reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › Medical Records, Services and Facilities › Section 449.993 - Diagnostic radiological services

Current through June 11,
			 2024
1. Each ambulatory
			 surgical center shall maintain diagnostic radiological services or have such
			 services immediately available. Whether these services are provided directly or
			 by contract, personnel capable of supervising the performance of the services
			 must be available.
2. If a center
			 provides diagnostic radiological services directly, the center must have a
			 full-time radiologist or a radiologist who works as a part-time consultant
			 available to supervise the department of radiology and to interpret
			 films.
3. Only a person designated
			 as qualified by the radiologist may operate the equipment for X-rays.
4. Only the following persons may operate a
			 fluoroscopy machine:
(a) A physician or a
			 podiatric physician licensed pursuant to chapter 635 of NRS;
(b) A physician assistant, advanced practice
			 registered nurse or certified registered nurse anesthetist if that person has
			 at least 16 hours of documented training in radiation safety;
(c) A radiologic technologist registered by
			 the American Registry of Radiologic Technologists if the person is acting under
			 the personal direction or written protocol of a physician and registrant of the
			 fluoroscopy machine; and
(d) A
			 registered nurse or operating room technician if the person is acting under the
			 direct supervision of a physician or surgeon who is present in the room at the
			 time the fluoroscopy machine is used and the person has documented training in
			 radiation safety as follows:
(1) The
			 applicable provisions of chapter 459 of NAC;
(2) Orientation to field size;
(3) Orientation to the energy used and the
			 setting (kVp) to use on patients of varying sizes and pathology;
(4) Orientation to the concept of "as low as
			 is reasonably achievable," as defined in NAC 459.0205;
(5) The use of protective gloves, aprons,
			 thyroid shields and glasses;
(6)
			 The use of particular machines and the operation of each type of
			 machine;
(7) Orientation to the
			 concept of source to image distance;
(8) Safety protocol for staff in the
			 operating room and adjacent areas, including, without limitation, physicians,
			 patients and operators;
(9) The
			 requirements for dosimetry and postings and the certificate and output
			 measurements necessary to allow use of the fluoroscopy machine;
(10) The appropriate use of high-level versus
			 regular settings;
(11) The
			 relevance of pregnancy in the use of machines that produce radiation;
			 and
(12) An annual review of
			 radiation safety.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › Medical Records, Services and Facilities › Section 449.9935 - Operating and recovery rooms; endoscopy suite

Current through June
			 11, 2024
1. The
			 operating and recovery rooms of an ambulatory surgical center must be used
			 exclusively for surgical procedures.
2. Except as otherwise provided in subsection
			 3, surgical procedures must be conducted in an ambulatory surgical center
			 designated as Class A, B or C pursuant to section 11 in accordance with the
			 applicable provisions of the guidelines adopted by reference in paragraphs (c),
			 (d) and (e) of subsection 1 of NAC
			 449.0105.
3. If an ambulatory surgical center is
			 designated as Endoscopy Only pursuant to section 11, such procedures may be
			 conducted in an endoscopy suite in accordance with the applicable provisions of
			 the guidelines adopted by reference in paragraphs (c), (d) and (e) of
			 subsection 1 of NAC
			 449.0105.
4. A registered nurse experienced in surgical
			 procedures shall supervise the operating room.
5. Only a registered nurse may function as
			 the circulating nurse in the operating room.
6. Each employee of an ambulatory surgical
			 center who provides medical services and care to a patient must be trained to
			 carry out the medical services and care that the employee will
			 provide.
7. The operating room must
			 be equipped with:
(a) A system for making
			 emergency calls;
(b)
			 Oxygen;
(c) Mechanical ventilatory
			 assistance equipment, including, without limitation, a manual breathing bag and
			 a ventilator;
(d) Cardiac
			 monitoring equipment;
(e)
			 Laryngoscopes and endotracheal and airway tubes in sizes sufficient to meet the
			 needs of the patients of the ambulatory surgical center; and
(f) Suction equipment.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › Medical Records, Services and Facilities › Section 449.9937 - Extended recovery units

Current through June 11,
			 2024
1. An ambulatory
			 surgical center may operate an extended recovery unit.
2. An extended recovery unit must:
(a) Be located in an area of the center that
			 is separate from the other operations of the center;
(b) Provide audio and visual privacy for each
			 patient in the unit;
(c) Be
			 supervised by at least one physician who is recommended for the position by the
			 members of the medical staff and approved by the governing body;
(d) Have at least one physician on the
			 premises or immediately available by telephone at all times when there is a
			 patient in the unit;
(e) Except as
			 otherwise provided in paragraph (f), have at least one nurse who is trained in
			 advanced cardiac life support on duty for every two patients in the
			 unit;
(f) Have at least two nurses
			 who are trained in advanced cardiac life support on duty at all times when
			 there is a patient in the unit; and
(g) Be equipped with:
(1) A system for making emergency
			 calls;
(2) Oxygen;
(3) A cardiac defibrillator;
(4) Cardiac monitoring equipment;
(5) A mobile cart which contains the
			 equipment and supplies specified by the medical staff pursuant to subsection 3
			 of NAC 449.9902;
(6) A manual
			 breathing bag;
(7) Suction
			 equipment; and
(8) Such other
			 emergency equipment as is needed to provide care to patients in the
			 unit.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › Medical Records, Services and Facilities › Section 449.994 - Records required before surgery; report of surgery

