reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF CERTAIN SPECIAL SERVICES › Open-Heart Surgery › Section 449.61252 - Annual inspection of hospital: Assessment of rate of mortality

Current through June 11, 2024
1. As a part of the annual inspection of each
				approved hospital, the Division shall perform a detailed review of the patient
				files relating to all mortalities at the hospital.
2. In assessing whether a hospital's adjusted
				rate of mortality is acceptable for the purposes of NAC 449.612 to 449.61256,
				inclusive, the inspection team shall fully consider, among other things, the
				age and sex of the patient, the acuity of the patient's illness and the
				information contained in the registry maintained pursuant to NAC
				449.61246.
3. As used in this
				section, "mortality" means the death of any patient who dies within 30 days
				after undergoing open-heart surgery.
Added to NAC by Bd. of
				  Health, eff. 8-31-89
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF CERTAIN SPECIAL SERVICES › Open-Heart Surgery › Section 449.61254 - Further review or on-site inspection for failure to comply with provisions or for excessive rate of mortality; notice; plan for compliance

Current through June 11, 2024
1. If the review conducted pursuant to NAC
				449.6125 discloses that the hospital is not in full compliance with the
				provisions of NAC 449.612 to 449.61256, inclusive, or if a facility's adjusted
				rate of mortality, after considering the factors enumerated in NAC 449.61252,
				is considered excessive, the Division may, at the expense of the hospital,
				require:
(a) A second review; or
(b) An on-site inspection,
conducted by one or more of the persons specified in NAC
				  449.61208. When the Division has completed its final review or inspection
				  pursuant to this subsection, it shall notify the hospital in writing of the
				  violations and the recommendations for improvements in the hospital's service
				  made by the person or persons who conducted the review or inspection pursuant
				  to this subsection.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF CERTAIN SPECIAL SERVICES › Open-Heart Surgery › Section 449.61256 - Denial, suspension or revocation of approval: Grounds; hearing

Current through June 11, 2024
1. The Division may deny, suspend or revoke
				its approval because of the failure of the hospital affected to comply with any
				provision of NAC 449.612 to 449.61256, inclusive.
2. The Division shall advise the hospital
				affected in writing whenever it intends:
(a)
				To deny an application for approval or for renewal of approval;
(b) To revoke approval; or
(c) To order a hospital to cease and desist
				providing services for open-heart surgery.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF CERTAIN SPECIAL SERVICES › Transplantation of Organs › Section 449.6126 - Definitions

Current through June 11, 2024
As used in NAC 449.6126 to 449.6127, inclusive, unless the
				  context otherwise requires:
1.
				"Approval" means the approval granted by the Division to a hospital authorizing
				it to provide a service for the transplantation of organs.
2. "Transplantation of organs" means the
				implantation of one or more organs from the body of a human being into the body
				of another as a substitute for one or more abnormally functioning organs of the
				recipient.
Added to NAC by Bd. of
				  Health, eff. 8-31-89; A 8-1-91
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF CERTAIN SPECIAL SERVICES › Transplantation of Organs › Section 449.61262 - Application for approval to provide services

Current through June
				11, 2024
An application for approval submitted pursuant to
				  NRS
				  449.087 must include:
1. A statement of the kinds of organs that
				are to be transplanted;
2. Proof
				that the hospital is a member of the United Network for Organ
				Sharing;
3. A letter of commitment
				from the hospital to accept all patients eligible for the service;
4. A statement signed by the chief operating
				officer of the hospital that the hospital is committed to providing a service
				for the transplantation of organs and that an adequate budget will be
				maintained to ensure that the service is provided continuously for not less
				than 3 years;
5. A statement signed
				by the administrator of the hospital that:
(a) The hospital will, in testing for
				histocompatibility in connection with the service, use a laboratory accredited
				by the American Society for Histocompatibility and Immunogenetics;
				and
(b) The hospital maintains
				letters of agreement or contracts with one or more members of the Association
				of Organ Procurement Organizations or hospital-based organizations for the
				procurement of organs that comply with the standards of ethics and criteria for
				membership adopted by the Association of Organ Procurement Organizations,
				except that the hospital is not required to be a nonprofit institution;
				and
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF CERTAIN SPECIAL SERVICES › Transplantation of Organs › Section 449.61264 - Evaluation of application for approval

