reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Licensing and Certification › Section 450B.360 - Certification of emergency medical technicians: Requirements

Current through June 11, 2024
1. To be certified as an emergency medical technician, advanced emergency medical technician or paramedic, an applicant must:
(a) Submit an application to the Division on a form prepared by it;
(b) Maintain a certificate to provide cardiopulmonary resuscitation issued by the American Heart Association or an equivalent certificate approved by the Division;
(c) Submit a statement indicating compliance with the provisions of NRS 450B.183;
(d) Submit proof that the applicant has successfully completed a course that is at least equivalent to the national standard prepared by the National Highway Traffic Safety Administration of the United States Department of Transportation as a national standard for emergency medical technicians, advanced emergency medical technicians or paramedics, as appropriate, or an equivalent standard approved by the Administrator of the Division;
(e) Submit proof that the applicant has successfully passed an assessment developed by the National Registry of Emergency Medical Technicians for emergency medical technicians, advanced emergency medical technicians or paramedics, as appropriate;
(f) Submit the fee prescribed in NAC 450B.700;
(g) Submit the fingerprints and written permission required by NRS 450B.800; and
(h) Satisfy the Division that the applicant has not been convicted of:
(1) Murder, voluntary manslaughter or mayhem;
(2) Assault or battery with intent to kill or to commit sexual assault or mayhem;
(3) Sexual assault, statutory sexual seduction, incest, lewdness or indecent exposure, or any other sexually related crime;
(4) Abuse or neglect of a child or contributory delinquency;
(5) A violation of any federal or state law regulating the possession, distribution or use of any controlled substance or any dangerous drug as defined in chapter 454 of NRS, within the 6 years immediately preceding the date of application;
(6) Abuse, neglect, exploitation, isolation or abandonment of older persons or vulnerable persons, including, without limitation, a violation of any provision of NRS 200.5091  to 200.50995, inclusive, or a law of any other jurisdiction that prohibits the same or similar conduct;
(7) Any offense involving fraud, theft, embezzlement, burglary, robbery, fraudulent conversion or misappropriation of property, within the 6 years immediately preceding the date of application;
(8) Any other felony involving the use or threatened use of force or violence against the victim or the use of a firearm or other deadly weapon, within the 6 years immediately preceding the date of application; or
(9) Any felony or misdemeanor for committing an act which, in the judgment of the Division, indicates that the applicant may not be able to function properly as an emergency medical responder or to care for patients for whom he or she would become responsible.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Licensing and Certification › Section 450B.363 - Certification of emergency medical technicians, advanced emergency medical technicians and paramedics trained in another state; renewal of certificate

Current through June 11, 2024
1. The Division may issue a certificate as an emergency medical technician, advanced emergency medical technician or paramedic to an applicant trained in another state if:
(a) The applicant:
(1) Is a resident of Nevada;
(2) Will be a resident of Nevada within 6 months after applying for certification;
(3) Is a resident of another state and is employed by a service that has been issued a permit in Nevada; or
(4) Is attending a course of training held in this State and approved by the Division.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Licensing and Certification › Section 450B.364 - Certification of emergency medical technicians: Issuance of certificate by health authority without jurisdiction (Repealed)

Current through June 11, 2024
Added to NAC by Bd. of
				Health, eff. 11-1-95; R by
				
				R024-14, eff. 10/24/2014
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Licensing and Certification › Section 450B.366 - Certificate as emergency medical responder: Expiration and renewal

Current through June 11, 2024
1. A certificate as an emergency medical responder expires on the date of expiration appearing on the certificate and, after the initial period, expires biennially. The Division shall designate the date of expiration of each certificate.
2. Such a certificate may be renewed if:
(a) The Division determines that the holder of the certificate:
(1) Has, before the date of expiration, successfully completed:
(I) A course in continuing training which is equivalent to the national standard prepared by the National Highway Traffic Safety Administration of the United States Department of Transportation as a refresher course for emergency medical responders and approved by the Division; or
(II) Any other program of continuing education offered by a training center or approved by the Division. Such a program may not be approved unless the requirement for attendance for that program is at least 12 hours for renewal of certification; and
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Licensing and Certification › Section 450B.374 - Late renewal of certificate as emergency medical technician or first responder (Repealed)

Current through June 11, 2024
Added to NAC by Bd. of
				Health, eff. 11-12-87; A 8-1-91; R045-97, 10-30-97; R182-01, 3-5-2002; R by
				
				R024-14, eff. 10/24/2014
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Licensing and Certification › Section 450B.3745 - Training and certification of intermediate emergency medical technician (Repealed)

Current through June 11, 2024
Added to NAC by Bd. of
				Health, eff. 11-12-87; A 8-1-91; R045-97, 10-30-97; R182-01, 3-5-2002; R by
				