Current
			 through June 11, 2024
1.
			 A physical examination, which must include a medical history of the patient,
			 within the 30 days immediately preceding the date of the patient's surgery and
			 a presurgical evaluation conducted by a physician or a podiatric physician
			 licensed pursuant to chapter 635 of NRS, as applicable, on the day of the
			 patient's surgery or within the 7 days immediately preceding the date of the
			 patient's surgery must be recorded in the chart of the patient before
			 surgery.
2. A properly executed
			 form of consent to surgery as set forth in
			 NRS
			 449.710 must be placed in the medical record
			 of the patient before surgery.
3. A
			 report must be prepared within 24 hours after surgery describing the techniques
			 and findings of the surgery and the tissues removed or altered during the
			 surgery. If a report is dictated, a written report must be signed by the
			 surgeon within 7 days after the surgery.
Added to NAC by Bd. of Health,
			 eff. 12-15-88; A by R049-99, 9-27-99; R181-09 & R170-12,
			 10-4-2013
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › Medical Records, Services and Facilities › Section 449.9945 - Administration and record of anesthesia

Current through June 11,
			 2024
1. Anesthetics must
			 be administered in the operating room of an ambulatory surgical center by an
			 anesthesiologist, a qualified physician, a dentist or, under the direction of
			 the operating physician and in accordance with the provisions of chapter 632 of
			 NRS and the regulations adopted pursuant thereto, a certified registered nurse
			 anesthetist.
2. Persons designated
			 to administer anesthetics must be qualified to administer anesthetics based on
			 their credentials and must be approved by the governing body.
3. General anesthesia must not be
			 administered to a patient unless a physician has evaluated the patient
			 immediately before surgery to assess and document the risks of administering
			 the anesthesia relative to the surgical procedure to be performed. A patient
			 who receives general anesthesia must be evaluated by a physician after the
			 patient has recovered from the general anesthesia and before he or she is
			 discharged from the recovery room.
4. A person who administers anesthetics shall
			 continuously monitor a patient who has received anesthesia and shall not have
			 any other responsibility while the patient is under anesthesia. A person who
			 administers anesthetics shall not leave a patient who is under anesthesia
			 unless relieved by a person authorized to administer anesthetics pursuant to
			 this section who agrees to assume responsibility for the care of the
			 patient.
5. A record of anesthesia
			 must be completed after surgery, and there must be a follow-up on each patient
			 who has received anesthesia with the findings recorded by the person who
			 administered the anesthesia.
6. As
			 used in this section, "certified registered nurse anesthetist" has the meaning
			 ascribed to it in
			 NRS
			 632.014.
Added to NAC by Bd. of Health,
			 eff. 12-15-88; A by R049-99, 9-27-99; R181-09,
			 10-4-2013
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › Medical Records, Services and Facilities › Section 449.9947 - Register of surgeries performed in operating rooms

Current
			 through June 11, 2024
An ambulatory surgical center
			 shall keep a complete and current register of all surgeries performed in an
			 operating room at the center. The register must include, without limitation,
			 for each patient who underwent surgery in an operating room:
1. The name of the patient;
2. The identification number of the
			 patient;
3. The date of the
			 surgery;
4. The name of the surgeon
			 who performed the surgery and each person who was present for the
			 surgery;
5. The total time for
			 performing the surgery;
6. The type
			 of anesthesia provided to the patient;
7. The name of the person administering the
			 anesthesia;
8. The type of surgery
			 that was performed; and
9. The
			 preoperative and postoperative diagnoses of the patient.
Added to NAC by Bd. of Health by
			 R181-09, eff. 10-4-2013
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › Medical Records, Services and Facilities › Section 449.9955 - Informing patient of rights, services and cost

