician or paramedic who is certified pursuant to this chapter.
(Added to NRS by 2015, 649; A 2023, 2287)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.1993 - Endorsement to provide community paramedicine services: Regulations; application; expiration; circumstances under which emergency medical provider may provide community paramedicine services.

1. The board shall adopt regulations to provide for the issuance of an endorsement on a permit which allows an emergency medical provider who is employed by or serves as a volunteer for the holder of the permit to provide community paramedicine services. Such regulations must establish, without limitation:
(a) The manner in which to apply for an endorsement;
(b) The qualifications and requirements of a holder of a permit to obtain an endorsement;
(c) The required training and qualifications of an emergency medical provider who will provide community paramedicine services and the proof necessary to demonstrate such training and qualifications;
(d) The scope of the community paramedicine services that may be provided by an emergency medical provider who is employed by or serves as a volunteer for the holder of the permit, which must not include any services that are outside the scope of practice of the emergency medical provider;
(e) The continuing education requirements or other evidence of continued competency for renewal of the endorsement; and
(f) Such other requirements as the board deems necessary to carry out the provisions of this section and NRS 450B.199 and 450B.1996.
2. The holder of a permit may apply for an endorsement to provide community paramedicine services by submitting to the health authority an application upon forms prescribed by the board and in accordance with procedures established by the board. The health authority must not approve an application for an endorsement or a renewal of an endorsement unless the applicant meets the requirements prescribed by the board by regulation pursuant to subsection 1. No additional fee may be charged for an endorsement.
3. An endorsement to provide community paramedicine services expires on the same date as the permit and is renewable annually thereafter at least 30 days before the expiration date.
4. An emergency medical provider may provide community paramedicine services only as an employee of or volunteer for the holder of a permit who has obtained an endorsement and only if the emergency medical provider possesses the training and qualifications required by the board. Any services provided must not exceed the scope of practice of the emergency medical provider.
(Added to NRS by 2015, 649)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.1996 - Reports.

1. Each holder of a permit who has obtained an endorsement to provide community paramedicine services pursuant to NRS 450B.1993 shall submit a quarterly report to the health authority that issued the endorsement which must include, without limitation:
(a) Information concerning the community paramedicine services that were provided in lieu of emergency medical transportation, including, without limitation, the types of services provided and the number of persons for whom such services were provided;
(b) The impact of providing community paramedicine services on the overall services provided to patients; and
(c) Such other information as prescribed by the health authority or requested by the Legislature or the Joint Interim Standing Committee on Health and Human Services.
2. On or before February 1 of each year, each health authority shall submit a report summarizing the information received concerning community paramedicine services pursuant to subsection 1 along with a summary of the impact of providing such services to patients in that manner to the Director of the Legislative Counsel Bureau for transmittal to the Legislature in odd-numbered years or the Joint Interim Standing Committee on Health and Human Services in even-numbered years.
(Added to NRS by 2015, 650)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.210 - Provisional permit.

1. The board may issue provisional permits limited as to time, place and purpose, based on the need therefor. No provisional permit may be issued for a period of longer than 6 months. The board may establish a reasonable fee for such provisional permits. Revenue from such fees collected by the Division must be accounted for separately and does not revert to the State General Fund at the end of any fiscal year.
2. Unless otherwise limited in the permit, a provisional permit issued pursuant to this section is valid for providing emergency services throughout the State, whether issued by the Division or a district board of health.
3. In determining whether to issue a permit for the operation of an air ambulance pursuant to this section, the health authority:
(a) Except as otherwise provided in paragraph (b), may consider the medical aspects of the operation of an air ambulance, including, without limitation, aspects related to patient care; and
(b) Shall not consider economic factors, including, without limitation, factors related to the prices, routes or nonmedical services of an air ambulance.
(Added to NRS by 1973, 1145; A 1991, 1917; 2005, 2474; 2013, 619; 2023, 1966)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.215 - Administrative sanctions for failure to comply with requirements concerning electronic health information. [Effective July 1, 2024.]