				R024-14, eff. 10/24/2014
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Licensing and Certification › Section 450B.375 - Certificate as emergency medical technician, advanced emergency medical technician or paramedic: Late renewal

Current through June 11, 2024
1. If an emergency medical technician, advanced emergency medical technician or paramedic is unable to renew his or her certificate when required, he or she must, if he or she wishes to renew the certificate, submit a request for a late renewal on a form provided by the Division.
2. Upon approval by the Division of a request for a late renewal, the applicant must submit:
(a) Evidence satisfactory to the Division that the applicant meets the requirements for renewal prescribed by subsection 4 of NAC 450B.380; and
(b) A signed and dated attestation that he or she has not been convicted of an offense listed in paragraph (h) of subsection 1 of NAC 450B.360  since the expiration of his or her certificate.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Licensing and Certification › Section 450B.378 - Certification of intermediate emergency medical technician trained in another state; renewal of certificate (Repealed)

Current through June 11, 2024
Added to NAC by Bd. of
				Health, eff. 8-22-86; A 8-1-91; R045-97, 10-30-97; R182-01, 3-5-2002; R by
				
				R024-14, eff. 10/24/2014
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Licensing and Certification › Section 450B.380 - Certificate as emergency medical technician, advanced emergency medical technician or paramedic: Expiration; verification of skills of holder for maintenance; renewal

Current through June 11, 2024
1. A certificate as an emergency medical technician, advanced emergency medical technician or paramedic expires on the date of expiration appearing on the certificate and, after the initial period, expires biennially. The Division shall designate the date of expiration of each certificate.
2. To maintain certification, a certified emergency medical technician, advanced emergency medical technician or paramedic must, within the 12 months before expiration of his or her certificate, complete at least one verification of his or her skills conducted by:
(a) The medical director of the service; or
(b) A qualified instructor approved by the Division.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Endorsement as Critical Care Paramedic › Section 450B.381 - Requirements; authorized practice

Current through June 11, 2024
1. To receive an
				endorsement as a critical care paramedic in emergency medical services, an
				applicant must provide proof of the successful completion of a course in
				training equivalent to the national standard set forth by the National Highway
				Traffic Safety Administration of the United States Department of Transportation
				for a critical care paramedic or an equivalent standard approved by the
				Administrator of the Division.
2. A
				person endorsed as a critical care paramedic in emergency medical services may
				only practice within that role pursuant to a service protocol approved by the
				medical director of the service and on file with the Division.
Added to NAC by Bd. of
				Health, A by
				R024-14,
				eff. 10/24/2014; A by
				R068-16A,
				eff. 1/27/2017
NRS
				450B.120
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Endorsement as Critical Care Paramedic › Section 450B.382 - Expiration; renewal

Current through June 11, 2024
1. An endorsement
				as a critical care paramedic in emergency medical services expires on the date
				of expiration appearing on the certificate of the paramedic who receives the
				endorsement.
2. The endorsement is
				renewable if the holder of the endorsement verifies participation as a critical
				care paramedic for at least 48 hours of emergency medical training beyond the
				scope of practice of a paramedic equivalent to the national standard set forth
				by the National Highway Traffic Safety Administration of the United States
				Department of Transportation for a critical care paramedic or an equivalent
				standard approved by the Administrator of the Division.
Added to NAC by Bd. of
				Health, A by
				R024-14,
				eff. 10/24/2014
NRS
				450B.120
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Authorized Activities › Section 450B.383 - Emergency medical technician: Authorized practices (Repealed)

Current through June 11, 2024
Added to NAC by Bd. of
				Health, eff. 8-1-91; A by R055-99, 9-27-99; R182-01, 3-5-2002; R by
				
				R024-14, eff. 10/24/2014
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Authorized Activities › Section 450B.384 - Emergency medical technician: Practice beyond scope of certificate prohibited; exception

Current through June 11, 2024
The holder of a certificate issued pursuant to
				NAC 450B.360 shall not practice beyond the scope of the certificate unless
				authorized by the health authority which issued the certificate.
Added to NAC by Bd. of Health, eff.
				11-1-95
NRS
				450B.120,
				450B.180
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Authorized Activities › Section 450B.385 - Intermediate emergency medical technician: Authorized practices (Repealed)

Current through June 11, 2024
Added to NAC by Bd. of
				Health, eff. 11-12-87; A 8-1-91; R182-01, 3-5-2002; R by
				
				R024-14, eff. 10/24/2014
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Authorized Activities › Section 450B.390 - Performance of special procedures: Venipuncture, management of airways, administration of medication and performance of intraosseous infusion (Repealed)

