reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 652 - Medical Laboratories › GENERAL PROVISIONS › Section 652.Sec. 2 - NEW

Current through June 11, 2024
1.
			 To apply for an initial license as a director by endorsement, an applicant who
			 holds a valid, unrestricted license as a director in the District of Columbia
			 or any state or territory of the United States which required the applicant to
			 pass a background check and included the submission of fingerprints to the
			 Federal Bureau of Investigation as a condition for obtaining that license must
			 submit to the Division an application on a form prescribed by the Division. The
			 application must be accompanied by:
(a) Proof
			 that the applicant has achieved a passing score on a nationally recognized
			 examination for licensure as a director.
(b) An attestation, under penalty of perjury,
			 that he or she meets the requirements prescribed in paragraphs (a) to (e),
			 inclusive, of subsection 2 of
			 NRS
			 622.530.
(c) Payment of the fee prescribed for initial
			 licensure of a director who is not licensed by endorsement prescribed by
			 paragraph (d) of subsection 1 of NAC
			 652.488.
(d) Proof of the valid, unrestricted license
			 as a director in the District of Columbia or any state or territory of the
			 United States including, without limitation, the name of the regulatory
			 authority that issued the license and the number of the license.
(e) The statement required by
			 NRS
			 425.520.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › GENERAL PROVISIONS › Section 652.Sec. 3 - NEW

Current through June 11, 2024
1.
			 To apply for an initial certificate as laboratory personnel by endorsement, an
			 applicant who holds a valid, unrestricted certificate as laboratory personnel
			 for a comparable type of laboratory personnel in the District of Columbia or
			 any state or territory of the United States which required the applicant to
			 pass a background check and included the submission of fingerprints to the
			 Federal Bureau of Investigation as a condition for obtaining that certificate
			 must submit to the Division an application on a form prescribed by the
			 Division. The application must be accompanied by:
(a) Proof that the applicant has achieved a
			 passing score on a nationally recognized examination for certification as
			 laboratory personnel for the applicable type of laboratory personnel.
(b) An attestation, under penalty of perjury,
			 that he or she meets the requirements prescribed in paragraphs (a) to (e),
			 inclusive, of subsection 2 of
			 NRS
			 622.530.
(c) Payment of the applicable fee prescribed
			 for initial certification of personnel who are not certified by endorsement
			 prescribed by paragraph (g) of subsection 1 of NAC
			 652.488.
(d) Proof of the valid, unrestricted
			 certificate as laboratory personnel in the District of Columbia or any state or
			 territory of the United States including, without limitation, the name of the
			 regulatory authority that issued the certificate and the number of the
			 certificate.
(e) The statement
			 required by
			 NRS
			 425.520.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › LICENSING AND REGISTRATION › Section 652.157 - Applications: Must include alternate method of contact; exemptions; requirement to notify Division of change to information; grounds for disciplinary action

Current through June 11, 2024
1. In addition to
			 any applicable statutory or regulatory requirements, an application submitted
			 pursuant to this chapter or chapter 652 of NRS must include a method by which
			 the Division may communicate with the applicant other than by telephone or
			 mail, which may include, without limitation, an electronic mail address or a
			 telephone number that will accept electronic mail. The Division may exempt an
			 applicant from the requirements of this subsection if the applicant attests
			 that no additional methods of communication are feasible for the applicant and
			 acknowledges that mail is the only means by which to communicate with the
			 applicant.
2. A person who files an
			 application for any license or certification as a laboratory director or
			 laboratory personnel or who is licensed or certified as a laboratory director
			 or laboratory personnel pursuant to NAC 652.380 to 652.486, inclusive, shall
			 notify the Division of any change to the information contained in the
			 application within 30 days after the change. Such notice may be provided in
			 writing, by electronic mail or by any other method authorized by the Division.
			 The failure of an applicant to comply with the requirements of this subsection
			 constitutes grounds for disciplinary action that may include, without
			 limitation:
(a) Denial of the
			 application;
(b) Suspension or
			 revocation of the applicant's license or certificate;
(c) The imposition of a monetary penalty
			 equal to the monetary penalty imposed for a violation of severity level two
			 pursuant to NAC 652.550; and
(d)
			 Any combination of the disciplinary actions described in paragraphs (a), (b)
			 and (c).
Nevada Administrative Code › Chapter 652 - Medical Laboratories › LICENSING AND REGISTRATION › Section 652.161 - Conditions under which notice deemed sufficient

Current through June 11, 2024
Any notice that is required to be
			 provided to a licensee, certificate holder or applicant for a license or
			 certificate pursuant to this chapter or chapter 652 of NRS shall be deemed
			 sufficient if the notice is sent to the last address or electronic mail address
			 that was provided to the Division by the licensee, certificate holder or
			 applicant.
Added to NAC by Bd. of Health by
			 R104-13, eff. 3-28-2014
NRS
			 439.200,
			 652.130,
			 652.220,
			 652.225,
			 652.260
Nevada Administrative Code › Chapter 652 - Medical Laboratories › LICENSING AND REGISTRATION › Section 652.170 - Laboratory: Application for license or registration; action by Division on application; performance of tests at temporary location; proof of identity of laboratory director to be provided with application

