CHAPTER 449 - MEDICAL FACILITIES AND OTHER RELATED ENTITIES

NAC 449.970 Definitions. (NRS 449.0302) As used in NAC 449.970 to 449.97042, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.9701 to 449.97018, inclusive, have the meanings ascribed to them in those sections. (Added to NAC by Bd. of Health…

NAC 449.9701 “Independent facility” defined. (NRS 449.0302) “Independent facility” means the owner or operator of a mobile unit who: 1. Is not a parent facility; and 2. Uses the mobile unit to operate a medical facility specified in subsections 1 to 13, inclusive, of NRS 449.0151…

NAC 449.97012 “Mobile unit” defined. (NRS 449.0302) “Mobile unit” has the meaning ascribed to it in NRS 449.01515. (Added to NAC by Bd. of Health by R063-02, eff. 7-24-2002)

NAC 449.97014 “Parent facility” defined. (NRS 449.0302) “Parent facility” means a medical facility that is: 1. Specified in subsections 1 to 13, inclusive, of NRS 449.0151; and 2. Licensed pursuant to NRS 449.001 to 449.240, inclusive. (Added to NAC by Bd. of Health by R063-02, e…

NAC 449.97016 “Service site” defined. (NRS 449.0302) “Service site” means the location where a mobile unit is parked when providing a service to a patient. (Added to NAC by Bd. of Health by R063-02, eff. 7-24-2002)

NAC 449.97018 “Staging area” defined. (NRS 449.0302) “Staging area” means any location that serves as a base for maintaining a mobile unit. (Added to NAC by Bd. of Health by R063-02, eff. 7-24-2002)

NAC 449.9702 Applicability of provisions. (NRS 449.0302) The provisions of NAC 449.970 to 449.97042, inclusive, do not apply to: 1. A mobile unit that provides services only: (a) Relating to conducting a mammography in accordance with a certificate of authorization to operate a r…

NAC 449.97022 Licensure. (NRS 449.0302) 1. The Division may issue a license to operate a mobile unit only to: (a) A parent facility; or (b) An independent facility. 2. A parent facility or independent facility shall obtain a license for each mobile unit that it operates. 3. In ad…

NAC 449.97024 Application for licensure. (NRS 449.0302) An application for a license to operate a mobile unit must include: 1. The information required by NRS 449.040 and NAC 449.011; 2. A copy of the certificate of registration issued pursuant to chapter 482 of NRS for the mobil…

NAC 449.97026 Design, construction, equipment, maintenance and parking. (NRS 439.200, 449.0302) 1. Except as otherwise provided in subsection 5, a parent facility or independent facility which is issued a license to operate a mobile unit shall ensure that the mobile unit complies…

NAC 449.97028 Staging areas; disposal of biohazards and waste. (NRS 449.0302) 1. Each parent facility or independent facility shall designate at least one staging area for each mobile unit for which the parent facility or independent facility is issued a license. A staging area d…

NAC 449.9703 Compliance with certain statutes and regulations. (NRS 449.0302) A parent facility or independent facility which is issued a license to operate a mobile unit shall ensure that the mobile unit is operated in compliance with: 1. Any applicable statute or regulation rel…

NAC 449.97032 Compliance with regulations relating to evaluation of quality of services. (NRS 449.0302) A parent facility or independent facility which is issued a license to operate a mobile unit shall: 1. Ensure that the mobile unit complies with any regulation which applies to…

NAC 449.97034 Written policies for operation of unit; agreement with hospital or medical facility for transfer of patients during emergencies. (NRS 449.0302) 1. A parent facility or independent facility which is issued a license to operate a mobile unit must, before operating the…

NAC 449.97036 Rights of patients. (NRS 449.0302) 1. In addition to complying with the requirements set forth in NRS 449A.100 to 449A.118, inclusive, a parent facility or independent facility that is issued a license to operate a mobile unit shall ensure that each patient who rece…

NAC 449.97038 Maintenance of schedule and records; supplies and equipment; diagnostic radiological services; laboratory services. (NRS 449.0302) 1. A parent facility or independent facility which is issued a license to operate a mobile unit shall: (a) On or before the first day o…