Current through June 11, 2024
Bd. of Health,
				Ambulance Reg. § 14.003 subsec. 3, eff. 6-6-76; A and renumbered as §
				16.6.2, 2-28-80; §§ 16.6-16.6.1.4 & 16.7-16.9, eff. 2-28-80;
				§ 14.003 subsec. 5, eff. 6-6-76; A and renumbered as § 16.10,
				2-28-80-NAC A 10-14-82; 8-22-86; 8-1-91; R045-97, 10-30-97; R182-01, 3-5-2002;
				R by
				
				R024-14, eff. 10/24/2014
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Authorized Activities › Section 450B.400 - Certification: Qualifications (Repealed)

Current through June 11, 2024
Bd. of Health, Life
				Support Reg. §§ 2.1-2.2.1, eff. 1-1-76; A 2-28-80-NAC A 10-14-82;
				11-12-87; 8-1-91; R045-97, 10-30-97; R182-01, 3-5-2002; R by
				
				R024-14, eff. 10/24/2014
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Authorized Activities › Section 450B.410 - Certification: Qualifications (Repealed)

Current through June 11, 2024
Bd. of Health, Life
				Support Reg. § 8.1, eff. 1-1-76; A and renumbered as §§
				8.1-8.1.5, 2-28-80-NAC A 10-14-82; 8-22-86; 11-12-87; 8-1-91; R045-97,
				10-30-97; R182-01, 3-5-2002; R by
				
				R024-14, eff. 10/24/2014
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Authorized Activities › Section 450B.420 - Certification: Expiration; examination of retention of skills of holder for maintenance; renewal (Repealed)

Current through June 11, 2024
Bd. of Health, Life
				Support Reg. §§ 7.1 & 7.1.1, eff. 1-1-76; A 2-28-80-NAC A
				10-14-82; 8-22-86; 11-12-87; 8-1-91; R045-97, 10-30-97; R182-01, 3-5-2002; R by
				
				R024-14, eff. 10/24/2014
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Authorized Activities › Section 450B.425 - Certification: Late renewal (Repealed)

Current through June 11, 2024
Added to NAC by Bd. of
				Health, eff. 8-22-86; A 11-12-87; 8-1-91; R045-97, 10-30-97; R182-01, 3-5-2002;
				R by
				
				R024-14, eff. 10/24/2014
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Authorized Activities › Section 450B.440 - Requirements for program of training

Current through June 11, 2024
A program of training in the State of Nevada
				for paramedics must be at least equivalent to the national standard prepared by
				the National Highway Traffic Safety Administration of the United States
				Department of Transportation as a national standard for paramedics. The program
				must be supervised by a physician but may be coordinated by a registered nurse
				with an endorsement as an instructor or paramedic with an endorsement as an
				instructor. The faculty must be composed of appropriate professional, academic
				and technical instructors. The program must be approved by the Division and
				be:
1. Licensed by the Commission on
				Postsecondary Education to conduct a program of training in emergency medical
				services; or
2. Conducted by a
				community college or a university, accredited by the Department of Education,
				in conjunction with a hospital licensed by the Division.
Bd. of Health, Life
				Support Reg. §§ 3.1-3.5.2, eff. 1-1-76; A and renumbered as
				§§ 3.1-3.6.2, 2-28-80-NAC A 10-14-82; 8-22-86; 11-12-87; 8-1-91;
				R045-97, 10-30-97; R182-01, 3-5-2002; A by
				
				R024-14, eff. 10/24/2014
NRS
				450B.120,
				450B.195
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Authorized Activities › Section 450B.443 - Renewal of certificate; reexamination (Repealed)

Current through June 11, 2024
Added to NAC by Bd. of
				Health, eff. 11-12-87; A 8-1-91; R182-01, 3-5-2002; R by
				
				R024-14, eff. 10/24/2014
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Authorized Activities › Section 450B.447 - Additional authorized activities; verbal orders

Current through June 11, 2024
1. An
				emergency medical technician, advanced emergency medical technician or
				paramedic who is licensed may, in addition to his or her other authorized
				activities:
(a) During training received in a
				clinical facility setting, in an ambulance or on the scene of an emergency,
				perform skills within the scope of an advanced emergency medical technician or
				paramedic under the direction of a physician or a registered nurse supervised
				by a physician, preceptor or member of the clinical staff when approved by a
				physician or a registered nurse supervised by a physician.
(b) Under the direct supervision of a
				physician or a registered nurse supervised by a physician, or under such
				prescribed conditions as are set forth by the medical director pursuant to
				written protocols of the service, perform such procedures and administer such
				medications as are approved by the board and recommended by the medical
				director of the service in accordance with written protocols approved by the
				medical director of the service and on file with the Division.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Authorized Activities › Section 450B.450 - Provision of care, supplies and equipment by hospital or service; staffing of ambulance or air ambulance

