reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.3622 - Appropriate care of patients

Current through June 11,
				2024
1. Each patient
				must receive, and the hospital shall provide or arrange for, individualized
				care, treatment and rehabilitation based on the assessment of the patient that
				is appropriate to the needs of the patient and the severity of the disease,
				condition, impairment or disability from which the patient is
				suffering.
2. The governing body
				shall ensure that each person's role in providing care to a patient is
				determined by:
(a) The professional skills,
				competence and credentials of the person providing care;
(b) The care or rehabilitation to be provided
				to the patient;
(c) The policies of
				the hospital; and
(d) The relevant
				required licensure or certification, regulation, privileges, scope of practice
				and job description of the person.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.3624 - Assessment of patients

Current through June 11,
				2024
1. To provide a
				patient with the appropriate care at the time that the care is needed, the
				needs of the patient must be assessed continually by qualified hospital
				personnel throughout the patient's contact with the hospital. The assessment
				must be comprehensive and accurate as related to the condition of the
				patient.
2. Each patient must be
				reassessed according to hospital policy:
(a)
				When there is a significant change in the patient's condition;
(b) When there is a significant change in the
				patient's diagnosis; or
(c) To
				determine the patient's response to the care that he or she is
				receiving.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.3626 - Rights of patients

Current through June 11,
				2024
A governing body shall develop and carry out policies and
				  procedures that protect and support the rights of patients as set forth in
				  NRS
				  449.700 to
				  449.730,
				  inclusive.
Added to NAC by Bd. of
				  Health by R050-99, eff. 9-27-99
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.3628 - Protection of patients; use of physical restraints

Current through
				June 11, 2024
1. A
				governing body shall develop and carry out policies and procedures that prevent
				and prohibit:
(a) Verbal, sexual, physical
				and mental abuse of patients; and
(b) The involuntary seclusion of a patient
				without clinical justification for that seclusion.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.363 - Personnel policies concerning employment, licensing and certification

Current through June 11, 2024
1. A hospital shall have written policies
				concerning the qualifications, responsibilities and conditions of employment
				for each type of hospital personnel, including the licensure and certification
				of each employee when required by law.
2. The written policies must be reviewed and
				updated as needed and must be made available to the members of the hospital
				staff.
3. Personnel policies must
				provide for:
(a) The orientation of all health
				personnel to the policies and objectives of the hospital; and
(b) The maintenance of records of current
				employees which confirm that the personnel policies are being
				followed.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.364 - Obstetrical services: Administration; staffing and equipment

Current through June 11, 2024
1. If a hospital provides obstetric services,
				the obstetric services must be provided through an obstetric department which
				is well-organized and sufficiently staffed to ensure the health and safety of
				the patients.
2. The obstetric
				department must be under the direction and supervision of a qualified member of
				the medical staff. The director of the obstetric department is responsible for
				the quality of medical care provided to patients by the obstetric department
				and for the review of the professional practices of the medical staff within
				the obstetric department, including, without limitation:
(a) The delineation of the privileges
				accorded to members of the medical staff and members of allied health
				professional persons in the obstetric department; and
(b) The reappraisal and appointment of each
				such member.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.3645 - Obstetrical services: Labor rooms; delivery rooms; utility rooms; area for cleaning instruments

Current through June 11,
				2024
1. Each hospital
				which has an organized obstetric service shall have at least one labor room,
				with the need for additional labor rooms to be determined by the amount of use
				of the labor room.
2. Each hospital
				shall have at least one properly equipped delivery room, with the need for
				additional delivery rooms to be determined by the amount of use of the delivery
				room. The delivery room must have:
(a) An
				emergency call system that is operable without the use of hands and an adequate
				signal system.
(b) Emergency
				sterilizing facilities to support the delivery area.
(c) A heated bassinet and warmer, and
				resuscitation equipment for newborns which is readily available.
(d) A device for easy, positive
				identification of a newborn before the newborn is removed from the delivery
				room.
(e) Adequate storage space
				for sterile supplies and equipment.
(f) Sinks and dispensers which are equipped
				with foot, knee or elbow controls or an alternative method of
				control.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.365 - Obstetrical services: Required services

