reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 457 - Cancer › REPORTING AND ANALYZING INFORMATION ON CANCER AND OTHER NEOPLASMS › Section 457.070 - Procedures for maintaining confidentiality of information

Current through June 11, 2024
Each employee of the Health Division who has access to
				confidential information of the registry shall comply with the following
				procedures for maintaining the confidentiality of that information:
1. All files containing confidential
			 information, including, without limitation, the indexes for access to other
			 files, must be locked when not in use.
2. All files on a computer containing
			 confidential information, including, without limitation, the indexes for access
			 to other files, must be closed and protected by password when not in
			 use.
3. Passwords created pursuant
			 to subsection 2 must be changed at least every 30 days.
4. All documents containing confidential
			 information must be out of sight when an employee is away from his or her
			 desk.
5. Keys to the office of the
			 registry may be issued to and used only by employees so authorized by the State
			 Health Officer.
6. The doors to the
			 registry must be locked at all times when the office is vacant.
Added to NAC by Bd. of
				Health, eff. 12-3-84; A by R075-98, 11-18-98
NRS
				  457.065,
				  457.240
Nevada Administrative Code › Chapter 457 - Cancer › REPORTING AND ANALYZING INFORMATION ON CANCER AND OTHER NEOPLASMS › Section 457.080 - Procedures for taking confidential information outside the offices of the Health Division

Current through June 11, 2024
Each employee of the Health Division who takes confidential
				information of the registry outside the offices of the Division shall comply
				with the following procedures:
1. Any
			 documents or files on a computer containing confidential information must be
			 kept in the employee's briefcase when the documents or files on a computer are
			 not in use.
2. If the employee
			 takes any such document or file on a computer home or to a hotel or motel, the
			 employee must:
(a) Safeguard it to the
			 greatest extent possible; and
(b)
			 Protect it from view by unauthorized persons.
Nevada Administrative Code › Chapter 457 - Cancer › REPORTING AND ANALYZING INFORMATION ON CANCER AND OTHER NEOPLASMS › Section 457.090 - Mailing of confidential information; list of persons authorized to receive confidential information

Current through June 11, 2024
1. If confidential
			 information of the registry is to be mailed to a provider of health care,
			 health care facility or other facility that provides screening, diagnostic or
			 therapeutic services to patients with respect to cancer and other neoplasms,
			 the envelope or container must be addressed directly to the provider of health
			 care or to the person designated by the health care facility or other facility
			 that provides screening, diagnostic or therapeutic services to patients with
			 respect to cancer and other neoplasms, to receive such information.
2. The Chief Medical Officer shall keep a
			 list of the persons who have been designated by the chief administrator of the
			 health care facility or other facility that provides screening, diagnostic or
			 therapeutic services to patients with respect to cancer and other neoplasms to
			 receive confidential information of the registry.
Added to NAC by Bd. of
				Health, eff. 12-3-84; A 10-22-93; A by
				R057-16AP,
				eff. 5/16/2018
NRS
				457.065 and
				457.240
Nevada Administrative Code › Chapter 457 - Cancer › REPORTING AND ANALYZING INFORMATION ON CANCER AND OTHER NEOPLASMS › Section 457.100 - Persons with whom the State Health Officer contracts

Current through June 11, 2024
If the State Health Officer contracts with another person to
				perform data processing or other services using the confidential information of
				the registry, the other person shall maintain the confidentiality of the
				information to the same extent as is required in NAC 457.010 to 457.150,
				inclusive, and shall not disclose any of the information to a third person
				without the prior approval of the State Health Officer.
Added to NAC by Bd. of
				Health, eff. 12-3-84; A 1-24-92
NRS
				  457.065,
				  457.240
Nevada Administrative Code › Chapter 457 - Cancer › REPORTING AND ANALYZING INFORMATION ON CANCER AND OTHER NEOPLASMS › Section 457.110 - Disclosure of information: Authorized recipients; verification of identity

Current through June 11, 2024
1. The Chief Medical Officer or person
			 employed in the registry shall not disclose the existence or nonexistence in
			 the registry of a record concerning any patient or disclose other information
			 about the patient except to:
(a) The provider
			 of health care who treated the patient;
(b) The health care facility , medical
			 laboratory or other facility that provides screening, diagnostic or therapeutic
			 services to patients with respect to cancer and other neoplasms where the
			 patient was treated;
(c) A health
			 care facility , medical laboratory or other facility that provides screening,
			 diagnostic or therapeutic services to patients with respect to cancer and other
			 neoplasms or a registry connected with one of those entities which has
			 participated or is participating in treating the patient;
(d) Other states' cancer registries or
			 federal cancer control organizations with which the Department of Health and
			 Human Services has entered into data sharing agreements which ensure
			 confidentiality; or
(e) A qualified
			 researcher in cancer.
Nevada Administrative Code › Chapter 457 - Cancer › REPORTING AND ANALYZING INFORMATION ON CANCER AND OTHER NEOPLASMS › Section 457.120 - Disclosure of information: Requirements of person seeking information