Current through June 11, 2024
1. Any hospital or
				service which meets the minimum requirements established by the board in NAC
				450B.461 to 450B.481, inclusive, may use licensed attendants who are paramedics
				to provide emergency care to the sick and injured:
(a) At the scene of an emergency and during
				transport to a hospital;
(b) During
				transfer of a patient from a hospital to another medical facility or other
				location; and
(c) While in an
				emergency department of a hospital until responsibility for care is assumed by
				the regular staff of the hospital.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY CARE › Authorized Activities › Section 450B.455 - Documentation of care provided to patients

Current through June 11, 2024
An attendant shall document all care care
				provided at each level of contact with a patient and submit this documentation
				in a manner prescribed by the Division.
Added to NAC by Bd. of
				Health, eff. 10-14-82; A 8-22-86; 11-12-87; 8-1-91-Substituted in revision for
				NAC 450B.494; A by
				R024-14,
				eff. 10/24/2014
NRS
				450B.120
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY MEDICAL DISPATCHERS › Section 450B.456 - Qualifications for certification

Current through June 11, 2024
1. To be certified
				as an emergency medical dispatcher, an applicant must:
(a) Be 18 years of age or older;
				and
(b) Successfully complete
				training pursuant to a national standard for emergency medical dispatchers or
				an equivalent standard approved by the Division.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY MEDICAL DISPATCHERS › Section 450B.457 - Certification of applicant trained in another state

Current through June 11, 2024
1. The
				Division may issue a certificate as an emergency medical dispatcher to an
				applicant who is trained in another state if:
(a) The applicant:
(1) Is a resident of Nevada;
(2) Will be a resident of Nevada within 6
				months after applying for a certificate;
(3) Is a resident of another state and is
				employed by an agency that is responsible for emergency medical dispatch within
				the State of Nevada; or
(4) Is
				attending a course of training held in this State and approved by the
				Division.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY MEDICAL DISPATCHERS › Section 450B.458 - Expiration and renewal of certificate

Current through June 11, 2024
1. A certificate as
				an emergency medical dispatcher expires on the date of expiration appearing on
				the certificate and, after the initial period, expires biennially. The Division
				shall designate the date of expiration of each certificate.
2. Such a certificate may be renewed if:
(a) The Division determines that the holder
				of the certificate has, before the date of expiration, successfully completed:
(1) A course of continuing training that is
				at least equivalent to the national standard prepared by the National Highway
				Traffic Safety Administration of the United States Department of Transportation
				as a national standard as a refresher course for emergency medical dispatchers
				and is offered by a training center or approved by the Division; or
(2) Any other program of continuing education
				that is approved by the Division. Such a program must not be approved unless
				the requirement for attendance for that program for an emergency medical
				dispatcher is at least 8 hours.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › EMERGENCY MEDICAL DISPATCHERS › Section 450B.459 - Late renewal of certificate

Current through June 11, 2024
If an emergency medical dispatcher is unable to
				attend a course for continuing training required to renew his or her
				certificate, or otherwise comply with the requirements for renewal, within the
				prescribed period, he or she may submit a written request for a late renewal on
				a form provided by the Division.
Added to NAC by Bd. of Health by
				R182-01, eff. 3-5-2002; A by
				R068-16A,
				eff. 1/27/2017
NRS 450B.120 and
				450B.155
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › CONTROLLED SUBSTANCES AND DANGEROUS DRUGS › Section 450B.461 - Restrictions on authority to administer

Current through June 11, 2024
1. No paramedic may
				administer any controlled substance as defined in the preliminary chapter of
				NRS to a patient while serving as an attendant in a service unless the
				controlled substance is named on the inventory of medication issued by the
				medical director of the service and:
(a) An
				order is given to the paramedic by a physician or a registered nurse supervised
				by a physician; or
(b) The
				paramedic is authorized to administer the controlled substance pursuant to a
				written protocol that is approved by the medical director of the service and on
				file with the Division.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › CONTROLLED SUBSTANCES AND DANGEROUS DRUGS › Section 450B.465 - Storage and security

Current through June 11, 2024
1. Each dangerous
				drug and controlled substance used by a service must be stored:
(a) In its original container, and each
				original container must bear a securely attached label which is legibly marked;
				and
(b) Under appropriately
				controlled climatic conditions.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › CONTROLLED SUBSTANCES AND DANGEROUS DRUGS › Section 450B.471 - Administration: Reporting requirements; discarding of unused portion of unit dose

Current through June 11, 2024
1. Each time a
				paramedic or registered nurse administers a controlled substance or an advanced
				emergency medical technician, paramedic or registered nurse administers a
				dangerous drug, an entry must be made on the report of emergency care. The
				entry must contain:
(a) The name of the
				medication administered;
(b) The
				dose of the medication administered;
(c) The route of administration;
(d) The date and time of
				administration;
(e) The name of the
				physician ordering the medication if the medication is ordered outside of a
				standing protocol;
(f) The
				signature, electronic signature or initials of the person who administered the
				medication and the emergency medical services number of that person;
				and
(g) If a registered nurse
				administered the medication, the emergency medical services number or license
				number of that nurse;
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › CONTROLLED SUBSTANCES AND DANGEROUS DRUGS › Section 450B.475 - Supplying of controlled substances; handling, use and maintenance of controlled substances and dangerous drugs; procedures to address discrepancies