Current through June 11,
				2024
1. An obstetric
				department of a hospital shall provide services for labor, delivery, newborn
				care and recovery care, and shall maintain the areas in which these services
				are provided in a safe and clean manner.
2. The obstetric department must be equipped
				with those items needed to provide obstetrical care and emergency procedures in
				life-threatening situations to a mother or her baby.
Added to NAC by Bd.
				  Health by R050-99, eff. 9-27-99
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.3655 - Obstetrical services: Transfer or discharge of patient

Current
				through June 11, 2024
1.
				No person may be transferred or discharged from an obstetric department of a
				hospital unless:
(a) The transfer or
				discharge is appropriate based on a risk assessment of the patient;
(b) A physician determines that the patient
				is not in active labor; or
(c) A
				physician determines that the medical needs of the patient exceed the
				capability of the obstetric department.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.367 - Obstetrical services: Nurseries

Current through June 11,
				2024
1. An obstetric
				department shall have a nursery which is organized under the direction of a
				qualified member of the medical staff.
2. Nurseries must be completely equipped for
				any neonatal emergencies.
3. The
				total number of bassinets in a nursery service must be at least equal to the
				number of beds for postpartum patients.
4. A separate storage room must be available
				to support the requirements of the entire nursery.
5. The following must be made available for
				each unit for infants:
(a) A bassinet for
				each infant with storage space for the infant's supplies, such as diapers,
				shirts and thermometers.
(b)
				Incubators for infants needing supplemental oxygen, heat or humidity and for
				all infants with a low birth weight.
(c) A scale for weighing babies.
(d) Oxygen.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.370 - Outpatient services

Current through June 11,
				2024
1. If a hospital
				provides outpatient services, the services must meet the needs of the patients
				in accordance with nationally recognized standards of practice.
2. A hospital shall ensure that its
				outpatient unit is appropriately organized and integrated with inpatient
				services.
3. A hospital which
				provides outpatient services shall:
(a)
				Assign a person to be responsible for the outpatient unit;
(b) Have sufficient numbers of professional
				and nonprofessional personnel available to provide the outpatient services;
				and
(c) Ensure that nursing
				services provided in the outpatient unit are provided under the direction of a
				registered nurse.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.371 - Intensive care services

Current through June 11,
				2024
1. If a hospital
				provides intensive care services, the services must be well-organized and
				provided in accordance with nationally recognized standards of
				practice.
2. An intensive care unit
				must be under the direction of a qualified member of the medical
				staff.
3. Written policies and
				procedures must be developed and maintained by the director of the intensive
				care unit, in consultation with other appropriate health-care professionals and
				the administration of the hospital. The administration and medical staff of the
				hospital must approve procedures to be used by the intensive care unit when
				approval of such procedures is appropriate.
4. The responsibility and the accountability
				of the intensive care unit to the medical staff and administration must be set
				forth in writing by the director of the intensive care unit.
5. Whenever a patient is present in the
				intensive care unit, a registered nurse, with training and experience in
				intensive care nursing, shall supervise the nursing care and nursing management
				of the intensive care service.
6.
				All licensed nurses working in an intensive care unit must:
(a) Have training and experience in intensive
				care nursing; or
(b) Work under the
				direct supervision of a registered nurse who has training and experience in
				intensive care nursing.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.373 - Laboratory services; pathology services; blood and blood products

Current through June 11, 2024
1. Each hospital shall maintain or have
				available adequate laboratory services to meet the needs of its patients and
				medical staff. Each hospital shall ensure that all laboratory services provided
				to its patients are provided by a medical laboratory licensed pursuant to
				chapter 652 of NRS.
2. Laboratory
				services must be available 24 hours a day, 7 days a week, including
				holidays.
3. While a patient is
				under the care of a hospital, all laboratory testing must be performed:
(a) In the laboratories of the
				hospital;
(b) By a reference
				laboratory that is certified pursuant to
				42 U.S.C. §
											263 a; or
(c) In accordance with
				NRS
				652.217.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.3735 - Transfusions of blood

Current through June 11,
				2024
1. To perform a
				transfusion of blood safely and efficiently, hospital personnel shall follow
				the policies and procedures developed by the hospital, with input from the
				medical staff, for performing a transfusion of blood.
2. Hospital personnel may administer blood
				only within the scope of their practice and after they have been trained to
				administer blood.
Added to NAC by Bd. of
				  Health by R050-99, eff. 9-27-99
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.374 - Nuclear medicine services

