Nevada Administrative Code

NAC 449.312 Change in ownership, use or construction; correction of deficiencies. (NRS 449.0302) 1. Upon a change in ownership, change of use or change in construction, a hospital shall notify the Bureau of the changes and identify all areas of noncompliance with the guidelines s…

NAC 449.313 Responsibilities and duties of governing body; bylaws; appointment and duties of chief executive officer; protocol for organ donations; annual operating budget. (NRS 449.0302) 1. A hospital shall have an effective governing body which is legally responsible for the co…

NAC 449.314 Quality of care; scope of services. (NRS 449.0302) 1. A hospital must be administered in a manner that enables the hospital to use its resources effectively and efficiently to meet the needs of and provide quality care to its patients. The governing body of a hospital…

NAC 449.3152 Quality improvement program. (NRS 449.0302) 1. The governing body of a hospital shall ensure that the hospital has an effective, comprehensive quality improvement program to evaluate the provision of care to its patients. 2. The quality improvement program must: (a) …

NAC 449.3154 Construction, remodeling, maintenance and change of use: General requirements; prerequisites to approval of licensure. (NRS 439.200, 449.0302) 1. Except as otherwise provided in this section, a hospital shall comply with the provisions of NFPA 101: Life Safety Code, …

NAC 449.3156 Compliance with certain guidelines for design and construction; correction of deficiencies. (NRS 439.200, 449.0302) 1. Notwithstanding any provision of NAC 449.3154 to the contrary, a hospital shall be deemed to be in compliance with the applicable provisions of the …

NAC 449.316 Physical environment: Safety and well-being of patients; plan for emergency preparedness; safety management. (NRS 449.0302) 1. The buildings of a hospital must be solidly constructed with adequate space and safeguards for each patient. The condition of the physical pl…

NAC 449.317 Risk management. (NRS 449.0302) Each hospital shall have in effect a comprehensive program for risk management and shall designate one person to be responsible for the implementation and maintenance of the program for risk management. (Added to NAC by Bd. of Health by…

NAC 449.318 Accreditation by national accrediting organization required; exceptions; submission of proof of accreditation to Division. (NRS 439.200, 449.0302) 1. A hospital must be accredited by an approved national accrediting organization unless the hospital: (a) Is a psychiatr…

NAC 449.319 Requirements for personal needs of patients. (NRS 449.0302) 1. A hospital shall provide patients access to their belongings as is appropriate based on the needs of the patients and the phase of treatment of the patients. 2. A hospital shall communicate and enforce a n…

NAC 449.321 Requirement to be primarily engaged in providing certain services; determination of whether requirement is met; exemption for certain hospitals. (NRS 439.200, 449.0302) 1. A hospital must be primarily engaged in providing the services described in 42 U.S.C. § 1395x(e)…

NAC 449.322 Housekeeping and laundry services. (NRS 449.0302) 1. A hospital shall establish organized housekeeping services planned, operated and maintained to provide a pleasant, safe and sanitary environment. Adequate personnel, using accepted practices and procedures, shall ke…

NAC 449.325 Prevention, control and investigation of infections and communicable diseases. (NRS 449.0302) 1. A hospital shall: (a) Provide a sanitary environment to avoid sources and transmission of infections and communicable diseases; and (b) Develop and carry out an active pro…

NAC 449.327 Preparation, sterilization, storage and distribution of sterile supplies and medical and surgical equipment. (NRS 449.0302) 1. To meet the ongoing needs of its patients, a hospital shall: (a) Provide a designated area for the preparation, sterilization and storage of …

NAC 449.329 Admission of patients. (NRS 449.0302) A hospital shall: 1. Develop and carry out policies and procedures for admitting patients to the appropriate levels of care; and 2. Ensure that each patient, or the parent, guardian or other person legally responsible for the pati…

NAC 449.331 Provision of emergency services and medical care; transfer agreements with long-term care facilities; attestation of compliance. (NRS 439.200, 449.0302) 1. A hospital shall develop and carry out policies and procedures to ensure that emergency services and medical car…

NAC 449.332 Discharge planning. (NRS 439.200, 449.0302) 1. A hospital shall: (a) Have a process for discharge planning that applies to all inpatients; and (b) Develop and carry out policies and procedures regarding the process for discharge planning. 2. The process for discharge …