Current through June 11, 2024
1. Controlled substances used by a service
				must be supplied as follows:
(a) The medical
				director of the service shall designate one or more commercial or hospital
				pharmacies for the issuance and resupply of controlled substances.
(b) The initial issue of controlled
				substances must be made by a prescription signed by the medical
				director.
(c) The resupply of
				controlled substances must be made by a prescription signed by the ordering
				physician, receiving physician or medical director.
(d) If a container of a controlled substance
				becomes damaged or contaminated The medical director shall verify the damage or
				contamination and sign a prescription for the replacement of the controlled
				substance;
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › CONTROLLED SUBSTANCES AND DANGEROUS DRUGS › Section 450B.481 - Controlled substances: Record of usage; inventory

Current through June 11, 2024
1. A
				record of usage must accompany the controlled substances used by a
				service.
2. Each time a controlled
				substance is administered to a patient, an entry must be made in the record.
				The entry must include the:
(a) Date and time
				the medication was administered;
(b) Incident number, patient number or name
				of the patient to whom the medication was administered;
(c) Dose of medication
				administered;
(d) Amount of
				medication wasted, if any;
(e) Name
				of the ordering physician if the medication was ordered outside of a standing
				protocol; and
(f) Signature of the
				paramedic or registered nurse who administered the medication.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › COMMUNITY PARAMEDICINE SERVICES › Section 450B.482 - Application to provide services; maintenance of protocols by Division; submission of revised protocols; holder of endorsement required to adopt quality improvement program; penalty for providing services without endorsement

Current through June 11, 2024
1. A holder of a permit that wishes to
				provide community paramedicine services must submit an application to the
				Division in the form prescribed by the Division. The application must include:
(a) A statement of the level of care that the
				applicant intends to provide through community paramedicine services;
(b) A description of the community
				paramedicine services that the applicant intends to provide;
(c) A letter of support from the medical
				director of the applicant;
(d)
				Evidence that the applicant has implemented a system for charting
				patients;
(e) A list of vehicles
				that the applicant intends to use to provide community paramedicine
				services;
(f) Evidence that
				providing community paramedicine services will not adversely affect the
				capability of the applicant to respond to an emergency;
(g) Protocols that the applicant intends to
				use when providing community paramedicine services, which must have been
				approved by the medical director of the applicant;
(h) A statement that the applicant will
				submit the report required by NRS 450B.1996; and
(i) Any additional information required by
				the Division.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › COMMUNITY PARAMEDICINE SERVICES › Section 450B.484 - Quarterly report: Additional information required

Current through June 11, 2024
In addition to the
				information required by NRS 450B.1996, the quarterly report described in that
				section must include:
1. The number of
				patients to whom the holder of the permit provided community paramedicine
				services during the previous quarter;
2. A description of the quality improvement
				program and the program to prevent waste, fraud and abuse adopted as required
				by section 8 ; and
3. An estimate
				of the number of transports, visits to the emergency department of a hospital
				and admissions or readmissions to a hospital that have been avoided due to the
				provision of community paramedicine services by the holder of the endorsement
				during the previous quarter.
Added to NAC by Bd. of
				Health by
				R068-16A,
				eff. 1/27/2017
NRS 450B.120, 450B.1993 and
				450B.1996
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › COMMUNITY PARAMEDICINE SERVICES › Section 450B.486 - Requirements for course of training in community paramedicine services

Current through June 11, 2024
1. A course of training in community
				paramedicine services must:
(a) Consist of
				five modules, with each module concentrating on a topic set forth in this
				paragraph. The modules must provide instruction concerning the role of the
				community paramedic in the health care system, social determinants of health,
				the role of the community paramedic in public and primary care, cultural
				competency and personal safety and wellness for the community
				paramedic.
(b) Have an attendance
				requirement of not less than:
(1) For the
				emergency medical technician level, 30 hours of didactic instruction and 12
				clinical hours in a setting authorized by subsection 2;
(2) For the advanced emergency medical
				technician level, 34 hours of didactic instruction and 12 clinical hours in a
				setting authorized by subsection 2; and
(3) For the paramedic level, 52 hours of
				didactic instruction and 24 clinical hours in a setting authorized by
				subsection 2.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › COMMUNITY PARAMEDICINE SERVICES › Section 450B.488 - Attendant community paramedicine endorsement: Application; qualifications; scope of practice; penalty for providing services without endorsement or beyond scope of practice