Current through June 11,
				2024
1. If a hospital
				provides nuclear medicine services, those services must meet the needs of the
				patients receiving those services in accordance with nationally recognized
				standards of practice.
2. The
				nuclear medicine services must be under the supervision of a doctor of medicine
				or osteopathy who is qualified in nuclear medicine. The director of the nuclear
				medicine services is responsible for the medical direction of those
				services.
3. The qualifications,
				training, functions and responsibilities of the personnel of the nuclear
				medicine services must be specified by the administration of the hospital and
				approved by the medical staff.
4.
				Radioactive materials used in providing nuclear medicine services must be
				prepared, labeled, used, transported, stored and disposed of in accordance with
				nationally recognized standards of practice.
5. In-house preparation of
				radiopharmaceuticals must be made by, or under the direct supervision of, an
				appropriately trained registered pharmacist or a doctor of medicine or
				osteopathy.
6. A radionuclide must
				be stored, used and disposed of in accordance with the requirements set forth
				in chapter 459 of NAC.
7. If
				laboratory tests are performed in the nuclear medicine services, the services
				must meet the applicable requirements for laboratory services specified in
				42 C.F.R. §
										482.27.
8. Equipment and supplies used for the
				nuclear medicine services must be appropriate for the types of nuclear medicine
				services offered by the hospital and must be maintained for safe and efficient
				performance. The equipment must be:
(a)
				Maintained in safe operating condition; and
(b) Inspected, tested and calibrated at least
				annually by persons who are qualified to do such inspections, tests and
				calibrations.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.375 - Records for nuclear medicine services; authorization

Current
				through June 11, 2024
1.
				A hospital shall maintain signed and dated reports of nuclear medicine
				interpretations, consultations and procedures.
2. The hospital shall maintain nuclear
				medicine reports, or copies thereof, for at least 5 years after the date on
				which the report was made.
3. A
				practitioner approved by the medical staff to interpret diagnostic procedures
				must sign and date his or her interpretation of the tests.
4. The hospital shall maintain records of the
				receipt and disposition of radiopharmaceuticals.
5. Nuclear medicine services may be ordered
				only by a practitioner whose scope of licensure and defined staff privileges
				authorize the practitioner to make such orders.
Added to NAC by Bd. of
				  Health by R050-99, eff. 9-27-99
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.376 - Radiological services

Current through June 11,
				2024
1. A hospital shall
				have diagnostic radiological facilities available. If therapeutic services are
				also provided, they, as well as the diagnostic services, must meet
				professionally approved standards for safety and personnel
				qualifications.
2. The hospital
				shall maintain or have available radiological services according to the needs
				of the patients.
3. Radiological
				services, particularly ionizing radiological procedures, must be conducted in a
				manner that monitors and controls hazards so that safety is maintained for
				patients and personnel.
4. Proper
				safety precautions must be maintained against radiation hazards, including,
				without limitation:
(a) Adequate shielding
				for patients, personnel and facilities; and
(b) Appropriate storage, use and disposal of
				radioactive materials.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.377 - Radiological therapeutic services

Current through June 11,
				2024
1. If a hospital
				provides radiological therapeutic services, the services must meet
				professionally nationally recognized standards for safety and personnel
				qualifications.
2. A radiological
				therapeutic department must be under the direction of a physician who is:
(a) Certified or eligible for certification
				in therapeutic radiology by the American Board of Radiology; or
(b) Certified or eligible for certification
				in radiology by the American Board of Radiology and has 2 years of full-time
				experience in radiation therapy.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.379 - Medical records

