reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › BUSINESSES THAT PROVIDE REFERRALS TO RESIDENTIAL FACILITIES FOR GROUPS › Section 449.27813 - "Client" defined

Current through June 11,
			 2024
"Client" means a person who is referred by a referral agency
				for compensation to a group housing arrangement.
Added to NAC by Bd. of
				Health by R132-99, eff. 11-29-99; A by
				R048-22A,
				eff. 12/29/2022
NRS 439.200,
				  449.0302,
				  449.0305
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › BUSINESSES THAT PROVIDE REFERRALS TO RESIDENTIAL FACILITIES FOR GROUPS › Section 449.27817 - "Financial assessment" defined

Current through June 11,
			 2024
"Financial assessment" means an assessment to determine the
				intended source of payment by a client for services which will be provided by a
				group housing arrangement for 6 months, including the eligibility status of the
				client for services as determined by Medicaid and Medicare.
Added to NAC by Bd. of
				Health by R132-99, eff. 11-29-99; A by
				R048-22A,
				eff. 12/29/2022
NRS 439.200,
				  449.0302,
				  449.0305
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › BUSINESSES THAT PROVIDE REFERRALS TO RESIDENTIAL FACILITIES FOR GROUPS › Section 449.27819 - "Needs assessment" defined

Current through June 11,
			 2024
"Needs assessment" means an assessment of a client to document
				the abilities of the client to function independently, including a complete
				list of the areas in which the client requires assistance.
Added to NAC by Bd. of
				Health by R132-99, eff. 11-29-99
NRS
				  449.0302,
				  449.0305
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › BUSINESSES THAT PROVIDE REFERRALS TO RESIDENTIAL FACILITIES FOR GROUPS › Section 449.27821 - "Residential facility for groups" defined (Repealed)

Current
			 through June 11, 2024
Added to NAC by Bd. of
				Health by R132-99, eff. 11-29-99; R by
				R048-22A,
				eff. 12/29/2022
NRS 439.200,
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › BUSINESSES THAT PROVIDE REFERRALS TO RESIDENTIAL FACILITIES FOR GROUPS › Section 449.27823 - License not required by certain persons to make referrals; application for licensure

Current through June 11,
			 2024
1. A licensed nurse
			 or social worker working in a medical facility or a facility for the dependent
			 licensed by the Bureau may make a referral for a client of the facility or
			 program to a group housing arrangement without first obtaining a license to
			 operate as a referral agency. A person employed by this State or the governing
			 body of any county or city within this State, who is employed in a position in
			 which the person's duties require him or her to make referrals for clients to
			 group housing arrangements, may make those referrals without first obtaining a
			 license to operate as a referral agency.
2. An applicant for a license to operate as a
			 referral agency must submit to the Division a completed application on a form
			 provided by the Division. The application for the initial license must include,
			 without limitation:
(a) Evidence that the
			 applicant has obtained a contract of insurance for protection against liability
			 to third persons which may be incurred while operating as a referral agency;
			 and
(b) The physical address of the
			 applicant where the records of the referral agency will be
			 maintained.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › BUSINESSES THAT PROVIDE REFERRALS TO RESIDENTIAL FACILITIES FOR GROUPS › Section 449.27827 - Requirements for employees

Current through June 11,
			 2024
1. Employees of a
			 referral agency must have a working knowledge of the provisions of NRS and NAC
			 that govern the licensing of group housing arrangements.
2. An employee of a referral agency who is
			 not licensed as a nurse, social worker, physician or physician assistant shall
			 not gather any information needed to complete a needs assessment or financial
			 assessment of a client, or engage in the process of referring a client to a
			 group housing arrangement.
Added to NAC by Bd. of
				Health by R132-99, eff. 11-29-99; A by
				R048-22A,
				eff. 12/29/2022
NRS 439.200,
				  449.0302,
				  449.0305
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › BUSINESSES THAT PROVIDE REFERRALS TO RESIDENTIAL FACILITIES FOR GROUPS › Section 449.27829 - Responsibilities of referral agency

Current through June 11,
			 2024
1. A referral
			 agency shall:
(a) Complete a needs assessment
			 and financial assessment for each client and make referrals for the services
			 that would best meet the physical, psychosocial and financial needs and wishes
			 of the client; and
(b) Submit to
			 the group housing arrangement to which a client is referred a copy of the needs
			 assessment completed by the referral agency for the client.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › BUSINESSES THAT PROVIDE REFERRALS TO RESIDENTIAL FACILITIES FOR GROUPS › Section 449.27831 - Contract for services; fees; maintenance of client records

