reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.570 - Air ambulance: Design, medical equipment and medical supplies

Current through June 11, 2024
1. To be used as an air ambulance, an
				aircraft, whether a fixed- or rotary-wing type, must meet the requirements set
				forth in 14 C.F.R. Part 135, including by means of receiving a current
				endorsement by a nationally accredited air ambulance organization, including,
				without limitation, the Commission on the Accreditation of Medical Transport
				Systems, meet an equivalent national standard set forth by the Federal Aviation
				Administration or, in addition to meeting other applicable requirements set
				forth in this chapter:
(a) Be designed and
				maintained in a safe and sanitary condition;
(b) Have sufficient space for storage of
				medical equipment and medical supplies which may be locked against unauthorized
				entry;
(c) Be designed to
				accommodate at least one stretcher;
(d) Have a door of sufficient size to allow a
				stretcher to be loaded without rotating it more than 30 degrees about the
				longitudinal axis or 30 degrees about the lateral axis; and
(e) Have the climate controlled in the cabin
				of the aircraft to prevent extremes in temperature that would adversely affect
				the care of a patient.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.574 - Unit used to provide emergency care at scene of emergency without transporting patients: Required personnel

Current through June 11, 2024
A unit used by a service in any configuration
				to provide emergency care at the scene of an emergency without transporting a
				patient, when in operation as such, must have at least one attendant licensed
				at the level for which the service holds a permit.
Added to NAC by Bd. of
				Health, eff. 8-22-86; A by R182-01, 3-5-2002; A by
				R024-14,
				eff. 10/24/2014
NRS
				450B.120
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.575 - Ambulance, air ambulance or any other unit used to transport patients and provide any level of emergency care: Required equipment and personnel

Current through June 11, 2024
An
				ambulance, air ambulance or any other unit that is used to transport a patient
				and provide any level of emergency care must be:
1. Equipped with a two-way voice radio
				capable of operating on the state radio system for emergency medical services,
				except that an air ambulance service's unit may be equipped with a cellular
				telephone which is capable of providing communication to the hospital;
				and
2. Staffed by licensed
				attendants pursuant to NAC 450B.450.
Added to NAC by Bd. of
				Health, eff. 10-14-82; A 8-22-86; R182-01, 3-5-2002; A by
				R024-14,
				eff. 10/24/2014
NRS
				450B.120,
				450B.130
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.576 - Driver-only program: Restrictions; application; approval of drivers required; expiration of approval; annual report

Current through June 11, 2024
1. A driver-only
				program may not be operated:
(a) In a city
				whose population is more than 100,000; or
(b) If the Division has not approved an
				application to operate a driver-only program as described in this
				section.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.578 - Ambulance, air ambulance or agency's vehicle: Communication with and agreement by hospital

Current through June 11, 2024
An ambulance, air ambulance or agency's vehicle
				which is to be used to provide basic, intermediate or advanced emergency care
				must be equipped for 24-hour communication by radio with a hospital, and the
				hospital must agree to:
1. Have its
				emergency department supervised 24 hours a day by :
(a) A physician or advanced practice
				registered nurse; or
(b) A
				physician assistant or registered nurse supervised by a physician. The
				physician must be available in the hospital or be able to be present in the
				hospital within 30 minutes.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.590 - Operation of ambulance by unlicensed person (Repealed)

Current through June 11, 2024
Bd. of Health,
				Ambulance Reg. § 14.3.1, eff. 2-28-80; R by
				
				R024-14, eff. 10/24/2014
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.600 - Air ambulance: Equipment and operation of aircraft; staff

Current through June 11, 2024
1. An aircraft used by a service which has
				received a permit issued by the Division to operate a service using an air
				ambulance must be equipped to provide advanced life support and must be
				operated by a pilot certified by the Federal Aviation Administration.
2. An air ambulance used to transport a
				patient must be staffed with an emergency medical services registered nurse or
				a physician and have the capability of being staffed with two air
				attendants.
3. Except as otherwise
				provided in this subsection, an air ambulance used to transfer a patient must
				be staffed with at least one air attendant and must have the capability of
				being staffed with two air attendants. An air ambulance used to transfer a
				patient must be staffed with at least two air attendants, one of which is an
				emergency medical services registered nurse or a physician, if it is determined
				by the physician requesting the transfer that the presence of two air
				attendants is in the best interest of the care of the patient.
4. An air attendant or emergency medical
				services registered nurse staffing an air ambulance must be examined biennially
				by a licensed physician and found to be free from physical defects or disease
				which might impair the ability to attend a patient in an air ambulance. The
				operator of the air ambulance shall maintain documentation of such
				examinations.
Bd. of Health,
				Ambulance Reg. § 11.013, eff. 12-3-73; A and renumbered as § 14.4,
				2-28-80-NAC A 10-14-82; 8-22-86; 8-1-91; 5-18-92; R045-97, 10-30-97; A by
				R024-14,
				eff. 10/24/2014
NRS
				450B.120,
				450B.130
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.611 - Base stations, protocols and procedures