Current through June 11, 2024
The Chief Medical Officer or person employed in the registry
				may provide confidential medical information in the registry concerning a
				patient's medical treatment for cancer with any health care facility, medical
				laboratory or other facility that provides screening, diagnostic or therapeutic
				services to patients with respect to cancer and other neoplasms or registry
				connected with one of those entities which has participated or is participating
				in treating that patient's illness if the person seeking the
				information:
1. Has been identified in
			 the manner described in NAC
			 457.130;
2. Furnishes the employee of the registry
			 with specific information, other than the patient's name, which is sufficient
			 to identify the patient without using his or her name; and
3. Gives assurances to the employee of the
			 registry that the confidentiality of the information will be maintained to the
			 same extent as is required in NAC
			 457.010 to
			 457.150, inclusive , and
			 sections 2, 3 and 4 of this regulation.
Added to NAC by Bd. of
				Health, eff. 12-3-84; A 1-24-92; 10-22-93; R075-98, 11-18-98; A by
				R057-16AP,
				eff. 5/16/2018
NRS
				457.065 and
				457.240
Nevada Administrative Code › Chapter 457 - Cancer › REPORTING AND ANALYZING INFORMATION ON CANCER AND OTHER NEOPLASMS › Section 457.130 - Verification of identity of person making request by telephone

Current through June 11, 2024
If an employee in the registry receives a request to provide
				confidential information over the telephone pursuant to NAC 457.110 or 457.120,
				and the employee does not personally know the requester, the employee shall
				verify the identity of the requester by making a telephone call to the
				telephone number, listed in a directory or given by an operator, for the
				purported person or facility.
Added to NAC by Bd. of
				Health, eff. 12-3-84
NRS
				  457.065,
				  457.240
Nevada Administrative Code › Chapter 457 - Cancer › REPORTING AND ANALYZING INFORMATION ON CANCER AND OTHER NEOPLASMS › Section 457.140 - Disclosure of information: Scientific research into cancer

Current through June 11, 2024
1. A person who desires to use the
			 confidential records of individual patients or the statistical data of the
			 registry for the purpose of scientific research into cancer must apply in
			 writing to the Chief Medical Officer. The applicant must:
(a) Set forth in the application:
(1) His or her qualifications as an
			 epidemiologist, provider of health care or employee of a bona fide program of
			 research into cancer or other qualification for using confidential information
			 and statistical data in the registry; and
(2) A description of the research project in
			 which that information will be used.
Nevada Administrative Code › Chapter 457 - Cancer › REPORTING AND ANALYZING INFORMATION ON CANCER AND OTHER NEOPLASMS › Section 457.145 - Administrative penalty for violation; appeal; single report authorized for company that operates multiple facilities; imposition of administrative penalty upon company rather than facility

Current through June 11, 2024
1. Before imposing
			 an administrative penalty pursuant to this section, the Division shall give
			 notice in the manner set forth in NAC
			 439.345 which includes, without
			 limitation, a time determined by the Chief Medical Officer within which the
			 person must correct the violation of
			 NRS
			 457.250. The Division may, for good cause
			 shown, extend the time within which the person must correct the
			 violation.
2. If a person fails to
			 correct an alleged violation of
			 NRS
			 457.250 for which a notice of violation has
			 been issued pursuant to subsection 1 within the time allowed for correction,
			 the Division may impose an administrative penalty against the person. Such
			 administrative penalties must not exceed $5,000 in the aggregate in a calendar
			 year.
3. If a person is aggrieved
			 by a decision of the Division relating to the imposition of an administrative
			 penalty pursuant to this section, the aggrieved person may appeal the decision
			 pursuant to the procedures set forth in NAC
			 439.300 to
			 439.395, inclusive.
4. A company that owns and operates multiple
			 health care facilities may satisfy the requirement set forth in subsection 1 of
			 NRS
			 457.250 for all such health care facilities
			 in one report without segregating by health care facility, or by provider of
			 health care, the records subject to reporting.
5. If a company chooses to make the records
			 subject to reporting available to the Chief Medical Officer or the Chief
			 Medical Officer's representative for multiple health care facilities owned or
			 operated by the company in the manner described in subsection 4, any
			 administrative penalty imposed by the Board pursuant to this section for the
			 failure of any health care facility owned or operated by the company to comply
			 with subsection 1 of NRS 457.250 will be imposed upon
			 the company rather than the health care facility.
Added to NAC
				by Bd. of Health by
				R057-16,
				eff. 5/16/2018;	A by
				R010-22A,
				eff. 12/7/2022
NRS 457.065,
				  457.250
Nevada Administrative Code › Chapter 457 - Cancer › REPORTING AND ANALYZING INFORMATION ON CANCER AND OTHER NEOPLASMS › Section 457.150 - Fees