NAC 449.337 Dietary services: General requirements. (NRS 449.0302) 1. A hospital shall provide each patient with a nourishing, palatable, well-balanced diet that meets the daily nutritional and dietary needs of the patient. 2. The menu for a patient must meet the nutritional need…

NAC 449.338 Dietary services: Provision for needs of patients; facilities; standards; permits; records. (NRS 449.0302) 1. A hospital shall provide for the general dietary needs of its patients, including the preparation of modified special diets. 2. Adequate space for the prepara…

NAC 449.3385 Dietary services: Personnel. (NRS 449.0302) 1. A hospital shall maintain an organized dietary service that is staffed by an adequate number of personnel. The hospital shall ensure that personnel are on duty to provide dietary services for at least 12 hours each day a…

NAC 449.339 Dietary services: Nutritional status of patients. (NRS 449.0302) 1. A hospital shall carry out a program for the systematic nutritional risk-screening of its patients to detect actual and potential malnutrition at an early stage. 2. A hospital shall ensure that each p…

NAC 449.3395 Dietary services: Sanitary conditions; supplies. (NRS 449.0302) 1. A hospital shall store, prepare, distribute and serve food under sanitary conditions. 2. A hospital shall maintain on its premises at least a 1-week supply of staple foods and at least a 2-day supply …

NAC 449.340 Pharmaceutical services. (NRS 449.0302) 1. A hospital shall have a pharmacy directed by a registered pharmacist, who may be a full-time, part-time or consulting pharmacist, or a drug room supervised by no less than a currently licensed professional nurse. If a hospita…

NAC 449.343 Orders for medication and biologicals. (NRS 449.0302) 1. Except as otherwise provided in this section, an order for medication or biologicals for a patient must be in writing and signed by the practitioner, or other appropriate professional person authorized by state …

NAC 449.344 Administration of medication; security. (NRS 449.0302) 1. Only members of the hospital staff who are legally authorized to administer medications may do so. 2. Security of all medications must be maintained in accordance with applicable state law. 3. The quality impro…

NAC 449.346 Rehabilitative services. (NRS 449.0302) 1. Rehabilitative services are those activities used in restoring, maintaining and improving the physical and mental well-being of a patient. A hospital shall provide rehabilitative services consistent with its overall role in t…

NAC 449.349 Emergency services. (NRS 449.0302) 1. A hospital shall meet the emergency needs of its patients in accordance with nationally recognized standards of practice. 2. If a hospital does not have an emergency department on-site, the policies and procedures for meeting the …

NAC 449.352 Social services. (NRS 449.0302) 1. A hospital shall have effective written policies and procedures for the provision of social services by the hospital staff. 2. Social services must be provided or supervised in accordance with chapter 641B of NRS by a professional, q…

NAC 449.358 Medical staff. (NRS 449.0302) 1. A hospital shall have a well-organized medical staff that operates in accordance with the bylaws approved by the governing body. 2. The medical staff must be appointed by the governing body and be composed of: (a) Doctors of medicine o…

NAC 449.361 Nursing services. (NRS 449.0302) 1. A hospital shall have a well-organized plan that provides for 24-hour nursing services. The nursing services must be furnished or supervised by a registered nurse. 2. The governing body and the hospital shall ensure that the nursing…

NAC 449.3622 Appropriate care of patients. (NRS 449.0302) 1. Each patient must receive, and the hospital shall provide or arrange for, individualized care, treatment and rehabilitation based on the assessment of the patient that is appropriate to the needs of the patient and the …

NAC 449.3624 Assessment of patients. (NRS 449.0302) 1. To provide a patient with the appropriate care at the time that the care is needed, the needs of the patient must be assessed continually by qualified hospital personnel throughout the patient’s contact with the hospital. The…

NAC 449.3626 Rights of patients. (NRS 449.0302) A governing body shall develop and carry out policies and procedures that protect and support the rights of patients as set forth in NRS 449A.100 to 449A.118, inclusive. (Added to NAC by Bd. of Health by R050-99, eff. 9-27-99)

NAC 449.3628 Protection of patients; use of physical restraints. (NRS 449.0302) 1. A governing body shall develop and carry out policies and procedures that prevent and prohibit: (a) Verbal, sexual, physical and mental abuse of patients; and (b) The involuntary seclusion of a pat…

NAC 449.363 Personnel policies concerning employment, licensing and certification; training of employees who provide care to victims of sexual assault or attempted sexual assault. (NRS 439.200, 449.0302) 1. A hospital shall have written policies concerning the qualifications, res…

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…