Current through June 11, 2024
1. Each service
				shall identify at least one base station providing 24-hour voice communication
				between a physician and personnel who provide emergency care. The station or
				stations must be identified in the application for a permit for the service
				submitted to the Division.
2. The
				medical director of a service shall identify local protocols which define the
				circumstances under which verbal medical directions must be given by a
				physician to personnel who provide emergency care.
3. Except as otherwise provided by local
				protocol, a receiving hospital must be notified before the arrival of each
				patient transported by the service.
4. The medical director of the service may
				establish requirements for the training of the physician at the base station to
				assure that the physician is knowledgeable of the protocols and procedures
				established by the medical director.
5. A base station with an agreement to
				provide 24-hour communication between a physician and a provider of emergency
				care shall require that the physician providing medical directions is
				knowledgeable of:
(a) The procedures for
				treatment established by the medical director of the service;
(b) The communication system establishing
				contact between personnel who provide emergency care and the base
				station;
(c) The emergency care of
				acutely ill or injured patients;
(d) The capabilities of the providers of
				emergency care; and
(e) The
				policies of local and regional emergency medical services and protocols for
				referring patients with trauma.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.620 - Reports required

Current through June 11, 2024
1. Each holder of a
				permit to operate a service shall file with the Division a list of all
				ambulances, air ambulances or agency's vehicles operated pursuant to the
				permit. The list must contain the same information as is required to be
				submitted with an application for a permit.
2. The operator shall file an amended list of
				his or her ambulances or agency's vehicles with the Division before any such
				unit is placed in or removed from the service.
3. The operator of such a service shall
				maintain a record of each patient on the report of emergency care in a format
				approved by the Division. In addition to the information required in NAC
				450B.766, the record must include, without limitation, the information required
				by the National Emergency Medical Services Information System and any other
				information required by the Division.
4. The completed report of emergency care
				must contain accurate information and be available to the receiving facility
				within 24 hours after the patient's arrival.
5. Each service shall submit :
(a) The information required by subsection 3
				and NAC 450B.766 to the Division in a format approved by the Division. The
				information submitted may be used for compiling statistics.
(b) The information required by the National
				Emergency Medical Services Information System in a format approved by the
				Division.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.630 - Records concerning transportation and transfer of patients

Current through June 11, 2024
Records
				concerning the transportation and transfer of patients within or beyond the
				boundaries of Nevada must be available for inspection by the Health Division at
				any reasonable time. Copies of the records must be filed with the Health
				Division within 2 weeks after the request of the Health Division.
[Bd. of Health, Ambulance Reg. part
				§ 1.021, eff. 12-3-73; A and renumbered as part § 1.020, 2-28-80; +
				Life Support Reg. part § 1.16, eff. 1-1-76; A 2-28-80]-(NAC A 8-22-86;
				R045-97, 10-30-97)
NRS
				450B.120,
				450B.130
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.640 - Inspections

Current through June 11, 2024
1. The Division shall:
(a) Inspect or have inspected every
				ambulance, air ambulance configured to be used for providing medical services
				or agency's vehicle to be used in a service after the issuance of a permit but,
				except as otherwise provided in subsection 3, before it is placed in service;
				and
(b) Determine whether or not it
				complies with the requirements of this chapter.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.645 - Reports of emergency care

Current through June 11, 2024
A report of emergency care must be accurate
				and provided in a format approved by the Health Division.
Added to NAC by Bd. of Health, eff.
				8-22-86; A 8-1-91; R045-97, 10-30-97; R182-01,
				3-5-2002
NRS
				450B.120
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › DISCIPLINARY ACTION › Section 450B.650 - Periodic examination or investigation by Division; fee

Current through June 11, 2024
1. Nothing contained in this chapter
				prohibits the Division from periodically examining or investigating any person
				issued a permit, license or certificate.
2. The Division shall charge and collect a
				fee from any service or person against whom a complaint alleging a violation of
				this chapter or chapter 450B of NRS is submitted to the Division by a service
				or person to recover the costs of investigating the complaint after the
				investigation is completed if the complaint is substantiated. The fee will be
				based upon the hourly rate established for each investigator of the Division,
				as determined by the budget of the Division, and travel expenses.
3. As used in this section, "substantiated"
				means supported or established by evidence or proof.
Bd. of Health,
				Ambulance Reg. § 16.006, eff. 12-3-73; A and renumbered as § 18.6,
				2-28-80-NAC A 8-22-86; R045-97, 10-30-97; A by
				R024-14,
				eff. 10/24/2014; A by
				R068-16A,
				eff. 1/27/2017
NRS 439.150, 450B.120 and
				450B.200
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › DISCIPLINARY ACTION › Section 450B.655 - Unprofessional conduct