Current through June 11, 2024
The Chief Medical Officer shall charge and collect from:
1. A provider of health care who is required
			 to report information on cases of cancer and other neoplasms pursuant to
			 NRS
			 457.230 or a health care facility or other
			 facility that provides screening, diagnostic or therapeutic services to
			 patients with respect to cancer and other neoplasms, a fee of $250 for each
			 abstract prepared by the Division from the records of the provider of health
			 care or the health care facility or other facility.
2. A medical researcher who obtains data from
			 the registry, a fee of $200 or the actual cost of providing the data, whichever
			 is more.
Added to NAC by Bd. of
				Health, eff. 12-3-84; A 8-31-89; 10-22-93; R075-98, 11-18-98; A by
				R057-16AP,
				eff. 5/16/2018
NRS
				439.150,
				457.065,
				457.250
				and
				457.260
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.200 - Definitions

Current through June 11, 2024
As used in NAC 457.200 to 457.445, inclusive, unless the
				  context otherwise requires, the words and terms defined in NAC 457.205 to
				  457.280, inclusive, have the meanings ascribed to them in those
				  sections.
Added to NAC by Bd. of
				  Health, eff. 1-24-92; A 5-18-92; 7-7-94; R033-06, 6-28-2006; R184-08,
				  5-7-2010
NRS
					 457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.205 - "Anti-scatter grid" defined

Current through June 11, 2024
"Anti-scatter grid" means a device that consists of a series
				  of lead foil strips separated by spacers that are transparent to X rays, and
				  which is used to remove scattered radiation during the performance of
				  mammography.
Added to NAC by Bd. of
				  Health, eff. 1-24-92
NRS
					 457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.210 - "Certificate" defined

Current through June 11, 2024
"Certificate" means a certificate for a machine or a
				  mammographer's certificate.
Added to NAC by Bd. of
				  Health, eff. 1-24-92
NRS
					 457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.215 - "Certificate for a machine" defined

Current through June 11, 2024
"Certificate for a machine" means a certificate of
				  authorization issued pursuant to
				  NRS
				  457.184.
Added to NAC by Bd. of
				  Health, eff. 1-24-92
NRS
					 457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.220 - "Device for compression" defined

Current through June 11, 2024
"Device for compression" means a device, made of a material
				  transparent to X rays, that is used to compress the breast during
				  mammography.
Added to NAC by Bd. of
				  Health, eff. 1-24-92
NRS
					 457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.223 - "Division" defined

Current through June 11, 2024
"Division" means the Division of Public and Behavioral Health
				  of the Department of Health and Human Services.
Added to
				  NAC by Bd. of Health, eff. 1-24-92; A by R033-06, 6-28-2006-Substituted in
				  revision for NAC 457.235
NRS
					 457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.225 - "Facility for mammography" defined

Current through June 11, 2024
"Facility for mammography" means any place at which a machine
				  is operated.
Added to NAC by Bd. of
				  Health, eff. 1-24-92
NRS
					 457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.230 - "Half-value layer" defined

Current through June 11, 2024
"Half-value layer" has the meaning ascribed to it in NAC
				  459.450.
Added to NAC by Bd. of
				  Health, eff. 1-24-92
NRS
					 457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.235 - "Health Division" defined

Current through June 11, 2024
"Health Division" means the Health Division of the Department
				  of Health and Human Services.
Added to NAC by Bd. of
				  Health, eff. 1-24-92; A by R033-06, 6-28-2006
NRS
					 457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.240 - "Image receptor" defined

Current through June 11, 2024
"Image receptor" has the meaning ascribed to it in NAC
				  459.454.
Added to NAC by Bd. of
				  Health, eff. 1-24-92
NRS
					 457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.250 - "Mammographer" defined

Current through June 11, 2024
"Mammographer" means a person who holds a valid
				  mammographer's certificate.
Added to NAC by Bd. of
				  Health, eff. 1-24-92
NRS
					 457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.255 - "Mammographer's certificate" defined

Current through June 11, 2024
"Mammographer's certificate" means a certificate of
				  authorization issued pursuant to
				  NRS
				  457.183.
Added to NAC by Bd. of Health, eff.
				  1-24-92
NRS
				  457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.260 - "Operator of a facility" defined

Current through June 11, 2024
"Operator of a facility" means the owner or
				  lessee of a machine or other responsible person to whom a certificate for a
				  machine is issued.
Added to NAC by Bd. of Health, eff.
				  1-24-92
NRS
				  457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.263 - "Patients' log" defined