Current through June 11, 2024
1.
			 An application for a license or registration for a laboratory must be made on a
			 form provided by the Division. Upon receipt of a completed application, the
			 Division shall conduct an inspection of the facility which may include an
			 examination of the policies and procedures of the laboratory to determine
			 whether the laboratory is in substantial compliance with this chapter for the
			 procedures for testing that the laboratory desires to provide.
2. The Division shall notify the applicant of
			 the disposition of the application within 30 days after receipt of the
			 application.
3. The laboratory
			 director shall include at least one of the following forms of proof of identity
			 with the application:
(a) An electronic
			 signature;
(b) A notarized
			 statement;
(c) A copy of a form of
			 government-issued identification, which may include, without limitation, a
			 driver's license, passport, identification card issued by the Department of
			 Motor Vehicles or other government-issued identification acceptable to the
			 Division; or
(d) Other proof of
			 identity acceptable to the Division.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › LICENSING AND REGISTRATION › Section 652.175 - Laboratory operated by licensed physician: Registration as exempt or nonexempt laboratory

Current through June 11, 2024
1. A laboratory
			 operated by a licensed physician pursuant to
			 NRS
			 652.235 must register with the Division as an
			 exempt laboratory or a nonexempt laboratory.
2. A laboratory operated by a licensed
			 physician pursuant to
			 NRS
			 652.235 may register with the Division as an
			 exempt laboratory if:
(a) The operating
			 physician submits an application for registration as an exempt laboratory on a
			 form provided by the Division;
(b)
			 The operating physician pays the applicable fees set forth in NAC
			 652.488;
(c) Each test performed by
			 personnel other than the physician has been classified as a waived test
			 pursuant to 42 C.F.R. Part 493, Subpart A; and
(d) Either:
(1) The operating physician performs tests on
			 his or her own patients and makes his or her own readings of the results of the
			 tests; or
(2) Any manipulation of a
			 person for the collection of a specimen is made by an employee of the
			 laboratory who is qualified pursuant to
			 NRS
			 652.210.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › LICENSING AND REGISTRATION › Section 652.180 - Laboratory operated by licensed physician: Issuance and renewal of certificate of registration

Current through June 11, 2024
1. Except as
			 otherwise provided in subsection 2, the Division shall issue a certificate of
			 registration to each laboratory which registers with the Division pursuant to
			 NRS
			 652.235. A certificate of registration issued
			 pursuant to this section is effective for 2 years after the date of
			 issuance.
2. The Division may issue
			 one certificate of registration for any number of laboratories which test
			 specimens to protect the public health if each laboratory:
(a) Is supervised by the Division or a health
			 district; and
(b) Performs at least
			 1 but not more than 15 tests which are classified pursuant to 42 C.F.R. Part
			 493, Subpart A, as moderate complexity tests or waived tests.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › LICENSING AND REGISTRATION › Section 652.195 - Permit to operate laboratory at temporary location: Application; action on application; expiration

Current through June 11, 2024
1. A licensed
			 laboratory that wishes to collect specimens or perform tests, or both, at a
			 location other than the location set forth in its license must obtain a permit
			 to operate a laboratory at a temporary location.
2. An application for a permit to operate a
			 laboratory at a temporary location must be:
(a) Made on a form provided by the
			 Division;
(b) Submitted to the
			 Division in the manner set forth in NAC
			 652.170; and
(c) Accompanied by the fee set forth in NAC
			 652.488.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › LICENSING AND REGISTRATION › Section 652.200 - Director's license: Application

Current through June 11, 2024
An application for a license as a director must
			 be on a form provided by the Division, giving complete information as
			 indicated, including educational background, experience and the identity of the
			 laboratory to be directed.
Bd. of Health, Medical
			 Laboratories Reg. §§ 5.1.1.2.1-5.1.1.2.1.2, eff. 8-5-74-NAC A
			 10-17-86; R104-13, 3-28-2014; A by
			 R149-15A,
			 eff. 6/21/2017
NRS
			 439.200,
			 652.125,
			 652.130
Nevada Administrative Code › Chapter 652 - Medical Laboratories › LICENSING AND REGISTRATION › Section 652.210 - Director's license: Action on application

Current through June 11, 2024
A license as a director may be issued by
			 the Division on behalf of the Board for those applicants who qualify for
			 licensure under NAC
			 652.380 to
			 652.395, inclusive. The Division
			 shall notify the applicant of the status of the application within 30 days
			 after receipt of a completed application.
Bd. of Health, Medical
			 Laboratories Reg. §§ 5.1.1.2.2.1 & 5.1.1.2.2.2, eff. 8-5-74-NAC A
			 10-17-86; 10-22-93; R104-13, 3-28-2014; A by
			 R149-15A,
			 eff. 6/21/2017
NRS
			 439.200,
			 652.125,
			 652.130
Nevada Administrative Code › Chapter 652 - Medical Laboratories › LICENSING AND REGISTRATION › Section 652.220 - Director's license: Term