Current through June 11,
				2024
1. A hospital shall
				maintain a medical record for each person evaluated or treated in the
				hospital.
2. The organization of
				the medical records service at the hospital must be appropriate to the scope
				and complexity of the services performed at the hospital. A hospital shall
				employ adequate personnel to ensure prompt completion, filing and retrieval of
				the medical records.
3. Medical
				records must be accurately written, promptly completed, properly filed and
				retained, and accessible. A hospital shall use a system for author
				identification and record maintenance that ensures the integrity of the
				authentication of the record and protects the security of all entries to a
				medical record.
4. Except as
				otherwise provided in this subsection, medical records must be retained in
				their original form or in a legally reproduced form for at least 5 years. The
				medical staff may identify specific items in a medical record that must be kept
				for at least 10 years. The hospital shall have a system for coding and indexing
				its medical records. The system must allow for the timely retrieval of
				information by diagnosis and procedure to support studies evaluating the
				medical care provided at the hospital.
5. A hospital must have a procedure for
				ensuring the confidentiality of the medical records of its patients.
				Information from or copies of medical records may be released only to
				authorized persons, and the hospital shall ensure that unauthorized persons
				cannot gain access to or alter the medical records of its patients. Original
				medical records may be released by the hospital only in accordance with state
				or federal law, court orders or subpoenas.
6. A medical record must include information:
(a) Demonstrating the justification for the
				admission and continued hospitalization of a patient;
(b) Supporting the diagnosis of the patient;
				and
(c) Describing the progress of
				the patient and his or her response to the medications and services received
				during his or her hospitalization.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.382 - Medical library

Current through June 11,
				2024
A hospital shall have a medical library to meet the
				  requirements of the facility, with access to current periodicals on clinical
				  services which are offered.
Bd. of Health, Health
				  Facilities Reg. Part III Ch. I § X, eff. 10-9-69-NAC A by R050-99,
				  9-27-99
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.385 - Surgical services

Current through June 11,
				2024
1. If a hospital
				provides surgical services, the services must be well-organized and provided in
				accordance with nationally recognized standards of practice. If outpatient
				surgical services are offered, the services must be consistent in quality, in
				accordance with the complexity of the services, with similar services provided
				to inpatients.
2. The operating
				rooms must be supervised by an experienced registered nurse or a doctor of
				medicine or osteopathy.
3. A
				licensed practical nurse or a surgical or operating room technician may act as
				a scrub nurse or scrub technician only under the direct supervision of a
				registered nurse.
4. Circulating
				duties in an operating room must be performed by a qualified registered nurse,
				who shall not perform circulating duties in more than one operating room at a
				time.
5. Surgical privileges must
				be delineated for all practitioners performing surgery in accordance with the
				competency of each practitioner. A hospital shall maintain a roster of
				practitioners that specifies the surgical privileges accorded to each
				practitioner.
6. Policies governing
				surgical care must be designed by the medical staff to ensure the achievement
				and maintenance of high standards of medical practice and patient
				care.
7. Except in emergency cases
				and except as otherwise provided in this subsection, a complete history and
				physical work-up must be completed and placed in a patient's chart before the
				patient undergoes surgery. A patient may undergo surgery before his or her
				complete history or physical work-up is placed in his or her chart if the
				complete history or physical work-up has been dictated but not yet recorded and
				a statement of that fact and an admission note have been placed in the
				patient's chart by the practitioner who admitted the patient.
8. Except in emergency cases, an informed
				consent form properly executed by a patient for the surgery must be placed in
				his or her chart before the surgery is performed.
9. Each surgical suite must have readily
				available and in good working condition:
(a)
				A call system;
(b) A cardiac
				monitor;
(c) A
				resuscitator;
(d) A
				defibrillator;
(e) An aspirator;
				and
(f) A tracheotomy
				set.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.388 - Anesthesia services

Current through June 11,
				2024
1. If a hospital
				furnishes anesthesia services, the services must be provided in a
				well-organized manner under the direction of a qualified doctor of medicine or
				osteopathy. The service is responsible for all anesthesia administered in the
				hospital.
2. The organization of
				the anesthesia service must be appropriate to the scope of the services offered
				by the hospital. Anesthesia may only be administered by:
(a) A qualified anesthesiologist;
(b) A doctor of medicine or osteopathy, other
				than an anesthesiologist;
(c) A
				dentist, oral surgeon or podiatrist who is legally authorized, under state law,
				to administer anesthesia; or
(d) A
				certified registered nurse anesthetist who is under the direction of the
				operating practitioner or of an anesthesiologist who is immediately available
				if needed. This paragraph does not affect the requirements for qualification as
				a certified registered nurse anesthetist as specified in chapter 632 of NRS,
				and any regulations adopted pursuant thereto.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.389 - Respiratory care services