Current through June 11, 2024
1. An emergency
				medical provider may apply to the Division for an attendant community
				paramedicine endorsement in the form prescribed by the Division. The
				application must include proof that the applicant:
(a) Meets the requirements to provide
				community paramedicine services prescribed in subsection 2 of NRS 450B.250;
				and
(b) Has successfully completed
				a course of training in community paramedicine services that:
(1) Has been approved by the Division and the
				medical director of the service for which the applicant intends to provide
				community paramedicine services; and
(2) Meets the requirements of section 11
				.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › COMMUNITY PARAMEDICINE SERVICES › Section 450B.489 - Attendant community paramedicine endorsement: Expiration; renewal

Current through June 11, 2024
1. An attendant community paramedicine
				endorsement expires on the date on which the license issued to the holder of
				the endorsement expires or 2 years after the date on which the endorsement is
				issued, whichever is sooner.
2. The
				holder of an attendant community paramedicine endorsement may renew his or her
				endorsement by submitting an application to the Division in the form prescribed
				by the Division. The application must include proof that the applicant:
(a) Meets the requirements to provide
				community paramedicine services prescribed in subsection 2 of NRS 450B.250;
				and
(b) Has successfully completed
				the continuing education required by subsection 3. 3. To renew an attendant
				community paramedicine endorsement, the holder of the endorsement must have,
				during the 2 years immediately preceding the date on which he or she submits
				the application for renewal, completed:
(a) At
				the emergency medical technician level, 4 hours;
(b) At the advanced emergency medical
				technician level, 8 hours; and
(c)
				At the paramedic level, 12 hours, of continuing education in clinical topics
				that have been approved by the medical director of the service for which the
				holder is an employee or volunteer.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › ENDORSEMENT TO ADMINISTER IMMUNIZATIONS, DISPENSE MEDICATIONS AND RESPOND TO PUBLIC HEALTH NEEDS › Section 450B.493 - Application; qualifications; proof of certification as advanced emergency medical technician or paramedic; fee not required

Current through June 11, 2024
1. To receive
				an endorsement to administer immunizations, dispense medications and prepare
				and respond to certain public health needs, an applicant must:
(a) Provide verification of current
				certification as an advanced emergency medical technician or paramedic which is
				issued pursuant to this chapter and chapter 450B of NRS;
(b) Provide proof of the successful
				completion of a training program for a vaccine approved by the Division;
				and
(c) Demonstrate the ability to
				administer a vaccination as part of the process for verifying the skills of the
				advanced emergency medical technician or paramedic for renewal of his or her
				certificate pursuant to NAC 450B.380.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › ENDORSEMENT TO ADMINISTER IMMUNIZATIONS, DISPENSE MEDICATIONS AND RESPOND TO PUBLIC HEALTH NEEDS › Section 450B.496 - Authorized activities

Current through June 11, 2024
1. A person who
				receives an endorsement pursuant to NAC 450B.493 may participate in:
(a) A public vaccination clinic or training
				exercise sponsored by a local public health authority if:
(1) A list of the emergency medical
				technicians with an endorsement who are participating in the clinic or training
				exercise is approved by the Division or a validation of the endorsement of each
				emergency medical technician is received by the local public health authority
				before the clinic or training exercise begins; and
(2) The person who holds the endorsement is
				under the direct supervision of the local health officer, or his or her
				designee, of the jurisdiction in which the immunization is
				administered.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › ENDORSEMENT TO ADMINISTER IMMUNIZATIONS, DISPENSE MEDICATIONS AND RESPOND TO PUBLIC HEALTH NEEDS › Section 450B.497 - Expiration and renewal; fee not required

Current through June 11, 2024
1. An endorsement
				issued pursuant to NAC 450B.493 expires on the date of expiration of the
				person's certificate as an advanced emergency medical technician or paramedic
				or on the date the certificate is suspended or revoked.
2. To renew such an endorsement, the person
				who holds the endorsement must, before the endorsement expires:
(a) Submit an application and meet the
				requirements to renew his or her certificate as an or paramedic advanced
				emergency medical technician pursuant to NAC 450B.380;
(b) Demonstrate the ability to administer a
				vaccination as part of the process for verifying the skills of the advanced
				emergency medical technician or paramedic for renewal of his or her certificate
				pursuant to NAC 450B.380; and
(c)
				Submit an application to renew his or her endorsement to administer
				immunizations evidencing that he or she has met the requirements of this
				section.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.505 - Permit required; appointment, powers and duties of medical director

Current through June 11, 2024
1. Each service providing emergency care
				must:
(a) Apply for and receive a permit from
				the Division; and
(b) Have a
				medical director who is responsible for developing, carrying out and evaluating
				standards for the provision of emergency care by the service.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.510 - Permits: Application; renewal