Current through June 11, 2024
A license as a director is effective for 2
			 years after the date of issuance.
Bd. of Health, Medical
			 Laboratories Reg. § 5.1.1.2.3, eff. 8-5-74-NAC A 10-17-86; 3-28-96;
			 R042-98, 5-18-98
NRS
			 439.200,
			 652.125
Nevada Administrative Code › Chapter 652 - Medical Laboratories › LICENSING AND REGISTRATION › Section 652.240 - Director's license: Nontransferable; duplicates

Current through June 11, 2024
A license as a director is not
			 transferable. A duplicate of a license as a director may be obtained from the
			 Division for each laboratory served.
Bd. of Health, Medical
			 Laboratories Reg. §§ 5.1.1.2.5.1 & 5.1.1.2.5.2, eff. 8-5-74-NAC A
			 10-17-86; R104-13, 3-28-2014
NRS
			 439.200,
			 652.125
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.280 - Duties of director: Health and safety; physical premises and environmental conditions

Current through June 11, 2024
A director shall ensure that:
1. Policies and procedures are established
			 and enforced to ensure the health, welfare and safety of the personnel of the
			 laboratory and visitors.
2. The
			 physical premises and environmental conditions of the laboratory:
(a) Are appropriate for the testing
			 performed; and
(b) Provide a safe
			 environment in which employees are protected from biological, chemical and
			 physical hazards.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.282 - Duties of director: Testing procedures and results

Current through June 11, 2024
A director shall ensure
			 that:
1. The testing systems developed
			 and used for each of the tests performed in the laboratory result in services
			 of high quality for the analytic phase of each test and any activities
			 conducted before and after that phase.
2. Acceptable levels of analytical
			 performance are established and maintained for each testing system.
3. The methodology selected for each test
			 yields results of a sufficient quality to provide for the care of
			 patients.
4. The procedures used
			 for the verification of testing methods are adequate to determine the accuracy,
			 precision and other pertinent characteristics of performance for those
			 methods.
5. Testing is performed in
			 such a manner as required by federal and state statute and regulation, and any
			 policies and protocols adopted by the laboratory.
6. The reports of testing results include the
			 pertinent information required to interpret those results.
7. Programs of quality control and quality
			 assurance are established and maintained to ensure the quality of the
			 laboratory's services and to identify any failure of quality when it occurs,
			 and that records of such programs are maintained by the laboratory for at least
			 2 years.
8. Whenever there is a
			 significant deviation from the laboratory's established specifications for
			 performance:
(a) Any necessary remedial action
			 is taken and documented; and
(b)
			 The results of patients' tests are not reported until the deviation is
			 corrected.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.284 - Duties of director: Program for proficiency testing

Current through June 11, 2024
A director shall ensure
			 that:
1. The laboratory is enrolled in
			 a program for proficiency testing regarding all the testing performed by the
			 laboratory.
2. All procedures of
			 the program are followed, including:
(a) The
			 testing of samples as required; and
(b) The return of results within the required
			 time.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.286 - Duties of director: Personnel

Current through June 11, 2024
A director shall ensure that:
1. The laboratory employs a sufficient number
			 of personnel, with the appropriate education and appropriate experience or
			 training, to perform tests and report the results accurately.
2. Before the laboratory tests the specimen
			 of any patient, all the personnel of the laboratory:
(a) Have the appropriate education and
			 experience, and receive the appropriate training, for the type and complexity
			 of services offered by the laboratory; and
(b) Demonstrate their abilities reliably to
			 perform all testing procedures in such a manner as to obtain and report
			 accurate results.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.291 - Laboratory safety guidelines: Adoption; required procedures; manufacturer's guidelines; training and evaluation of employees; notification to employees upon adoption

Current through June 11, 2024
1. A laboratory
			 must adopt nationally recognized laboratory safety guidelines that must
			 include, without limitation, infection control guidelines to be followed by
			 employees of the laboratory. Acceptable guidelines include, without limitation,
			 the
Guidelines for Environmental Infection Control in Health-Care
			 Facilities
published by the Centers for Disease Control and Prevention
			 of the United States Department of Health and Human Services, the
Guidelines for Safe Work Practices in Human and Animal Medical
			 Diagnostic Laboratories
published by the Centers for Disease Control
			 and Prevention of the United States Department of Health and Human Services and
Laboratory Safety Guidance
published by the Occupational
			 Safety and Health Administration of the United States Department of Labor. The
			 guidelines adopted pursuant to this section must prescribe procedures for safe
			 operation of the laboratory, including, without limitation:
(a) Hand hygiene;
(b) The disposal of all waste that
			 constitutes a biohazard, including, without limitation, needles, syringes,
			 medical waste, microbial waste and specimens;
(c) The proper use of syringes, needles,
			 vials and lancets; and
(d) The
			 proper sterilization and disinfection of all reusable equipment, if such
			 sterilization or disinfection is performed at the laboratory or by employees of
			 the laboratory.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.300 - Request or authorization for test; report of findings; required contents of request

