Nevada Administrative Code

NAC 449.98457 Mandatory training and evaluation of employees and other persons. (NRS 441A.120, 449.0302) 1. Each employee of an ambulatory surgical center and each person under contract with an ambulatory surgical center who works at the center and has exposure to patients at the…

NAC 449.9855 Policies and requirements for personnel. (NRS 449.0302) 1. An ambulatory surgical center shall have written policies for the personnel employed at the center. These policies must be provided to each employee in the form of a manual and must include provisions concern…

NAC 449.9865 Medical staff. (NRS 449.0302) 1. The medical staff of an ambulatory surgical center is answerable to the governing body for the quality of medical care provided to patients and for the ethical and professional practices of its members. 2. The governing body, or a per…

NAC 449.988 Nursing staff. (NRS 449.0302) 1. Each ambulatory surgical center must have a department of nursing under the direction of a chief nurse who is a registered nurse. 2. A sufficient number of members of the nursing staff must be on duty at all times to ensure that proper…

NAC 449.9883 Requirements for employment of certain persons to engage in practice of surgical technology; documentation. (NRS 439.200, 449.0302, 449.24185) 1. A person employed to engage in the practice of surgical technology in an ambulatory surgical center pursuant to subsectio…

NAC 449.9885 Medical records: Maintenance. (NRS 449.0302) 1. An employee shall oversee the completion, filing and retention of each medical record. 2. Records must be maintained for each patient admitted for care in the center in accordance with accepted professional principles. …

NAC 449.989 Medical records: Contents. (NRS 449.0302) The medical record of each patient must be complete, authenticated, accurate and current, and must include the following information: 1. A complete identification of the patient, including information on his or her next of kin…

NAC 449.990 Medication and treatment. (NRS 441A.120, 449.0302) 1. Any medication or treatment may be given only upon the written or oral order of a person lawfully authorized to prescribe that medication or treatment. This order must be authenticated by the prescriber and the per…

NAC 449.9902 Emergency equipment and supplies. (NRS 449.0302) 1. An ambulatory surgical center must be equipped with: (a) A cardiac defibrillator; (b) A tracheostomy or cricothyroidotomy set; (c) A mobile cart which contains the equipment and supplies specified by the medical sta…

NAC 449.9905 Pharmacist employed by or contracted with center; records, storage and administration of drugs; center required to obtain license to operate pharmacy. (NRS 441A.120, 449.0302) 1. A pharmacist employed by or contracted with an ambulatory surgical center pursuant to NA…

NAC 449.991 Laboratory services. (NRS 449.0302) 1. Laboratory services must be provided to meet the needs of patients and must be available to each center at all times. 2. If the ambulatory surgical center has its own laboratory, it must be a licensed clinical laboratory under th…

NAC 449.992 Pathological services. (NRS 449.0302) 1. Pathology services must be provided by a staff pathologist or by a pathologist used as a consultant by the ambulatory surgical center. The pathologist must be licensed to practice in this State. 2. All material removed from a p…

NAC 449.9925 Blood and derivatives of blood: Procurement, storage, transfusion and administration; policies and procedures; reporting of adverse reaction. (NRS 441A.120, 449.0302) 1. If the ambulatory surgical center provides its own service for blood transfusions through its med…

NAC 449.993 Diagnostic radiological services. (NRS 449.0302) 1. Each ambulatory surgical center shall maintain diagnostic radiological services or have such services immediately available. Whether these services are provided directly or by contract, personnel capable of supervisi…

NAC 449.9935 Operating and recovery rooms; endoscopy suite; revision of certain standards adopted by reference. (NRS 439.200, 449.0302) 1. The operating and recovery rooms of an ambulatory surgical center must be used exclusively for surgical procedures. 2. Except as otherwise pr…

NAC 449.9937 Extended recovery units. (NRS 449.0302) 1. An ambulatory surgical center may operate an extended recovery unit. 2. An extended recovery unit must: (a) Be located in an area of the center that is separate from the other operations of the center; (b) Provide audio and …

NAC 449.994 Records required before surgery; report of surgery. (NRS 449.0302) 1. A physical examination, which must include a medical history of the patient, within the 30 days immediately preceding the date of the patient’s surgery and a presurgical evaluation conducted by a ph…

NAC 449.9945 Administration and record of anesthesia. (NRS 449.0302) 1. Anesthetics must be administered in the operating room of an ambulatory surgical center by an anesthesiologist, a qualified physician, a dentist or, under the direction of the operating physician and in accor…

NAC 449.9947 Register of surgeries performed in operating rooms. (NRS 449.0302) An ambulatory surgical center shall keep a complete and current register of all surgeries performed in an operating room at the center. The register must include, without limitation, for each patient …

NAC 449.9955 Informing patient of rights, services and cost. (NRS 449.0302) The administrator of an ambulatory surgical center shall ensure that: 1. Each patient admitted to the center is treated with respect, consideration and dignity. 2. Each patient admitted to the center is p…

NAC 449.996 Transfer of patients. (NRS 439.200, 449.0302) 1. An ambulatory surgical center shall establish written guidelines for transferring patients to a licensed hospital that has medical and surgical capabilities using an ambulance or air ambulance for emergencies that requi…

NAC 449.9965 Prohibited locations for construction of center. (NRS 449.0302) A new ambulatory surgical center must not be constructed over any underground liquid butane, propane or transmission line for gas, or over any underground high pressure lines, under high voltage electric…

NAC 449.997 Conversion of hazardous building into center prohibited. (NRS 449.0302) No building may be converted for use as an ambulatory surgical center if, because of its location, physical condition, state of repair or arrangement of facilities, the building would be hazardous…