Current through
			 June 11, 2024
The administrator of an ambulatory
			 surgical center shall ensure that:
1.
			 Each patient admitted to the center is treated with respect, consideration and
			 dignity.
2. Each patient admitted
			 to the center is provided appropriate privacy.
3. Each patient admitted to the center is
			 informed of his or her rights as a patient in accordance with the provisions of
			 NRS
			 449.730. The patient must be informed, at the
			 time of his or her admission, of the services available and the estimated cost
			 of those services. If a patient is unable to understand his or her rights, they
			 must be explained to the patient's guardian, next of kin or the agency
			 financially responsible for his or her care.
4. The records of a patient admitted to the
			 center are kept confidential, except as otherwise provided by law.
5. Each patient admitted to the center is
			 given the opportunity to participate in decisions relating to his or her health
			 care, unless the patient is unable to do so because of his or her medical
			 condition.
6. Information is
			 available to patients and members of the staff concerning:
(a) The policies of the center relating to
			 the conduct and responsibilities of patients;
(b) The care that is available at the center
			 during emergencies and after normal business hours;
(c) The policies of the center related to the
			 payment of fees;
(d) A patient's
			 right to refuse to participate in experimental research; and
(e) The procedures for filing complaints or
			 grievances at the center.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › Medical Records, Services and Facilities › Section 449.996 - Transfer of patients

Current through June 11,
			 2024
1. An ambulatory
			 surgical center shall establish written guidelines for transferring patients to
			 a licensed hospital that has medical and surgical capabilities using an
			 ambulance or air ambulance for emergencies that require medical care which is
			 not provided at the center. The guidelines must be approved by the governing
			 body of the ambulatory surgical center.
2. If a patient is transferred, all medical
			 and administrative information relating to the patient must be transferred with
			 him or her or promptly made available to the licensed center or agency
			 responsible for the patient's continuing care.
Added to NAC by Bd. of Health,
			 eff. 12-15-88; A by R181-09, 10-4-2013; A by
			 R048-22A,
			 eff. 12/29/2022
NRS
			 439.200,
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › Medical Records, Services and Facilities › Section 449.9965 - Prohibited locations for construction of center

Current through
			 June 11, 2024
A new ambulatory surgical center must
			 not be constructed over any underground liquid butane, propane or transmission
			 line for gas, or over any underground high pressure lines, under high voltage
			 electrical lines or near hazardous or hazard-producing plants.
Added to NAC by Bd. of Health,
			 eff. 12-15-88
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › Medical Records, Services and Facilities › Section 449.997 - Conversion of hazardous building into center prohibited

Current
			 through June 11, 2024
No building may be converted
			 for use as an ambulatory surgical center if, because of its location, physical
			 condition, state of repair or arrangement of facilities, the building would be
			 hazardous to the health and safety of patients.
Added to NAC by Bd. of Health,
			 eff. 12-15-88
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › General Provisions › Section 449.99702 - "Recovery center" defined

Current through June 11,
			 2024
As used in NAC 449.99702 to 449.99762,
			 inclusive, "recovery center" or "center" means any public or private facility
			 that provides only short-term care, not to exceed 72 hours, to a person
			 recovering from surgery.
Added to NAC by Bd. of
			 Health by
			 R121-16A,
			 eff. 9/21/2017
NRS 439.200, 449.0302,
			 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Licensing and Inspection › Section 449.99704 - License required to operate

Current through June 11,
			 2024
A person or a public or private facility shall
			 not operate or provide the services of a recovery center or represent that the
			 person or the public or private facility operates or provides the services of a
			 recovery center, unless the person or the public or private facility is
			 licensed by the Division pursuant to NAC 449.99702 to 449.99762, inclusive, to
			 operate the recovery center.
Added to NAC by Bd. of
			 Health by
			 R121-16A,
			 eff. 9/21/2017
NRS 439.200, 449.0302,
			 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Licensing and Inspection › Section 449.99706 - Requirements to operate

Current through June 11,
			 2024
If a person or a public or private facility
			 wants to operate a recovery center, the person or the public or private
			 facility must:
1. File with the
			 Division an application for a license pursuant to NAC
			 449.011; and
2. Demonstrate that the proposed recovery
			 center is able to comply with the requirements set forth in NAC 449.99702 to
			 449.99762, inclusive.
Added to NAC by Bd. of
			 Health by
			 R121-16A,
			 eff. 9/21/2017
NRS 439.200, 449.0302,
			 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Licensing and Inspection › Section 449.99708 - Prelicensure investigation and inspection

Current through June 11,
			 2024
After the Division receives a properly
			 completed application, accompanied by the appropriate fee, the Division shall
			 conduct an investigation of the applicant and inspect the proposed recovery
			 center.
Added to NAC by Bd. of
			 Health by
			 R121-16A,
			 eff. 9/21/2017
NRS 439.200, 449.0302,
			 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Licensing and Inspection › Section 449.9971 - Issuance and expiration of license