Current through June 11, 2024
1. Except as
			 otherwise provided in subsection 3, if a specimen is received by the
			 laboratory, it must be accompanied by an authorized written request or a
			 computerized authorization.
2. If
			 the laboratory receives specimens referred from another laboratory, it shall
			 report the results to the laboratory submitting the specimens.
3. Verbal requests from authorized persons
			 may be accepted by the laboratory with proper verification. The laboratory
			 shall obtain an authorized written request or a computerized authorization to
			 supplement a verbal request within 30 days after the laboratory accepted the
			 verbal request.
4. Each request
			 must contain the following information:
(a)
			 The full name of or a number which identifies the person from whom the specimen
			 was taken.
(b) The name of the
			 licensed physician, other authorized person or clinical laboratory that
			 submitted the specimen.
(c) The
			 date and time the specimen was collected for testing.
(d) The type of test or specific test
			 required.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.310 - Record of accessions of specimens: Maintenance; content

Current through June 11, 2024
1.
			 A laboratory must maintain a daily record of accessions of specimens, each of
			 which must be numbered or otherwise appropriately identified.
2. Daily records of accessions of specimens
			 must:
(a) Be maintained in accordance with 42
			 C.F.R. Part 493; and
(b) Include
			 the following information:
(1) A number that
			 uniquely identifies each specimen, including, without limitation, an accession
			 number or a number which identifies the person from whom the specimen was
			 taken.
(2) The date and time each
			 specimen was received by the laboratory.
(3) The condition and disposition of each
			 specimen that does not meet the laboratory's criteria for the acceptability of
			 specimens.
(4) The date on which
			 each specimen is tested.
(5) The
			 identity of the person who performs each test.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.325 - Violations: Severity levels

Current through June 11, 2024
1. The severity
			 scale set forth in this section must be used to assess the severity of a
			 particular violation pertaining to the laboratory. The basis for the assessment
			 must be the actual or potential harm to patients.
2. Violations of severity level one concern
			 requirements promulgated primarily for administrative purposes. No harm is
			 likely to occur to a patient. No negative patient impact has occurred or is
			 likely to occur.
3. Violations of
			 severity level two indirectly threaten the health, safety, rights, security,
			 welfare or well-being of a patient. A potential for harm, as yet unrealized,
			 exists. If continued over time, a negative impact on one or more patients or a
			 violation of one or more patients' rights would occur or would be likely to
			 occur.
4. Violations of severity
			 level three create a condition or incident in the operation or maintenance of a
			 laboratory that directly or indirectly threatens the health, safety, rights,
			 security, welfare or well-being of one or more patients. A negative impact on
			 the health, safety, rights, security, welfare or well-being of one or more
			 patients has occurred or can be predicted with substantial probability to
			 occur.
5. Violations of severity
			 level four create a condition or incident that has resulted in or can be
			 predicted with substantial probability to result in death or serious harm to a
			 patient. As used in this subsection, "serious harm" means serious mental harm,
			 serious impairment of bodily functions, serious dysfunction of any bodily organ
			 or part, life-threatening harm or death.
Added to NAC by Bd. of Health by
			 R104-13, eff. 3-28-2014
NRS
			 439.200,
			 652.123,
			 652.130,
			 652.260
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.340 - Reports by laboratory: Contents; terminology; retention of copies

Current through June 11, 2024
1. A report by the laboratory to the source
			 requesting the report must include, without limitation, the following:
(a) The full name of or a number which
			 identifies the person from whom the specimen was taken.
(b) The name and address of the reporting
			 laboratory.
(c) The date and time
			 the specimen was received in the laboratory.
(d) The condition of a specimen if considered
			 unsatisfactory on receipt, for example, broken, leaked, hemolyzed or
			 turbid.
(e) The type of test or
			 specific test performed.
(f) The
			 result of the test.
(g) The date of
			 the test.
(h) If the specimen is
			 sent to a reference laboratory for testing, the identity of the reference
			 laboratory.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.342 - Point-of-care testing device: Limitations on use

Current through June 11, 2024
A point-of-care testing device may be
			 used only:
1. If the device:
(a) Performs tests on biological specimens
			 that require no preparation after collection; and
(b) Provides testing results directly from
			 the device without calculation or discretionary intervention by the testing
			 personnel during the preanalytic and postanalytic phases of the test.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.344 - Point-of-care testing device: Requirements for use

Current through June 11, 2024
A point-of-care testing device must be
			 used:
1. In accordance with the
			 testing management system and programs of quality control and quality assurance
			 established by the laboratory performing the point-of-care test;
2. In accordance with the instructions of the
			 manufacturer of the device; and
3.
			 By qualified personnel under the supervision of a director.
Added to NAC by Bd. of Health by
			 R057-99, eff. 9-27-99
NRS
			 439.200,
			 652.123,
			 652.130
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.346 - Point-of-care testing device: Persons qualified to use