Current through June 11,
				2024
1. The Division
				will evaluate the application to determine whether it conforms with the
				requirements of NAC 449.6126 to 449.6127, inclusive. If the Division finds that
				the application is incomplete, it will inform the applicant which parts of the
				application are deficient.
2. If
				the application is found to be complete and in compliance with the provisions
				of NAC 449.6126 to 449.6127, inclusive, approval will be given to the hospital,
				effective for 5 years.
Added to NAC by Bd. of
				  Health, eff. 8-31-89
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF CERTAIN SPECIAL SERVICES › Transplantation of Organs › Section 449.61266 - Duties of hospital providing services

Current through June 11,
				2024
A hospital that provides services for the transplantation of
				  organs shall:
1. Supply the Division
				with the same information from the patient registry that is provided to the
				United Network for Organ Sharing, at the time that information is
				provided.
2. Comply with the
				representations required by NAC 449.61262.
Added to NAC by Bd. of
				  Health, eff. 8-31-89
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF CERTAIN SPECIAL SERVICES › Transplantation of Organs › Section 449.61268 - Revocation of approval

Current through June 11,
				2024
1. The Division may
				revoke its approval if:
(a) The hospital
				fails to comply with any provision of NAC 449.6126 to 449.6127,
				inclusive;
(b) The United Network
				for Organ Sharing suspends or terminates the membership of the hospital;
				or
(c) The hospital resigns its
				membership in the United Network for Organ Sharing.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF CERTAIN SPECIAL SERVICES › Transplantation of Organs › Section 449.6127 - Notice of intent to deny application or revoke approval; hearing

Current through June 11, 2024
1. If the Division intends to deny an
				application for approval or to revoke its approval, it shall so advise the
				hospital affected in writing.
2.
				The hospital may request a hearing on the proposed action of the Division. The
				hearing must be conducted in accordance with the procedures set forth in NAC
				439.300 to 439.395, inclusive.
Added to NAC by Bd. of
				  Health, eff. 8-31-89; A by R044-97, 10-30-97
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Licensing › Section 449.61302 - Limitations on issuance of license

Current through June 11,
				2024
The Division shall not issue a license to operate an
				  independent center for emergency medical care unless the center:
1. Is located more than 30 minutes by ground
				transportation from a facility which is licensed to provide a higher level of
				emergency medical care; and
2.
				Routinely provides limited emergency medical care or holds itself out to the
				general public as a facility which provides limited emergency medical
				care.
Added to NAC by Bd. of
				  Health, eff. 11-1-95; A by R044-97, 10-30-97
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Licensing › Section 449.61306 - Denial of application for license or renewal of license

Current
				through June 11, 2024
An application for a license to operate an independent center
				  for emergency medical care or for the renewal of the license may be denied if
				  the center, employees of the center or equipment within the center do not meet
				  the requirements of NAC 449.61302 to 449.61384, inclusive, or, in the opinion
				  of the Division, threaten or potentially threaten the health or safety of the
				  general public.
Added to NAC by Bd. of
				  Health, eff. 11-1-95
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Licensing › Section 449.61308 - Compliance with regulations; ground for suspension or revocation of license

Current through June 11,
				2024
For the duration of his or her license to operate an
				  independent center for emergency medical care, a licensee shall continuously
				  maintain the center in compliance with the provisions of NAC 449.61302 to
				  449.61384, inclusive. Any violation of those provisions is a ground for the
				  suspension or revocation of the license.
Added to NAC by Bd. of
				  Health, eff. 11-1-95
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Administration and Personnel › Section 449.6132 - Requirement of governing body; adoption of written rules

Current
				through June 11, 2024
1.
				Except as otherwise provided in NAC 449.61322, each independent center for
				emergency medical care must have a governing body. The chair of the governing
				body must be a person who is a principal in the organization of the center with
				legal authority for the operation of the center.
2. The governing body shall adopt written
				rules which:
(a) Prescribe criteria for the
				selection of the members and officers of the governing body, their terms of
				office and duties;
(b) Specify the
				frequency of the meetings of the governing body;
(c) Require the annual review and approval of
				the rules by the governing body; and
(d) Require the recordation of the minutes of
				the meetings of the governing body and provide for the availability of the
				minutes to all members of the body.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Administration and Personnel › Section 449.61322 - Exception to requirements of governing body