1. If the health authority receives notification from the Department of Health and Human Services pursuant to NRS 439.5895 that the holder of a permit to operate an ambulance, air ambulance or vehicle of a fire-fighting agency is not in compliance with the requirements of subsection 4 of NRS 439.589, the health authority may, after notice and the opportunity for a hearing in accordance with the provisions of this chapter, require corrective action or impose an administrative penalty in an amount established by regulation of the board.
2. The health authority shall not suspend or revoke a permit for failure to comply with the requirements of subsection 4 of NRS 439.589.
(Added to NRS by 2023, 1851, effective July 1, 2024)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.220 - Periodic inspections.

1. Subsequent to issuance of any permit under NRS 450B.200 and 450B.210, the health authority shall cause to be inspected the ambulances, aircraft, vehicles, medical supplies, equipment, personnel, records, premises and operational procedures of a holder of a permit whenever that inspection is deemed necessary, but no less frequently than once each year. The periodic inspection required by this section is in addition to any other state or local inspections required for ambulances, aircraft or motor vehicles under statute or ordinances.
2. Any inspection conducted pursuant to subsection 1 of the aircraft, equipment, personnel, records, premises or operational procedures of a holder of a permit to operate an air ambulance must be related only to the medical aspects of the operation of the air ambulance.
(Added to NRS by 1973, 1145; A 1985, 1699; 1993, 2835; 2013, 620)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.225 - Staffing of air ambulance; regulations; letter of endorsement and identification card for staff that meet requirements.

1. Except as otherwise provided in subsection 2 or as otherwise authorized by the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by NRS 450B.145, during any period in which an air ambulance is used to provide medical transportation services for which a permit is required, the air ambulance must be staffed with, at a minimum:
(a) One primary attendant who:
(1) Is an emergency medical services registered nurse who has at least 3 years of critical care nursing experience;
(2) Has successfully completed an air ambulance attendant course which includes didactic and clinical components and is approved or in compliance with requirements set by the board; and
(3) Has demonstrated proficiency in basic prehospital skills and advance procedures as specified by the board; and
(b) One secondary attendant who meets the same qualifications as a primary attendant pursuant to paragraph (a) or:
(1) Is certified as a paramedic;
(2) Has at least 3 years of field experience as a paramedic;
(3) Has successfully completed an air ambulance attendant course which includes didactic and clinical components and is approved or in compliance with requirements set by the board; and
(4) Has demonstrated proficiency in basic prehospital skills and advance procedures as specified by the board.
2. If, as determined by the pilot and medical director of the air ambulance, the weight of the secondary attendant could compromise the performance of the air ambulance, safety or patient care, an air ambulance providing medical transportation services may be staffed with only a primary attendant as described in paragraph (a) of subsection 1.
3. The board may adopt regulations specifying the acceptable documentation of the requirements set forth in paragraph (a) or (b) of subsection 1.
4. The health authority may issue a letter of endorsement and identification card to an emergency medical services registered nurse or paramedic who satisfies the requirements of paragraph (a) or (b) of subsection 1.
(Added to NRS by 2015, 1728; A 2023, 2288)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.230 - Owner not to allow operation without required equipment; exception.

1. The public or private owner of an ambulance or air ambulance or the fire-fighting agency who owns a vehicle used in providing emergency medical care shall not permit its operation and use without the equipment required by regulations and standards of the board.
2. The provisions of this section do not apply to the equipment in or of an air ambulance unless the equipment is related to the medical aspects of the operation of the air ambulance.
(Added to NRS by 1973, 1145; A 1985, 1699; 2013, 620)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.235 - Filing and maintenance of schedule of rates of ambulance.

1. Each public and private owner of an ambulance shall file his or her schedule of rates with the health authority. Any change in a schedule of an ambulance must be filed before the change becomes effective.
2. The health authority shall keep each schedule of rates or changes filed with it for at least 3 years after the schedule has been superseded or otherwise become ineffective.
(Added to NRS by 1979, 726; A 1993, 2835; 2013, 620)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.238 - Regulations requiring hospital to record and maintain information.