Current through June 11, 2024
To be qualified to use a
			 point-of-care testing device, a person must be licensed or certified as
			 a:
1. Director;
2. General supervisor;
3. Clinical laboratory
			 technologist;
4. Medical
			 technician;
5. Blood-gas
			 technologist;
6. Blood-gas
			 technician;
7.
			 Technologist;
8. Technician;
			 or
9. Point-of-care test
			 analyst.
Added to NAC by Bd. of Health by
			 R057-99, eff. 9-27-99
NRS
			 439.200,
			 652.123,
			 652.130
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.348 - Applicability of NAC 652.342 , 652.344 and 652.346

Current through June 11, 2024
The provisions of NAC 652.342, 652.344
			 and 652.346 do not apply to a licensed nurse or licensed or certified personnel
			 of a laboratory performing a point-of-care test under the circumstances set
			 forth in
			 NRS
			 652.217.
Added to NAC by Bd. of Health by
			 R057-99, eff. 9-27-99
NRS
			 439.200,
			 652.123,
			 652.130
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.370 - Director: Availability and presence; prohibition against serving more than five laboratories; exception

Current through June 11, 2024
1. A director shall
			 be available to the personnel of a laboratory, in person or by telephone or
			 other electronic means, for any necessary consultation.
2. The director must be on the premises of
			 the laboratory at least once each month. If the director is absent from the
			 laboratory for 1 month or more,the director shall provide a licensed substitute
			 to serve in his or her place, unless the laboratory is in a rural area and the
			 Division determines that a substitute is not necessary.
3. Except as otherwise provided in this
			 subsection, a natural person shall not simultaneously serve as director of more
			 than five laboratories. A natural person may simultaneously serve as director
			 of more than five laboratories if the laboratories are registered under one
			 certificate pursuant to subsection 2 of NAC 652.180.
Bd. of Health, Medical
			 Laboratories Reg. §§ 4.2-4.2.2.4, eff. 8-5-74-NAC A 10-17-86;
			 10-22-93; R133-96, 4-17-98; R104-13, 3-28-2014
NRS
			 439.200,
			 652.123,
			 652.130
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.380 - Director of licensed laboratory: Qualifications

Current through June 11, 2024
Except as otherwise provided in NAC 652.383, to qualify for a
				license as a director of a licensed laboratory, a person must meet one of the
				following qualifications:
1. Be a
			 physician who is licensed to practice medicine in this State and:
(a) Be certified in anatomical and clinical
			 pathology, or in clinical pathology, by:
(1)
			 The American Board of Pathology; or
(2) The American Osteopathic Board of
			 Pathology;
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.383 - Director of licensed laboratory testing in oral pathology: Qualifications

Current through June 11, 2024
To qualify
			 for a license as a director of a licensed laboratory in which the only tests
			 performed are in the subspecialty of oral pathology, a person must be:
1. Certified by the American Board of Oral
			 and Maxillofacial Pathology, the American Board of Pathology or the American
			 Osteopathic Board of Pathology; and
2. A dentist licensed to practice dentistry
			 in this State or a physician licensed to practice medicine in this
			 State.
Added to NAC by Bd. of Health by
			 R104-13, eff. 3-28-2014
NRS
			 439.200,
			 652.123,
			 652.125,
			 652.130
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.385 - Director of licensed laboratory testing for pulmonary conditions: Qualifications

Current through June 11, 2024
1. To qualify for a
			 license as a director of a licensed laboratory testing for pulmonary
			 conditions, a person must:
(a) Be a physician
			 certified in the subspecialty of pulmonary disease by the:
(1) American Board of Internal Medicine;
			 or
(2) Any other nationally
			 recognized board of internal medicine acceptable to the Division; or
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.395 - Director of registered laboratory: Qualifications

Current through June 11, 2024
To qualify for a license as a director of a registered
				laboratory, a person must:
1. Be a
			 physician licensed to practice in this State and have:
(a) At least 1 year of experience directing
			 or supervising laboratory testing in a laboratory which meets the requirements
			 of NAC 652.170  to 652.600, inclusive and sections 3, 4 and 5;
(b) Credit for at least 20 hours of
			 continuing medical education in laboratory practice regarding the
			 responsibilities of a director; or
(c) Laboratory training, obtained during
			 medical residency, equivalent to the training required by paragraph (b);
			 or
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.397 - Director of exempt laboratory: Qualifications