Current through June 11, 2024
A person exhibits unprofessional conduct if he
				or she fails, while functioning in the capacity of a person who is licensed or
				certified pursuant to this chapter, to maintain that standard of performance,
				to exercise that degree of skill, care, diligence and expertise or to manifest
				that professional demeanor and attitude which is ordinarily exercised and
				possessed by licensees in Nevada. Unprofessional conduct includes, without
				limitation:
1. The use of obscene,
				abusive or threatening language , gestures or actions;
2. Berating or belittling or making critical
				remarks or statements regarding competing services or other licensees and
				professionals participating in the system for emergency medical care;
3. The use of unreasonable force which
				unnecessarily increases or inflicts pain upon a patient;
4. A callous disregard for personal feelings
				or sensibilities of patients, their friends, families or other persons present
				while care is being rendered;
5.
				Habitual intemperance; and
6.
				Addiction to the use of any controlled substance as defined in the preliminary
				chapter of NRS.
Added to NAC by Bd. of
				Health, eff. 8-22-86; A by R182-01, 3-5-2002; A by
				R024-14,
				eff. 10/24/2014
NRS
				450B.120
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › DISCIPLINARY ACTION › Section 450B.660 - Grounds for disciplinary action

Current through June 11, 2024
1. Whenever the
				Division determines that any ambulance, air ambulance configured to be used for
				providing medical services, agency's vehicle or its equipment which is faulty,
				malfunctioning or otherwise in violation of this chapter constitutes an
				immediate, serious hazard or a detriment to any person who may use the services
				provided by it, the Division shall immediately inform the operator of the
				service of the condition. The Division may immediately issue an order
				temporarily suspending the equipment or service from operation pending the
				institution of appropriate proceedings to revoke the permit or endorsement for
				the service or the license, certificate or endorsement of an attendant, or may
				suspend the permit, license, certificate or endorsement pending the correction
				of the condition if the operator of the service agrees to make the correction
				within a reasonable period.
2. Any
				type of permit issued to operate a service or a service community paramedicine
				endorsement may be revoked or suspended if, after an inspection by a
				representative of the Division, the holder of the permit or endorsement does
				not correct the violation within a reasonable period after receiving an orde R
				by the Division to do so. As used in this subsection, "reasonable period" means
				a period necessary to take immediate action with due regard for the public
				interest and for the ordering of necessary supplies or parts.
3. The Division or the medical director of a
				service may immediately suspend any attendant or air attendant of a service
				from medical duty who the Division or medical director determines has violated
				any of the provisions of this chapter, has been found to have exhibited
				unprofessional conduct or who constitutes an immediate risk to persons needing
				his or her services. Upon such a suspension, the person may request a hearing
				pursuant to the requirements set forth in NAC
				439.300 to
				439.395, inclusive.
4. The Division may suspend or revoke the
				holder's license, certificate, permit or endorsement if the holder continues to
				fail to comply with any applicable provisions of this chapter or any other
				applicable laws or ordinances after a warning by the Division.
5. Upon the suspension or revocation of a
				license, certificate, permit or endorsement or the imposition of disciplinary
				action on a holder of a license, certificate, permit or endorsement, the holder
				may request a hearing pursuant to the requirements set forth in NAC
				439.300 to
				439.395, inclusive.
Bd. of Health,
				Ambulance Reg. §§ 11.006-11.009, eff. 12-3-73; A and renumbered as
				§§ 13.1-13.4, 2-28-80-NAC A 10-14-82; 8-22-86; R045-97, 10-30-97;
				R182-01, 3-5-2002; A by
				R024-14,
				eff. 10/24/2014; A by
				R068-16A,
				eff. 1/27/2017
NRS 450B.120, 450B.160, 450B.1993
				and 450B.200
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › DISCIPLINARY ACTION › Section 450B.665 - Authorized discipline (Repealed)

Current through June 11, 2024
Added to NAC by Bd. of
				Health by
				R024-14,
				eff. 10/24/2014; A by
				R068-16A,
				eff. 1/27/2017
450B.120 and
				450B.900
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › DISCIPLINARY ACTION › Section 450B.680 - Notification of other licensing authorities of disciplinary action

Current through June 11, 2024
Whenever
				any permit, endorsement, certificate or license issued pursuant to this chapter
				is suspended, revoked or otherwise terminated, the Division shall immediately
				notify the appropriate licensing authorities of the action taken and shall
				request that they immediately institute proceedings to revoke any business
				license or other license issued to the person operating the service or acting
				in the capacity of a driver, attendant or air attendant if the permit or
				license was issued on the condition that the approval of the Division was
				necessary.
Bd. of Health,
				Ambulance Reg. § 11.010, eff. 12-3-73; A and renumbered as § 13.5,
				2-28-80-NAC A 10-14-82; 8-22-86; R045-97, 10-30-97; A by
				R024-14,
				eff. 10/24/2014
NRS
				450B.120,
				450B.160,
				450B.200
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › DISCIPLINARY ACTION › Section 450B.690 - Reinstatement of permit, endorsement, certificate or license

