Nevada Administrative Code

NAC 449.5255 Water treatment system: Chemical testing of product water; records. (NRS 449.0302) 1. Except as otherwise provided in this section, each facility shall, at least once every 6 months, conduct a chemical test of a sample of the product water of the water treatment syst…

NAC 449.526 Water treatment system: Microbiological testing of product water. (NRS 449.0302) 1. Each facility shall, at least once each month or immediately after any repair or change is made to the water product treatment system of the facility, conduct a microbiological test of…

NAC 449.5265 Reuse of hemodialyzer; transport of used dialyzer. (NRS 449.0302) 1. If a facility reuses any hemodialyzer in providing treatment to a patient of the facility, the facility shall: (a) Ensure that the reuse of the hemodialyzer is conducted in accordance with the provi…

NAC 449.528 Adoption of more stringent requirements for treatment of water and reuse of hemodialyzers. (NRS 449.0302) A facility may adopt more stringent requirements for the treatment of water and the reuse of hemodialyzers than the requirements set forth in NAC 449.525 to 449.5…

NAC 449.5285 Sanitation: Precautions regarding blood and bodily fluids. (NRS 449.0302) 1. Any activity relating to the care of a patient of a facility must be provided in accordance with the provisions of 29 C.F.R. § 1910.1030(d)(1)-(3), relating to bloodborne pathogens. 2. Each …

NAC 449.529 Sanitation: Control of infections; nonsmoking policy. (NRS 449.0302) 1. Each facility shall designate a person to monitor and coordinate the activities occurring at the facility concerning the control of infections at the facility. 2. Each facility shall develop and m…

NAC 449.5295 Sanitation: Provision of sanitary environment; walls, floors and ceilings; blood spills. (NRS 449.0302) 1. Each facility shall provide a sanitary environment that minimizes or prevents transmission of infectious diseases at the facility. 2. The base of each wall that…

NAC 449.531 Sanitation: Disinfection of dialysis machines; culturing dialysate; cleaning of machines and equipment; handling of waste. (NRS 449.0302) 1. Each facility shall periodically disinfect each active and backup dialysis machine in accordance with the policy of the facilit…

NAC 449.5315 Hepatitis B: Vaccinations for certain staff members; postvaccination screening; adoption of related provisions. (NRS 449.0302) 1. If any member of the staff of a facility is susceptible to hepatitis B and has not been vaccinated for that disease, the facility shall o…

NAC 449.532 Hepatitis B: Vaccinations for certain patients. (NRS 449.0302) 1. If advised by and with the consent of a patient’s attending nephrologist, each facility shall offer hepatitis B vaccine to each patient who is susceptible to hepatitis B. 2. Each facility shall, upon re…

NAC 449.5325 Hepatitis B surface antigen: Screening of patients; additional serologic screening. (NRS 449.0302) 1. Each candidate for dialysis at a facility must, if practicable, be screened for the hepatitis B surface antigen before being admitted to the facility. The screening …

NAC 449.534 Hepatitis B surface antigen: Treatment of patients who test positive. (NRS 449.0302) 1. If a patient of a facility tests positive for the hepatitis B surface antigen, the facility shall provide treatment for the patient: (a) On a machine that is dedicated for patients…

NAC 449.5345 Tuberculosis: Screening of staff and patients. (NRS 449.0302) 1. A facility shall screen each member of the staff of the facility to determine whether the member has tuberculosis. The facility shall screen each member of the staff: (a) Upon commencement of employment…

NAC 449.540 Program of quality assurance; recordation of accidents and incidents; reporting of certain events. (NRS 449.0302) 1. Each facility shall: (a) Conduct a systematic and comprehensive review of the facility and the care provided to each patient of the facility; and (b) A…

NAC 449.5405 Rights of patients. (NRS 449.0302) 1. In addition to the requirements set forth in NRS 449A.100 to 449A.118, inclusive, each facility shall adopt and comply with a policy which ensures that each patient of the facility is: (a) Treated with respect, dignity and comple…