Current through June 11, 2024
1.
			 Except as otherwise provided in subsection 2 and NAC 652.395, to qualify to
			 serve as a director of an exempt laboratory or a licensed laboratory only for
			 the collection of specimens, a person must be:
(a) A licensed physician;
(b) Qualified for a license as a director of
			 a licensed laboratory pursuant to NAC 652.380;
(c) Qualified for a license as a director of
			 a registered laboratory pursuant to NAC 652.395;
(d) An advanced practice registered nurse
			 licensed pursuant to chapter 632 of NRS;
(e) A physician assistant licensed pursuant
			 to chapter 630 or 633 of NRS;
(f) A
			 general supervisor of a licensed laboratory certified in accordance with NAC
			 652.410;
(g) A clinical laboratory
			 technologist certified in accordance with NAC 652.420; or
(h) A dentist licensed pursuant to chapter
			 631 of NRS.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.398 - Director of HIV testing laboratory: Qualifications

Current through June 11, 2024
To qualify to serve as a director of
			 an HIV testing laboratory, a person must:
1. Possess the technical and managerial
			 skills necessary to perform the duties of a laboratory director set forth in
			 NRS
			 652.180; and
2. Satisfy the requirements set forth in
			 NRS
			 652.186 to perform a test for the detection
			 of the human immunodeficiency virus that is classified as a waived test
			 pursuant to 42 C.F.R. Part 493, Subpart A.
Added to NAC by Bd. of
			 Health by
			 R149-15A,
			 eff. 6/21/2017
NRS
			 439.200,
			 652.123,
			 652.125,
			 652.130
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.400 - General supervisor of licensed laboratory: Duties

Current through June 11, 2024
1. The general supervisor of a licensed
			 laboratory shall oversee the technical and administrative functions of the
			 laboratory and may supervise other personnel, as assigned by the
			 director.
2. Except as otherwise
			 provided in this section, the general supervisor shall be on the premises
			 during all hours in which routine tests are being performed. The presence of
			 the supervisor is not required during the performance of emergency testing
			 procedures after scheduled work hours, but he or she shall review these
			 procedures during his or her next period of duty.
3. A general supervisor of a licensed
			 laboratory who works in a hospital that operates a freestanding emergency room
			 may oversee the technical and administrative functions of a licensed laboratory
			 in the freestanding emergency room if:
(a) The
			 freestanding emergency room is covered by the license of the hospital issued by
			 the Division pursuant to chapter 449 of NRS or, if applicable, the
			 certification of the hospital to participate in Medicare, issued as provided in
			  42 C.F.R. Parts 482 to  498, inclusive;
(b) The general supervisor, a clinical
			 laboratory technologist certified pursuant to NAC 652.420  or a medical
			 technician certified pursuant to NAC 652.440  is on the premises of the licensed
			 laboratory in the freestanding emergency room at all times;
(c) The general supervisor is on the premises
			 of the licensed laboratory in the freestanding emergency room at least monthly
			 to ensure that tests are performed in accordance with the instructions of the
			 manufacturer of the tests and all applicable federal and state laws and
			 regulations;
(d) Persons who
			 collect human specimens or perform any test that is classified as a waived test
			 pursuant to  42 C.F.R. Part 493 , Subpart A, in the licensed laboratory in the
			 freestanding emergency room are properly certified under the provisions of this
			 chapter or exempt from such certification under the provisions of NRS 652.210;
(e) Persons who perform
			 any test, other than a test that is classified as a waived test pursuant to  42
			 C.F.R. Part 493 , Subpart A, in the licensed laboratory in the freestanding
			 emergency room are properly certified under the provisions of this chapter;
			 and
(f) The licensed laboratory in
			 the freestanding emergency room is in compliance with all other federal and
			 state laws and regulations.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.410 - General supervisor of licensed laboratory: Qualifications

Current through June 11, 2024
1. To qualify for a certificate as a general
			 supervisor of a licensed laboratory, a person must, except as otherwise
			 provided in this section, be:
(a) A qualified
			 physician serving on behalf of the director; or
(b) A clinical laboratory technologist who
			 has had at least 3 years of experience in a laboratory as a full-time employee
			 working at least 30 hours per week, of which at least 2 years have been spent
			 working at the level of a technologist:
(1) In
			 a licensed laboratory or a laboratory of a hospital, university or health
			 department; and
(2) Under the
			 supervision of a director who possesses a doctoral degree.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.420 - Clinical laboratory technologist: Activities and qualifications

Current through June 11, 2024
1. A clinical laboratory technologist may:
(a) Perform tests which require the exercise
			 of independent judgment, under minimum supervision or review by the director or
			 general supervisor, in those specialties for which the technologist has had
			 adequate education, training and experience and in which he or she has
			 demonstrated a proficiency; and
(b)
			 Supervise, if necessary, the work of the medical technicians and laboratory
			 assistants.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.425 - Cytotechnologist: Qualifications and activities

Current through June 11, 2024
1. To qualify for a
			 certificate as a cytotechnologist, a person must:
(a) Successfully complete 2 years in an
			 accredited college or university with at least 12 semester hours in science, of
			 which 8 hours are in biology, and at least 12 months of training in an
			 accredited school of cytotechnology, and pass a national examination for
			 certification approved by the Board;
(b) Successfully complete 6 months of formal
			 training in an accredited school of cytotechnology and 6 months of full-time,
			 supervised experience in cytotechnology in a laboratory whose director is a
			 pathologist, and pass a national examination for certification approved by the
			 Board; or
(c) Pass the examination
			 for cytotechnologists given by the United States Department of Health and Human
			 Services.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.433 - Histotechnologist: Qualifications and activities