Current through June 11, 2024
"Patients' log" means the daily record of the
				  patients who visit a facility for mammography which is prepared and maintained
				  by the operator of the facility.
Added to NAC by Bd. of Health, eff.
				  7-7-94
NRS
				  457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.265 - "Responsible provider of care" defined

Current through June 11, 2024
"Responsible provider of care" means the
				  provider of health care that will ensure that proper consultation or follow-up
				  treatment, or both, for a patient will be provided if necessary.
Added to NAC by Bd. of Health, eff.
				  5-18-92
NRS
				  457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.270 - "Scattered radiation" defined

Current through June 11, 2024
"Scattered radiation" has the meaning ascribed
				  to it in NAC 459.502.
Added to NAC by Bd. of Health, eff.
				  1-24-92
NRS
				  457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.275 - "Source-image receptor distance" defined

Current through June 11, 2024
"Source-image receptor distance" has the
				  meaning ascribed to it in NAC 459.508.
Added to NAC by Bd. of Health, eff.
				  1-24-92
NRS
				  457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.280 - "Target" defined

Current through June 11, 2024
"Target" means the portion of the anode struck
				  by electrons from the cathode in an X-ray tube.
Added to NAC by Bd. of Health, eff.
				  1-24-92
NRS
				  457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.285 - Adoption of certain publications and federal regulations by reference; review of revisions

Current through June 11, 2024
1. The State Board
				  of Health hereby adopts by reference the provisions of:
(a) The
Mammography Quality Control
				  Manual
, American College of Radiology, Committee on Quality Assurance
				  in Mammography, in the form most recently published, unless the Board gives
				  notice that the most recent revision is not suitable for this State pursuant to
				  subsection 2. A copy of this publication may be obtained at a cost of $57.50
				  from the American College of Radiology, P.O. Box 533, Annapolis Junction,
				  Maryland 20701, at the Internet address
http://www.acr.org
or by telephone at (800)
				  227-7762.
(b)
Report No.
				  149 - A Guide to Mammography and Other Breast Imaging Procedures
,
				  National Council on Radiation Protection. A copy of this publication may be
				  obtained at a cost of $110 from NCRP Publications, 7910 Woodmont Avenue, Suite
				  400, Bethesda, Maryland 20814, at the Internet address
http://www.ncrppublications.org
or by telephone at (800) 229-2652 (extension 25).
(c) 21 C.F.R. Part 900, adopted pursuant to
				  the Mammography Quality Standards Act, in the form most recently published,
				  unless the Board gives notice that the most recent revision is not suitable for
				  this State pursuant to subsection 2. A copy of this publication may be obtained
				  by mail from the Superintendent of Documents, U.S. Government Printing Office,
				  P.O. Box 979050, St. Louis, Missouri 63197-9000, or by toll-free telephone at
				  (866) 512-1800, for the price of $13. This publication is also available, free
				  of charge, from the Government Printing Office at the Internet address
http://www.gpoaccess.gov/cfr/index.html
.
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.290 - Granting of exemptions, exceptions or variances from requirements

Current through June 11, 2024
The Health
				  Division may, upon application or on its own initiative, grant such exemptions,
				  exceptions or variances from the requirements of NAC 457.200 to 457.445,
				  inclusive, as it determines will not result in any undue hazard to public
				  health and safety or property.
Added to NAC by Bd. of Health, eff.
				  12-4-92; A by R033-06, 6-28-2006
NRS
				  457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.293 - Procedure for review of actions taken by Health Division; appeals

Current through June 11, 2024
1. A holder of a certificate or an applicant
				  for a certificate who has reason to believe that an action taken by the Health
				  Division pursuant to NAC 457.200 to 457.445, inclusive, is incorrect or based
				  on inadequate knowledge may, within 10 business days after receiving notice of
				  the action, request an informal discussion with the employee responsible for
				  the action and the immediate supervisor of the employee.
2. If the informal discussion does not
				  resolve the problem, the aggrieved person may, within 10 business days after
				  the date scheduled for the informal discussion, submit a written request to the
				  Bureau for an informal conference. The informal conference must be scheduled
				  for a date, place and time mutually agreed upon by the aggrieved person and the
				  Bureau, except that the informal conference must be held no later than 60 days
				  after the date on which the Bureau received the request.
3. Except as otherwise provided in subsection
				  4, the determination of the Bureau resulting from the informal conference
				  cannot be appealed and is the final remedy available to the aggrieved
				  person.
4. An applicant for or
				  holder of a certificate issued pursuant to NAC 457.200 to 457.445, inclusive,
				  who is aggrieved by an action of the Health Division relating to the denial of
				  an application for or renewal of such a certificate, the withdrawal, suspension
				  or revocation of such a certificate or the assessment of an administrative fine
				  may appeal that action in accordance with NAC 439.300 to 439.395, inclusive,
				  after exhausting the informal procedures set forth in this section, except that
				  the Bureau may waive the informal procedures, or any portion thereof, by giving
				  written notice to the aggrieved person.
5. As used in this section, "Bureau" means
				  the Bureau of Health Protection Services of the Health Division or its
				  successor.
Added to NAC by Bd. of Health, eff.
				  7-7-94; A 10-30-97; R075-98, 11-18-98; R033-06,
				  6-28-2006
NRS
				  457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.295 - Fees for certificates