Current through June 11, 2024
1. Within 30 days
				after receipt of an application to operate a service the Division shall:
(a) Have an investigation made of the
				applicant, his or her proposed service and the information contained in the
				application; and
(b) Upon
				completion of the investigation, issue a permit authorizing him or her to
				operate the service or a written rejection of the application on any ground set
				forth in NAC 450B.520, setting forth the reasons for the rejections and
				notifying the applicant of the right to appeal pursuant to NAC 439.300 to
				439.395, inclusive.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.515 - Ambulance permits: Fee

Current through June 11, 2024
The fee for an initial application for a
				permit, in the amount set forth in NAC 450B.700, or the number of a purchase
				order issued by a governmental entity in the amount of the fee, must accompany
				the application when submitted to the Division. The fee for a renewal of a
				permit, in the amount set forth in NAC 450B.700, or the number of a purchase
				order issued by a governmental entity in the amount of the fee, must accompany
				any application for a renewal of a permit. These fees are not
				refundable.
Added to NAC by Bd. of
				Health, eff. 10-14-82; A by
				
				R024-14, eff. 10/24/2014
NRS
				450B.120,
				450B.200
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.520 - Permits: Denial of application

Current through June 11, 2024
The Division may disapprove an application for
				a permit or an application for the renewal of a permit to operate a service for
				one or more of the following reasons, regardless of the category of the
				proposed service or agency or its level of emergency care:
1. The applicant for a permit to operate an
				ambulance, air ambulance or agency's vehicle had previously held a business
				license or any other permit or license to operate such a service and that
				permit or license was revoked.
2.
				The applicant for a permit to operate an ambulance, air ambulance or agency's
				vehicle has a criminal record which might reasonably indicate that there is
				reasonable cause to believe that the applicant might not operate the service in
				a manner that would promote the health and general welfare of persons within
				this state who may need to use the service.
3. The applicant for a permit to operate an
				ambulance, air ambulance or agency's vehicle does not have the equipment,
				licensed attendants or medical director required by this chapter.
4. The applicant for a permit to operate an
				air ambulance does not meet the Federal Aviation Administration rules for
				certification under 14 C.F.R. Part 91 or 14 C.F.R. Part 135, or both, as
				published in the Federal Register, January 1, 1985.
Bd. of Health,
				Ambulance Reg. § 6.001, eff. 12-3-73; renumbered as §§
				6.1-6.1.4, 2-28-80-NAC A 10-14-82; 8-22-86; 8-1-91; R045-97, 10-30-97; A by
				R024-14,
				eff. 10/24/2014
NRS
				450B.120,
				450B.200
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.523 - Endorsement for operation at intermediate or advanced level (Repealed)

Current through June 11, 2024
Added to NAC by Bd. of
				Health, eff. 10-14-82; A 8-22-86; 8-1-91; R045-97, 10-30-97; R by
				
				R024-14, eff. 10/24/2014
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.526 - Application for permit

Current through June 11, 2024
The Division shall prescribe forms for an
				operator's use in applying for a permit to operate a service at the level of
				service of basic, intermediate or advanced emergency care. The following
				information must be included in the application:
1. The name and address of the applicant's
				service.
2. The name and signature
				of the medical director of the service.
3. A copy of the written agreement between
				the service and a hospital, signed by an authorized representative of the
				hospital, pursuant to which the hospital agrees to:
(a) Provide 24-hour communication between a
				physician and a provider of emergency care for the service; and
(b) Require each physician who provides
				medical instructions to the provider of emergency care to know:
(1) The procedures and protocols for
				treatment established by the medical director of the service;
(2) The emergency care required for treating
				an acutely ill or injured patient;
(3) The ability of the providers of emergency
				care to provide that care; and
(4)
				The policies of any local or regional emergency medical service for providing
				emergency care and the protocols for referring a patient with trauma, as
				defined in NAC 450B.798, to the hospital.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.529 - Permit: Investigation of applicant; issuance or rejection

Current through June 11, 2024
After
				receiving an application for a permit to operate a service at the level of
				service of basic, intermediate or advanced emergency care, or any combination
				thereof the Division shall, within 30 days after the receipt:
1. Have an investigation made of the
				applicant's proposed operations and the information contained in the
				application; and
2. Upon completion
				of the investigation, issue a permit authorizing the requested level of
				operations or a written rejection of the application on any ground prescribed
				in this chapter, setting forth the reasons for the rejection and notifying the
				applicant of the right to appeal pursuant to NAC 439.300 to 439.395,
				inclusive.
Added to NAC by Bd. of
				Health, eff. 10-14-82; A 8-22-86; 8-1-91; R045-97, 10-30-97; R182-01, 3-5-2002;
				A by
				R024-14,
				eff. 10/24/2014
NRS
				450B.120,
				450B.200
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.532 - Renewal of endorsement