Current through June 11,
			 2024
1. The Division
			 shall issue a license to operate a recovery center to the applicant if, after
			 investigation, the Division finds that the applicant is in substantial
			 compliance with the provisions of NAC 449.99702 to 449.99762,
			 inclusive.
2. A license issued
			 pursuant to NAC 449.99702 to 449.99762, inclusive, expires on the date
			 specified in NRS 449.089 and may be renewed in accordance with that section and
			 NAC 449.0116.
Added to NAC by Bd. of
			 Health by
			 R121-16A,
			 eff. 9/21/2017
NRS 439.200, 449.0302,
			 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Licensing and Inspection › Section 449.99712 - Suspension, revocation or cancellation of license; provisional license

Current through June 11, 2024
The Division
			 may suspend or revoke a license issued pursuant to NAC 449.99702 to 449.99762,
			 inclusive, or cancel such a license and issue a provisional license based upon
			 any grounds for such action set forth in chapter 449 of NRS or NAC 449.002 to
			 449.99939, inclusive.
Added to NAC by Bd. of
			 Health by
			 R121-16A,
			 eff. 9/21/2017
NRS 439.200, 449.0302,
			 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Administration › Section 449.99714 - Governing body; quality improvement and risk management programs; review of programs

Current through June 11,
			 2024
A recovery center must have a governing body
			 that is legally responsible for establishing and carrying out policies
			 regarding the management and operation of the center. The governing body shall
			 develop both a quality improvement program and a risk management program for
			 the recovery center and conduct a review of each program at least every 3
			 months.
Added to NAC by Bd. of
			 Health by
			 R121-16A,
			 eff. 9/21/2017
NRS 439.200, 449.0302,
			 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Administration › Section 449.99716 - Appointment, qualifications and responsibilities of administrator

Current through June 11, 2024
1. The governing body of a recovery center
			 shall appoint a qualified administrator for the center who is responsible to
			 the governing body for the performance of his or her duties.
2. The administrator must:
(a) Be at least 21 years of age;
			 and
(b) Possess one of the
			 following qualifications:
(1) Be a
			 physician;
(2) Be a registered
			 nurse;
(3) Have a bachelor's or
			 postgraduate degree in administration or a field related to health care;
			 or
(4) Have at least 1 year of
			 administrative experience in a health care setting.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Construction and Operation › Section 449.99718 - Design, construction, equipment and maintenance

Current
			 through June 11, 2024
1.
			 A recovery center must be designed, constructed, equipped and maintained in a
			 manner that protects the health and safety of the patients and personnel of the
			 recovery center and members of the general public.
2. A recovery center shall comply with 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
			 recovery center. If there is a difference between state and local requirements,
			 the more stringent requirements apply.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Construction and Operation › Section 449.9972 - General requirements

Current through June 11,
			 2024
A recovery center shall:
1. Provide a safe, functional, sanitary and
			 comfortable environment for the patients in the center, the members of its
			 staff and members of the general public;
2. Care for each patient in the center in a
			 manner that promotes the dignity of the patient and his or her quality of
			 life;
3. Ensure that the
			 environment of the center is free of hazards that would cause
			 accidents;
4. Ensure that each
			 patient in the center receives adequate supervision and devices to prevent
			 accidents;
5. Provide such
			 housekeeping and maintenance services as are necessary to maintain a sanitary,
			 orderly and comfortable environment;
6. Provide adequate and comfortable levels of
			 lighting in all areas of the center;
7. Maintain an effective program to control
			 pests in order to ensure that the center is free from pests and
			 rodents;
8. Have adequate outside
			 ventilation by means of windows or mechanical ventilation, or both;
			 and
9. Provide safe and comfortable
			 levels of temperature in the center. The temperature of the center must be
			 maintained at a level that is not less than 71 degrees Fahrenheit and not more
			 than 81 degrees Fahrenheit.
Added to NAC by Bd. of
			 Health by
			 R121-16A,
			 eff. 9/21/2017
NRS 439.200, 449.0302,
			 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Construction and Operation › Section 449.99722 - Patients' rooms

Current through June 11,
			 2024
1. A patient's room
			 within a recovery center must be designed and equipped in a manner that allows
			 adequate nursing care to be provided and provides comfort and privacy for the
			 patient.
2. A recovery center shall
			 provide to each patient in the center:
(a) A
			 separate bed of proper size and height for the convenience of the
			 patient;
(b) A clean, comfortable
			 mattress;
(c) Bedding that is
			 appropriate for the weather and climate;
(d) Clean linens for his or her bed and bath
			 that are in good condition; and
(e)
			 Furniture that is appropriate for the patient's needs.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Construction and Operation › Section 449.99724 - Limitation on number of patients; insurance

Current through June 11,
			 2024
1. A recovery
			 center shall:
(a) Not admit more patients to
			 the facility than the number of beds for which it is licensed at any one
			 time.
(b) Maintain a contract of
			 insurance to ensure adequate coverage against liabilities resulting from claims
			 incurred in the course of its operation.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Construction and Operation › Section 449.99726 - Preparations for emergencies; reporting of fire or disaster