Current through June
				11, 2024
1. If the
				licensee of an independent center for emergency medical care is a physician
				operator, the center operated by the licensee is not required to have a
				governing body or an administrator. In the absence of a governing body or an
				administrator, the licensee is responsible for complying with the provisions of
				NAC 449.61302 to 449.61384, inclusive.
2. As used in this section, "physician
				operator" means any physician or group of physicians:
(a) Licensed pursuant to the provisions of
				chapter 630 or 633 of NRS; and
(b)
				Operating an independent center for emergency medical care.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Administration and Personnel › Section 449.61324 - Standards of care; policy for authentication

Current through June
				11, 2024
1. The
				governing body of an independent center for emergency medical care or, if there
				is no governing body, the medical director, shall ensure that:
(a) Each patient of the center receives care
				which is supervised by a physician licensed pursuant to the provisions of
				chapter 630 or 633 of NRS;
(b) Each
				patient of the center has a comfortable and clean environment which protects
				him or her from injury or accident;
(c) At least one physician and one registered
				nurse are on the premises of the center during all hours of its
				operation;
(d) An annual operating
				budget and plan for capital expenditures are established;
(e) The center is adequately staffed and
				equipped; and
(f) The center
				maintains documents concerning the qualifications of all consultants under
				contract with the center and all employees of the center.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Administration and Personnel › Section 449.61326 - Program to review quality of care; contents of program

Current
				through June 11, 2024
Each independent center for emergency medical care shall
				  establish a program to review the quality of care provided at the center. The
				  program must designate which person or group of persons will review the quality
				  of care. The program must include, without limitation, a review of:
1. The documentation in the medical records
				of a patient which describes the medical care provided to the patient and the
				results of that care;
2. The time
				of arrival and the time the patient was seen by a provider of medical care at
				the center;
3. The medical
				condition of the patient when he or she was discharged from the
				center;
4. The appropriateness of
				the instructions given to the patient upon his or her discharge and the
				documentation that the patient understood the instructions; and
5. If a patient is transferred to another
				medical center or facility, the appropriateness of the transfer, the method of
				transfer, the date and time the transfer was requested and the date and time
				the patient was discharged from the center.
Added to NAC by Bd. of
				  Health, eff. 11-1-95
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Administration and Personnel › Section 449.61328 - Integration into local emergency medical system

Current through
				June 11, 2024
Each independent center for emergency medical care shall take
				  all action necessary to ensure that it is integrated into the local emergency
				  medical system for providing treatment for trauma. The integration with the
				  local system must include:
1. The
				capability to communicate with ambulances, air ambulances, agency vehicles and
				hospitals in accordance with the local health authority as defined in
				NRS
				450B.077;
2. Written agreements with hospitals which
				are licensed to provide acute medical and trauma care for the transfer of
				patients; and
3. A system to
				maintain information on each patient treated at the center which includes the
				external cause of injury to a patient as classified in the index of
				international classification of diseases.
Added to NAC by Bd. of
				  Health, eff. 11-1-95
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Administration and Personnel › Section 449.6133 - Appointment and responsibilities of administrator

Current through
				June 11, 2024
1. Except
				as otherwise provided in NAC
				449.61322, the governing body of
				an independent center for emergency medical care shall appoint a person to
				administer the center. The administrator is responsible for:
(a) The daily operation of the
				center;
(b) Serving, along with any
				committee appointed for the purpose of serving, as a liaison between the
				governing body, the medical staff and all the departments of the
				center;
(c) Reporting the pertinent
				activities of the center to the governing body at regular intervals;
(d) Appointing a person responsible for the
				center in the absence of the administrator;
(e) Planning for the services provided by the center and the
				operation of the center; and
(f)
				Ensuring that:
(1) Each employee who provides
				care to victims of sexual assault or attempted sexual assault is:
(I) Provided training that meets the
				requirements of subsection 2 not later than 60 days after the date on which the
				employee commenced his or her employment and at least biennially thereafter;
				and
(II) Evaluated for competency
				in providing information concerning emergency contraception and prophylactic
				antibiotics, including, without limitation, possible side effects of using
				those medications, not later than 30 days after receiving the training required
				by subsubparagraph (I) and provided with additional training if the employee is
				not competent to provide such information; and
(2) Evidence of compliance with the
				requirements of subparagraph (1) is maintained in the personnel file for each
				employee who is subject to those requirements.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Administration and Personnel › Section 449.61332 - Employment and duties of medical director