Current
			 through June 11, 2024
1.
			 Before a referral agency may provide any services to a client, the referral
			 agency must obtain a written contract from the client or his or her legal
			 representative to provide the services. The contract must:
(a) Be signed by a representative of the
			 referral agency and the person who is paying for the services or his or her
			 representative; and
(b) Include,
			 without limitation, a description of the services to be provided pursuant to
			 the contract and all fees associated with the provision of those
			 services.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › General Provisions › Section 449.279 - Definitions

Current through June 11, 2024
As used in NAC
				  449.279 to
				  449.394, inclusive, unless the
				  context otherwise requires, the words and terms defined in NAC
				  449.286 to
				  449.300, inclusive, have the
				  meanings ascribed to them in those sections.
Supplied in
				  codification; A by Bd. of Health 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 › HOSPITALS › General Provisions › Section 449.285 - "General hospital" defined (Repealed)

Current through June 11,
				2024
Bd. of Health, Health
				  Facilities Reg. Part I part Ch. III, eff. 10-9-69-NAC A by R050-99, 9-27-99; R
				  by
				  R048-22A,
				  eff. 12/29/2022
NRS 439.200,
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › General Provisions › Section 449.286 - "Governing body" defined

Current through June 11,
				2024
"Governing body" means the person or group of persons,
				  including a board of trustees, board of directors or other body, in whom the
				  final authority and responsibility is vested for conduct of a hospital.
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 › General Provisions › Section 449.287 - "Hospital" defined

Current through June 11,
				2024
"Hospital" has the meaning ascribed to it in
				  NRS
				  449.012.
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 › General Provisions › Section 449.289 - "Inpatient" defined

Current through June 11,
				2024
"Inpatient" means a person who has been formally admitted
				  into a hospital for diagnosis or treatment.
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 › General Provisions › Section 449.297 - "Outpatient" defined

Current through June 11,
				2024
"Outpatient" means a person who has been registered or
				  accepted for care in a hospital but who has not been formally admitted as an
				  inpatient, and who does not remain in the hospital for more than 48
				  hours.
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 › General Provisions › Section 449.298 - "Outpatient department" defined

Current through June 11,
				2024
"Outpatient department" means that part of a hospital used
				  for the treatment and diagnosis of patients not residing in the
				  hospital.
Bd. of Health, Health
				  Facilities Reg. Part I part Ch. III, eff. 10-9-69
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › General Provisions › Section 449.299 - "Patient" defined

Current through June 11,
				2024
"Patient" means a person who:
1. Is receiving diagnostic, therapeutic or
				preventive health services; or
2.
				Is under observation or treatment for an illness or injury, or under care
				during and after pregnancy.
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 › General Provisions › Section 449.300 - "Restraint" defined

Current through June 11,
				2024
"Restraint" means the control of the activity of a patient to
				  protect the patient or others from injury by the seclusion of the patient or
				  the use of mechanical devices. The term does not include the control of the
				  activity of a patient by the use of mechanical supports that are used in
				  rehabilitative situations to achieve proper body alignment.
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 › Licensing and Administration › Section 449.307 - Applicability of license; coverage against certain liabilities

Current through June 11, 2024
1. A hospital must be operated and conducted
				in the name designated on the license, with the name of the person responsible
				for its operation also appearing on the face of the license. The license is not
				transferable.
2. Each hospital must
				retain proof that it is adequately covered against liabilities resulting from
				claims incurred in the course of operation.
3. Except as otherwise provided in this
				subsection, separate licenses are required for hospitals which are maintained
				on separate premises even though the hospitals are under the same management.
				The provisions of this subsection do not apply to outpatient departments,
				clinics or separate buildings on the same grounds.
4. A separate license is not required for the
				provision of special services within a hospital. This subsection does not
				relieve a hospital to which a special service is being added from the
				requirement of obtaining the approval of the Division to amend its license
				pursuant to
				NRS
				449.087 before providing that
				service.
Bd. of Health, Health
				  Facilities Reg. Part II Ch. II §§ 1-4, eff. 10-9-69; A 8-26-74-NAC A
				  by R044-97, 10-30-97; R050-99, 9-27-99; R117-05,
				  11-17-2005
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Licensing and Administration › Section 449.310 - Limitation on number of patients; annual on-site inspection not required under certain circumstances