Current through June 11,
				2024
A hospital shall meet the needs relating to respiratory care
				  of its patients in accordance with nationally recognized standards of practice.
				  If the hospital has a unit to provide respiratory care services:
1. The director of the unit must be a doctor
				of medicine or osteopathy who has the knowledge, experience and capabilities to
				supervise and administer the respiratory care services properly. The director
				may serve on a full-time or part-time basis.
2. The hospital shall ensure that there are
				an adequate number of respiratory therapists, respiratory therapy technicians
				and other personnel who meet the qualifications, which must be consistent with
				state law, specified by the medical staff to provide respiratory care
				services.
3. Personnel qualified to
				perform specific procedures relating to the provision of respiratory care
				services and the amount of supervision required for such personnel to carry out
				specific procedures must be designated in writing.
4. If blood gases or other clinical
				laboratory tests are performed in the respiratory care unit, the unit must meet
				the requirements for clinical laboratories with respect to management, adequacy
				of facilities, proficiency testing and quality control.
5. Respiratory care services must be provided
				only upon and in accordance with the orders of a doctor of medicine or
				osteopathy.
6. Diagnostic studies
				and treatment modalities relating to respiratory care must be recorded in the
				patient's medical record, including, without limitation:
(a) The type of diagnostic or therapeutic
				procedures used;
(b) The dates and
				times of the use of such procedures; and
(c) The effects of such procedures, including
				adverse reactions.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.391 - Dental services

Current through June 11,
				2024
1. If a hospital
				provides dental services, the services must be well-organized and provided in
				accordance with nationally recognized standards of practice.
2. The dental service must be under the
				direct supervision of a dentist, who has overall responsibilities for the
				dental service.
3. Dental
				hygienists, dental assistants or dental laboratory technicians may be employed
				by the hospital if the dental hygienist, assistant or laboratory technician
				works under the direct supervision of a dentist.
4. Members of the dental staff must be
				currently licensed in this State for the positions to which they are
				appointed.
5. Patients admitted for
				dental services must be admitted by the dentist, either to the department of
				dentistry or, if there is no department, to an organized clinical
				service.
6. Equipment and supplies
				necessary to meet the anticipated dental needs of patients must be
				available.
7. Equipment for the
				sterilization of instruments and supplies must be provided directly in the
				dental service or through another department, unit or service within the
				hospital.
8. If the dental service
				offers primary dental care, the dental service must:
(a) Have adequate space to provide that care;
				and
(b) Facilities for dental
				radiography.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.394 - Psychiatric services

Current through June 11,
				2024
1. A hospital which
				has a designated area set aside for use on a continuous basis for the treatment
				and care of psychiatric patients is deemed to operate a psychiatric service and
				shall comply with the requirements in this section.
2. A licensed physician may render
				psychiatric care in any licensed hospital on a short term or emergency
				basis.
3. A hospital shall develop
				and carry out policies and procedures for the provision of psychiatric
				treatment and behavioral management services that are consistent with
				NRS
				449A.200 to
				449A.263, inclusive, to ensure
				that the treatment and services are safely and appropriately used. The hospital
				shall ensure that the policies and procedures protect the safety and rights of
				the patient.
4. The medical
				direction of the psychiatric unit and the psychiatric services provided by the
				hospital must be under the direct supervision of a qualified member of the
				medical staff.
5. All nursing
				services provided with regard to the provision of psychiatric care must be
				provided under the direction of a registered nurse.
6. A consulting medical staff composed of
				qualified persons in appropriate specialties must be available at all times to
				the patients in the psychiatric unit.
Bd. of Health, Health
				  Facilities Reg. Part III Ch. I §XI subsec. E, eff. 10-9-69-NAC A by
				  R050-99, 9-27-99; A by
				  R048-22A,
				  eff. 12/29/2022
NRS 439.200,
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIARY SERVICE ORGANIZATIONS › General Provisions › Section 449.395 - Definitions

Current through June 11, 2024
As used in NAC 449.395 to 449.39561, inclusive, unless the
				  context otherwise requires, the words and terms defined in NAC 449.39501 to
				  449.39508, inclusive, have the meanings ascribed to them in those
				  sections.
Added to NAC by Bd. of
				  Health by R167-07, eff. 1-30-2008-Substituted in revision for NAC
				  427A.800
NRS
					 449.4308,
					 449.4311,
					 449.4327
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIARY SERVICE ORGANIZATIONS › General Provisions › Section 449.39501 - "Certificate" defined