NAC 449.9704 Occupancy; fire safety; exits; use and maintenance of equipment; telecommunications device. (NRS 449.0302) A parent facility or independent facility which is issued a license to operate a mobile unit shall: 1. Limit the occupancy of patients in the mobile unit to not…

NAC 449.97042 Restrictions on operation; office of independent facility; operation pursuant to contract. (NRS 449.0302) 1. A hospital shall not operate a mobile unit as a primary source for providing a service specified in NRS 449.012 except during an emergency. 2. A parent facil…

NAC 449.971 Definitions. (NRS 439.200, 449.0302) As used in NAC 449.971 to 449.997, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.9715 to 449.9743, inclusive, have the meanings ascribed to them in those sections. (Added to NAC by Bd. of …

NAC 449.9715 “Allied health profession” defined. (NRS 449.0302) “Allied health profession” has the meaning ascribed to it by NRS 450.006. (Added to NAC by Bd. of Health, eff. 12-15-88)

NAC 449.972 “Ambulatory surgical center” defined. (NRS 449.0302) “Ambulatory surgical center” has the meaning ascribed to “surgical center for ambulatory patients” by NRS 449.019. (Added to NAC by Bd. of Health, eff. 12-15-88)

NAC 449.9721 “Biohazardous waste” defined. (NRS 441A.120, 449.0302) “Biohazardous waste” means all biological waste or biologically contaminated waste that may cause harm to humans, animals or plants. (Added to NAC by Bd. of Health by R096-08, 8-26-2008, eff. 10-25-2008)

NAC 449.9722 “Biologic indicator test” defined. (NRS 441A.120, 449.0302) “Biologic indicator test” means a test used in every ethylene oxide cycle and in every sterilization load of implantable medical items to demonstrate through the destruction of highly resistant bacterial spo…

NAC 449.9724 “Cleaning” defined. (NRS 441A.120, 449.0302) “Cleaning” means the physical removal of organic material or soil from objects by using water, with or without detergents, that is designed to remove, rather than kill, microorganisms. (Added to NAC by Bd. of Health by R09…

NAC 449.9725 “Division” defined. (NRS 449.0302) “Division” means the Division of Public and Behavioral Health of the Department of Health and Human Services. (Added to NAC by Bd. of Health, eff. 12-15-88)

NAC 449.973 “Governing body” defined. (NRS 449.0302) “Governing body” means the person or persons designated by the licensee as responsible for the total operation of the ambulatory surgical center. (Added to NAC by Bd. of Health, eff. 12-15-88)

NAC 449.9731 “High-level disinfection” defined. (NRS 441A.120, 449.0302) “High-level disinfection” means a type of disinfection which destroys all microorganisms with the exception of high levels of bacterial spores. Such disinfection may be accomplished through the use of proces…

NAC 449.9732 “Implantable device” defined. (NRS 441A.120, 449.0302) “Implantable device” means a medical device that is implanted in the human body, including, without limitation, a pacemaker, defibrillator, heart valve, hearing device or joint replacement. (Added to NAC by Bd. o…

NAC 449.9733 “Invasive procedure” defined. (NRS 441A.120, 449.0302) “Invasive procedure” means a medical procedure involving entry into the human body by puncture or incision or by insertion of an instrument. (Added to NAC by Bd. of Health by R096-08, 8-26-2008, eff. 10-25-2008)

NAC 449.9735 “Licensee” defined. (NRS 449.0302) “Licensee” means the person or public agency that is licensed by the Division in accordance with the provisions of NRS 449.001 to 449.240, inclusive, and NAC 449.971 to 449.996, inclusive. (Added to NAC by Bd. of Health, eff. 12-15-…

NAC 449.9736 “Low-level disinfection” defined. (NRS 441A.120, 449.0302) “Low-level disinfection” means a type of disinfection which eliminates most bacteria, some viruses and some fungi, but which may not kill resistant microorganisms. Such disinfection may be accomplished throug…