Current through June
				11, 2024
Each independent center for emergency medical care shall
				  employ a physician to serve as medical director of the center. Except as
				  otherwise provided in NAC 449.61322, the director is answerable to the
				  governing body for the quality of medical care provided to patients and the
				  ethical and professional practices of the members of the medical staff. The
				  director shall:
1. Create and carry
				out policies for the care of patients; and
2. Coordinate medical care at the
				center.
Added to NAC by Bd. of
				  Health, eff. 11-1-95
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Administration and Personnel › Section 449.61334 - Standards and procedures for selection, treatment and retention of medical staff and members of allied health professions

Current through
				June 11, 2024
1. Each
				independent center for emergency medical care shall adopt standards and
				procedures for:
(a) The selection of members
				of the medical staff of the center;
(b) The privileges which will be accorded to
				members of the medical staff and members of allied health professions who
				provide services at the center;
(c)
				Appealing the withdrawal or denial of any privilege; and
(d) The reappraisal and appointment of each
				member of the medical staff.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Administration and Personnel › Section 449.61336 - Rules for organization of medical staff

Current through June 11,
				2024
The medical staff of an independent center for emergency
				  medical care must be organized under a set of rules approved by the governing
				  body or, if there is no governing body, by the medical director. The rules must
				  include:
1. An outline which describes
				the organization of the medical staff;
2. A statement concerning the qualifications
				which a member of the medical staff must possess to practice at the
				center;
3. A policy concerning the
				requirements for meetings of the medical staff, including the minimum number of
				meetings each member of the staff must attend each year;
4. A provision requiring, except in a medical
				emergency, the informed consent of a patient or his or her legal representative
				for a surgical procedure;
5. A
				requirement that if a patient is treated for dental or podiatric care at the
				center, a physician who is responsible for the medical care of the patient must
				be in attendance throughout the patient's care at the center; and
6. A requirement that if any member of an
				allied health profession provides services at the center, his or her entries on
				the medical record of a patient must be verified by his or her
				signature.
Added to NAC by Bd. of
				  Health, eff. 11-1-95
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Administration and Personnel › Section 449.61338 - Employment and duties of chief nurse; size of on-duty nursing staff; limitation on scope of practice by person who is not registered nurse; oversight of nursing staff

Current through June 11,
				2024
1. Each independent
				center for emergency medical care shall employ a chief nurse who is a
				registered nurse and is responsible for the supervision and evaluation of the
				nursing staff and its activities. The chief nurse shall:
(a) Establish job descriptions for the
				nursing staff of the center;
(b)
				Provide for the orientation and training of the nursing staff;
(c) Evaluate the performance of the nursing
				staff; and
(d) Assign
				nurses.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Facilities › Section 449.6135 - Design, construction, equipment and maintenance: General requirements; prerequisites to approval for licensure

Current through June 11,
				2024
1. An independent
				center for emergency medical care must be designed, constructed, equipped and
				maintained in a manner that protects the health and safety of the patients and
				personnel of the independent center for emergency medical care and members of
				the general public.
2. An
				independent center for emergency medical care shall comply with all applicable:
(a) Federal and state laws;
(b) Local ordinances, including, without
				limitation, zoning ordinances; and
(c) Environmental, health, fire and local
				building codes,
related to the construction and maintenance of the
				  independent center for emergency medical care. 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 › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Facilities › Section 449.61352 - Contents of center: Emergency entrance; reception and waiting areas; treatment and examination rooms; space for storage and maintenance of medical records and supplies

Current through June 11,
				2024
An independent center for emergency medical care must
				  contain:
1. An emergency entrance
				located at the ground level which:
(a) Is
				sheltered from the weather;
(b) Can
				accommodate a stretcher without rotating the stretcher more than 30 degrees
				about the longitudinal axis or 30 degrees about the lateral axis; and
(c) Is readily identifiable as an entrance
				and accessible to the general public;
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Facilities › Section 449.61354 - Contents of treatment rooms; accessibility to person in wheelchair