Current through June 11,
				2024
"Certificate" means a certificate to operate an intermediary
				  service organization issued by the Division pursuant to the provisions of
				  NRS
				  449.4304 to
				  449.4339,
				  inclusive, and NAC 449.395 to 449.39524, inclusive.
Added to NAC by Bd. of
				  Health by R167-07, eff. 1-30-2008-Substituted in revision for NAC
				  427A.803
NRS
					 449.4308,
					 449.4311,
					 449.4327
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIARY SERVICE ORGANIZATIONS › General Provisions › Section 449.39502 - "Client" defined

Current through June 11,
				2024
"Client" means a person with a disability who seeks or
				  receives personal assistance in his or her home or other location where a
				  person with a disability receives personal assistance, including, without
				  limitation, a place of employment of the person with a disability, or other
				  responsible person who seeks or obtains such assistance on behalf of a person
				  with a disability.
Added to NAC by Bd. of
				  Health by R167-07, eff. 1-30-2008-Substituted in revision for NAC
				  427A.804
NRS
					 449.4308,
					 449.4311,
					 449.4327
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIARY SERVICE ORGANIZATIONS › General Provisions › Section 449.39503 - "Intermediary service organization" defined

Current through June
				11, 2024
1.
				"Intermediary service organization" has the meaning ascribed to it in
				NRS
				449.4304.
2. The term does not include an organized
				group of persons composed of the family and friends of a person needing
				personal assistance that employs or contracts with persons to provide such
				assistance if:
(a) The organization of the
				group of persons is set forth in a written document that is made available for
				review by the Division upon request; and
(b) The personal assistance is provided to
				only one person or to members of a family who reside at the same
				residence.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIARY SERVICE ORGANIZATIONS › General Provisions › Section 449.39504 - "Managing employer" defined

Current through June 11,
				2024
"Managing employer" means the person who selects, sets the
				  schedule for and directs the training of a personal assistant.
Added to NAC by Bd. of
				  Health by R167-07, eff. 1-30-2008-Substituted in revision for NAC
				  427A.807
NRS
					 449.4308,
					 449.4311,
					 449.4327
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIARY SERVICE ORGANIZATIONS › General Provisions › Section 449.39505 - "Other responsible person" defined

Current through June 11,
				2024
"Other responsible person" has the meaning ascribed to it in
				  NRS
				  449.4308.
Added to NAC by Bd. of
				  Health by R167-07, eff. 1-30-2008-Substituted in revision for NAC
				  427A.808
NRS
					 449.4308,
					 449.4311,
					 449.4327
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIARY SERVICE ORGANIZATIONS › General Provisions › Section 449.39506 - "Personal assistance" defined

Current through June 11,
				2024
"Personal assistance" has the meaning ascribed to it in
				  NRS
				  449.4308.
Added to NAC by Bd. of
				  Health by R167-07, eff. 1-30-2008-Substituted in revision for NAC
				  427A.809
NRS
					 449.4308,
					 449.4327
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIARY SERVICE ORGANIZATIONS › General Provisions › Section 449.39507 - "Personal assistant" defined

Current through June 11,
				2024
"Personal assistant" has the meaning ascribed to it in
				  NRS
				  449.4308.
Added to NAC by Bd. of
				  Health by R167-07, eff. 1-30-2008-Substituted in revision for NAC
				  427A.810
NRS
					 449.4308,
					 449.4327
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIARY SERVICE ORGANIZATIONS › General Provisions › Section 449.39508 - "Guardian" interpreted

Current through June 11,
				2024
As used in subparagraph (2) of paragraph (a) of subsection 2
				  of
				  NRS
				  449.4308, the Division will interpret the
				  term "guardian" to include, without limitation, any person who is legally
				  responsible for a person with a disability who suffers from a cognitive
				  impairment.
Added to NAC by Bd. of
				  Health by R167-07, eff. 1-30-2008-Substituted in revision for NAC
				  427A.813
NRS
					 449.4308,
					 449.4327
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIARY SERVICE ORGANIZATIONS › Certification › Section 449.3951 - Form of application; written verification for submission of fingerprints