Current through June 11,
				2024
1. A hospital shall
				not have more patients than the number of beds for which it is licensed, except
				in emergencies. If there is an emergency, the hospital shall notify the
				Bureau.
2. If a hospital is
				accredited by the Joint Commission on Accreditation of Healthcare Organizations
				or the American Osteopathic Association, the Bureau is not required to make an
				annual on-site inspection of the hospital.
Bd. of Health, Health
				  Facilities Reg. Part II Ch. II §§ 5-9, eff. 10-9-69; A 8-26-74-NAC A
				  by R035-97, 10-30-97; R050-99, 9-27-99
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Licensing and Administration › Section 449.312 - Change in ownership, use or construction; correction of deficiencies

Current through June 11, 2024
1. Upon a change in ownership, change of use
				or change in construction, a hospital shall notify the Bureau of the changes
				and identify all areas of noncompliance with the guidelines specified in NAC
				449.3154 before the change in ownership, use or construction may take
				place.
2. Upon a change of use or
				change in construction, a hospital must come into compliance with the
				guidelines before it may admit patients into the area in which the change is
				made.
3. The Bureau shall notify a
				hospital in writing of the existence of any deficiencies and the hospital shall
				correct those deficiencies within a reasonable amount of time. Except for major
				deficiencies, including deficiencies which require structural alterations of a
				building or a portion of a building, and except as otherwise provided in this
				subsection, reasonable time for the purposes of this subsection shall be deemed
				to be not more than 180 days. Upon written request and just cause shown, the
				Bureau may grant an extension of the time in which a deficiency must be
				corrected based on extenuating circumstances.
4. If the deficiencies are likely to cause
				serious injury, serious harm or impairment to public health and welfare, the
				hospital shall take immediate action to correct the deficiencies or the
				hospital will not be allowed to continue to operate.
Bd. of Health, Health
				  Facilities Reg. Part III Ch. I § XVI subsec. F, eff. 10-9-69; A 8-26-74;
				  Ch. II part § XI, 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 › Licensing and Administration › Section 449.313 - Responsibilities and duties of governing body; bylaws; appointment and duties of chief executive officer; protocol for organ donations; annual operating budget

Current through June 11, 2024
1. A hospital shall have an effective
				governing body which is legally responsible for the conduct of the
				hospital.
2. The governing body of
				a hospital shall adopt a workable set of bylaws which must be in writing and
				available to all members. The governing body shall:
(a) Determine, in accordance with state law,
				which categories of practitioners are eligible for appointment to the medical
				staff of the hospital;
(b) Appoint
				members to the medical staff after considering the recommendations of the
				existing members of the medical staff;
(c) Ensure that the medical staff has
				bylaws;
(d) Approve the bylaws of
				the medical staff and any other rules and regulations adopted by the medical
				staff;
(e) Ensure that the medical
				staff is accountable to the governing body for the quality of care which the
				medical staff provides to patients; and
(f) Ensure that the criteria for the
				selection of members to the medical staff include competence, training,
				experience and judgment.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Licensing and Administration › Section 449.314 - Quality of care; scope of services

Current through June 11,
				2024
1. A hospital must
				be administered in a manner that enables the hospital to use its resources
				effectively and efficiently to meet the needs of and provide quality care to
				its patients. The governing body of a hospital shall develop and provide
				services for the care of its patients based on the identified needs of those
				patients.
2. The scope of services
				provided by each department, unit or service within a hospital must be defined
				in writing and must be approved by the administration and the medical staff of
				the hospital. Each department, unit or service within a hospital shall provide
				patient care in accordance with its scope of services. The policies and
				procedures of a hospital and of each department, unit or service within the
				hospital must, to the extent necessary, be integrated with the policies and
				procedures of the other departments, units and services within the
				hospital.
3. The governing body of
				a hospital shall:
(a) Ensure that the
				competence of all members of the hospital staff is assessed, maintained,
				demonstrated and improved;
(b)
				Provide an orientation process for persons hired to work at the hospital that
				includes initial job training and information; and
(c) Assess the ability of the members of the
				hospital staff to fulfill their specified responsibilities.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Licensing and Administration › Section 449.3152 - Quality improvement program