Current through June 11, 2024
1. A recovery center must have a written
			 disaster preparedness plan for members of the staff and patients to follow in
			 case of fire, explosion or other emergency.
2. The plan must include, without limitation,
			 written procedures for personnel to follow in an emergency, including:
(a) The care of the patients in the recovery
			 center and emergency evacuation;
(b) The notification of persons responsible
			 for the patients in the recovery center; and
(c) Arrangements for transportation for
			 medical care or other appropriate services.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Construction and Operation › Section 449.99728 - Administration of prescription medication

Current through June 11,
			 2024
1. Prescription
			 medications for a patient admitted to a recovery center shall only be
			 administered by the patient, a registered nurse or another licensed health care
			 professional.
2. A recovery center
			 shall ensure that all patients are not subjected to errors in the
			 administration of their medication.
Added to NAC by Bd. of
			 Health by
			 R121-16A,
			 eff. 9/21/2017
NRS 439.200, 449.0302,
			 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Construction and Operation › Section 449.9973 - Control of infections

Current through June 11,
			 2024
1. A recovery
			 center shall establish and maintain a program for the control of infections
			 within the center.
2. The program
			 required pursuant to subsection 1 must:
(a) Be
			 designed to provide a safe, sanitary and comfortable environment and to prevent
			 the development and transmission of disease and infection.
(b) Create infection prevention and control
			 procedures, which must include:
(1) Policies
			 and procedures for preventing, identifying, reporting, investigating and
			 controlling infections and communicable diseases for all residents, staff,
			 volunteers and any other person contracting with the recovery center;
			 and
(2) A surveillance system
			 designed to identify possible infections and communicable diseases before they
			 can spread to other persons in the facility.
(c) Establish the procedures that will be
			 followed if a patient becomes infectious, including, without limitation, the
			 circumstances under which a patient may be isolated. A recovery center shall
			 isolate any patient if required to prevent the spread of infection. The type
			 and duration of such isolation should depend on the infectious agent or
			 organism involved and always be the least restrictive as possible.
(d) Provide for the maintenance of records of
			 infections and the corrective actions taken when infections occur.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Construction and Operation › Section 449.99732 - Meals; hydration; sanitation

Current through June 11,
			 2024
1. A recovery
			 center shall ensure that each patient admitted to the center receives:
(a) Meals at regular intervals; and
(b) A therapeutic diet if such a diet is
			 prescribed by the attending physician, physician assistant, dentist, advanced
			 practice registered nurse or podiatric physician of the patient or ordered by a
			 licensed dietitian.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Admission, Care, Transfer and Discharge of Patients › Section 449.99734 - Responsibilities for admission and care of patient

Current through June
			 11, 2024
1. A patient
			 may be admitted to a recovery center only upon the written approval of a
			 physician. Upon a patient's admission to the recovery center, the center shall
			 ensure that orders for the care of the patient have been received from the
			 patient's attending physician.
2. A
			 recovery center shall ensure that the medical care of each patient is
			 supervised by a physician.
3. After
			 the initial visit with a patient by a physician at the recovery center, every
			 other visit with the patient at the center may be made by a physician
			 assistant, nurse practitioner or clinical nurse specialist on behalf of the
			 physician if the physician assistant, nurse practitioner or clinical nurse
			 specialist is acting:
(a) Within the
			 authorized scope of his or her practice and under the supervision of the
			 physician; and
(b) In accordance
			 with state law and the policies of the recovery center.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Admission, Care, Transfer and Discharge of Patients › Section 449.99736 - Assessment of needs of patient

Current through June 11,
			 2024
1. A recovery
			 center shall conduct an initial and ongoing assessment of the needs of each
			 patient admitted to the center.
2.
			 The initial assessment of each patient must be conducted at the time of his or
			 her admission to the recovery center and must include, without limitation:
(a) Demographic and other pertinent
			 information required to identify the patient;
(b) The customary routine of the
			 patient;
(c) The physical condition
			 of the patient;
(d) Any problems
			 related to the functional or structural physical condition of the
			 patient;
(e) Medications required
			 to be taken by the patient;
(f) Any
			 special treatments and procedures required by the patient; and
(g) The probability of discharging the
			 patient from the center within 72 hours after admission and any other
			 information related to the discharge of the patient from the center.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Admission, Care, Transfer and Discharge of Patients › Section 449.99738 - Plan of care; compliance with professional standards

Current
			 through June 11, 2024
1.
			 A recovery center shall develop for each patient admitted to the center a plan
			 of care, which must include, without limitation:
(a) Measureable objectives and timetables to
			 meet the needs of the patient that are identified in an assessment conducted
			 pursuant to NAC 449.99736; and
(b)
			 A description of the services that will be provided to the patient.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Admission, Care, Transfer and Discharge of Patients › Section 449.9974 - Provision of service or treatment