NAC 449.541 Interdisciplinary teams; plans for care of patients. (NRS 449.0302) 1. Each facility shall establish and comply with a policy which specifies that the services provided to each patient of the facility are coordinated using an interdisciplinary team. The interdisciplin…

NAC 449.5415 Preparations for emergencies and disasters. (NRS 449.0302) 1. Each facility shall adopt a written procedure to be followed by each patient and member of the staff of the facility if any emergency occurs at the facility, including, without limitation, any fire, equipm…

NAC 449.543 Pharmaceutical services. (NRS 449.0302) 1. Each facility shall provide pharmaceutical services in accordance with accepted professional principles and any applicable federal and state statutes and regulations. 2. Medication may be administered to a patient of a facili…

NAC 449.5435 Nursing services; physicians and other staff. (NRS 449.0302) 1. Each facility shall provide nursing services to each patient of the facility to prevent or reduce complications and to maximize the functional status of the patient. 2. Each facility shall employ a full-…

NAC 449.544 Nutrition services. (NRS 439.200, 449.0302, 449.1915) 1. Each facility shall provide nutrition services to each patient of the facility and the provider of care for that patient to maximize the nutritional status of the patient. 2. The licensed dietitian for a patient…

NAC 449.5445 Social services. (NRS 449.0302) 1. Each facility shall provide social services to each patient of the facility and to the provider of care for the patient, if required. The facility shall ensure that the social services support and maximize the adjustment, social fun…

NAC 449.546 Patient care: Advanced practice registered nurses and physician assistants; medical emergencies. (NRS 449.0302) 1. If an advanced practice registered nurse or a physician assistant provides treatment for a patient of a facility, the facility shall ensure that there is…

NAC 449.5465 Patient care: Licensed practical nurses and dialysis technicians. (NRS 449.0302) 1. The provisions of NAC 449.501 to 449.5795, inclusive, do not prohibit a licensed practical nurse from practicing in accordance with the regulations adopted by the State Board of Nursi…

NAC 449.547 Self-dialysis: Provision of training and certain services. (NRS 449.0302) 1. If a facility provides training to a patient of the facility concerning the performance of dialysis by the patient, a licensed nurse who has at least 12 months of experience in the applicable…

NAC 449.5475 Continuous ambulatory peritoneal dialysis. (NRS 449.0302) If a facility provides continuous ambulatory peritoneal dialysis for a patient of the facility, the facility shall provide the following services to the patient: 1. Consultation with a registered nurse, social…

NAC 449.549 Continuous cycling peritoneal dialysis. (NRS 449.0302) If a facility provides continuous cycling peritoneal dialysis to a patient of the facility, the facility shall provide the following services to the patient: 1. Surveillance of the patient’s home adaptation, inclu…

NAC 449.5495 Patient services by contract; laboratory. (NRS 449.0302) 1. If a facility provides services to a patient of the facility by contract, the facility remains responsible for supervising the treatment of the patient and providing adequate care for the patient in accordan…

NAC 449.550 Governing body. (NRS 449.0302) 1. Each facility shall establish a governing body that is legally responsible for developing and carrying out the policies of the facility regarding the management and operation of the facility. 2. The policies established and carried ou…

NAC 449.5505 Medical director. (NRS 449.0302) 1. The medical director of a facility: (a) Must be certified in nephrology or pediatric nephrology or be eligible for that certification by a board that is approved by the American Medical Association; or (b) During the 5 years immedi…

NAC 449.552 Physicians. (NRS 449.0302) 1. Each patient of a facility must be under the care of a physician who is a member of the medical staff of the facility. 2. If a patient of the facility receives pediatric dialysis at the facility, the treatment provided to the patient must…

NAC 449.5525 Orientation program for new employees; continuing education. (NRS 449.0302) 1. Each facility shall develop and carry out a program to orient and familiarize each new employee of the facility with: (a) The policies and operation of the facility; and (b) The responsibi…