Current through June 11, 2024
1. Any person whose permit to operate a
				service or whose certification, license or endorsement to act as an attendant
				has been suspended or revoked or otherwise terminated in accordance with the
				provisions of this chapter may apply to the Division for a reinspection or
				reexamination for the purpose of reinstating the permit, certificate, license
				or endorsement. The application must be submitted within 180 days after a final
				decision is issued by the Division relating to the suspension, revocation or
				termination of the permit, certificate, license or endorsement, or not later
				than the scheduled date of expiration of the permit, certificate, license or
				endorsement, whichever is earlier.
2. The Division shall conduct a complete
				inspection or coordinate a written examination approved by the Division in
				accordance with the national standard prepared by the National Highway Traffic
				Safety Administration of the United States Department of Transportation within
				10 working days after receipt of a written application for such a
				reinstatement. After the inspection or receipt of the results of the
				examination, the Division shall:
(a)
				Reinstate or reissue the permit, certificate, license or endorsement;
				or
(b) Notify the person, in the
				manner described in NAC 450B.710, that the permit, certificate, license or
				endorsement may not be reinstated or reissued because of the person's failure
				to comply with specified sections of this chapter.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › DISCIPLINARY ACTION › Section 450B.695 - Certificate revoked, terminated or suspended under certain circumstances not eligible for renewal

Current through June 11, 2024
A person whose certificate was revoked,
				terminated or suspended pursuant to disciplinary action at the time the
				certificate expired may not apply for a renewal of the
				certificate.
Added to NAC by Bd. of
				Health, eff. 8-22-86; A by R182-01, 3-5-2002; A by
				R024-14,
				eff. 10/24/2014
NRS
				450B.120,
				450B.195
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › MISCELLANEOUS PROVISIONS › Section 450B.710 - Notice to applicant of rejection of permit or license

Current through June 11, 2024
If any application
				for:
1. A permit to operate a service
				at any level of service;
2. A
				license as an attendant of such a service ;
3. A service community paramedicine
				endorsement; or
4. An attendant
				community paramedicine endorsement,
is rejected by the Division for the
				applicant's failure to comply with the requirements of this chapter, the
				applicant must be notified of the action, the reasons for the rejection and the
				applicant's right of appeal pursuant to NAC
				439.300 to
				439.395,
				inclusive.
Bd. of Health,
				Ambulance Reg. §§ 15.001-15.004 & part § 15.005, eff.
				12-3-73; A and renumbered as §§ 17.1-17.5.1, 2-28-80-NAC A 10-14-82;
				8-22-86; R045-97, 10-30-97; R182-01, 3-5-2002; A by
				R024-14,
				eff. 10/24/2014; A by
				R068-16A,
				eff. 1/27/2017
NRS 450B.120, 450B.160, 450B.1993
				and 450B.200
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › MISCELLANEOUS PROVISIONS › Section 450B.715 - Renewal of certification of nonresident who is no longer employed by service

Current through June 11, 2024
1. Except as
				otherwise provided in this section, the Division shall not renew the
				certificate of a person who holds a certificate issued in Nevada as an
				emergency medical dispatcher, an emergency medical responder, an emergency
				medical technician, an advanced emergency medical technician, a paramedic or an
				instructor in emergency medical services if the person is no longer a resident
				of this state and is no longer employed by a service that has received a permit
				from the Division.
2. The Division
				may issue one renewal to such a person if he or she needs a renewed certificate
				to obtain reciprocal certification in the new state of residence. The person
				must meet the other requirements for renewal, including the requirement that a
				certificate must be renewed on or before the date on which it
				expires.
3. To renew the
				certificate of such a person, the Division may give him or her credit for
				training which he or she has received in the new state if:
(a) The training is approved by the agency
				which regulates emergency medical services in the new state;
(b) The person submits documentary evidence
				of having received the training; and
(c) The person makes a written request of the
				Division to accept the training before the final date for renewing the
				certificate.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › MISCELLANEOUS PROVISIONS › Section 450B.717 - Report of crash or incident

Current through June 11, 2024
If the holder of a permit to operate a service
				or any licensee in the service is involved in any crash or incident reportable
				to the Federal Aviation Administration as a hard landing with an air ambulance
				or agency's vehicle, he or she shall report the full details of the crash or
				hard landing within 5 days after it occurs. The report must be submitted to the
				Division by certified mail, postmarked within 5 days after the crash or hard
				landing, or by personal delivery of a written report. The report must be
				provided to the Division immediately if the crash or hard landing involves an
				injury or death.
[Bd. of Health, Ambulance Reg.
				§ 16.007, eff. 12-3-73; A and renumbered as § 18.7, 2-28-80] - (NAC A
				10-14-82; 8-22-86; R045-97, 10-30-97; R182-01, 3-5-2002; R024-14, 10-24-2014;
				R068-16, 1-27-2017) - (Substituted in revision for NAC
				450B.730)
NRS
				450B.120
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › MISCELLANEOUS PROVISIONS › Section 450B.718 - Report by host organization: Attendance at special event; contacts and transports by emergency medical personnel