NAC 449.9738 “Multidose vial” defined. (NRS 441A.120, 449.0302) “Multidose vial” means a vial, including, without limitation, a sealed sterile vial, which may be accessed by insertion of a needle and which, according to the manufacturer’s instructions: 1. Contains more than one d…

NAC 449.974 “Patient” defined. (NRS 449.0302) “Patient” means a natural person who is undergoing diagnostic procedures or treatment by surgery in the ambulatory surgical center. (Added to NAC by Bd. of Health, eff. 12-15-88)

NAC 449.9741 “Physician” defined. (NRS 449.0302) “Physician” means a person who is licensed to practice medicine pursuant to chapter 630 of NRS or to practice osteopathic medicine pursuant to chapter 633 of NRS. (Added to NAC by Bd. of Health by R049-99, eff. 9-27-99)

NAC 449.9742 “Registered nurse” defined. (NRS 449.0302) “Registered nurse” means a person who is licensed to practice professional nursing pursuant to chapter 632 of NRS. (Added to NAC by Bd. of Health by R049-99, eff. 9-27-99)

NAC 449.97422 “Reprocess” defined. (NRS 441A.120, 449.0302) “Reprocess” means the process of subjecting a single-use medical device that has been previously used on a patient to additional cleaning, disinfection or sterilization, manufacturing steps, including, without limitation…

NAC 449.97426 “Single-dose vial” defined. (NRS 441A.120, 449.0302) “Single-dose vial” means a vial, including, without limitation, a sealed sterile vial, which may be accessed by insertion of a needle and which, according to the manufacturer’s instructions: 1. Contains only one d…

NAC 449.97428 “Sterilization” defined. (NRS 441A.120, 449.0302) “Sterilization” means a process using medical equipment, including, without limitation, a dry heat sterilizer or an autoclave, to destroy all forms of microbial life. (Added to NAC by Bd. of Health by R096-08, 8-26-2…

NAC 449.9743 “Surgery” defined. (NRS 449.0302) “Surgery” means the treatment of a human being by operative methods. (Added to NAC by Bd. of Health by R049-99, eff. 9-27-99; A by R181-09, 10-4-2013) Licensing

NAC 449.9745 Center required to provide proof of national accreditation; submission of reports to Division; application by accrediting organization for recognition by State Board of Health. (NRS 449.0302, 449.445) 1. The operator of an ambulatory surgical center shall: (a) Not la…

NAC 449.9755 Investigation of applicant and inspection of facility. (NRS 449.0302) After it receives a properly completed application, proof of the identity of the applicant that is acceptable to the Division and the appropriate fee, the Division shall conduct an investigation of…

NAC 449.978 Effect of expiration of license. (NRS 449.0302) If a license authorizing an ambulatory surgical center expires, patients must not occupy the center. (Added to NAC by Bd. of Health, eff. 12-15-88; A by R044-97, 10-30-97)

NAC 449.9785 Conformance with regulations required. (NRS 441A.120, 449.0302) During the term of his or her license, the licensee shall continuously maintain the ambulatory surgical center in conformance with the provisions of NAC 449.971 to 449.996, inclusive. Any violation of th…

NAC 449.979 Governing body required. (NRS 449.0302) Except as otherwise provided by NAC 449.9835, each ambulatory surgical center must have a governing body, chaired by a principal in the organization of the licensee, with legal authority for the operation of the center. (Added t…

NAC 449.9795 Duties of governing body. (NRS 449.0302) The governing body shall: 1. Adopt a set of rules which include provisions concerning: (a) The criteria by which the members and officers of the governing body are selected, their terms of office and their duties; (b) The freq…

NAC 449.980 Responsibilities of governing body. (NRS 441A.120, 449.0302) The governing body shall ensure that: 1. Each patient of the center is under the care of a physician. 2. Except as otherwise provided in this subsection, each patient admitted to the center receives a: (a) P…

NAC 449.9801 Procedures for granting privileges to members of medical staff. (NRS 449.0302) 1. The governing body shall: (a) Adopt criteria for granting privileges to members of the medical staff based upon the size and complexity of the services provided by the center. (b) Ensur…