NAC 449.553 Medical staff: Generally. (NRS 449.0302) 1. Each physician who is a member of the medical staff of a facility must be licensed to practice medicine in this State. 2. The membership of the medical staff of a facility may include a nephrologist or any other physician wh…

NAC 449.5535 Nurses. (NRS 449.0302) 1. Each nurse employed by a facility must be licensed to practice nursing in this State. 2. Except as otherwise provided in subsection 3, each nurse of a facility who is assigned charge responsibilities must: (a) Be a registered nurse; and (b) …

NAC 449.555 Dietitians. (NRS 449.0302) Each dietitian employed by a facility must be a licensed dietitian. (Added to NAC by Bd. of Health by R130-99, eff. 8-1-2001; A by R090-12, 12-20-2012)

NAC 449.5555 Social workers. (NRS 449.0302) Each social worker employed by a facility must: 1. Be licensed as a social worker in this State and hold a master’s degree in social work from a graduate school of social work that is accredited by the Council on Social Work Education; …

NAC 449.556 Staff responsible for operating water treatment system. (NRS 449.0302) 1. Each member of the staff of a facility who is responsible for operating the water treatment system of the facility must demonstrate to the satisfaction of the Bureau that he or she understands t…

NAC 449.5565 Staff that repairs or maintains equipment used to provide care to patients. (NRS 449.0302) A facility shall not allow a member of the staff of the facility to repair or maintain any equipment of the facility that is used to provide care to a patient of the facility u…

NAC 449.558 Preparation and maintenance. (NRS 449.0302) 1. Each facility shall establish a system for preparing and maintaining a clinical record for each patient of the facility. The system must be developed to ensure that the care provided to each patient of the facility is: (a…

NAC 449.5585 Additional requirements. (NRS 449.0302) 1. In addition to the provisions of NAC 449.558, the clinical record of each patient of a facility must include: (a) An accurate assessment of the progress of the patient, including all changes in the medical status of the pati…

NAC 449.559 Medical history and physical examination. (NRS 449.0302) Each facility shall prepare a medical history of each patient of the facility and conduct a physical examination of the patient. The medical history and physical examination must be completed within 30 days befo…

NAC 449.5595 Transient patients. (NRS 449.0302) 1. The clinical record of each transient patient of a facility must include: (a) Each order for the treatment of the patient at the treating facility; (b) Each laboratory report ordered by the treating facility concerning the patien…

NAC 449.561 Discharge or transfer of patients; removal of records. (NRS 449.0302) 1. If a patient of a facility is discharged from the facility, the facility shall, within 30 days after the patient is discharged, prepare a discharge summary concerning the patient. The discharge s…

NAC 449.5615 Cessation of operation of facility. (NRS 449.0302) If a facility ceases to operate, the facility shall: 1. Ensure the preservation of the clinical records of the facility; and 2. Not more than 30 days after the facility ceases to operate, notify the Bureau in writing…

NAC 449.570 General qualifications; identification to be worn during training; provision of care; requirements to act as preceptor. (NRS 449.0302) 1. A person may not act as a dialysis technician at a facility unless he or she is qualified in accordance with the provisions of NAC…

NAC 449.5705 Qualification of technician determined to be qualified before July 1, 2001. (NRS 449.0302) 1. If a person completes an orientation program of a facility pursuant to the provisions of NAC 449.5525 and has been determined by the facility to be qualified to provide dial…

NAC 449.571 Program of training: Curriculum; duties of instructor; written examinations. (NRS 449.0302) 1. Each program for training a dialysis technician provided by a facility must consist of a written curriculum that specifies the objectives for each portion of the course. 2. …

NAC 449.5715 Program of training: Qualifications of instructors. (NRS 449.0302) Each instructor who provides instruction pursuant to a program of training specified in NAC 449.571 must be: 1. A physician who is qualified as a medical director in accordance with the provisions of …