Current through June 11, 2024
Not later than 30 days after the last day of a
				special event, the host organization shall submit a report to the health
				authority, which must include:
1. The
				estimated peak number of persons in attendance at the special event at one
				time;
2. The estimated total number
				of persons who attended the special event; and
3. The number of total contacts with and
				transports of persons attending the special event by emergency medical
				personnel
Added to NAC by Bd. of
				Health by
				R068-16A,
				eff. 1/27/2017
NRS 450B.120, 450B.690, 450B.695 and
				450B.700
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › TRAINING › Section 450B.720 - Programs of training

Current through June 11, 2024
1. The Division
				shall, within the limits of its appropriated money, conduct or contract with
				other persons to conduct the programs of training necessary to bring each
				service, including a volunteer service, and each attendant into compliance with
				the requirements of this chapter for training.
2. Except as otherwise provided in subsection
				5, a person proposing to conduct a program within this state for training for
				certification issued under this chapter must apply to the Division for approval
				at least 20 working days before the program is to begin. The Division shall not
				issue a certificate of completion of the program to any trainee unless the
				Division has approved the program. The person conducting the program shall not
				start the program until approval by the Division has been granted.
3. The Division shall not issue retroactive
				approval for a program which has been conducted without its approval.
4. Except as otherwise provided in subsection
				5, curriculum and procedures for testing submitted as part of a request for
				approval of a program must not be changed after approval has been granted for
				the program except upon prior written approval from the Division. The proposed
				change or modification, with an alternative acceptable to the Division, must be
				submitted in writing to the Division not less than 15 working days before the
				effective date of the use of the changed or modified curriculum or
				test.
5. The provisions of
				subsections 2 and 4 do not apply to a program of continuing education offered
				by a training center.
6.
				Conferences, online courses and continuing education that are approved by the
				Commission on Accreditation for Pre-Hospital Continuing Education or the
				Division are deemed to qualify for use to satisfy the requirements of this
				chapter relating to training for the renewal of a license or certificate if the
				conference, online course or continuing education is appropriate to the license
				or certificate.
7. A person who
				conducts a program of training shall retain documentation of courses completed
				by students for at least 5 years after the date on which the course was
				completed.
8. A person must:
(a) Be certified as an emergency medical
				technician before receiving training for certification as an advanced emergency
				medical technician or paramedic.
(b) Maintain the certification described in
				paragraph (a) until the completion of training for certification as an advanced
				emergency medical technician or paramedic, as applicable.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › TRAINING › Section 450B.721 - Training center: Application for approval; fee; expiration and renewal

Current through June 11, 2024
1. At least 90 days before establishing a
				training center, the university, college, school, service or other entity that
				wishes to establish the training center must apply to the Division for approval
				in the form prescribed by the Division and accompanied by the fee prescribed in
				NAC 450B.700. An applicant shall not provide continuing education that has not
				been approved by the Division as provided in NAC 450B.720 until the applicant
				has been approved to operate a training cente R by the Division.
2. An application must include:
(a) The type of training that will be offered
				as part of the training center;
(b)
				Proof that a sufficient number of qualified instructors are available to
				operate the training center;
(c) A
				letter of support from a physician who will oversee the training center;
				and
(d) Any additional information
				required by the Division.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › TRAINING › Section 450B.722 - Training center: Duties; audit

Current through June 11, 2024
1. A training
				center that is approved in accordance with section 6 shall:
(a) Issue continuing education credits to
				students who successfully complete continuing education courses provided by the
				training center;
(b) Ensure that
				all instructors are properly licensed or certified and have been issued an
				endorsement as an instructor in emergency medical services if such an
				endorsement is required by NAC 450B.723; and
(c) Report instructors who do not have the
				proper license, certification or endorsement to the health authority or the
				licensing board having authority over the profession for which the instructor
				is required to be licensed, as appropriate.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › TRAINING › Section 450B.723 - Endorsement as instructor: Qualifications; authorized activities