Current through June 11,
				2024
1. The governing
				body of a hospital shall ensure that the hospital has an effective,
				comprehensive quality improvement program to evaluate the provision of care to
				its patients.
2. The quality
				improvement program must:
(a) Be
				ongoing;
(b) Include a written plan
				for carrying out the program; and
(c) Provide for the creation of a committee
				to oversee the program.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Licensing and Administration › Section 449.3154 - Construction, remodeling, maintenance and change of use: General requirements; prerequisites to approval of licensure

Current through June 11,
				2024
1. Except as
				otherwise provided in this section, a hospital shall comply with the provisions
				of
NFPA 101: Life Safety Code
, adopted by reference pursuant
				to NAC 449.0105.
2. Except as otherwise provided in this
				section, any new construction, remodeling or change in the use of a hospital
				must comply with the applicable provisions of the guidelines adopted by
				reference in paragraphs (c), (d) and (e) of subsection 1 of NAC
				449.0105, unless the remodeling
				is limited to refurbishing an area of the hospital, including, without
				limitation, painting the area, replacing the flooring in the area, repairing
				windows in the area and replacing window or wall coverings in the
				area.
3. Except as otherwise
				provided in subsection 4, a hospital shall meet all applicable:
(a) Federal and state laws;
(b) Local ordinances, including, without
				limitation, zoning ordinances; and
(c) Life safety, environmental, health, fire
				and local building codes, related to the construction and maintenance of the
				hospital. If there are any differences between the state and local codes, the
				more restrictive standards apply.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Licensing and Administration › Section 449.3156 - Compliance with certain guidelines for design and construction; correction of deficiencies

Current through June 11,
				2024
1. Notwithstanding
				any provision of NAC
				449.3154 to the contrary, a
				hospital shall be deemed to be in compliance with the applicable provisions of
				the guidelines adopted by reference in paragraphs (c), (d) and (e) of
				subsection 1 of NAC
				449.0105, if:
(a) The hospital submitted architectural
				plans to the Bureau on or before February 1, 1999;
(b) The hospital began construction on or
				before August 1, 1999;
(c) The
				plans were determined by the Bureau to be in compliance with the provisions of
				NAC 449.002 to
				449.99939, inclusive, that were
				in effect on December 1, 1998;
(d)
				The hospital is built in accordance with those provisions;
(e) The use of the physical space in the
				hospital has not changed; and
(f)
				There are no deficiencies in the construction of the hospital which are likely
				to cause serious injury, serious harm or impairment to public health and
				welfare.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.316 - Physical environment: Safety and well-being of patients; plan for emergency preparedness; safety management

Current through June
				11, 2024
1. The
				buildings of a hospital must be solidly constructed with adequate space and
				safeguards for each patient. The condition of the physical plant and the
				overall hospital environment must be developed and maintained in a manner so
				that the safety and well-being of patients are ensured.
2. A hospital shall develop and carry out a
				comprehensive plan for emergency preparedness which:
(a) Addresses internal and external
				emergencies, both local and widespread; and
(b) Is based on current standards for
				disaster management and fire safety.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.317 - Risk management

Current through June 11,
				2024
Each hospital shall have in effect a comprehensive program
				  for risk management and shall designate one person to be responsible for the
				  implementation and maintenance of the program for risk management.
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 449.318 - Accreditation by national accrediting organization required; exceptions; submission of proof of accreditation to Division; notification to Division if hospital ceases to be accredited

Current through June 11,
				2024
1. A hospital must
				be accredited by an approved national accrediting organization unless the
				hospital:
(a) Is a psychiatric hospital or
				rural hospital;
(b) Has been
				certified as a critical access hospital by the Secretary of Health and Human
				Services pursuant to 42
				U.S.C. §
											1395i-4(e);
(c) Contains a distinct part skilled nursing
				facility or a nursing facility, as defined in
				42 C.F.R. §
											483.5;
(d) Is a hospital described in
				42 U.S.C. §
											1395ww(d)(1)(B)(iv) and
				accepts payment through Medicare;
(e) Is owned by this State or a political
				subdivision thereof;
(f) Is
				licensed only for rehabilitation beds; or
(g) Was initially licensed before December
				19, 2018, and has been licensed continually after that date.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.319 - Requirements for personal needs of patients