The State Board of Health shall adopt regulations which require each hospital to record and maintain information concerning the treatment of trauma in the hospital. The Board shall consider the guidelines adopted by the American College of Surgeons which concern the information which must be recorded.
(Added to NRS by 1987, 1043; A 1993, 2836)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.240 - Engaging in operation of services relating to ambulances or air ambulances without permit prohibited; provision of certain medical care by fire-fighting agency without permit prohibited; provision of community paramedicine services without endorsement prohibited.

1. A person or governmental entity shall not engage in the operation of any ambulance or air ambulance service in this state without a currently valid permit for that service issued by the health authority.
2. A fire-fighting agency shall not provide the level of medical care provided by an advanced emergency medical technician or paramedic to sick or injured persons at the scene of an emergency or while transporting those persons to a medical facility without a currently valid permit for that care issued by the health authority.
3. A person or governmental entity shall not provide community paramedicine services or represent, advertise or otherwise imply that it is authorized to provide community paramedicine services without a currently valid permit with an endorsement to provide community paramedicine services issued by the health authority pursuant to NRS 450B.1993.
4. Nothing in this section precludes the operation of an aircraft in this state in a manner other than as an air ambulance.
(Added to NRS by 1973, 1145; A 1985, 1699; 1993, 2836; 2001, 999; 2013, 620, 946; 2015, 652)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.250 - Service as attendant for ambulance or air ambulance without license prohibited; provision of certain medical care by firefighter without license prohibited; requirements for person to provide community paramedicine services.

1. Except as otherwise provided in this chapter, a person shall not serve as an attendant on any ambulance or air ambulance and a firefighter shall not provide the level of medical care provided by an advanced emergency medical technician or paramedic to sick or injured persons at the scene of an emergency or while transporting those persons to a medical facility unless the person holds a currently valid license issued by the health authority under the provisions of this chapter.
2. A person shall not provide community paramedicine services unless the person:
(a) Is certified as an emergency medical technician, an advanced emergency medical technician or a paramedic;
(b) Is employed by or serves as a volunteer for a person or governmental entity which has a currently valid permit with an endorsement to provide community paramedicine services issued by the health authority pursuant to NRS 450B.1993; and
(c) Meets the qualifications and has satisfied any training required by regulations adopted pursuant to NRS 450B.1993.
(Added to NRS by 1973, 1145; A 1985, 1699; 1993, 2836; 2001, 999; 2005, 334; 2013, 946; 2015, 652)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.255 - Representation as emergency medical technician, advanced emergency medical technician or paramedic without credentials prohibited.

A person shall not represent himself or herself to be an emergency medical technician, advanced emergency medical technician or paramedic unless the person has been issued a currently valid certificate by the health authority or is practicing under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by NRS 450B.145.
(Added to NRS by 1979, 71; A 1993, 2836; 2013, 946; 2023, 2288)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.260 - Operation of ambulance, air ambulance or fire-fighting vehicle used to provide certain medical care without licensed driver and attendant prohibited; exceptions.

1. Except as otherwise provided in this section or as authorized by the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by NRS 450B.145, the public or private owner of an ambulance or air ambulance or a fire-fighting agency which owns a vehicle used in providing medical care to sick or injured persons at the scene of an emergency or while transporting those persons to a medical facility shall not permit its operation and use by any person not licensed under this chapter.
2. An ambulance carrying a sick or injured patient must be occupied by a driver and an attendant, each of whom is licensed as an attendant pursuant to this chapter, exempt from licensing pursuant to subsection 7 of NRS 450B.160 or authorized to practice in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by NRS 450B.145, except as otherwise provided in subsection 5 or in geographic areas which may be designated by the board and for which the board may prescribe lesser qualifications.
3. An air ambulance carrying a sick or injured patient must be occupied by a licensed attendant, a person exempt from licensing pursuant to subsection 7 of NRS 450B.160 or a person authorized to practice in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by NRS 450B.145, in addition to the pilot of the aircraft.
4. The pilot of an air ambulance is not required to have a license under this chapter.
5. A person who operates or uses a vehicle owned by a fire-fighting agency is not required to be licensed under this chapter, except that such a vehicle may not be used to provide the level of medical care provided by an advanced emergency medical technician or paramedic to sick or injured persons:
(a) At the scene of an emergency unless at least one person in the vehicle is licensed to provide the care; or
(b) While transporting those persons to a medical facility unless at least two persons in the vehicle are licensed to provide the care.
6. Nothing in this section precludes the operation of an aircraft in this State in a manner other than as an air ambulance.
(Added to NRS by 1973, 1145; A 1985, 1699; 1993, 320; 2001, 999; 2013, 620, 947; 2019, 2095; 2023, 2288)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.265 - Offering level of emergency care provided by paramedic without permit prohibited; exception.