Current through June 11, 2024
1. To receive an endorsement as an instructor
				in emergency medical services, an applicant must pay a fee in the amount
				prescribed in NAC 450B.700 and provide:
(a)
				Proof of the successful completion of a course or courses in training
				equivalent to the national standard prepared by the National Association of EMS
				Educators as a national standard for instructors or an equivalent standard
				approved by the Administrator of the Division and verification of current
				certification as an emergency medical dispatcher, emergency medical responder,
				emergency medical technician, advanced emergency medical technician or
				paramedic issued by the Division ; or
(b) Proof that the applicant holds current
				certification as a Fire Service Instructor II, as described in
Nevada
				Fire Service Professional Qualifications
, available free of charge
				from the Nevada State Fire Marshal at the Internet address
http://fire.nv.gov/bureaus/FST/Training_Manuals/
.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › TRAINING › Section 450B.725 - Endorsement as instructor: Expiration; renewal

Current through June 11, 2024
1. An
				endorsement to be an instructor in emergency medical services expires on the
				date of expiration appearing on the certificate for an emergency medical
				dispatcher, emergency medical responder, emergency medical technician, advanced
				emergency medical technician or paramedic.
2. The endorsement is renewable if the holder
				of the endorsement verifies participation as an instructor in 10 hours of
				emergency medical training within the 2 years immediately preceding the
				expiration date of the endorsement and pays a fee in the amount prescribed in
				NAC 450B.700.
Added to NAC by Bd. of
				Health, eff. 8-1-91; A by
				R024-14,
				eff. 10/24/2014; A by
				R068-16A,
				eff. 1/27/2017
NRS 439.150 and
				450B.120
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › TRAINING › Section 450B.730 - Report of traffic accident

Current through June 11, 2024
If the holder of a permit to operate a service
				or any licensee in the service is involved in any traffic crash or incident
				reportable to the Federal Aviation Administration as a hard landing with an air
				ambulance or agency's vehicle, he or she shall report the full details of the
				traffic crash or hard landing within 5 days after it occurs. The report must be
				submitted to the Division by certified mail, postmarked within 5 days after the
				traffic crash or hard landing, o R by personal delivery of a written report.
				The report must be provided to the Division immediately if the traffic crash or
				hard landing involves an injury or death.
Bd. of Health,
				Ambulance Reg. § 16.007, eff. 12-3-73; A and renumbered as § 18.7,
				2-28-80-NAC A 10-14-82; 8-22-86; R045-97, 10-30-97; R182-01, 3-5-2002; A by
				R024-14,
				eff. 10/24/2014; A by
				R068-16A,
				eff. 1/27/2017
NRS
				450B.120
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › TREATMENT OF TRAUMA › Initial Procedures and Collection of Information › Section 450B.760 - Definitions

Current through June 11, 2024
As used
				in NAC 450B.760 to 450B.774, inclusive, unless the context otherwise
				requires:
1. "Center for the treatment
				of trauma" has the meaning ascribed to it in NAC 450B.786.
2. "Glasgow Coma Scale" means a system of
				valuation that provides a numerical measure of the level of consciousness of a
				patient based on responses to verbal and motor stimuli.
3. "Pediatric center for the treatment of
				trauma" has the meaning ascribed to it in NAC 450B.799.
4. "Receiving hospital" means a hospital
				licensed in this State with emergency services which has not been designated as
				a center for the treatment of trauma or a pediatric center for the treatment of
				trauma, but which has been assigned a role by the Health Division in the system
				for providing treatment for trauma as defined in NAC 450B.810.
5. "Revised trauma score" means the numerical
				measure of the severity of an injury computed from coded values that are
				assigned to specified intervals of the Glasgow Coma Scale, systolic blood
				pressure and respiratory rate, as described in the article "A Revision of the
				Trauma Score" set forth in
The Journal of Trauma
, Volume 29,
				No. 5, 1989.
Added to NAC by Bd. of Health, eff.
				3-15-88; A 1-18-94; R182-01, 3-5-2002; R139-07,
				1-30-2008
NRS
				450B.120,
				450B.237
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › TREATMENT OF TRAUMA › Initial Procedures and Collection of Information › Section 450B.762 - Adoption of certain publications by reference

Current through June 11, 2024
1. The
				State Board of Health hereby adopts by reference:
(a)
The Journal of Trauma
,
				Volume 14, Issue 3, 1974, at pages 187 to 196, inclusive, and any subsequent
				revision of the publication unless the Board gives notice that the revision is
				not suitable for this State pursuant to subsection 2. A copy of the publication
				may be obtained from Infotrieve at the Internet address
http://www.infotrieve.com
or by
				telephone at (800) 422-4633, for the price of approximately $21 plus applicable
				tax.
(b) The article "A Revision of
				the Trauma Score" set forth in
The Journal of Trauma
, Volume
				29, No. 5, 1989. The article may be obtained from the Savitt Medical Library,
				University of Nevada School of Medicine, Mailstop 306, Reno, Nevada 89557-0046,
				for the price of $10.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › TREATMENT OF TRAUMA › Initial Procedures and Collection of Information › Section 450B.764 - Development of system for collection of information concerning treatment of trauma