Current through June 11, 2024
1. To qualify for a
			 certificate as a histotechnologist, a person must have:
(a) A baccalaureate degree from an accredited
			 college or university with at least 32 semester hours in science, of which 12
			 hours are in chemistry and 16 hours are in the areas of general biology,
			 histology, zoology, anatomy and physiology, and 1 year of experience in a
			 histopathology laboratory under the supervision of a pathologist certified by
			 the American Board of Pathology and Anatomic Pathology or a pathologist
			 eligible to be certified in anatomic pathology;
(b) A baccalaureate degree from an accredited
			 college or university, including the semester hours required in paragraph (a),
			 and successfully completed a program on histotechnology certified by the
			 Committee on Allied Health Education and Accreditation; or
(c) National certification as a
			 histotechnologist and 8 years of full-time experience before August 1980, in an
			 approved histopathology laboratory.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.437 - Histologic technician: Qualifications and activities

Current through June 11, 2024
1.
			 To qualify for a certificate as a histologic technician, a person must:
(a) Successfully complete a program in
			 histotechnology certified by the Commission on Accreditation of Allied Health
			 Education Programs;
(b) Have an
			 associate degree in chemistry, biology or a physical science or successfully
			 complete at least 60 semester hours or the equivalent of academic credit from
			 an accredited college or university with at least 12 semester hours in science,
			 of which 6 hours are in chemistry and 6 hours are in biology, and have 1 year
			 of full-time experience in histotechnology in a histology laboratory under the
			 supervision of a pathologist certified in anatomic pathology by the American
			 Board of Pathology Incorporated or a pathologist eligible for certification in
			 anatomic pathology; or
(c) Be a
			 high school graduate or the equivalent and have 2 years of full-time experience
			 in histotechnology, within the preceding 5 years, in a histology laboratory
			 under the supervision of a pathologist certified in anatomic pathology by the
			 American Board of Pathology Incorporated or a pathologist eligible for
			 certification in anatomic pathology.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.440 - Medical technician: Activities and qualifications

Current through June 11, 2024
1.
			 A medical technician may perform a test only if the test is classified pursuant
			 to 42 C.F.R. Part 493, Subpart A, as:
(a) A
			 waived test;
(b) A moderate
			 complexity test; or
(c) A high
			 complexity test, and:
(1) The results of the
			 test are read directly from an instrument; and
(2) The test requires no interpretation and
			 no intervention by the operator of the test during its analytic
			 phase.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.443 - Blood-gas technologist: Qualifications and activities

Current through June 11, 2024
1.
			 To qualify for a certificate as a blood-gas technologist, a person must:
(a) Have credentials from the National Board
			 for Respiratory Care as a certified respiratory therapist; or
(b) Be certified by the National Board for
			 Respiratory Care as a registered respiratory therapist.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.447 - Blood-gas technician: Qualifications and activities

Current through June 11, 2024
1.
			 To qualify for a certificate as a blood-gas technician, a person must:
(a) Be a graduate of a 1- or 2-year school of
			 respiratory therapy or a school for cardiopulmonary technology accredited by
			 the American Medical Association; or
(b) Successfully complete an equivalent
			 course of training in the theory and practice of the determination of blood
			 gases.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.450 - Laboratory assistant; blood-gas assistant

Current through June 11, 2024
1. A laboratory
			 assistant may perform any test that has been classified as a waived test
			 pursuant to 42 C.F.R. Part 493, Subpart A, and may collect and process
			 specimens. Except as otherwise provided in
			 NRS
			 652.217 and NAC 652.155, a laboratory
			 assistant may not independently perform a laboratory test which is classified
			 as a test of moderate or high complexity pursuant to 42 C.F.R. Part 493,
			 Subpart A, but may assist manually under direct supervision.
2. A blood-gas assistant may work only under
			 the constant direct supervision of a blood-gas technologist or the director. To
			 be certified as a blood-gas assistant, a person must be a high school graduate
			 or the equivalent who is currently being trained in the determination of blood
			 gases.
Bd. of Health, Medical
			 Laboratories Reg. §§ 5.1.2.5-5.1.2.6.3.3, eff. 8-5-74-NAC A 10-17-86;
			 10-22-93; R135-99, 11-29-99; R104-13, 3-28-2014
NRS
			 439.200,
			 652.123,
			 652.125,
			 652.130
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.452 - Pathologist's assistant: Qualifications and activities