Current through June 11,
				2024
1. The Division
				will prescribe the form for an application to apply for a
				certificate.
2. An applicant for a
				certificate must submit with his or her application written verification, on a
				form prescribed by the Division, stating that the fingerprints of the applicant
				were taken and directly forwarded electronically or by another means to the
				Central Repository for Nevada Records of Criminal History and that the
				applicant has given written permission to the law enforcement agency or other
				authorized entity taking the fingerprints to submit the fingerprints to the
				Central Repository for submission to the Federal Bureau of Investigation for a
				report on the applicant's background and to such other law enforcement agencies
				as the Division deems necessary.
Added to NAC by Bd. of
				  Health by R167-07, eff. 1-30-2008; A by Aging & Disability Services Div. by
				  R015-12, 9-14-2012-Substituted in revision for NAC
				  427A.815
NRS
					 449.4311,
					 449.4321,
					 449.4327
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIARY SERVICE ORGANIZATIONS › Certification › Section 449.39511 - Application for certificate and renewal: Fees

Current through June
				11, 2024
1. An applicant
				for a certificate must pay to the Division, at the time of application, a
				nonrefundable fee of $2,748.
2. An
				applicant for the renewal of a certificate must pay to the Division, at the
				time of application for renewal, a nonrefundable fee of $1,374.
Added to NAC by Bd. of
				  Health by R167-07, eff. 1-30-2008-Substituted in revision for NAC
				  427A.816
NRS
					 449.4311,
					 449.4314,
					 449.4319
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIARY SERVICE ORGANIZATIONS › Certification › Section 449.39512 - Application for certificate and renewal: Proof of insurance coverage

Current through June 11, 2024
An applicant for a certificate and for the renewal of a
				  certificate must provide to the Division with the initial application for a
				  certificate, with the application for renewal of a certificate and at such
				  other times upon request of the Division, proof that the intermediary service
				  organization maintains adequate insurance coverage against liabilities
				  resulting from claims incurred in the course of operation. Such insurance
				  coverage must include, without limitation:
1. Workers' compensation insurance pursuant
				to chapters 616A to 617, inclusive, of NRS for each personal assistant employed
				by the intermediary service organization;
2. Commercial general liability insurance in
				an amount not less than $2,000,000 in general aggregate coverage and not less
				than $1,000,000 per claim; and
3.
				Insurance coverage for employee dishonesty in an amount not less than $25,000
				per claim.
Added to NAC by Bd. of
				  Health by R167-07, eff. 1-30-2008-Substituted in revision for NAC
				  427A.817
NRS
					 449.4311,
					 449.4327
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIARY SERVICE ORGANIZATIONS › Certification › Section 449.39513 - Applicability of certificate; specification of primary location; records

Current through June 11, 2024
1. Each certificate must be separate and
				issued to a specific person or persons to operate the intermediary service
				organization. The name of the person responsible for the operation of an
				intermediary service organization must appear on the face of the
				certificate.
2. Each certificate
				must specify the primary location for the operation of an intermediary service
				organization, but a separate certificate is not required for each location
				where the intermediary service organization conducts business.
3. If an intermediary service organization
				conducts business at more than one location, all records required to be
				maintained by the intermediary service organization, including, without
				limitation, records of each client, personnel files and operational records,
				must be maintained at the primary location specified on the
				certificate.
Added to NAC by Bd. of
				  Health by R167-07, eff. 1-30-2008-Substituted in revision for NAC
				  427A.818
NRS
					 449.4311,
					 449.4318,
					 449.4327
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIARY SERVICE ORGANIZATIONS › Certification › Section 449.39514 - Issuance of provisional certificate

Current through June 11,
				2024
1. The Division may
				issue a provisional certificate to an intermediary service organization
				pursuant to
				NRS
				449.4324 if the Division determines that the
				intermediary service organization is substantially, but not fully, in
				compliance with
				NRS
				449.4304 to
				449.4339,
				inclusive, and NAC 449.395 to 449.39561, inclusive.
2. A provisional certificate issued pursuant
				to subsection 1:
(a) Expires 90 days after
				its issuance unless, within the 90-day period, the Division issues a
				nonprovisional certificate to the intermediary service organization.
(b) Is nonrenewable.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIARY SERVICE ORGANIZATIONS › Authorized Activities and General Requirements for Operation › Section 449.39515 - Operation of intermediary service organization and agency to provide personal care services in the home