Current through June 11, 2024
The Division shall develop a standardized
				system for the collection of information concerning the treatment of trauma and
				carry out a system for the management of that information. The system will be
				known as the Nevada Trauma Registry and must provide for the recording of
				information concerning treatment received before and after admission to a
				hospital.
Added to NAC by Bd. of Health, eff.
				3-15-88; A by
				R068-16A,
				eff. 1/27/2017
NRS 450B.120 and
				450B.237
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › TREATMENT OF TRAUMA › Initial Procedures and Collection of Information › Section 450B.765 - Nevada Trauma Registry: Confidentiality of information collected; maintenance of list of reporting entities

Current through June 11, 2024
1. Except as
				otherwise provided in this subsection, all information collected or maintained
				using the Nevada Trauma Registry that contains the name of a patient, medical
				facility or provider of health care is confidential and may be disclosed only
				as provided in section 16 . The Division shall maintain a list of persons and
				governmental entities that report information to the Nevada Trauma Registry and
				make the list available to any person upon request.
2. Each person or governmental entity who has
				access to any confidential information described in subsection 1 shall ensure
				that:
(a) All files and documents containing
				such information, including, without limitation, indexes for accessing the
				information, are kept in locked storage when not in use;
(b) All electronic files containing such
				information, including, without limitation, indexes for accessing the
				information, are closed when not in use and protected by a password, which must
				be changed at least every 90 days; and
(c) All documents containing such information
				and being used by an employee are out of sight when the employee is away from
				his or her desk.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › TREATMENT OF TRAUMA › Initial Procedures and Collection of Information › Section 450B.7655 - Nevada Trauma Registry: Access for scientific research; application to grant access; fee; restrictions on publication

Current through June 11, 2024
1. A person who
				wishes to conduct scientific research concerning trauma using information
				maintained in the Nevada Trauma Registry must submit a written application to
				the Health Officer. The application must include:
(a) All relevant qualifications of the
				applicant, including, without limitation, any employment as an epidemiologist
				or physician or other person conducting bona fide scientific research into
				trauma;
(b) A description of the
				proposed research and a list of data points required to conduct the proposed
				research; and
(c) A signed
				statement, on a form prescribed by the Health Officer or his or her designee,
				that the applicant agrees not to copy documents or records and to comply with
				the requirements of this section and section 15 .
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › TREATMENT OF TRAUMA › Initial Procedures and Collection of Information › Section 450B.766 - Submission of information by licensee who provides emergency medical care at scene of injury

Current through June 11, 2024
1. A licensee
				providing emergency medical care at the scene of an injury shall submit to:
(a) The Division, information concerning
				patients with traumas who are not transported to a receiving hospital or a
				center for the treatment of trauma; and
(b) The receiving hospital or center for the
				treatment of trauma, information concerning a patient with trauma upon the
				delivery of that patient to the receiving hospital or center for the treatment
				of trauma.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › TREATMENT OF TRAUMA › Initial Procedures and Collection of Information › Section 450B.768 - Submission to Health Division of quarterly reports concerning patients treated by hospital; annual reports by Health Division

Current through June 11, 2024
1. Each
				hospital shall submit to the Division quarterly reports which comply with the
				criteria prescribed by the Division and which contain at least the information
				required by the National Trauma Data Standard established by the American
				College of Surgeons and any other information required by the Division or the
				State Board of Health.
2. The
				information must be submitted not later than 60 days after the end of each
				quarter in a form approved by the Division.
3. The quarterly reports must be submitted on
				or before:
(a) June 1 for the period beginning
				on January 1 and ending on March 31.
(b) September 1 for the period beginning on
				April 1 and ending on June 30.
(c)
				December 1 for the period beginning on July 1 and ending on September
				30.
(d) March 1 for the period
				beginning on October 1 and ending on December 31.
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › TREATMENT OF TRAUMA › Initial Procedures and Collection of Information › Section 450B.770 - Standard for initial identification and care of patients with traumas

Current through June 11, 2024
1. A licensee providing emergency medical
				care to a patient at the scene of an injury shall use the national standard set
				forth by the National Highway Traffic Safety Administration of the United
				States Department of Transportation, the American College of Surgeons or an
				equivalent standard approved by the Administrator of the Division to identify
				and care for patients with traumas
2. If the licensee providing emergency
				medical care is not certain whether to transport the patient to a center for
				the treatment of trauma, the licensee shall transport the patient to a center
				pursuant to NAC 450B.772.
Added to NAC by Bd. of
				Health, eff. 3-15-88; A by R182-01, 3-5-2002; A by
				R024-14,
				eff. 10/24/2014
NRS
				450B.120,
				450B.237
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › TREATMENT OF TRAUMA › Initial Procedures and Collection of Information › Section 450B.772 - Criteria for determining destination for transportation and treatment of patients with traumas