Current through June 11, 2024
The Division may require a review of the
				applicant's operations or a submission of updated information as a condition of
				renewal of :
1. The permit to operate
				at a level of service of basic, intermediate or advanced emergency care, or any
				combination thereof ; or
2. A
				service community paramedicine endorsement.
Added to NAC by Bd. of
				Health, eff. 10-14-82; A 8-22-86; R045-97, 10-30-97; A by
				R024-14,
				eff. 10/24/2014; A by
				R068-16A,
				eff. 1/27/2017
NRS 450B.120, 450B.1993 and
				450B.200
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.535 - Endorsement to operate service or fire-fighting agency at specified levels of emergency care (Repealed)

Current through June 11, 2024
Bd. of Health,
				Ambulance Reg. §§ 5.001 & 5.002, eff. 12-3-73; A and renumbered
				as §§ 5.1-5.2, 2-28-80-NAC A 10-14-82; R182-01, 3-5-2002; R by
				
				R024-14, eff. 10/24/2014
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.540 - Display, alteration and transferability of permit

Current through June 11, 2024
1. The holder of a permit or provisional
				permit must display it prominently in his or her principal place of
				business.
2. If an official entry
				on any permit is altered, defaced or obliterated, the permit immediately
				becomes void.
3. A permit is not
				transferable. For the purpose of this subsection, if a permit is issued to a
				corporation or other business entity, a transfer of 50 percent or more of the
				voting shares or equitable ownership of the corporation or business entity
				shall be deemed a transfer of the permit.
[Bd. of Health, Ambulance Reg.
				§§ 5.001 & 5.002, eff. 12-3-73; A and renumbered as §§
				5.1-5.2, 2-28-80]-(NAC A 10-14-82; R182-01,
				3-5-2002)
NRS
				450B.120,
				450B.200
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.560 - Ambulance or agency's vehicle: Equipment and supplies

Current through June 11, 2024
Each ambulance , air
				ambulance or agency's vehicle must, during any period in which the ambulance ,
				air ambulance or agency's vehicle is used to provide emergency medical care,
				carry the equipment and supplies specified for the ambulance, air ambulance or
				agency's vehicle set forth in a written inventory that is filed with the
				Division by the service and included in the written protocols used by the
				service.
Bd. of Health,
				Ambulance Reg. §§ 8.001-9.003, eff. 12-3-73; A and renumbered as
				§§ 8.1-8.4.15, 2-28-80-NAC A 10-14-82; 8-22-86; 8-1-91; 5-18-92;
				R045-97, 10-30-97; R182-01, 3-5-2002; A by
				R024-14,
				eff. 10/24/2014
NRS
				450B.120,
				450B.130
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.562 - Air ambulance: Compliance with certain Federal Aviation Rules; required certification of aircraft

Current through June 11, 2024
To be operated as an air ambulance, an
				aircraft, whether a fixed- or rotary-wing type, must comply with all Federal
				Aviation Administration rules as they pertain to maintenance inspections,
				flight and duty time, contained in 14 C.F.R Part 135, entitled "Operating
				Requirements: Commuter and On Demand Operations and Rules Governing Persons On
				Board Such Aircraft."
Added to NAC by Bd. of
				Health, eff. 5-18-92; A by
				R024-14,
				eff. 10/24/2014
NRS
				450B.120,
				450B.130
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.564 - Air ambulance: Surveillance review for safety and compliance

Current through June 11, 2024
The
				Health Division shall not issue an original permit or renew a permit to operate
				an air ambulance service unless the service has received a satisfactory
				surveillance review for safety and compliance, issued by the local office of
				the Federal Aviation Administration and the office holding the certificate of
				responsibility for the aircraft.
Added to NAC by Bd. of Health, eff.
				5-18-92; A by R045-97, 10-30-97
NRS
				450B.120,
				450B.200
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.566 - Air ambulance: Landing site for helicopters

Current through June 11, 2024
1. An air
				ambulance service using helicopters shall make available training in the proper
				marking and securing of a safe area for landing to emergency medical personnel,
				fire agency personnel and law enforcement personnel used at the landing
				site.
2. A landing site used for
				the transport of a patient by an air ambulance service using a helicopter must
				have:
(a) Ground clearance appropriate to the
				specifications and requirements of the aircraft; and
(b) Sufficient lighting to define the landing
				site.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.568 - Air ambulance: Restriction on transfer of patients from one hospital to another

Current through June 11, 2024
A patient must not be transferred by air
				ambulance from one hospital to another unless such transfer has been determined
				necessary by a physician, physician assistant or advanced practice registered
				nurse at the medical facility requesting the transfer of the patient and the
				transfer has been confirmed and accepted by the medical facility receiving the
				transfer of the patient.
Added to NAC by Bd. of
				Health, eff. 5-18-92; A by
				
				R024-14, eff. 10/24/2014; A by
				R068-16A,
				eff. 1/27/2017
NRS
				450B.120