CHAPTER 449 - MEDICAL FACILITIES AND OTHER RELATED ENTITIES

NAC 449.61248 Maintenance of program to follow recovery of patient. (NRS 449.0302) An approved hospital shall maintain a comprehensive program for following the recovery and progress of the patient toward his or her optimum condition of health. The condition of the patient must b…

NAC 449.6125 Annual review and inspection of hospital. (NRS 449.0302) Unless the hospital has notified the Division that it has ceased to perform open-heart surgeries, a surveyor of health facilities from the Division shall review each approved hospital annually to verify that th…

NAC 449.61252 Annual inspection of hospital: Assessment of rate of mortality. (NRS 449.0302) 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 asses…

NAC 449.61254 Further review or on-site inspection for failure to comply with provisions or for excessive rate of mortality; notice; plan for compliance. (NRS 449.0302) 1. If the review conducted pursuant to NAC 449.6125 discloses that the hospital is not in full compliance with …

NAC 449.61256 Denial, suspension or revocation of approval: Grounds; hearing. (NRS 449.0302) 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 Divisi…

NAC 449.6126 Definitions. (NRS 449.0302) 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. “Transp…

NAC 449.61262 Application for approval to provide services. (NRS 449.0302) 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 f…

NAC 449.61264 Evaluation of application for approval. (NRS 449.0302) 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 info…

NAC 449.61266 Duties of hospital providing services. (NRS 449.0302) 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 t…

NAC 449.61268 Revocation of approval. (NRS 449.0302) 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 hospi…

NAC 449.6127 Notice of intent to deny application or revoke approval; hearing. (NRS 449.0302) 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 th…

NAC 449.61302 Limitations on issuance of license. (NRS 449.0302) 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 …

NAC 449.61306 Denial of application for license or renewal of license. (NRS 449.0302) 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 withi…

NAC 449.61308 Compliance with regulations; ground for suspension or revocation of license. (NRS 449.0302) 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 p…

NAC 449.6132 Requirement of governing body; adoption of written rules. (NRS 449.0302) 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 princip…

NAC 449.61322 Exception to requirements of governing body. (NRS 449.0302) 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 absen…

NAC 449.61324 Standards of care; policy for authentication. (NRS 449.0302) 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 s…

NAC 449.61326 Program to review quality of care; contents of program. (NRS 449.0302) 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…

NAC 449.61328 Integration into local emergency medical system. (NRS 449.0302) 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 integra…

NAC 449.6133 Appointment and responsibilities of administrator. (NRS 439.200, 449.0302) 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 r…

NAC 449.61332 Employment and duties of medical director. (NRS 449.0302) 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 governi…

NAC 449.61334 Standards and procedures for selection, treatment and retention of medical staff and members of allied health professions. (NRS 449.0302) 1. Each independent center for emergency medical care shall adopt standards and procedures for: (a) The selection of members of …

NAC 449.61336 Rules for organization of medical staff. (NRS 449.0302) 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 …

NAC 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. (NRS 449.0302) 1. Each independent center for emergency medical care shall employ a chief nurse wh…

NAC 449.6135 Design, construction, equipment and maintenance: General requirements; prerequisites to approval for licensure. (NRS 449.0302) 1. An independent center for emergency medical care must be designed, constructed, equipped and maintained in a manner that protects the hea…

NAC 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. (NRS 449.0302) An independent center for emergency medical care must contain: 1. An emergency ent…

NAC 449.61354 Contents of treatment rooms; accessibility to person in wheelchair. (NRS 449.0302) 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 si…

NAC 449.6137 Requirement for minimum level of care in certain situations. (NRS 449.0302) 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…

NAC 449.61372 Criteria for denial of care, transfer or discharge of patient; compliance with state and federal laws. (NRS 449.0302) 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 per…

NAC 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. (NRS 449.0302) 1. Each independent center for emergency medical…

NAC 449.61376 Program for control of infection. (NRS 449.0302) 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 a…

NAC 449.61378 Radiological services: Availability; interpretation and reporting of films; storage and retention. (NRS 449.0302) 1. Each independent center for emergency medical care shall provide basic radiological services performed by a person who is certified by the American R…

NAC 449.6138 Distribution and administration of drugs and controlled substances. (NRS 449.0302) 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 th…

NAC 449.61382 Medical records: Maintenance; access; authorized release; completion after discharge. (NRS 449.0302) 1. Each independent center for emergency medical care shall maintain medical records in accordance with accepted professional practices for each patient admitted to …

NAC 449.61384 Contents of medical records. (NRS 449.0302) 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 …

NAC 449.61387 Definitions. (NRS 439.200, 449.0302) As used in NAC 449.61387 to 449.61396, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.613875, 449.61388 and 449.613885 have the meanings ascribed to them in those sections. (Added to NAC …

NAC 449.613875 “Birth assistant” defined. (NRS 439.200, 449.0302) “Birth assistant” means a member of the staff of a freestanding birthing center who performs nonclinical tasks and routine clinical tasks and procedures under supervision. (Added to NAC by Bd. of Health by R062-21,…

NAC 449.61388 “Certified nurse-midwife” defined. (NRS 439.200, 449.0302) “Certified nurse-midwife” has the meaning ascribed to it in NRS 449.198. (Added to NAC by Bd. of Health by R062-21, eff. 9-28-2022)

NAC 449.613885 “Clinical provider” defined. (NRS 439.200, 449.0302) “Clinical provider” means a provider on the staff of a freestanding birthing center who is ultimately responsible for the care of a pregnant person, a person who has given birth or a newborn. (Added to NAC by Bd.…

NAC 449.61389 Proof and maintenance of accreditation; maintenance of documents relating to issuance or renewal of accreditation; specification of capacity in application for license. (NRS 439.200, 449.0302) 1. Except as otherwise provided in subsection 2, a freestanding birthing …

NAC 449.613895 Design, construction, equipment and maintenance. (NRS 439.200, 449.0302) 1. A freestanding birthing center must be designed, constructed, equipped and maintained in a manner that protects the health and safety of the pregnant persons, persons who have given birth a…

NAC 449.6139 Submission of plans for new construction or remodeling; prerequisites to approval of facility for licensure; exception. (NRS 439.200, 449.0302) 1. Except as otherwise provided in subsection 2, before any new construction of a freestanding birthing center or any remod…

NAC 449.613905 Supply of oxygen; policies and procedures for administration and storage of oxygen. (NRS 439.200, 449.0302) 1. A freestanding birthing center must have a supply of oxygen, which may include, without limitation, portable oxygen, that is adequate to provide oxygen su…

NAC 449.61391 Policies and procedures for control of infection: Manufacturer’s guidelines; training and evaluation of employees; notification to employees upon revision; supply of personal protective equipment. (NRS 439.200, 449.0302) 1. A freestanding birthing center shall devel…

NAC 449.613915 Compliance with certain laws, regulations, codes and ordinances; participation in National Healthcare Safety Network; provision of records to Division. (NRS 439.200, 449.0302) 1. A freestanding birthing center shall comply with all applicable: (a) Federal and state…

NAC 449.61392 Adoption of publication by reference; revision of publication after adoption; compliance with adopted standards. (NRS 439.200, 449.0302) 1. Indicators of Compliance with Standards for Birth Centers is hereby adopted by reference in the form most recently published b…

NAC 449.613925 Qualifications of clinical provider; director to maintain personnel file and ensure licensure, certification or registration of employees; staff requirements for delivery and care. (NRS 439.200, 449.0302) 1. A clinical provider at a freestanding birthing center mus…