Current through June 11,
			 2024
A recovery center shall provide to each patient
			 admitted to the center any service or treatment that is:
1. Identified in the plan of care developed
			 pursuant to NAC 449.99738; and
2.
			 Necessary to ensure proper care while the person is admitted to the
			 center.
Added to NAC by Bd. of
			 Health by
			 R121-16A,
			 eff. 9/21/2017
NRS 439.200, 449.0302,
			 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Admission, Care, Transfer and Discharge of Patients › Section 449.99742 - Summary of discharge

Current through June 11,
			 2024
1. A recovery
			 center shall prepare a summary of discharge for each patient discharged from
			 the center.
2. Each summary of
			 discharge must include, without limitation:
(a) A summary of the pertinent information
			 relating to the patient's stay at the recovery center;
(b) A final summary of the patient's physical
			 health at the time of discharge; and
(c) A plan of care for the patient after his
			 or her discharge, including, without limitation, any recommended or necessary
			 follow-up care.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Admission, Care, Transfer and Discharge of Patients › Section 449.99744 - Agreement with hospital for transfer of patients

Current through
			 June 11, 2024
1. Except
			 as otherwise provided in subsection 2, a recovery center shall enter into an
			 agreement with at least one licensed hospital that provides for the transfer of
			 patients from the center to the licensed hospital. The agreement must provide
			 for the timely admittance of a patient transferred from the center to the
			 licensed hospital if the transfer is medically appropriate as determined by the
			 patient's attending physician.
2. A
			 recovery center that attempts in good faith to enter into an agreement pursuant
			 to subsection 1 with every licensed hospital reasonably close to the center but
			 is unable to enter into such an agreement is not required to comply with
			 subsection 1.
Added to NAC by Bd. of
			 Health by
			 R121-16A,
			 eff. 9/21/2017
NRS 439.200, 449.0302,
			 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Records of Patients › Section 449.99746 - Contents, maintenance and confidentiality of medical record

Current through June 11, 2024
1. A recovery center shall maintain a medical
			 record for each patient admitted to the center in accordance with accepted
			 professional principles.
2. A
			 medical record must be:
(a)
			 Complete;
(b) Accurate;
(c) Organized; and
(d) Readily accessible to those persons who
			 are authorized to review the records.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Records of Patients › Section 449.99748 - Inspection of records relating to patient

Current through June 11,
			 2024
1. A person who is
			 or was previously admitted to a recovery center or his or her legal
			 representative may submit an oral or written request to the center to inspect
			 all records relating to the patient maintained by the center. The recovery
			 center shall, within 24 hours after the receipt of such a request, excluding
			 weekends and holidays, allow the patient or his or her legal representative to
			 inspect the patient's records.
2.
			 Upon request, a recovery center shall furnish to a patient who is or was
			 previously admitted to the center or his or her legal representative a copy of
			 the records or any portion thereof at the cost of obtaining records from a
			 custodian of health care records as set forth in NRS 629.061. The copy must be
			 furnished within 48 hours after receipt of the request, excluding weekends and
			 holidays.
Added to NAC by Bd. of
			 Health by
			 R121-16A,
			 eff. 9/21/2017
NRS 439.200, 449.0302,
			 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Personnel and Staffing › Section 449.99749 - Personnel policies and records

Current through June 11,
			 2024
1. A recovery
			 center shall adopt written policies for the personnel employed by the
			 center.
2. The written policies
			 required pursuant to subsection 1 must:
(a)
			 Include the duties and responsibilities of, and the qualifications required
			 for, each position at the recovery center;
(b) Include the conditions of employment for
			 each position at the recovery center;
(c) Include the policies and objectives of
			 the recovery center related to training while on the job and the requirements
			 for continuing education; and
(d)
			 Be periodically reviewed and made available to each person employed by the
			 recovery center.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Personnel and Staffing › Section 449.99752 - Staffing

Current through June 11, 2024
A recovery
			 center shall ensure that there is a sufficient number of members of the staff
			 on duty at all times to provide care to and attain and maintain the highest
			 practicable physical, mental and psychosocial well-being of each patient in the
			 center in accordance with his or her plan of care developed pursuant to NAC
			 449.99738.
Added to NAC by Bd. of
			 Health by
			 R121-16A,
			 eff. 9/21/2017
NRS 439.200, 449.0302,
			 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Personnel and Staffing › Section 449.99754 - Employment of health care professionals