Current through June 11, 2024
1. Each treatment room in an independent
				center for emergency medical care must contain:
(a) Cabinets for the storage of supplies and
				equipment;
(b) A sink for washing
				hands;
(c) A sink for dirty
				equipment or an area designated for the cleaning and handling of dirty
				equipment which is separate from the sink for washing hands;
(d) A work counter;
(e) Sufficient space for a stretcher;
				and
(f) Emergency medical equipment
				and supplies necessary to perform critical procedures and resuscitation in a
				cardiopulmonary or traumatic emergency, including, without limitation:
(1) A device for monitoring the electrical
				activity of the heart with the capability of performing manual defibrillation
				and external cardiac pacing;
(2)
				Equipment for the advanced management of a patient's airway including a
				laryngoscope, and blades and endotracheal tubes in sizes for infants, children
				and adults;
(3) A sterile tray with
				tracheostomy tubes in sizes for infants, children and adults necessary to
				create an emergency surgical airway;
(4) Sterile needles, tubing and other
				equipment necessary to administer intravenous and intraosseous therapy for
				infants and children and specialized procedures to stabilize the vital signs of
				a patient;
(5) Apparatus for the
				suction of an airway with wide-bore tubing and rigid pharyngeal suction tips
				and assorted sizes of sterile suction catheters;
(6) Devices to stabilize a patient's neck in
				sizes for infants, children and adults; and
(7) A sterile tray and equipment necessary to
				insert a tube into a patient's chest, appropriate for the age, size and sex of
				the patient, for drainage of the chest cavity.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Medical Services and Medical Records › Section 449.6137 - Requirement for minimum level of care in certain situations

Current through June 11, 2024
Each independent center for emergency medical care shall
				  maintain on its premises, during all hours of operation, the staff, equipment
				  and drugs necessary to provide an initial evaluation and stabilization of a
				  patient of any age whose condition threatens the loss of the patient's life,
				  any of his or her limbs or his or her functional ability, including, without
				  limitation, the staff, equipment and drugs necessary to enable the
				  center:
1. To perform advanced
				cardiopulmonary resuscitation; and
2. To provide appropriate diagnostic
				radiology and clinical laboratory services.
Added to NAC by Bd. of
				  Health, eff. 11-1-95
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Medical Services and Medical Records › Section 449.61372 - Criteria for denial of care, transfer or discharge of patient; compliance with state and federal laws

Current through June 11,
				2024
1. An independent
				center for emergency medical care shall not deny a person emergency medical
				care at the center because of the inability of the person to pay unless a
				physician has evaluated the person and determined that he or she does not have
				a medical condition which requires emergency medical care.
2. An independent center for emergency
				medical care shall not transfer or discharge a patient from the center unless
				the transfer or discharge is appropriate based upon the medical needs of the
				patient.
3. An independent center
				for emergency medical care shall comply with all applicable state and federal
				laws concerning the admission, discharge and transfer of patients.
Added to NAC by Bd. of
				  Health, eff. 11-1-95
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Medical Services and Medical Records › Section 449.61374 - Laboratory services and reports; procedures for storage and administration of tissue specimens, blood and blood products; agreements with outside blood banks; review of blood transfusions and reactions

Current
				through June 11, 2024
1.
				Each independent center for emergency medical care shall maintain or have
				available adequate laboratory services during all hours of operation provided
				by a medical laboratory which is licensed pursuant to chapter 652 of NRS to
				meet the needs of its patients and medical staff.
2. If laboratory services are provided by a
				laboratory outside the center:
(a) The
				original report of services must be provided by a laboratory which is licensed
				pursuant to the provisions of chapter 652 of NRS and contained in the medical
				record of the patient; and
(b) The
				conditions, procedures and availability of work performed by the laboratory
				must be in writing and available within the center.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Medical Services and Medical Records › Section 449.61376 - Program for control of infection

Current through June 11,
				2024
Each independent center for emergency medical care shall
				  establish a program for the control of infection at the center, including,
				  without limitation:
1. Policies and
				procedures for the control of infectious agents and diseases;
2. Methods of disposal of blood and bodily
				fluids; and
3. Methods of treatment
				of equipment and supplies contaminated with blood and bodily fluids.
Added to NAC by Bd. of
				  Health, eff. 11-1-95
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Medical Services and Medical Records › Section 449.61378 - Radiological services: Availability; interpretation and reporting of films; storage and retention

