CHAPTER 449 - MEDICAL FACILITIES AND OTHER RELATED ENTITIES

NAC 449.364 Obstetrical services: Administration; staffing and equipment. (NRS 449.0302) 1. If a hospital provides obstetric services, the obstetric services must be provided through an obstetric department which is well-organized and sufficiently staffed to ensure the health and…

NAC 449.3645 Obstetrical services: Labor rooms; delivery rooms; utility rooms; area for cleaning instruments. (NRS 449.0302) 1. Each hospital which has an organized obstetric service shall have at least one labor room, with the need for additional labor rooms to be determined by …

NAC 449.365 Obstetrical services: Required services. (NRS 449.0302) 1. An obstetric department of a hospital shall provide services for labor, delivery, newborn care and recovery care, and shall maintain the areas in which these services are provided in a safe and clean manner. 2…

NAC 449.3655 Obstetrical services: Transfer or discharge of patient. (NRS 449.0302) 1. No person may be transferred or discharged from an obstetric department of a hospital unless: (a) The transfer or discharge is appropriate based on a risk assessment of the patient; (b) A physi…

NAC 449.367 Obstetrical services: Nurseries. (NRS 449.0302) 1. An obstetric department shall have a nursery which is organized under the direction of a qualified member of the medical staff. 2. Nurseries must be completely equipped for any neonatal emergencies. 3. The total numbe…

NAC 449.370 Outpatient services. (NRS 449.0302) 1. If a hospital provides outpatient services, the services must meet the needs of the patients in accordance with nationally recognized standards of practice. 2. A hospital shall ensure that its outpatient unit is appropriately org…

NAC 449.371 Intensive care services. (NRS 449.0302) 1. If a hospital provides intensive care services, the services must be well-organized and provided in accordance with nationally recognized standards of practice. 2. An intensive care unit must be under the direction of a quali…

NAC 449.373 Laboratory services; pathology services; blood and blood products. (NRS 449.0302) 1. Each hospital shall maintain or have available adequate laboratory services to meet the needs of its patients and medical staff. Each hospital shall ensure that all laboratory service…

NAC 449.3735 Transfusions of blood. (NRS 449.0302) 1. To perform a transfusion of blood safely and efficiently, hospital personnel shall follow the policies and procedures developed by the hospital, with input from the medical staff, for performing a transfusion of blood. 2. Hosp…

NAC 449.374 Nuclear medicine services. (NRS 449.0302) 1. If a hospital provides nuclear medicine services, those services must meet the needs of the patients receiving those services in accordance with nationally recognized standards of practice. 2. The nuclear medicine services …

NAC 449.375 Records for nuclear medicine services; authorization. (NRS 449.0302) 1. A hospital shall maintain signed and dated reports of nuclear medicine interpretations, consultations and procedures. 2. The hospital shall maintain nuclear medicine reports, or copies thereof, fo…

NAC 449.376 Radiological services. (NRS 449.0302) 1. A hospital shall have diagnostic radiological facilities available. If therapeutic services are also provided, they, as well as the diagnostic services, must meet professionally approved standards for safety and personnel quali…

NAC 449.377 Radiological therapeutic services. (NRS 449.0302) 1. If a hospital provides radiological therapeutic services, the services must meet professionally nationally recognized standards for safety and personnel qualifications. 2. A radiological therapeutic department must …

NAC 449.379 Medical records. (NRS 449.0302) 1. A hospital shall maintain a medical record for each person evaluated or treated in the hospital. 2. The organization of the medical records service at the hospital must be appropriate to the scope and complexity of the services perfo…

NAC 449.382 Medical library. (NRS 449.0302) A hospital shall have a medical library to meet the requirements of the facility, with access to current periodicals on clinical services which are offered. [Bd. of Health, Health Facilities Reg. Part III Ch. I § X, eff. 10-9-69]—(NAC A…