Current through June 11, 2024
1.
			 To qualify for a certificate as a pathologist's assistant, a person:
(a) Must successfully complete a training
			 program approved by the American Association of Pathologists' Assistants;
			 or
(b) Must:
(1) Possess a baccalaureate degree with a
			 major or minor in a biological science or an allied health field; and
(2) Have at least 3 years of combined
			 experience in surgical pathology and autopsy pathology.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.453 - Pathologist's assistant: Responsibilities of supervising pathologist

Current through June 11, 2024
A
			 pathologist:
1. Is responsible for all
			 of the activities relating to pathology performed by any pathologist's
			 assistant he or she is supervising.
2. Shall ensure that any pathologist's
			 assistant he or she is supervising performs only those activities relating to
			 pathology which the pathologist's assistant is qualified to perform.
Added to NAC by Bd. of Health,
			 eff. 10-22-93
NRS
			 439.200,
			 652.123
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.454 - Point-of-care test analyst: Qualifications

Current through June 11, 2024
1. To qualify
			 for a certificate as a point-of-care test analyst, a person must:
(a) Be a:
(1) Registered nurse as defined in NRS 632.019;
(2) Advanced practice
			 registered nurse as defined in NRS 632.012;
(3) Licensed practical nurse as defined in
			 NRS 632.016;
(4) Practitioner of
			 respiratory care as defined in NRS 630.023;
(5) Physician assistant as defined in NRS 630.015;
(6) Registered pharmacist
			 as defined in NRS 639.015  who has participated in the development of written
			 guidelines and protocols as described in NRS 639.0124;
(7) Certified laboratory assistant who has
			 successfully completed training approved by a director in performing
			 point-of-care tests;
(8) Nursing
			 assistant, as defined in NRS 632.0166; or
(9) Student enrolled in an accredited school
			 of professional nursing or graduate of such a school pending the results of the
			 first licensing examination scheduled by the State Board of Nursing following
			 graduation; and
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.455 - Continuing education: Prerequisites to renewal of license or certificate

Current through June 11, 2024
1. Each director, general supervisor,
			 technologist, technician, pathologist's assistant and point-of-care test
			 analyst licensed or certified pursuant to this chapter shall complete 2 units
			 of continuing education within the 2 years immediately preceding the
			 application for renewal of the license or certificate. At least half of the
			 total units of continuing education required must be from approved
			 courses.
2. Each laboratory
			 assistant or blood-gas assistant shall complete 1 unit of continuing education
			 within the 2 years immediately preceding the application for renewal of his or
			 her certificate.
Added to NAC by Bd. of Health,
			 eff. 1-4-88; A 10-22-93; R042-98, 5-18-98; R057-99,
			 9-27-99
NRS
			 439.200,
			 652.123,
			 652.125,
			 652.130
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.461 - Continuing education: Prerequisites to reinstatement of inactive or delinquent license or certificate

Current through June 11, 2024
1. Except as
			 otherwise provided in subsection 2:
(a) Any
			 person desiring to have an inactive or a delinquent license or certificate
			 reinstated shall submit evidence to the Division that he or she has completed 1
			 unit of continuing education within the 2 years immediately preceding the
			 application for reinstatement of the license or certificate.
(b) An inactive or delinquent license or
			 certificate may be conditionally reinstated without the evidence required by
			 paragraph (a) if the applicant completes one unit of continuing education
			 within a period established by the Division. Any failure to complete the
			 continuing education or satisfy any other condition established by the Division
			 is a ground for revocation of the license or certificate.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.465 - Continuing education: Proof of completion

Current through June 11, 2024
1. Each person
			 who is required to complete a program of continuing education shall retain
			 proof of completion of the course of study or training for 4 years after the
			 completion of the course or training.
2. Proof of completion of an approved course
			 must be provided by a transcript, certificate of completion or other document
			 furnished by the organization which offered the course.
3. Proof of completion of an unapproved
			 course must be provided by:
(a) An
			 explanation, by the employer of the holder of a license or certificate issued
			 pursuant to this chapter, of a seminar or workshop developed and presented by
			 the holder of that license or certificate;
(b) A record of attendance at a workshop
			 offered at the place of employment of the holder of a license or certificate
			 issued pursuant to this chapter, or presented by a manufacturer or vendor of
			 medical technology;
(c) A copy of a
			 book or article published by the holder of a license or certificate issued
			 pursuant to this chapter; or
(d) A
			 description of an exhibit prepared for a medical journal or meeting, including
			 the number of hours spent in preparation of the exhibit.
Nevada Administrative Code › Chapter 652 - Medical Laboratories › OPERATION AND PERSONNEL › Section 652.470 - Certification of personnel

Current through June 11, 2024
1. Before working
			 in a laboratory at any technical level:
(a) An
			 application for certification must be made on a form provided by the Division
			 giving information on the applicant's educational background;
(b) Substantiating documents such as college
			 or other academic transcripts or copies of certificates of registration should
			 accompany the application, but must be submitted within 6 months after the date
			 of the application;
(c) The form
			 must indicate the level and title for which certification is desired;
			 and
(d) The fee prescribed in NAC
			 652.488 must accompany the
			 application.