Current through June 11,
				2024
1. Each independent
				center for emergency medical care shall provide basic radiological services
				performed by a person who is certified by the American Registry of Radiological
				Technologists or a person who has equivalent qualifications. Radiological
				services must be available during all hours of operation of the center to meet
				the needs of its patients and medical staff.
2. All X-ray films requested by a physician
				at an independent center for emergency medical care must be interpreted by a
				radiologist. The radiologist shall provide a final report for each X-ray film
				signed by the radiologist which must be filed with the medical record of the
				patient. A duplicate copy of the report must be kept within the radiology
				department of the center. Any positive or abnormal results from the X-ray
				report must be reported to the patient and the physician who requested the X
				ray.
3. All X-ray reports and
				roentgenograms must be preserved or microfilmed for at least the length of time
				specified in the applicable statute of limitations governing medical
				malpractice.
Added to NAC by Bd. of
				  Health, eff. 11-1-95
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Medical Services and Medical Records › Section 449.6138 - Distribution and administration of drugs and controlled substances

Current through June 11, 2024
1. Each independent center for emergency
				medical care shall provide for the distribution and administration of drugs in
				conformance with all federal, state and local laws. A list of the drugs
				available for use at the center must be maintained.
2. All dangerous drugs and controlled
				substances distributed at an independent center for emergency medical care must
				be:
(a) Owned by and stored in a licensed
				pharmacy; or
(b) Owned by a
				licensed physician.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Medical Services and Medical Records › Section 449.61382 - Medical records: Maintenance; access; authorized release; completion after discharge

Current through June 11,
				2024
1. Each independent
				center for emergency medical care shall maintain medical records in accordance
				with accepted professional practices for each patient admitted to the
				center.
2. Only authorized
				personnel may have access to the medical records. Information contained in a
				medical record of a patient must not be released without the written consent of
				the patient or his or her guardian except:
(a) As required by law;
(b) Under a contract assented to by the
				patient with a person or entity who has agreed to pay for the medical expenses
				of the patient; or
(c) As otherwise
				provided by the agreement of admission assented to by the patient.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE › Medical Services and Medical Records › Section 449.61384 - Contents of medical records

Current through June 11,
				2024
The medical record of each patient of an independent center
				  for emergency medical care must be complete, authenticated, accurate and
				  current. Each medical record must contain the following:
1. A complete identification of the patient,
				including information on his or her next of kin and the person or agency who is
				legally or financially responsible for the patient;
2. A statement concerning the admission and
				diagnosis of the patient;
3. The
				medical history of the patient;
4.
				Evidence of any informed consent given by the patient or his or her legal
				guardian for the care of the patient;
5. Any clinical observation of the patient,
				including notes of a physician, nurse or any other professional in
				attendance;
6. Reports of all
				prescribed tests and examinations of the patient;
7. Confirmation of the original diagnosis or,
				if the diagnosis changed, the diagnosis at the time of discharge;
8. A summary of the discharge of the patient
				prepared in accordance with established policy, including any provisions made
				for the continuing care or follow-up treatment of the patient after his or her
				discharge; and
9. If the patient
				has died, the documentation of death and necropsy report, if
				available.
Added to NAC by Bd. of
				  Health, eff. 11-1-95
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › General Provisions › Section 449.614 - Definitions

Current through June 11, 2024
As used in NAC 449.614 to 449.743, inclusive, unless the
				  context otherwise requires, the words and terms defined in NAC 449.617 to
				  449.659, inclusive, have the meanings ascribed to them in those
				  sections.
Supplied in
				  codification; A by Bd. of Health by R066-04,
				  8-4-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › General Provisions › Section 449.617 - "Administrator" defined

Current through June 11,
				2024
"Administrator" means a licensee or a person appointed by the
				  licensee who has the responsibility for the management of a facility.
Bd. of Health,
				  Intermediate Care Facilities Reg. § 1.2, eff.
				  12-5-75
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › General Provisions › Section 449.623 - "Facility" defined

Current through June 11,
				2024
"Facility" means an intermediate care facility.
Bd. of Health,
				  Intermediate Care Facilities Reg. § 1.5, eff.
				  12-5-75
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › General Provisions › Section 449.629 - "Intermediate care facility as a distinct part of a health and care facility furnishing more than one level of care" defined