Current through June 11,
			 2024
1. A recovery
			 center shall employ full-time, part-time or as consultants such health care
			 professionals as are necessary to provide adequate care for each patient
			 admitted to the center and to carry out the provisions of NAC 449.99702 to
			 449.99762, inclusive.
2. A health
			 care professional employed by a recovery center shall comply with accepted
			 professional standards applicable to the services provided by the health care
			 professional.
3. If a recovery
			 center does not employ a person to furnish a service required by the center,
			 the center shall obtain that service from a qualified outside source. An
			 agreement for obtaining such services must specify, in writing, that the center
			 assumes responsibility for:
(a) Obtaining
			 services that comply with accepted professional standards applicable to the
			 services being obtained; and
(b)
			 The timely delivery of such services.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Medical Services › Section 449.99756 - Specialized rehabilitative services

Current through June 11,
			 2024
1. A recovery
			 center shall provide to a patient in the center, according to his or her plan
			 of care developed pursuant to NAC 449.99738, specialized rehabilitative
			 services, including, without limitation, physical therapy and occupational
			 therapy. Such services must be provided by the recovery center or obtained from
			 a qualified outside source pursuant to NAC 449.99754.
2. Specialized rehabilitative services may be
			 provided to a patient admitted to a recovery center only upon the written order
			 of a physician.
Added to NAC by Bd. of
			 Health by
			 R121-16A,
			 eff. 9/21/2017
NRS 439.200, 449.0302,
			 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Medical Services › Section 449.99758 - Pharmaceutical services; labeling and storage of drugs and biologicals

Current through June 11, 2024
1. A recovery center shall provide such
			 pharmaceutical services, including, without limitation, acquiring, receiving,
			 dispensing and administering drugs and biologicals, as are required to meet the
			 needs of the patients admitted to the center. The recovery center shall provide
			 such drugs and biologicals as are needed or obtain them from a qualified
			 outside source pursuant to NAC
			 449.99754.
2. A recovery center shall employ or
			 otherwise obtain the services of a registered pharmacist who shall:
(a) Provide consultations on all matters
			 relating to the pharmaceutical services provided by the center;
(b) Establish a system of records for the
			 receipt and disposition of all controlled substances in the center in
			 sufficient detail to ensure an accurate reconciliation; and
(c) Ensure that those records are in order
			 and that an account of all controlled substances in the center is maintained
			 and periodically reconciled.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Medical Services › Section 449.9976 - Laboratory services

Current through June 11,
			 2024
1. A recovery
			 center shall provide laboratory services to meet the needs of the patients
			 admitted to the center or contract with a laboratory to obtain such
			 services.
2. If a recovery center
			 has its own laboratory, it must be a licensed laboratory under the provisions
			 of chapter 652 of NRS and comply with the provisions of 42 C.F.R. Part 493. The
			 provisions of this subsection do not prohibit a licensed nurse from performing
			 laboratory tests pursuant to NRS 652.217.
3. If a recovery center contracts with a
			 laboratory for its services, that laboratory must be:
(a) A laboratory licensed pursuant to the
			 provisions of chapter 652 of NRS; and
(b) Certified in the specialties and
			 subspecialties required by the center in accordance with the provisions of 42
			 C.F.R. Part 493.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECOVERY CENTERS › Medical Services › Section 449.99762 - Radiological and other diagnostic services

Current through June 11,
			 2024
1. A recovery
			 center shall provide radiological and other diagnostic services to meet the
			 needs of the patients admitted to the center or contract with qualified outside
			 sources to obtain such services.
2.
			 If a recovery center provides radiological and other diagnostic services
			 pursuant to this section, it shall comply with all applicable state law related
			 to the provision of such services.
3. A recovery center shall:
(a) Provide or obtain only such radiological
			 and other diagnostic tests as are ordered by the attending physician of a
			 patient in the center;
(b) Promptly
			 notify the attending physician of the results of any radiological and other
			 diagnostic tests ordered for the patient;
(c) Arrange transportation for a patient to
			 obtain radiological and other diagnostic tests ordered by the patient's
			 attending physician, if the patient requires such assistance; and
(d) Include in the medical records of a
			 patient all reports of the results of radiological and other diagnostic tests
			 ordered for the patient. The reports must:
(1) Include the date on which the tests were
			 performed; and
(2) Be signed by the
			 person performing the tests.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECEIVERS › Section 449.9981 - List of interested and qualified persons

Current through June
			 11, 2024
The Division may solicit applications from
			 persons interested in being nominated by the Division as receivers whenever
			 receivership proceedings are brought. The Division shall develop and maintain a
			 list of persons who are interested and qualified to act as receivers for
			 facilities. Persons or organizations appearing on the list must have experience
			 in the delivery of health care services or other relevant experience.
Added to NAC by Bd. of Health,
			 eff. 8-1-91
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECEIVERS › Section 449.99811 - Experience