Current through June
				11, 2024
1. A hospital
				shall provide patients access to their belongings as is appropriate based on
				the needs of the patients and the phase of treatment of the patients.
2. A hospital shall communicate and enforce a
				nonsmoking policy throughout the hospital.
3. A hospital shall provide a clean and
				comfortable bed and mattress for each patient. Bed linen, blankets, pillows,
				washcloths and towels that are clean and in good condition must be provided to
				each patient. A hospital shall have such systems as are necessary to ensure
				that an adequate supply of clean linen is provided to each patient.
4. A hospital shall provide each inpatient
				with necessary bedside equipment and supplies based on the needs of the
				inpatient. The necessary equipment and supplies must include, without
				limitation, a water pitcher and equipment for personal hygiene. The equipment
				and supplies must be maintained in a sanitary manner.
5. In public areas and in areas in which
				patient care is provided, a hospital shall:
(a) Provide adequate and comfortable lighting
				levels;
(b) Provide comfortable and
				safe temperature levels; and
(c)
				Maintain comfortable sound levels.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.321 - Requirement to be primarily engaged in providing certain services; determination of whether requirement is met; exemption for certain hospitals

Current through June 11, 2024
1. A hospital must be primarily engaged in
				providing the services described in
				42 U.S.C. §
										1395x(e)(1) to inpatients,
				unless the hospital:
(a) Is a psychiatric
				hospital or rural hospital;
(b) Has
				been certified as a critical access hospital by the Secretary of Health and
				Human Services pursuant to 42 U.S.C. §
											1395i-4(e); or
(c) Contains a distinct part skilled nursing
				facility or nursing facility, as defined in
				42 C.F.R. §
											483.5.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.322 - Housekeeping and laundry services

Current through June 11,
				2024
1. A hospital shall
				establish organized housekeeping services planned, operated and maintained to
				provide a pleasant, safe and sanitary environment. Adequate personnel, using
				accepted practices and procedures, shall keep the hospital free from offensive
				odors, accumulations of dirt, rubbish, dust and safety hazards.
2. Suitable equipment and supplies must be
				provided for cleaning all surfaces. The equipment must be maintained in a safe,
				sanitary condition. Storage areas, attics and cellars must be kept safe and
				free from accumulations of extraneous materials such as refuse, discarded
				furniture and equipment, and old newspapers. Combustibles such as cleaning rags
				and compounds and hazardous substances must be labeled properly and stored in
				safe places. Paper towels, tissues and similar supplies must be stored in a
				manner to prevent their contamination before use.
3. Cleaning must be performed in a manner to
				minimize the spread of pathogenic organisms. Floors must be cleaned regularly.
				Polishes on floors must provide a nonslip finish. Throw or scatter rugs must
				not be used except for nonslip entrance mats.
4. Housekeeping personnel must receive
				adequate supervision. Continuous in-service training programs must be
				established for housekeeping personnel.
5. A hospital shall develop and carry out
				standards and systems for the operation of laundry services. Laundry services,
				whether owned by the hospital or provided pursuant to a contract, must:
(a) Maintain standards for a safe work
				environment for employees;
(b)
				Address issues relating to the control of infections; and
(c) Be operated in a manner that does not
				disrupt the patient care provided by the hospital.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.325 - Prevention, control and investigation of infections and communicable diseases

Current through June 11,
				2024
1. A hospital
				shall:
(a) Provide a sanitary environment to
				avoid sources and transmission of infections and communicable diseases;
				and
(b) Develop and carry out an
				active program for the prevention, control and investigation of infections and
				communicable diseases.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.327 - Preparation, sterilization, storage and distribution of sterile supplies and medical and surgical equipment

Current through June 11,
				2024
1. To meet the
				ongoing needs of its patients, a hospital shall:
(a) Provide a designated area for the
				preparation, sterilization and storage of sufficient sterile supplies and
				medical and surgical equipment; and
(b) Dispense the sterile supplies and
				equipment to all departments, units and services within the hospital.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.329 - Admission of patients

Current through June 11,
				2024
A hospital shall:
1.
				Develop and carry out policies and procedures for admitting patients to the
				appropriate levels of care; and
2.
				Ensure that each patient, or the parent, guardian or other person legally
				responsible for the patient, receives information about the proposed care of
				the patient.
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 449.331 - Emergency services and medical care; transfer agreements