Current through June
				11, 2024
1.
				"Intermediate care facility as a distinct part of a health and care facility
				furnishing more than one level of care" means an intermediate care facility
				which is an entire unit such as a clearly identifiable ward or contiguous
				wards, wing, floor or building consisting of all beds and related facilities in
				the unit and housing all intermediate care residents. It is clearly identified
				and is licensed by the Division as an intermediate care facility.
2. The distinct part may share such central
				services and facilities as management services, dietary, maintenance and
				laundry with other units.
Bd. of Health,
				  Intermediate Care Facilities Reg. §§ 1.1.2 & 1.1.2.1, eff.
				  12-5-75
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › General Provisions › Section 449.632 - "Intermediate care facility for persons with an intellectual disability or persons with a developmental disability" defined

Current through
				June 11, 2024
"Intermediate care facility for persons with an intellectual
				  disability or persons with a developmental disability" means a facility which
				  offers specialized services to persons with intellectual disabilities and
				  persons with related conditions.
Bd. of Health,
				  Intermediate Care Facilities Reg. § 1.1.1, eff.
				  12-5-75
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › General Provisions › Section 449.635 - "Licensee" defined

Current through June 11,
				2024
"Licensee" means the person, corporation, partnership,
				  voluntary association, or other public or private organization responsible for
				  the overall operation of an intermediate care facility.
Bd. of Health,
				  Intermediate Care Facilities Reg. § 1.6, eff.
				  12-5-75
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › General Provisions › Section 449.638 - "Long-term care facility" defined

Current through June 11,
				2024
"Long-term care facility" means an intermediate care
				  facility, a skilled nursing facility or a chronic disease hospital.
Bd. of Health,
				  Intermediate Care Facilities Reg. § 1.7, eff.
				  12-5-75
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › General Provisions › Section 449.644 - "Mixed facility" defined

Current through June 11,
				2024
"Mixed facility" means a skilled nursing facility which also
				  admits residents of an intermediate care facility who receive care and services
				  appropriate to their needs. Residents are discriminately assigned to beds in
				  the facility and are not assigned to a distinct part of the facility.
Bd. of Health,
				  Intermediate Care Facilities Reg. § 1.9 eff.
				  12-5-75
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › General Provisions › Section 449.647 - "New facility" defined

Current through June 11,
				2024
"New facility" means an intermediate care facility which is a
				  newly built structure or an intermediate care facility which is under new
				  ownership.
Bd. of Health,
				  Intermediate Care Facilities Reg. § 1.13, eff.
				  12-5-75
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › General Provisions › Section 449.650 - "Nursing home" defined

Current through June 11,
				2024
"Nursing home" means an intermediate care facility or a
				  skilled nursing facility.
Bd. of Health,
				  Intermediate Care Facilities Reg. § 1.10, eff.
				  12-5-75
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › General Provisions › Section 449.653 - "Patient in an intermediate care facility I" defined

Current through
				June 11, 2024
"Patient in an intermediate care facility I" means a resident
				  who requires 24-hour supervision under the care of a licensed vocational nurse
				  but needs only periodic professional treatment, observation and
				  evaluation.
Bd. of Health,
				  Intermediate Care Facilities Reg. § 1.1.3, eff.
				  12-5-75
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › General Provisions › Section 449.656 - "Patient in an intermediate care facility II" defined

Current
				through June 11, 2024
"Patient in an intermediate care facility II" means a
				  resident who requires 24-hour supervision under the care of a registered nurse.
				  The resident requires observation, evaluation and assistance with personal care
				  continuously.
Bd. of Health,
				  Intermediate Care Facilities Reg. § 1.1.4, eff.
				  12-5-75
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › General Provisions › Section 449.657 - "Person with a developmental disability" defined

Current through
				June 11, 2024
"Person with a developmental disability" means a person who
				  has a condition manifested in childhood which is attributable to an
				  intellectual disability, cerebral palsy, epilepsy or other neurological
				  conditions similar to or requiring treatment similar to that required by an
				  intellectual disability.
Bd. of Health,
				  Intermediate Care Facilities Reg. § 1.3, eff. 12-5-75-Substituted in
				  revision for NAC 449.620
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › General Provisions › Section 449.658 - "Person with an intellectual disability" defined