Current through June 11,
				2024
1. A person may
				operate an intermediary service organization and an agency to provide personal
				care services in the home if the person:
(a)
				Maintains separate records and clients for the intermediary service
				organization and the agency to provide personal care services in the home;
				and
(b) Distinguishes between the
				services to be provided by the intermediary service organization and the
				personal care services provided by the agency to provide personal care services
				in the home.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIARY SERVICE ORGANIZATIONS › Authorized Activities and General Requirements for Operation › Section 449.39516 - Duties and responsibilities

Current through June 11,
				2024
1. An intermediary
				service organization shall ensure that each client of the intermediary service
				organization and personal assistant employed by the intermediary service
				organization is aware of and understands:
(a)
				The rights and responsibilities of the client;
(b) The ethical responsibilities of the
				personal assistant, including, without limitation, any responsibilities
				concerning the confidentiality of client information;
(c) The training requirements for the
				personal assistant as set forth in NAC 449.39519;
(d) The policies and procedures to be used by
				the personal assistant for the control of infections, including, without
				limitation, the policies and procedures of the intermediary service
				organization and the universal precautions as defined in NAC
				441A.195;
(e) The respective
				responsibilities of the personal assistant and the client to properly document
				the needs of the person with a disability and to properly document the
				provision of personal assistance to that person;
(f) The procedures that the personal
				assistant will follow when responding to medical and nonmedical emergencies of
				the person with a disability;
(g)
				The provisions of
				NRS
				629.091 and the appropriate procedures that
				must be followed when providing assistance to a person with a disability
				pursuant to that section; and
(h)
				The procedures for a client to appeal the termination, reduction or suspension
				of services by the intermediary service organization.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIARY SERVICE ORGANIZATIONS › Authorized Activities and General Requirements for Operation › Section 449.39517 - Personal assistants: Qualifications; maintenance and availability of personnel files

Current through June 11,
				2024
1. Each personal
				assistant employed by an intermediary service organization must:
(a) Be at least 18 years of age;
(b) Demonstrate the ability to meet the needs
				of the person with a disability as outlined by the client;
(c) Demonstrate the ability to communicate
				effectively with the client;
(d)
				Obtain certification to perform first aid and cardiopulmonary resuscitation
				within 120 days after the date on which the personal assistant begins
				employment with the intermediary service organization;
(e) Be in good health as certified by a
				physician and must not be infected with any communicable disease that may be
				contagious; and
(f) If the personal
				assistant transports a person with a disability in a motor vehicle, maintain
				motor vehicle liability insurance.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIARY SERVICE ORGANIZATIONS › Authorized Activities and General Requirements for Operation › Section 449.39518 - Personal assistants: Results of reports on criminal history

Current through June 11, 2024
Upon receiving a report concerning any records of criminal
				  history of a personal assistant from the Central Repository for Nevada Records
				  of Criminal History pursuant to subsection 4 of
				  NRS
				  449.4329, an intermediary service
				  organization shall provide to the client who selected the personal assistant
				  the results of the report on the criminal history of the personal
				  assistant.
Added to NAC by Bd. of
				  Health by R167-07, eff. 1-30-2008-Substituted in revision for NAC
				  427A.823
NRS
					 449.4308,
					 449.4327,
					 449.4329
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIARY SERVICE ORGANIZATIONS › Authorized Activities and General Requirements for Operation › Section 449.395185 - Personal assistants: Performance of certain tasks

Current
				through June 11, 2024
1.
				A personal assistant may perform a task described in
				NRS
				449.4309 if the personal assistant:
(a) Before performing the task, annually
				thereafter and when any device used for performing the task is changed:
(1) Receives training concerning the task
				that meets the requirements of subsections 6 and 7; and
(2) Demonstrates an understanding of the
				task;
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIARY SERVICE ORGANIZATIONS › Authorized Activities and General Requirements for Operation › Section 449.39519 - Client to serve as managing employer and provide training to personal assistant; reporting of training to organization

Current through
				June 11, 2024
1. The
				client of an intermediary service organization must serve as the managing
				employer of the personal assistant and must be responsible for the selection
				and termination of the personal assistant.
2. Each client shall ensure that:
(a) The personal assistant selected to
				provide services to the person with a disability under the direction of the
				client completes the training required pursuant to this section; and
(b) The personal assistant is able to safely
				perform the services required to meet the needs of the person with a
				disability.