Nevada Administrative Code

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…

NAC 449.9805 Establishment of policy for authentication. (NRS 449.0302) The governing body shall establish a policy for authentication that: 1. Authorizes the use of rubber stamps and prohibits the use of any stamp by any person other than the person whose signature the stamp rep…

NAC 449.981 Appointment and responsibilities of administrator. (NRS 449.0302) 1. The governing body shall appoint a qualified administrator for the center who is responsible to the governing board for the performance of his or her duties. 2. The administrator must: (a) Be at leas…

NAC 449.9811 Program for review of surgical procedures and patient outcomes. (NRS 449.0302) An ambulatory surgical center shall establish a program for the review of surgical procedures and patient outcomes, including, without limitation, a review of the program for the control a…

NAC 449.9812 Program for quality assurance. (NRS 449.0302) 1. The administrator of an ambulatory surgical center shall establish a program for quality assurance for the center. 2. The program for quality assurance must include, without limitation: (a) Periodic reviews of the clin…

NAC 449.9813 Committee for quality assurance. (NRS 449.0302) 1. The governing body shall establish a committee for quality assurance. 2. The committee must be composed of members of the staff who represent the various clinical and medical services provided by the center. 3. The c…

NAC 449.9815 Maintenance. (NRS 449.0302) The administrator shall ensure that the person in charge of maintenance at the center: 1. Has a written program of maintenance of all of the equipment used at the center. 2. Has written service contracts with vendors that require the inspe…

NAC 449.982 Sanitation and housekeeping. (NRS 449.0302) The administrator shall ensure that the sanitation and housekeeping staff of the center: 1. Maintains a clean and sanitary environment in the center with particular regard for: (a) The sanitary disposal of pathological and i…

NAC 449.983 Protection from fire and other disasters. (NRS 449.0302) 1. The administrator shall ensure that the center, members of the staff and patients are adequately protected from fire or other disasters. He or she shall prepare a written plan describing all actions to be tak…

NAC 449.9832 Establishment of policies for provision of services and care by persons under contract with or who are otherwise not employed by center. (NRS 449.0302) If services and care are provided at an ambulatory surgical center by persons who are under contract with the cente…

NAC 449.9835 Exemption from requirements for governing body and administrator. (NRS 441A.120, 449.0302) 1. If a licensee is a sole physician operator, the ambulatory surgical center operated by the licensee is not required to have a governing body or an administrator. In such a c…

NAC 449.9837 Restrictions on operation of ambulatory surgical center; maintenance of records. (NRS 449.0302) 1. An ambulatory surgical center: (a) May be operated only for the purpose of providing surgical services to patients who do not require care for more than 24 hours. (b) E…

NAC 449.9843 Compliance with certain standards, laws, ordinances and codes; submission and approval of building plans; prerequisites to approval of center for licensure. (NRS 439.200, 449.0302) 1. An ambulatory surgical center shall comply with the provisions of NFPA 99: Health C…

NAC 449.9844 Class designations: Authorized procedures; operating room dimensions. (NRS 439.200, 449.0302) 1. An ambulatory surgical center must be designated as Class A, Class B, Class C, Class E or Endoscopy Only. 2. An ambulatory surgical center that is designated as Class A m…

NAC 449.98451 Adoption of guidelines by governing body for establishment of program. (NRS 441A.120, 449.0302) 1. The governing body shall adopt guidelines which must be used by the ambulatory surgical center in establishing the program for the prevention and control of infections…

NAC 449.98452 General requirements of program. (NRS 441A.120, 449.0302) 1. Each ambulatory surgical center shall establish and maintain a program for the prevention and control of infections and communicable diseases. 2. In addition to complying with the provisions of NAC 449.984…

NAC 449.98453 Program required to include policies and procedures for prevention of exposure to blood-borne and other potentially infectious pathogens. (NRS 441A.120, 449.0302) Each program for the prevention and control of infections and communicable diseases must include polici…