1. Except as otherwise provided in subsection 2, a fire-fighting agency or an owner, operator, director or chief officer of an ambulance shall not represent, advertise or imply that it:
(a) Is authorized to provide the level of emergency care provided by a paramedic; or
(b) Uses the services of a paramedic,
unless the service has a currently valid permit to provide the level of emergency care provided by a paramedic issued by the health authority.
2. Any service in a county whose population is less than 700,000, that holds a valid permit for the operation of an ambulance but is not authorized by the health authority to provide the level of emergency care provided by a paramedic may represent, for billing purposes, that its ambulance provided emergency care by a paramedic if:
(a) A registered nurse employed by a hospital rendered the level of emergency care provided by a paramedic to a patient being transferred from the hospital by the ambulance; and
(b) The equipment deemed necessary by the health authority for the provision of the level of emergency care provided by a paramedic was on board the ambulance at the time the registered nurse rendered the emergency care.
3. A hospital that employs a registered nurse who renders the care described in subsection 2 is entitled to reasonable reimbursement for the services rendered by the nurse.
(Added to NRS by 1979, 71; A 1985, 1700; 1987, 2213; 1989, 286, 1936; 1993, 2836; 2011, 1274; 2013, 947)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.340 - Designation of officer to receive notifications and responses and make requests on behalf of emergency response employees.

Each employer of emergency response employees in this State shall designate at least one employee to serve as a designated officer to receive notifications and responses and make requests on behalf of its emergency response employees pursuant to NRS 450B.340 to 450B.390, inclusive.
(Added to NRS by 2009, 911)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.350 - Duty of medical facility or county coroner or medical examiner to notify designated officer if victim transported has infectious disease; time and contents for notification.

1. Except as otherwise provided in NRS 441A.195, if a victim of an emergency is transported by emergency response employees to a medical facility and the medical facility determines that the victim has an infectious disease, the medical facility shall notify a designated officer of the emergency response employees of that determination.
2. If a victim of an emergency is transported by emergency response employees to a medical facility, the victim dies at or before reaching the medical facility and the county coroner or medical examiner of the county in which the victim dies, as applicable, determines the cause of death of the victim, the county coroner or medical examiner shall notify a designated officer of the emergency response employees of any determination by the county coroner or medical examiner that the victim had an infectious disease.
3. The medical facility to which the victim is transported or the county coroner or medical examiner of the county in which the victim dies, as applicable, shall cause the notification required by subsection 1 or 2, as appropriate, to be made as soon as practicable, but not later than 48 hours after the determination is made.
4. The notification must include, without limitation:
(a) The name of the infectious disease to which the emergency response employees may have been exposed; and
(b) The date on which the victim of the emergency was transported by the emergency response employees to the medical facility.
(Added to NRS by 2009, 911)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.360 - Determination of possible exposure of emergency response employee to infectious disease; request for response from medical facility or county coroner or medical examiner.