Current through June 11, 2024
1. A hospital shall develop and carry out
				policies and procedures to ensure that emergency services and medical care are
				provided in accordance with
				NRS
				439B.410 and
				450B.790 and
				42 C.F.R. §
										489.24 and to ensure compliance with the
				provisions of NRS
				450B.795.
2. All hospitals not having their own
				long-term facility shall have transfer agreements with long-term care
				facilities. Transfer agreements between facilities must be in writing and on
				file at each facility concerned. The agreements must provide for:
(a) The transfer of patients between
				facilities whenever the need for transfer is medically determined;
				and
(b) The exchange of appropriate
				medical and administrative information between facilities.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.332 - Discharge planning

Current through June 11,
				2024
1. A hospital
				shall:
(a) Have a process for discharge
				planning that applies to all inpatients; and
(b) Develop and carry out policies and
				procedures regarding the process for discharge planning.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.337 - Dietary services: General requirements

Current through June
				11, 2024
1. A hospital
				shall provide each patient with a nourishing, palatable, well-balanced diet
				that meets the daily nutritional and dietary needs of the patient.
2. The menu for a patient must meet the
				nutritional needs of the patient in accordance with:
(a) Recognized dietary practices;
				and
(b) The orders of the
				practitioners responsible for the care of the patient.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.338 - Dietary services: Provision for needs of patients; facilities; standards; permits; records

Current through June 11,
				2024
1. A hospital shall
				provide for the general dietary needs of its patients, including the
				preparation of modified special diets.
2. Adequate space for the preparation and
				service of food must be provided. Equipment for the preparation and service of
				food must be placed to provide aisles of sufficient width to permit easy
				movement of personnel, mobile equipment and supplies.
3. Well-ventilated food storage areas of
				adequate size must be provided.
4.
				Adequate space must be maintained to accommodate equipment, personnel and
				procedures necessary for the proper cleaning and sanitizing of dishes and other
				utensils.
5. Office or other
				suitable space must be provided for the dietitian and dietetic service
				supervisor.
6. In providing for the
				preparation and serving of food, a hospital shall:
(a) Comply with the standards prescribed in
				chapter 446 of NRS and the regulations adopted pursuant thereto;
(b) Obtain the necessary permits from the
				Division;
(c) Maintain a report of
				each inspection concerning the sanitation of the hospital for at least 1 year
				after the date of the inspection; and
(d) Maintain a report of each corrective
				action taken to address a deficiency noted in a report described in paragraph
				(c) for at least 1 year after the date of the corrective action.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.3385 - Dietary services: Personnel

Current through June 11,
				2024
1. A hospital shall
				maintain an organized dietary service that is staffed by an adequate number of
				personnel. The hospital shall ensure that personnel are on duty to provide
				dietary services for at least 12 hours each day and that the personnel are
				competent to perform their duties as outlined in their job descriptions. The
				dietary service must be integrated with the other departments, units and
				services within the hospital.
2.
				The dietary service must be under the direction of a licensed dietitian or
				other professional person who:
(a) Is
				qualified in the field of institutional management, nutritional sciences or
				hotel restaurant management;
(b)
				Has completed an academic program in culinary arts; or
(c) Is certified as a dietary manager by the
				Association of Nutrition & Foodservice Professionals and has additional
				work experience with medical and therapeutic diets.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.339 - Dietary services: Nutritional status of patients

Current
				through June 11, 2024
1.
				A hospital shall carry out a program for the systematic nutritional
				risk-screening of its patients to detect actual and potential malnutrition at
				an early stage.
2. A hospital shall
				ensure that each patient maintains acceptable parameters of nutritional status,
				including, without limitation, body weight and protein levels, unless the
				patient's clinical condition demonstrates that the maintenance of those
				parameters is not possible.
3. A
				patient who is fed by an enteral feeding system must receive the appropriate
				treatment and services to prevent complications to the extent
				possible.
4. Parenteral nutrition
				support must be used to nourish a patient who meets clinical guidelines that
				are developed in accordance with nationally recognized standards of practice
				and approved by the medical staff of the hospital.
5. A patient must receive a therapeutic diet
				when it is determined that he or she has a nutritional problem.
6. The director of the dietary service shall
				develop and carry out policies and procedures for nutritional care and dietetic
				services. The policies and procedures must be readily available to nursing,
				dietary and medical staff. The director shall evaluate the policies and
				procedures for nutritional care and services provided by the dietary service on
				a regular basis and revise those policies and procedures as
				necessary.
7. If it is determined
				that the nutritional status of a patient is at risk, nutritional care for that
				patient must be:
(a) Planned and provided
				based on an assessment of his or her nutritional status by a licensed dietitian
				or the attending physician, or both; and
(b) Integrated into his or her plan of care.
The response of the patient must be monitored and reassessed
				  as needed.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.3395 - Dietary services: Sanitary conditions; supplies