Current through June 11, 2024
1. Except as
				otherwise provided in subsection 3, the Division shall charge and collect the
				following nonrefundable fees:
(a) For the
				issuance or renewal of a certificate for a machine, $551.
(b) For the issuance or renewal of a
				mammographer's certificate, $200.
(c) For the issuance of a duplicate
				mammographer's certificate for posting at multiple facilities for mammography
				pursuant to NAC
				457.360, $25.
(d) For the issuance or renewal of a
				certificate to provide training to mammographers pursuant to NAC
				457.357, $100.
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.297 - Postponement of expiration of certificate for machine during review of application to renew

Current through June 11, 2024
If an operator of a facility submits an
				  application to renew his or her certificate for a machine and the appropriate
				  fee to the Health Division at least 30 days before the expiration of the
				  certificate, the certificate will not expire until the Health Division
				  determines the status of the application.
Added to NAC by Bd. of Health, eff.
				  7-7-94
NRS
				  457.065,
				  457.184
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.299 - Requirements for approval of applications for certificates for machines and mammographer's certificates

Current through June 11, 2024
1. Except as
				  otherwise provided in subsection 2, the Health Division shall approve an
				  application for a certificate for a machine or an application for a
				  mammographer's certificate if it determines that:
(a) The applicant has the training and
				  experience required to conduct mammography pursuant to the provisions of NAC
				  457.200 to 457.445, inclusive;
(b)
				  The applicant has complied with any applicable requirements pursuant to NAC
				  457.200 to 457.445, inclusive; and
(c) In addition to the requirements of
				  paragraphs (a) and (b), if the applicant is applying for a certificate for a
				  machine:
(1) The equipment, facilities and
				  procedures which the applicant proposes to use are adequate to minimize any
				  danger to the public health or safety;
(2) A certificate for that machine is not
				  currently issued to another owner, lessee or other responsible person;
				  and
(3) The applicant is one person
				  or corporate entity.
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › General Provisions › Section 457.2995 - Grounds for denial of application for renewal of certificate or withdrawal or suspension of certificate

Current through June 11, 2024
In addition to the grounds for disciplinary
				  action set forth in chapter 457 of NRS, the Health Division may deny an
				  application for renewal of a certificate or withdraw or suspend a certificate
				  if the holder of the certificate, owner, lessee or other responsible
				  person:
1. Violates the provisions of
				  this chapter, chapter 457 of NRS, or any other applicable state or federal laws
				  or regulations;
2. Permits an
				  employee, who is under the supervision of the holder of the certificate, owner,
				  lessee or other responsible person, to violate the provisions of this chapter,
				  chapter 457 of NRS, or any other applicable state or federal laws or
				  regulations;
3. Fails or refuses to
				  cooperate with the Health Division during an investigation or
				  inspection;
4. Fails or refuses to
				  comply with a written request from the Health Division, the United States Food
				  and Drug Administration or any applicable local or national accreditation body
				  for records, reports or other materials;
5. Provides false or misleading or otherwise
				  inaccurate information on an application for a certificate or for renewal of a
				  certificate;
6. Has been
				  disciplined by any applicable federal agency, local or national accreditation
				  body or has otherwise been found by the Health Division to have committed
				  unprofessional conduct, including, without limitation, a violation of the code
				  of ethics or professional code of conduct of the federal agency or
				  accreditation body; or
7. Held a
				  certificate issued by the Health Division or by the appropriate agency in
				  another jurisdiction and the certificate was withdrawn, revoked, terminated or
				  suspended.
Added to NAC by Bd. of Health by
				  R184-08, eff. 5-7-2010
NRS
				  457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Administrative Requirements › Section 457.300 - Quality assurance and control: General requirements

Current through June 11, 2024
The operator of a facility
				  shall:
1. Establish and maintain a
				  program of quality assurance in accordance with the provisions of
				  21 C.F.R. §
										900.12 for each machine and all other
				  equipment at the facility used for mammography.
2. Ensure that:
(a) The performance of the equipment is
				  monitored;
(b) The results of
				  monitoring are analyzed to determine if there are any problems requiring
				  correction;
(c) The necessary
				  corrective action is taken whenever the results of a test for quality assurance
				  indicate that such action is required; and
(d) If necessary corrective action is taken,
				  the action is taken before any mammography is performed on the
				  patient.
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Administrative Requirements › Section 457.305 - Quality assurance: Preparation and contents of manual; allocation of adequate time to perform duties