1. Except as otherwise provided in NRS 441A.195, if an emergency response employee believes that he or she may have been exposed to an infectious disease by a victim of an emergency who was transported, attended, treated or assisted by the emergency response employee, a designated officer of the employee shall, upon the request of the employee, make an initial determination of the possible exposure of the employee to an infectious disease by:
(a) Collecting the facts relating to the circumstances under which the employee may have been exposed to an infectious disease; and
(b) Evaluating the facts to determine whether the victim had an infectious disease and whether the employee may have been exposed to the disease.
2. If a designated officer determines that an emergency response employee may have been exposed to an infectious disease, the designated officer shall submit to the medical facility to which the victim was transported or the county coroner or medical examiner of the county in which the victim died, as applicable, a written request for a response.
(Added to NRS by 2009, 911)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.370 - Response of medical facility or county coroner or medical examiner.

1. If a medical facility, county coroner or medical examiner, as applicable, receives a written request for a response pursuant to subsection 2 of NRS 450B.360, the medical facility, county coroner or medical examiner shall, as soon as practicable but not later than 48 hours after receiving the request, evaluate the facts submitted in the request and determine whether the emergency response employee was exposed to an infectious disease.
2. If the medical facility, county coroner or medical examiner, as applicable, determines that the emergency response employee may have been exposed or was not exposed to an infectious disease or that insufficient information exists for a determination to be made, the medical facility, county coroner or medical examiner shall notify, in writing, the designated officer who submitted the request.
(Added to NRS by 2009, 912)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.375 - Procedure upon notification that insufficient information exists to determine whether emergency response employee was exposed to infectious disease; request for further evaluation; duties of health officer.

1. If a designated officer receives a notice from a medical facility, county coroner or medical examiner, as applicable, pursuant to subsection 2 of NRS 450B.370 that insufficient information exists for the medical facility, county coroner or medical examiner to make a determination of whether an emergency response employee was exposed to an infectious disease, the designated officer may submit a request for further evaluation to the health officer in whose jurisdiction the medical facility, county coroner or medical examiner is located. A request submitted pursuant to this subsection must include the original request for a written response submitted by the designated officer pursuant to subsection 2 of NRS 450B.360.
2. If a health officer receives a request for further evaluation pursuant to subsection 1, the health officer shall evaluate the request and the request for a written response submitted by the designated officer pursuant to subsection 2 of NRS 450B.360. An evaluation conducted pursuant to this subsection must be completed as soon as practicable but not later than 48 hours after the request for further evaluation is received.
3. If an evaluation conducted pursuant to subsection 2 indicates that the facts provided to the medical facility, county coroner or medical examiner, as applicable, were:
(a) Sufficient to determine that an emergency response employee was exposed to an infectious disease, the health officer shall, on behalf of the designated officer, resubmit the request to the medical facility, county coroner or medical examiner; or
(b) Insufficient to determine that an emergency response employee was exposed to an infectious disease, the health officer shall advise the designated officer in writing regarding the collection and description of additional facts for further evaluation by the medical facility, county coroner or medical examiner pursuant to NRS 450B.370.
(Added to NRS by 2009, 912)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.380 - Notice to emergency response employee of possible exposure to infectious disease.

1. If a designated officer receives a notice from a medical facility, county coroner or medical examiner, as applicable, pursuant to NRS 450B.370 that an emergency response employee may have been exposed to an infectious disease, the designated officer shall, as soon as is practicable after receiving the notice, notify each emergency response employee who responded to the emergency and may have been exposed to an infectious disease.
2. The notification must include, without limitation:
(a) A statement indicating that the emergency response employee may have been exposed to an infectious disease;
(b) The name of the infectious disease;
(c) The date on which the victim of the emergency was transported by the emergency response employee to the medical facility; and
(d) Any action that is medically appropriate for the emergency response employee to take.
(Added to NRS by 2009, 913)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.390 - Limitations on effect of NRS 450B.340 to 450B.390, inclusive.

The provisions of NRS 450B.340 to 450B.390, inclusive, must not be construed to:
1. Authorize any cause of action for damages or any civil penalty against a medical facility, county coroner, medical examiner or designated officer that fails to comply with any requirement of those provisions.
2. Require or authorize a medical facility, county coroner or medical examiner to test a victim of an emergency for the presence of an infectious disease.
3. Require or authorize a medical facility, county coroner, medical examiner, designated officer or emergency response employee to disclose the identity of or identifying information about a victim of an emergency or an emergency response employee.
4. Authorize an emergency response employee to fail to respond or deny services to a victim of an emergency.
(Added to NRS by 2009, 913)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.400 - Definitions.