Current
				through June 11, 2024
1.
				A hospital shall store, prepare, distribute and serve food under sanitary
				conditions.
2. A hospital shall
				maintain on its premises at least a 1-week supply of staple foods and at least
				a 2-day supply of perishable foods. The supplies must be appropriate to meet
				the requirements of the menu. All food must be of good quality and procured
				from sources approved or considered satisfactory by federal, state and local
				authorities. Food that is contained in a container or can that:
(a) Is unlabeled, if the contents of the
				container or can are not readily identifiable without opening the container or
				can;
(b) Is rusty, leaking or
				broken; or
(c) Has dents or
				swelling,
is not acceptable and must not be maintained.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.340 - Pharmaceutical services

Current through June 11,
				2024
1. A hospital shall
				have a pharmacy directed by a registered pharmacist, who may be a full-time,
				part-time or consulting pharmacist, or a drug room supervised by no less than a
				currently licensed professional nurse. If a hospital has an organized
				pharmaceutical service, the full-time, part-time or consulting pharmacist shall
				develop, supervise and coordinate all the activities of the service.
2. The pharmacy and area for drug storage
				must be administered in accordance with all applicable state and federal
				laws.
3. Except as otherwise
				provided in this subsection, the medical staff shall develop policies and
				procedures to minimize errors in the administration of the drugs. The medical
				staff may designate the organized pharmaceutical service of the hospital to
				develop the policies and procedures required by this subsection.
4. The pharmaceutical service of a hospital
				shall have an adequate number of personnel to ensure quality pharmaceutical
				services, including emergency services.
5. Drugs and biologicals must be controlled
				and distributed in a manner which is consistent with applicable state and
				federal laws.
6. When a pharmacist
				is not available, drugs and biologicals may be removed from the pharmacy or
				storage area only by personnel designated by the policies of the medical staff
				and pharmaceutical service, which must be established in accordance with all
				applicable state and federal laws, to remove the drug or biological.
7. Errors in administering a drug to a
				patient, adverse reactions by a patient to a drug and incompatibilities between
				a drug and patient must be immediately reported to the attending physician of
				the patient and, if appropriate, to the committee that oversees the quality
				improvement program established pursuant to NAC 449.3152.
8. Abuses and losses of controlled substances
				must be reported, in accordance with all applicable state and federal laws, to
				the person responsible for the pharmaceutical service and the chief executive
				officer of the hospital.
9.
				Information relating to drug interactions, drug therapy, side effects,
				toxicology, dosage indications for use and routes of administration must be
				made available to the professional members of the hospital staff.
10. A formulary system must be established by
				the medical staff to ensure the provision of quality pharmaceuticals at
				reasonable costs.
Bd. of Health, Health
				  Facilities Reg. Part III Ch. I § VII subsecs. A-C, eff. 10-9-69; Ch. II
				  part § VII, 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 449.343 - Orders for medication and biologicals

Current through June 11,
				2024
1. Except as
				otherwise provided in this section, an order for medication or biologicals for
				a patient must be in writing and signed by the practitioner, or other
				appropriate professional person authorized by state or federal law to order the
				medication or biological, who is responsible for the care of the
				patient.
2. When a telephone or
				verbal order is used to order medications or biologicals, the order must be:
(a) Accepted only by a person who is
				authorized by the policies and procedures of the medical staff, which must be
				consistent with state law, to accept such an order; and
(b) Signed or initialed by the prescribing
				practitioner in accordance with hospital policy.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.344 - Administration of medication; security

Current through June 11,
				2024
1. Only members of
				the hospital staff who are legally authorized to administer medications may do
				so.
2. Security of all medications
				must be maintained in accordance with applicable state law.
3. The quality improvement program
				established pursuant to NAC 449.3152 must include a system of security to
				monitor and improve the process of administering medications.
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 449.346 - Rehabilitative services