Current through June 11, 2024
1. The operator of
				  a facility shall prepare or cause to be prepared a manual for quality assurance
				  for the facility. The manual must include:
(a)
				  The name, position and a statement of the qualifications and duties of each
				  person at the facility who is responsible for:
(1) Supervising the performance of
				  mammography;
(2) Performing tests
				  for quality assurance; or
(3)
				  Repairing or maintaining machines.
This information may be included in an
				  attachment to the manual.
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Administrative Requirements › Section 457.310 - Maintenance of records generally; contents and action on records of tests for quality assurance; maintenance of signature or initial cards; recording of number of films or projections used for patients

Current through June 11, 2024
1. The
				  operator of a facility shall ensure that records are maintained in the manner
				  provided by NAC 457.200 to 457.445, inclusive. The records must be kept at the
				  facility and must be reasonably accessible to any representative of the Health
				  Division.
2. Each record of a test
				  for quality assurance must set forth the date on which the test was performed
				  and the name or initials of the person who performed the test.
3. A signature or initial card must be kept
				  with the records maintained pursuant to subsection 1 to assist in identifying
				  each person who signs or initials those records. The card must contain the full
				  name in type or print of each person who signs or initials the records
				  maintained at the facility and:
(a) If it is a
				  signature card, the legal signature of each person who signs the records
				  maintained at the facility; or
(b)
				  If it is an initial card, the initials of each person who initials the records
				  maintained at the facility.
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Administrative Requirements › Section 457.312 - Maintenance of records of patients; imaging requirements for digital mammography machine

Current through June 11, 2024
1. Each facility
				  for mammography shall maintain the records of a patient in accordance with the
				  provisions of
				  21 C.F.R. §
										900.12.
2. Each facility for mammography that has a
				  digital mammography machine must be capable of printing or providing a hard
				  copy image , or providing an image in any other manner approved by the
				  Division, of primary interpretation quality to a patient, the representative of
				  a patient or a physician.
Added to NAC by Bd. of Health, eff.
				  7-7-94; A 11-1-95; R033-06, 6-28-2006; A by
				  R021-18A,
				  eff. 12/18/2019
NRS
				  457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Administrative Requirements › Section 457.313 - Preliminary interpretation and reports of mammograms; standards for mammography records and reports

Current through June 11, 2024
1. The operator of
				  a facility shall ensure that:
(a) Each
				  mammogram has a preliminary interpretation not later than 7 working days after
				  the mammogram is performed;
(b) For
				  each mammogram that indicates cancerous or potentially cancerous tissue, the
				  responsible provider of care of the patient is contacted at the time the
				  preliminary interpretation is complete;
(c) For each mammogram that otherwise
				  indicates the need for additional workup or evaluation which prevents the
				  written report from being sent to the responsible provider of care of the
				  patient within 7 working days, the responsible provider of care is contacted at
				  the time the preliminary interpretation is complete; and
(d) Mammography records and reports comply
				  with the provisions of
				  21 C.F.R. §
											900.12.
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Administrative Requirements › Section 457.315 - Maintenance of record of repair or calibration of equipment used to perform test for quality assurance

Current through June 11, 2024
The operator of a facility shall ensure that a
				  record is made of any repair or calibration of the equipment used to perform a
				  test for quality assurance. The record must be made and maintained in
				  accordance with the provisions of
				  21 C.F.R. §
										900.12.
Added to NAC by Bd. of Health, eff.
				  1-24-92; A by R033-06, 6-28-2006
NRS
				  457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Administrative Requirements › Section 457.320 - Maintenance of record documenting maintenance of equipment used for mammography

Current through June 11, 2024
At each facility for mammography, a record must
				  be maintained documenting the maintenance of all equipment used for mammography
				  at the facility in accordance with the provisions of
				  21 C.F.R. §
										900.12.
Added to NAC by Bd. of Health, eff.
				  1-24-92; A 7-7-94; R033-06, 6-28-2006
NRS
				  457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Administrative Requirements › Section 457.325 - Documentation required for imaging processing systems and printing equipment

Current through June 11, 2024
The
				  operator of a facility shall document all maintenance, quality assurance and
				  quality control of the imaging processing system of each machine used at the
				  facility for mammography and the printing equipment used at the facility for
				  mammography in accordance with the provisions of
				  21 C.F.R. §
										900.12.
Added to NAC by Bd. of Health, eff.
				  1-24-92; A 7-7-94; R033-06, 6-28-2006
NRS
				  457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Administrative Requirements › Section 457.330 - Plotting and evaluation of certain information on control chart; action required when information is not within applicable control limits