As used in NRS 450B.400 to 450B.590, inclusive, unless the context otherwise requires, the words and terms defined in NRS 450B.402 to 450B.475, inclusive, have the meanings ascribed to them in those sections.
(Added to NRS by 1997, 287; A 2001, 815; 2017, 1768)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.410 - "Do-not-resuscitate identification" defined.

"Do-not-resuscitate identification" means:
1. A form of identification approved by the health authority, which signifies that:
(a) A person is a qualified patient who wishes not to be resuscitated in the event of cardiac or respiratory arrest; or
(b) The patient’s attending physician or attending advanced practice registered nurse has:
(1) Issued a do-not-resuscitate order for the patient;
(2) Obtained the written approval of the patient concerning the order; and
(3) Documented the grounds for the order in the patient’s medical record.
2. The term also includes a valid do-not-resuscitate identification issued under the laws of another state.
(Added to NRS by 1997, 287; A 2017, 1768)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.420 - "Do-not-resuscitate order" defined.

"Do-not-resuscitate order" means a written directive issued by a physician or advanced practice registered nurse licensed in this state that emergency life-resuscitating treatment must not be administered to a qualified patient. The term also includes a valid do-not-resuscitate order issued under the laws of another state.
(Added to NRS by 1997, 288; A 2017, 1768)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.430 - "Do-not-resuscitate protocol" defined.

"Do-not-resuscitate protocol" means the standardized procedure and guidelines established by the board for the withholding of emergency life-resuscitating treatment in compliance with a do-not-resuscitate order or a do-not-resuscitate identification.
(Added to NRS by 1997, 288; A 1999, 45)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.450 - "Life-resuscitating treatment" defined.

"Life-resuscitating treatment" means cardiopulmonary resuscitation or a component of cardiopulmonary resuscitation, including chest compressions, defibrillation, cardioversion, assisted ventilation, airway intubation or administration of cardiotonic drugs.
(Added to NRS by 1997, 288)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.460 - "Person who administers emergency medical services" defined.

"Person who administers emergency medical services" means a paid or volunteer firefighter, law enforcement officer, emergency medical technician, advanced emergency medical technician, paramedic, ambulance attendant or other person trained to provide emergency medical services.
(Added to NRS by 1997, 288; A 2013, 948)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.470 - "Qualified patient" defined.

"Qualified patient" means:
1. A patient 18 years of age or older who has been determined by the patient’s attending physician or attending advanced practice registered nurse to be in a terminal condition and who:
(a) Has executed a declaration in accordance with the requirements of NRS 449A.433;
(b) Has executed a Provider Order for Life-Sustaining Treatment form pursuant to NRS 449A.500 to 449A.581, inclusive, if the form provides that the patient is not to receive life-resuscitating treatment; or
(c) Has been issued a do-not-resuscitate order pursuant to NRS 450B.510.
2. A patient who is less than 18 years of age and who:
(a) Has been determined by the patient’s attending physician or attending advanced practice registered nurse to be in a terminal condition; and
(b) Has executed a Provider Order for Life-Sustaining Treatment form pursuant to NRS 449A.500 to 449A.581, inclusive, if the form provides that the patient is not to receive life-resuscitating treatment or has been issued a do-not-resuscitate order pursuant to NRS 450B.510.
(Added to NRS by 1997, 288; A 2001, 815; 2013, 2290; 2017, 462, 1768)
2023 Nevada Revised Statutes › Chapter 450B - Emergency Medical Services › NRS 450B.480 - Applicability.

The provisions of NRS 450B.400 to 450B.590, inclusive, apply only to emergency medical services administered to a qualified patient:
1. Before he or she is admitted to a medical facility; or
2. While the qualified patient is being prepared to be transferred, or is being transferred, from one health care facility to another health care facility.
(Added to NRS by 1997, 288; A 2001, 816; 2017, 1769)