Current through June 11, 2024
The person licensed to provide emergency
				medical care at the scene of an injury shall determine the time required to
				transport a patient to a designated center for the treatment of trauma and
				determine the destination based on the following criteria:
1. If the time required to transport a
				patient to a level I center for the treatment of trauma is not more than 30
				minutes, the patient must be transported to that center and the medical
				directions for the treatment of the patient must originate at that
				center.
2. If the time required to
				transport a patient to a level I center for the treatment of trauma is more
				than 30 minutes, but the time required to transport the patient to a level II
				center for the treatment of trauma is not more than 30 minutes, the patient
				must be transported to the level II center for the treatment of trauma and the
				medical directions for the treatment of the patient must originate at that
				center.
3. If the time required to
				transport a patient to a level I or II center for the treatment of trauma is
				more than 30 minutes, but the time required to transport the patient to a level
				III center for the treatment of trauma is not more than 30 minutes, the patient
				must be transported to the level III center for the treatment of trauma and the
				medical directions for the treatment of the patient must originate at that
				center.
4. If the time required to
				transport a patient to a center for the treatment of trauma is more than 30
				minutes, the patient must be transported to the nearest medical facility which
				can provide a higher level of emergency medical care than can be provided by
				personnel at the scene of the injury and the medical directions for the
				treatment of the patient must originate at that facility or from a protocol
				approved by the medical director of the service and filed with the Division
				which meets or exceeds the national standard for the treatment of
				trauma.
Added to NAC by Bd. of
				Health, eff. 3-15-88; A 10-22-93; 11-1-95; R139-07, 1-30-2008; A by
				R024-14,
				eff. 10/24/2014
NRS
				450B.120,
				450B.237
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › TREATMENT OF TRAUMA › Initial Procedures and Collection of Information › Section 450B.774 - Procedure when patient refuses transportation to center for treatment of trauma

Current through June 11, 2024
1. If a patient at
				the scene of an injury refuses to be transported to a center for the treatment
				of trauma after a determination has been made that the patient's physical
				condition meets the triage criteria requiring transport to the center, the
				person providing emergency medical care shall evaluate the mental condition of
				the patient. If the person determines that the patient is competent, the
				patient must be advised of the risks of not receiving further treatment at the
				center.
2. If the patient continues
				to refuse to be transported to the center for the treatment of trauma, the
				person providing emergency medical care shall request the patient to sign a
				statement indicating that the patient has been advised of the risks of not
				receiving further treatment at the center and continues to refuse to be
				transported to the center.
3. The
				person providing emergency medical care shall inform a physician at the
				location to which the person intends to transport the patient of the patient's
				refusal to be transported before the person leaves the scene of the
				injury.
4. As used in this section,
				"triage criteria" has the meaning ascribed to it in NAC 450B.814.
Added to NAC by Bd. of
				Health, eff. 3-15-88; A by R139-07, 1-30-2008; A by
				R024-14,
				eff. 10/24/2014
NRS
				450B.120,
				450B.237
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › TREATMENT OF TRAUMA › Centers for Treatment of Trauma › Section 450B.780 - Definitions

Current through June 11, 2024
As used
				in NAC 450B.780 to 450B.875, inclusive, unless the context otherwise requires,
				the words and terms defined in NAC 450B.783 to 450B.815, inclusive, have the
				meanings ascribed to them in those sections.
Added to NAC by Bd. of Health, eff.
				3-15-88; A 8-10-90; 10-22-93; 1-18-94; 11-1-95; R139-07,
				1-30-2008
NRS
				450B.120,
				450B.237
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › TREATMENT OF TRAUMA › Centers for Treatment of Trauma › Section 450B.783 - "Board" defined

Current through June 11, 2024
"Board" means the State Board of Health.
Added to NAC by Bd. of Health by
				R139-07, eff. 1-30-2008
NRS
				450B.120,
				450B.237
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › TREATMENT OF TRAUMA › Centers for Treatment of Trauma › Section 450B.786 - "Center for the treatment of trauma" defined

Current through June 11, 2024
"Center for the treatment of
				trauma" means a hospital licensed in this State which has been designated as a
				level I, II or III center by the Administrator of the Division, pursuant to the
				provisions of NAC
				450B.780 to
				450B.875,
				inclusive.
Added to NAC by Bd. of Health, eff.
				3-15-88; A 10-22-93; 11-1-95; R139-07, 1-30-2008; A by
				R048-22A,
				eff. 12/29/2022
NRS
				439.200,
				450B.120,
				450B.237
Nevada Administrative Code › Chapter 450B - Emergency Medical Services › TREATMENT OF TRAUMA › Centers for Treatment of Trauma › Section 450B.798 - "Patient with trauma" defined

Current through June 11, 2024
"Patient with trauma" means a person who has
				sustained injury and meets the triage criteria used to evaluate the condition
				of the patient.
Added to NAC by Bd. of Health, eff.
				3-15-88
NRS
				450B.120,
				450B.237