NAC 449.385 Surgical services. (NRS 449.0302) 1. If a hospital provides surgical services, the services must be well-organized and provided in accordance with nationally recognized standards of practice. If outpatient surgical services are offered, the services must be consistent…

NAC 449.388 Anesthesia services. (NRS 449.0302) 1. If a hospital furnishes anesthesia services, the services must be provided in a well-organized manner under the direction of a qualified doctor of medicine or osteopathy. The service is responsible for all anesthesia administered…

NAC 449.389 Respiratory care services. (NRS 449.0302) A hospital shall meet the needs relating to respiratory care of its patients in accordance with nationally recognized standards of practice. If the hospital has a unit to provide respiratory care services: 1. The director of t…

NAC 449.391 Dental services. (NRS 449.0302) 1. If a hospital provides dental services, the services must be well-organized and provided in accordance with nationally recognized standards of practice. 2. The dental service must be under the direct supervision of a dentist, who has…

NAC 449.394 Psychiatric services. (NRS 439.200, 449.0302) 1. A hospital which has a designated area set aside for use on a continuous basis for the treatment and care of psychiatric patients is deemed to operate a psychiatric service and shall comply with the requirements in this…

NAC 449.395 Definitions. (NRS 439.200, 449.4308, 449.4309, 449.4311, 449.4327) As used in NAC 449.395 to 449.39561, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.39501 to 449.39508, inclusive, have the meanings ascribed to them in those …

NAC 449.39501 “Certificate” defined. (NRS 449.4308, 449.4311, 449.4327) “Certificate” means a certificate to operate an intermediary service organization issued by the Division pursuant to the provisions of NRS 449.4304 to 449.4339, inclusive, and NAC 449.395 to 449.39524, inclus…

NAC 449.39502 “Client” defined. (NRS 449.4308, 449.4311, 449.4327) “Client” means a person with a disability who seeks or receives personal assistance in his or her home or other location where a person with a disability receives personal assistance, including, without limitation…

NAC 449.39503 “Intermediary service organization” defined. (NRS 449.4308, 449.4311, 449.4327) 1. “Intermediary service organization” has the meaning ascribed to it in NRS 449.4304. 2. The term does not include an organized group of persons composed of the family and friends of a …

NAC 449.39504 “Managing employer” defined. (NRS 449.4308, 449.4311, 449.4327) “Managing employer” means the person who selects, sets the schedule for and directs the training of a personal assistant. (Added to NAC by Bd. of Health by R167-07, eff. 1-30-2008)—(Substituted in revis…

NAC 449.39505 “Other responsible person” defined. (NRS 449.4308, 449.4311, 449.4327) “Other responsible person” has the meaning ascribed to it in NRS 449.4308. (Added to NAC by Bd. of Health by R167-07, eff. 1-30-2008)—(Substituted in revision for NAC 427A.808)

NAC 449.39506 “Personal assistance” defined. (NRS 449.4308, 449.4327) “Personal assistance” has the meaning ascribed to it in NRS 449.4308. (Added to NAC by Bd. of Health by R167-07, eff. 1-30-2008)—(Substituted in revision for NAC 427A.809)

NAC 449.39507 “Personal assistant” defined. (NRS 449.4308, 449.4327) “Personal assistant” has the meaning ascribed to it in NRS 449.4308. (Added to NAC by Bd. of Health by R167-07, eff. 1-30-2008)—(Substituted in revision for NAC 427A.810)

NAC 449.39508 “Guardian” interpreted. (NRS 449.4308, 449.4327) As used in subparagraph (2) of paragraph (a) of subsection 2 of NRS 449.4308, the Division will interpret the term “guardian” to include, without limitation, any person who is legally responsible for a person with a d…

NAC 449.3951 Form of application; written verification for submission of fingerprints. (NRS 449.4311, 449.4321, 449.4327) 1. The Division will prescribe the form for an application to apply for a certificate. 2. An applicant for a certificate must submit with his or her applicati…