NAC 449.99702 “Recovery center” defined. (NRS 439.200, 449.0302, 449.0303) As used in NAC 449.99702 to 449.99762, inclusive, “recovery center” or “center” means any public or private facility that provides only short-term care, not to exceed 72 hours, to a person recovering from …

NAC 449.99704 License required to operate. (NRS 439.200, 449.0302, 449.0303) A person or a public or private facility shall not operate or provide the services of a recovery center or represent that the person or the public or private facility operates or provides the services of…

NAC 449.99706 Requirements to operate. (NRS 439.200, 449.0302, 449.0303) If a person or a public or private facility wants to operate a recovery center, the person or the public or private facility must: 1. File with the Division an application for a license pursuant to NAC 449.0…

NAC 449.99708 Prelicensure investigation and inspection. (NRS 439.200, 449.0302, 449.0303) After the Division receives a properly completed application, accompanied by the appropriate fee, the Division shall conduct an investigation of the applicant and inspect the proposed recov…

NAC 449.9971 Issuance and expiration of license. (NRS 439.200, 449.0302, 449.0303) 1. The Division shall issue a license to operate a recovery center to the applicant if, after investigation, the Division finds that the applicant is in substantial compliance with the provisions o…

NAC 449.99712 Suspension, revocation or cancellation of license; provisional license. (NRS 439.200, 449.0302, 449.0303) The Division may suspend or revoke a license issued pursuant to NAC 449.99702 to 449.99762, inclusive, or cancel such a license and issue a provisional license …

NAC 449.99714 Governing body; quality improvement and risk management programs; review of programs. (NRS 439.200, 449.0302, 449.0303) A recovery center must have a governing body that is legally responsible for establishing and carrying out policies regarding the management and o…

NAC 449.99716 Appointment, qualifications and responsibilities of administrator. (NRS 439.200, 449.0302, 449.0303) 1. The governing body of a recovery center shall appoint a qualified administrator for the center who is responsible to the governing body for the performance of his…

NAC 449.99718 Design, construction, equipment and maintenance. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center must be designed, constructed, equipped and maintained in a manner that protects the health and safety of the patients and personnel of the recovery center and me…

NAC 449.9972 General requirements. (NRS 439.200, 449.0302, 449.0303) A recovery center shall: 1. Provide a safe, functional, sanitary and comfortable environment for the patients in the center, the members of its staff and members of the general public; 2. Care for each patient i…

NAC 449.99722 Patients’ rooms. (NRS 439.200, 449.0302, 449.0303) 1. A patient’s room within a recovery center must be designed and equipped in a manner that allows adequate nursing care to be provided and provides comfort and privacy for the patient. 2. A recovery center shall pr…

NAC 449.99724 Limitation on number of patients; insurance. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center shall: (a) Not admit more patients to the facility than the number of beds for which it is licensed at any one time. (b) Maintain a contract of insurance to ensure ad…

NAC 449.99726 Preparations for emergencies; reporting of fire or disaster. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center must have a written disaster preparedness plan for members of the staff and patients to follow in case of fire, explosion or other emergency. 2. The p…

NAC 449.99728 Administration of prescription medications. (NRS 439.200, 449.0302, 449.0303) 1. Prescription medications for a patient admitted to a recovery center shall only be administered by the patient, a registered nurse or another licensed health care professional. 2. A rec…

NAC 449.9973 Control of infections. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center shall establish and maintain a program for the control of infections within the center. 2. The program required pursuant to subsection 1 must: (a) Be designed to provide a safe, sanitary an…

NAC 449.99732 Meals; hydration; sanitation. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center shall ensure that each patient admitted to the center receives: (a) Meals at regular intervals; and (b) A therapeutic diet if such a diet is prescribed by the attending physician, p…

NAC 449.99734 Responsibilities for admission and care of patient. (NRS 439.200, 449.0302, 449.0303) 1. A patient may be admitted to a recovery center only upon the written approval of a physician. Upon a patient’s admission to the recovery center, the center shall ensure that ord…

NAC 449.99736 Assessment of needs of patient. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center shall conduct an initial and ongoing assessment of the needs of each patient admitted to the center. 2. The initial assessment of each patient must be conducted at the time of his…

NAC 449.99738 Plan of care; compliance with professional standards. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center shall develop for each patient admitted to the center a plan of care, which must include, without limitation: (a) Measureable objectives and timetables to me…

NAC 449.9974 Provision of service or treatment. (NRS 439.200, 449.0302, 449.0303) A recovery center shall provide to each patient admitted to the center any service or treatment that is: 1. Identified in the plan of care developed pursuant to NAC 449.99738; and 2. Necessary to en…

NAC 449.99742 Summary of discharge. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center shall prepare a summary of discharge for each patient discharged from the center. 2. Each summary of discharge must include, without limitation: (a) A summary of the pertinent information r…

NAC 449.99744 Agreement with hospital for transfer of patients. (NRS 439.200, 449.0302, 449.0303) 1. Except as otherwise provided in subsection 2, a recovery center shall enter into an agreement with at least one licensed hospital that provides for the transfer of patients from t…

NAC 449.99746 Contents, maintenance and confidentiality of medical records. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center shall maintain a medical record for each patient admitted to the center in accordance with accepted professional principles. 2. A medical record must…

NAC 449.99748 Inspection of records relating to patient. (NRS 439.200, 449.0302, 449.0303) 1. A person who is or was previously admitted to a recovery center or his or her legal representative may submit an oral or written request to the center to inspect all records relating to …