Current through June 11, 2024
1. The following information must be plotted
				  and evaluated on a control chart in accordance with the provisions of
				  21 C.F.R. §
										900.12:
(a)
				  The values obtained from the daily exposure and processing of sensitometric
				  strips.
(b) The exposure time or
				  mAs and the number of objects visible in the image of the breast phantom in
				  each test of image quality.
(c) A
				  description of any change in operating conditions made as the result of a test
				  for quality assurance.
(d) The
				  operating levels and control limits for each test for quality assurance
				  performed.
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Administrative Requirements › Section 457.335 - Inspection of facility and certain records

Current through June 11, 2024
The operator of a facility shall:
1. Allow an employee or other representative
				  of the Health Division to inspect the facility at any reasonable
				  time.
2. Make available to an
				  employee or other representative of the Health Division any record required to
				  be maintained pursuant to NAC 457.200 to 457.445, inclusive.
3. Make available to an employee or other
				  representative of the Health Division any record required to demonstrate
				  compliance with applicable laws and regulations, including, without limitation,
				  the work schedules of persons who are employed or retained by the facility for
				  mammography and the records indicating the persons who worked each day that
				  mammography was performed at the facility.
Added to NAC by Bd. of Health, eff.
				  1-24-92; A by R033-06, 6-28-2006
NRS
				  457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Personnel › Section 457.340 - Physician who supervises operation of machine: Preparation, review and updating of manual of procedures; compliance with standards; notification of violation of chapter

Current through June 11, 2024
The physician who supervises the operation of a
				  machine at a facility for mammography shall:
1. Prepare a manual of procedures for the
				  operation of the machine.
2. Review
				  and update the manual as required, or at least every 12 months. A record of the
				  review and update must be:
(a) Prepared and
				  kept at the facility.
(b) Signed
				  and dated by the physician.
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Personnel › Section 457.345 - Interpreter of mammograms: Prerequisites to certification of machine

Current through June 11, 2024
1. A person who is employed or retained by a
				  facility for mammography to interpret mammograms must comply with the
				  requirements of this section as a prerequisite to the issuance or renewal of
				  any certificate for a machine located at the facility.
2. The person:
(a) Must be a physician licensed pursuant to
				  chapter 630 or 633 of NRS; and
(b)
				  Must satisfy the qualifications for an interpreting physician set forth in
				  21 C.F.R. §
											900.12(a)(1).
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Personnel › Section 457.347 - Interpreter of mammograms: Temporary employment at other facilities

Current through June 11, 2024
1. A person who is employed or retained by a
				  facility for mammography to interpret mammograms pursuant to NAC 457.345 may
				  interpret mammograms at another facility for mammography for not more than 60
				  days each year if:
(a) The person has obtained
				  written authorization from the operator of the facility where he or she will be
				  temporarily interpreting mammograms; and
(b) The facility where the person will be
				  temporarily interpreting mammograms maintains a copy of the current certificate
				  for a machine issued by the Health Division to the facility where the person is
				  regularly employed or retained that identifies the person who will interpret
				  mammograms at that facility.
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Personnel › Section 457.350 - Mammographer: Requirements for certification

Current through June 11, 2024
1. A person who
				  desires to work as a mammographer in Nevada must be certified in general
				  radiography by the American Registry of Radiologic Technologists, or by another
				  organization approved by the Health Division, and must hold a valid
				  mammographer's certificate.
2. A
				  person who desires to work as a mammographer in Nevada may obtain a
				  mammographer's certificate by applying to the Radiological Health Section of
				  the Bureau of Health Protection Services of the Health Division. An applicant
				  must:
(a) Satisfy the requirements of
				  NRS
				  457.183; and
(b) Provide documentation satisfactory to the
				  Health Division that the applicant meets the requirements of
				  21 C.F.R. §
											900.12(a)(2).
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Personnel › Section 457.355 - Program of instruction in mammography: General requirements

Current through June 11, 2024
1. A program of instruction in mammography
				  that is undertaken to meet the requirements for issuance of a mammographer's
				  certificate must be approved by the Health Division and comply with the
				  provisions of this section.
2. The
				  program must include instruction in:
(a) The
				  anatomy and physiology of the female breast, with instruction in the following
				  topics:
(1) Mammary glands.
(2) External anatomy.
(3) Subdivision for localization.
(4) Retromammary space.
(5) Central portion.
(6) Cooper's ligament.
(7) Vessels, nerves and lymphatics.
(8) Breast tissue.
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Personnel › Section 457.357 - Program of instruction in mammography: Certification of person to provide training