NAC 449.39511 Application for certificate and renewal: Fees. (NRS 449.4311, 449.4314, 449.4319) 1. An applicant for a certificate must pay to the Division, at the time of application, a nonrefundable fee of $2,748. 2. An applicant for the renewal of a certificate must pay to the …

NAC 449.39512 Application for certificate and renewal: Proof of insurance coverage. (NRS 449.4311, 449.4327) An applicant for a certificate and for the renewal of a certificate must provide to the Division with the initial application for a certificate, with the application for r…

NAC 449.39513 Applicability of certificate; specification of primary location; records. (NRS 449.4311, 449.4318, 449.4327) 1. Each certificate must be separate and issued to a specific person or persons to operate the intermediary service organization. The name of the person resp…

NAC 449.39514 Issuance of provisional certificate. (NRS 449.4324) 1. The Division may issue a provisional certificate to an intermediary service organization pursuant to NRS 449.4324 if the Division determines that the intermediary service organization is substantially, but not f…

NAC 449.39515 Operation of intermediary service organization and agency to provide personal care services in the home. (NRS 449.4308, 449.4327) 1. A person may operate an intermediary service organization and an agency to provide personal care services in the home if the person: …

NAC 449.39516 Duties and responsibilities. (NRS 449.4308, 449.4327) 1. An intermediary service organization shall ensure that each client of the intermediary service organization and personal assistant employed by the intermediary service organization is aware of and understands:…

NAC 449.39517 Personal assistants: Qualifications; maintenance and availability of personnel files. (NRS 449.4308, 449.4327, 449.4329, 449.433) 1. Each personal assistant employed by an intermediary service organization must: (a) Be at least 18 years of age; (b) Demonstrate the a…

NAC 449.39518 Personal assistants: Results of reports on criminal history. (NRS 449.4308, 449.4327, 449.4329) Upon receiving a report concerning any records of criminal history of a personal assistant from the Central Repository for Nevada Records of Criminal History pursuant to …

NAC 449.395185 Personal assistants: Performance of certain tasks. (NRS 439.200, 449.4308, 449.4309, 449.4327) 1. A personal assistant may perform a task described in NRS 449.4309 if the personal assistant: (a) Before performing the task, annually thereafter and when any device us…

NAC 449.39519 Client to serve as managing employer and provide training to personal assistant; reporting of training to organization. (NRS 449.4308, 449.4327) 1. The client of an intermediary service organization must serve as the managing employer of the personal assistant and m…

NAC 449.3952 Additional training to be provided by intermediary service organization. (NRS 439.200, 449.4308, 449.4309, 449.4327) An intermediary service organization shall make available to a personal assistant employed by the intermediary service organization all training requi…

NAC 449.39521 Visits and telephone interviews with clients. (NRS 449.4308, 449.4327) 1. Except as otherwise provided in subsection 3, an intermediary service organization shall, not less than once every 6 months, conduct a visit of the residence of the person with a disability or…

NAC 449.39522 Written statement of services provided to clients. (NRS 449.4308, 449.4327) 1. An intermediary service organization shall provide to each client for his or her signature a written statement which contains a description of the services provided by the intermediary se…

NAC 449.39523 Discussion of services provided to clients. (NRS 449.4308, 449.4327) 1. An intermediary service organization shall discuss with each potential client before providing services: (a) The planned training to be provided by the intermediary service organization to the p…

NAC 449.39524 Rights of person with a disability receiving services. (NRS 449.4308, 449.4327) 1. An intermediary service organization shall ensure that a person with a disability who receives services from the intermediary service organization or, as applicable, other responsible…

NAC 449.39525 Request for administrative review of complaint. (NRS 449.4337) 1. An applicant for a certificate to operate an intermediary service organization or a person who is certified to operate an intermediary service organization may submit a written request to the Administ…

NAC 449.39526 Scheduling of administrative review. (NRS 449.4337) The Administrator or the Administrator’s designee shall conduct an administrative review at a time and place which is reasonable for the parties. Unless otherwise scheduled to accommodate the complainant, the Admin…