Current through June 11, 2024
1. In recommending a person or organization
			 to serve as a receiver in a case, the Division shall, if feasible, nominate a
			 receiver who has experience in the delivery of the type of care, treatment or
			 services provided by the facility for which a receiver is requested.
2. If the primary deficiencies leading to the
			 request for appointment of a receiver are related to the financial stability of
			 the facility, the person or organization recommended must have experience in
			 financial management and, if feasible, in the financial management of health
			 care facilities.
Added to NAC by Bd. of Health,
			 eff. 8-1-91
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECEIVERS › Section 449.99812 - Authority

Current through June 11, 2024
A receiver
			 appointed pursuant to NAC 449.9981 to 449.99814, inclusive, may exercise such
			 authority as is granted by the court appointing the receiver and as is
			 consistent with the laws governing the authority of a receiver in this
			 State.
Added to NAC by Bd. of Health,
			 eff. 8-1-91
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECEIVERS › Section 449.99813 - Compensation and payment of bond

Current through June 11,
			 2024
The compensation of the receiver and the
			 expense of any bond he or she is required to furnish must be paid from the
			 revenues of the facility for which the receiver is appointed.
Added to NAC by Bd. of Health,
			 eff. 8-1-91
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RECEIVERS › Section 449.99814 - Operation of facility

Current through June 11,
			 2024
1. The Bureau shall
			 provide a receiver appointed by the court with a provisional license to operate
			 the facility during the pendency of the receivership.
2. The receiver is responsible to the court
			 for the operation of the facility during the receivership. Any deficiencies
			 concerning the operation during the receivership, if not corrected, must be
			 reported by the Division to the court.
Added to NAC by Bd. of Health,
			 eff. 8-1-91
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › ADMINISTRATIVE SANCTIONS › General Provisions › Section 449.9982 - Definitions

Current through June 11, 2024
As used in
			 NAC 449.9982 to
			 449.99939, inclusive, and section
			 15, unless the context otherwise requires, the words and terms defined in NAC
			 449.99821 to
			 449.99841, inclusive, have the
			 meanings ascribed to them in those sections.
Added to NAC by Bd. of Health,
			 eff. 8-1-91; A by R131-99, 11-29-99; R051-02, 7-24-2002; A by
			 R048-22A,
			 eff. 12/29/2022
NRS
			 439.200,
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › ADMINISTRATIVE SANCTIONS › General Provisions › Section 449.99821 - "Ban on admissions" defined

Current through June 11,
			 2024
"Ban on admissions" means a prohibition on the
			 provision of care, treatment or services to recipients who are newly
			 admitted.
Added to NAC by Bd. of Health,
			 eff. 8-1-91
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › ADMINISTRATIVE SANCTIONS › General Provisions › Section 449.99822 - "Cluster" defined

Current through June 11,
			 2024
"Cluster" means a deficiency that involves the
			 same or similar kinds of care, treatment or services as one or more other
			 deficiencies.
Added to NAC by Bd. of Health,
			 eff. 8-1-91
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › ADMINISTRATIVE SANCTIONS › General Provisions › Section 449.99823 - "Compliance" and "substantially correct the deficiency" defined

Current through June 11, 2024
"Compliance"
			 or "substantially correct the deficiency" means that no major deficiency is
			 present and that effective steps have been taken to resolve all
			 deficiencies.
Added to NAC by Bd. of Health,
			 eff. 8-1-91
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › ADMINISTRATIVE SANCTIONS › General Provisions › Section 449.99824 - "Costs" defined

Current through June 11,
			 2024
1. "Costs" means
			 the expenses of implementing and enforcing administrative sanctions and of
			 bringing an action in a court of competent jurisdiction.
2. The term includes, without limitation,
			 filing fees, fees for service of notices or process and all expenses of
			 litigation recoverable as costs pursuant to chapter 18 of NRS.
Added to NAC by Bd. of Health,
			 eff. 8-1-91
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › ADMINISTRATIVE SANCTIONS › General Provisions › Section 449.99825 - "De minimis deficiency" defined

Current through June 11,
			 2024
"De minimis deficiency" means a deficiency
			 rated at a severity level of one or two and at a scope level of one or
			 two.
Added to NAC by Bd. of Health,
			 eff. 8-1-91
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › ADMINISTRATIVE SANCTIONS › General Provisions › Section 449.998253 - "Division of Health Care Financing and Policy" defined

Current
			 through June 11, 2024
"Division of Health Care
			 Financing and Policy" means the Division of Health Care Financing and Policy of
			 the Department of Health and Human Services.
Added to NAC by Bd. of Health by
			 R051-02, eff. 7-24-2002
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › ADMINISTRATIVE SANCTIONS › General Provisions › Section 449.998255 - "Facility" defined

Current through June 11,
			 2024
"Facility" means a medical facility or facility
			 for the dependent.
Added to NAC by Bd. of Health by
			 R131-99, eff. 11-29-99
NRS
			 449.0302