Current through June 11, 2024
1. A person who
				  wishes to be certified to provide training to mammographers pursuant to NAC
				  457.355 must submit an application to the Health Division which is accompanied
				  by the fee set forth in NAC 457.295 and evidence of his or her
				  qualifications.
2. A person who
				  wishes to renew his or her certificate to provide training to mammographers
				  pursuant to NAC 457.355 must submit annually an application and the fee for
				  renewal set forth in NAC 457.295 to the Health Division at least 30 days before
				  the expiration of the certificate.
Added to NAC by Bd. of Health, eff.
				  7-7-94
NRS
				  457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Personnel › Section 457.360 - Mammographer: Duties

Current through June 11, 2024
A mammographer shall:
1. Perform each of the mammographer's
				  assigned duties correctly and conscientiously.
2. Stand behind a protective barrier whenever
				  X-rays are being produced during mammography.
3. Wear on his or her torso the monitoring
				  device assigned to him or her during all working hours.
4. Use optimum techniques of
				  exposure.
5. Use optimum techniques
				  for the processing of images.
6.
				  Follow the standing orders and policies for repeated exposures established for
				  the facility at which he or she is employed.
7. Correctly determine what views are
				  required, based on a written protocol, and position patients
				  properly.
8. Limit the size of the
				  X-ray field to the area of clinical interest.
9. Instruct each patient clearly to avoid
				  movement by the patient.
10. Use
				  appropriate compression with due consideration to the particular circumstances
				  of each case.
11. Handle films,
				  cassettes for holding film and other image receptors for mammography carefully
				  to eliminate artifacts.
12. Post
				  his or her mammographer's certificate where it can be seen by
				  patients.
13. Record his or her
				  full name on the record of each patient.
14. Ensure that his or her name or initials
				  are included in the information which appears on the edge of each film as it is
				  exposed.
15. Sign or initial the
				  patients' log to indicate each patient upon whom the mammographer performed
				  mammography.
16. Indicate, in the
				  space located after his or her signature or initials in the patients' log, the
				  number of films used for each patient.
17. Comply with the standards for protection
				  against radiation set forth in NAC 459.320 to 459.664, inclusive, and the
				  requirements of NAC 459.780 to 459.794, inclusive.
18. Notify the Health Division of any
				  violation of this chapter or chapter 459 of NAC within 30 days after the date
				  on which the mammographer discovers the violation.
Added to NAC by Bd. of Health, eff.
				  1-24-92; A 7-7-94; R033-06, 6-28-2006; R184-08,
				  5-7-2010
NRS
				  457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Personnel › Section 457.365 - Mammographer: Prohibited acts

Current through June 11, 2024
A mammographer shall not:
1. Perform mammography except under the
				  supervision of a physician who is licensed pursuant to chapter 630 or 633 of
				  NRS and meets the requirements of NAC 457.345.
2. Except as otherwise authorized by the
				  Health Division pursuant to NAC 459.554, perform mammography without a
				  prescription or order from the patient's referring or responsible provider of
				  care. The mammographer shall post a copy of the authorization of the Health
				  Division in a conspicuous place near the machine.
3. Use any machine unless there have been
				  established for the facility for mammography:
(a) Written standing orders concerning the
				  number and type of views to be taken of each patient; and
(b) A policy governing the repetition of
				  exposures in any case where the image obtained from the first exposure is
				  inadequate.
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Personnel › Section 457.370 - Mammographer: Renewal of certificate; continuing education

Current through June 11, 2024
1. A mammographer who desires to renew his or
				  her mammographer's certificate must submit to the Health Division an
				  application for renewal. The application must:
(a) Be received by the Division not less than
				  30 days before the expiration of the certificate; and
(b) Include documentation which establishes
				  that the mammographer possesses a current credential in general
				  radiography.
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Equipment › Section 457.373 - Compliance with certain federal requirements

Current through June 11, 2024
All equipment used for mammography,
				  regardless of whether the equipment is fixed or mobile, must comply with the
				  requirements of
				  21 C.F.R. §
										900.12.
Added to NAC by Bd. of Health, eff.
				  1-24-92; A by R033-06, 6-28-2006-Substituted in revision for NAC
				  457.415
NRS
				  457.065
Nevada Administrative Code › Chapter 457 - Cancer › OPERATION OF RADIATION MACHINE FOR MAMMOGRAPHY › Equipment › Section 457.375 - Standards for and approval of machine

Current through June 11, 2024
A machine, including its X-ray system and its
				  image receptor system and its components, must meet the requirements set forth
				  in
				  21 C.F.R. §
										900.12 and must be approved for mammography
				  by the United States Food and Drug Administration.
Added to NAC by Bd. of Health, eff.
				  1-24-92; A 7-7-94; 11-1-95; R033-06, 6-28-2006
NRS
				  457.065