Current through
				June 11, 2024
"Person with an intellectual disability" means a person
				  having a condition of significantly subaverage intellectual functions existing
				  concurrently with deficits in adaptive behavior. The condition manifests itself
				  during the developmental period before the age of 18.
Bd. of Health,
				  Intermediate Care Facilities Reg. § 1.8, eff. 12-5-75-Substituted in
				  revision for NAC 449.641
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › General Provisions › Section 449.659 - "Resident" defined

Current through June 11,
				2024
"Resident" means a patient in an intermediate care
				  facility.
Bd. of Health,
				  Intermediate Care Facilities Reg. § 1.12, eff.
				  12-5-75
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Licensing › Section 449.668 - Provisional licenses

Current through June 11,
				2024
The Division may issue a provisional license to a facility
				  which:
1. Is in operation at the time
				of the adoption of new regulations, to provide a reasonable time, not to exceed
				1 year from the effective date of the regulations, within which to comply with
				the new regulations; or
2. Has
				failed to comply with NAC 449.614 to 449.743, inclusive, but which is in the
				process of making necessary changes or has agreed in writing to effect changes
				within a reasonable time specified by the Division, not to exceed 1
				year.
Bd. of Health,
				  Intermediate Care Facilities Reg. § 2.6, eff. 12-5-75; A
				  12-27-77
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Administration and Personnel › Section 449.671 - Financing; liability insurance

Current through June 11,
				2024
1. Each facility
				shall:
(a) Have a sound plan for financing
				which assures sufficient funds to provide proper care for residents and to
				carry out the stated purposes, programs and services;
(b) If it is a new facility, have reasonable
				expectations of sufficient funds to carry it through the first 4 months of
				operation and be able to furnish evidence to that effect;
(c) Maintain a recognized financial
				accounting and reporting system which fulfills all requirements established by
				the Commissioner of Insurance pursuant to chapter 449 of NRS.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Administration and Personnel › Section 449.674 - Administrator: Qualifications

Current through June 11,
				2024
1. A facility must
				be administered by a person licensed in Nevada as a nursing home administrator,
				except in the case of intermediate care facilities for persons with an
				intellectual disability or persons with a developmental disability.
2. If a hospital is qualifying as a facility,
				it must be administered by the administrator of the hospital.
3. The administrator shall have the necessary
				authority and responsibility for the management of the facility and the
				implementation of administrative policies.
4. The administrator may be designated as the
				resident services director pursuant to NAC 449.677.
Bd. of Health,
				  Intermediate Care Facilities Reg. §§ 5.1-5.3, eff.
				  12-5-75
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Administration and Personnel › Section 449.677 - Employees: General requirements

Current through June 11,
				2024
1. A facility must
				maintain methods of administrative management which assure that:
(a) There are on duty, all hours of each day,
				members of the staff sufficient in number and qualifications to carry out the
				policies, responsibilities and programs of the facility; and
(b) The numbers and categories of personnel
				are adequate for the number of residents and their particular needs.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Administration and Personnel › Section 449.680 - Employees: Health; physical examinations

Current through June
				11, 2024
A facility must maintain evidence that each employee or
				  independent contractor of the facility has been screened for communicable
				  diseases as required by NAC
				  441A.375.
Bd. of Health,
				  Intermediate Care Facilities Reg. §§12.1 & 12.2, eff. 12-5-75; A
				  by
				  R048-22A,
				  eff. 12/29/2022
NRS 439.200,
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Administration and Personnel › Section 449.681 - Employees of facility which provides care to persons with dementia: Continuing education

Current through June 11,
				2024
1. Except as
				otherwise provided in subsection 4, each person who is employed by a facility
				which provides care to persons with any form of dementia, including, without
				limitation, dementia caused by Alzheimer's disease, who has direct contact with
				and provides care to persons with any form of dementia and who is licensed or
				certified by an occupational licensing board must complete the following number
				of hours of continuing education specifically related to dementia:
(a) In his or her first year of employment
				with a facility, 8 hours which must be completed within the first 30 days after
				the employee begins employment; and
(b) For every year after the first year of
				employment, 3 hours which must be completed on or before the anniversary date
				of the first day of employment.