Current through June 11,
				2024
1. Rehabilitative
				services are those activities used in restoring, maintaining and improving the
				physical and mental well-being of a patient. A hospital shall provide
				rehabilitative services consistent with its overall role in the treatment of a
				patient by or under the supervision of persons professionally licensed in this
				State to render such services.
2.
				If a hospital provides rehabilitative services, including, without limitation,
				physical therapy, occupational therapy, audiology or speech pathology, the
				services must be organized and staffed to ensure the health and safety of the
				patients. The organization of the services must be appropriate to the scope of
				the services offered.
3. The
				director of the rehabilitative services must have the necessary knowledge,
				experience and capabilities to supervise and administer properly the services
				provided.
4. Rehabilitative
				services provided by a hospital in accordance with this section must be
				provided by persons who meet the qualifications specified by the medical
				staff.
5. Rehabilitative services
				must be furnished to each patient in accordance with his or her written plan of
				treatment. The services must be provided pursuant to the order of a
				practitioner who is authorized by the medical staff to order such services, and
				those orders must be incorporated into the record of the patient.
Bd. of Health, Health
				  Facilities Reg. Part III Ch. I § XII, eff. 10-9-69; Ch. II § VIII,
				  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 449.349 - Emergency services

Current through June 11,
				2024
1. A hospital shall
				meet the emergency needs of its patients in accordance with nationally
				recognized standards of practice.
2. If a hospital does not have an emergency
				department on-site, the policies and procedures for meeting the emergency needs
				of patients must be under the direction of a qualified member of the medical
				staff.
3. If a hospital provides
				emergency services through an emergency department:
(a) The services must be organized under the
				direct supervision of a qualified member of the medical staff;
(b) The services must be integrated with the
				other departments, units and services within the hospital; and
(c) The policies and procedures governing the
				provision of medical care in the emergency department must be established by
				and are the continuing responsibility of the medical staff.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.352 - Social services

Current through June 11,
				2024
1. A hospital shall
				have effective written policies and procedures for the provision of social
				services by the hospital staff.
2.
				Social services must be provided or supervised in accordance with chapter 641B
				of NRS by a professional, qualified social worker who is appropriately trained
				and has adequate experience to meet the social and emotional needs of the
				patients and their families. If the social worker does not have the educational
				and experiential requirements of a qualified social worker, an ongoing plan for
				consultation between the social worker and a qualified social worker must be
				developed.
3. A hospital shall
				provide to each patient access to related social services based on the assessed
				needs of the patient.
4. As used in
				this section, "qualified social worker" means a licensed social worker who has
				had at least 1 year of actual work experience in a hospital setting.
Bd. of Health, Health
				  Facilities Reg. Part III Ch. I § XV, eff. 10-9-69; Ch. II § 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 449.355

Current through
				June 11, 2024
Bd. of Health, Health
				  Facilities Reg. Part III Ch. I § XVI subsec. E, eff. 10-9-69; Ch. II part
				  §XI, eff. 10-9-69-NAC A by R050-99, 9-27-99; R by
				  R016-20A,
				  eff. 11/2/2020
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.358 - Medical staff

Current through June 11,
				2024
1. A hospital shall
				have a well-organized medical staff that operates in accordance with the bylaws
				approved by the governing body.
2.
				The medical staff must be appointed by the governing body and be composed of:
(a) Doctors of medicine or osteopathy;
				and
(b) To the extent authorized by
				state law, other practitioners.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOSPITALS › Policies and Procedures for Operation of Hospital › Section 449.361 - Nursing services

Current through June 11,
				2024
1. A hospital shall
				have a well-organized plan that provides for 24-hour nursing services. The
				nursing services must be furnished or supervised by a registered
				nurse.
2. The governing body and
				the hospital shall ensure that the nursing services provided at the hospital
				are provided in accordance with all applicable federal and state laws and
				regulations.
3. The nursing service
				shall have a sufficient number of licensed registered nurses, licensed
				practical nurses and other personnel to provide nursing care to all patients as
				needed. A sufficient number of registered nurses and other members of the
				nursing staff must be on duty at all times to ensure that proper care is
				provided to each patient. A person who is not a registered nurse may be
				assigned to care for a patient, if:
(a) The
				extent of care provided by the person is consistent with his or her education
				and experience and is within his or her scope of practice; and
(b) The person is supervised by a registered
				nurse while providing that care.