Nevada Administrative Code

NAC 449.9994 Definitions. (NRS 449.448) As used in NAC 449.9994 to 449.999489, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.99941 to 449.999419, inclusive, have the meanings ascribed to them in those sections. (Added to NAC by Bd. of He…

NAC 449.99941 “Bureau” defined. (NRS 449.448) “Bureau” means the Bureau of Health Care Quality and Compliance of the Division. (Added to NAC by Bd. of Health by R179-09, eff. 7-22-2010)

NAC 449.999413 “Division” defined. (NRS 449.448) “Division” means the Division of Public and Behavioral Health of the Department of Health and Human Services. (Added to NAC by Bd. of Health by R179-09, eff. 7-22-2010)

NAC 449.999415 “Inspection” defined. (NRS 449.448) “Inspection” means the inspection of an outpatient facility conducted by employees of the Bureau pursuant to NRS 449.443 or 449.446. The term includes a follow-up inspection to renew the permit of an outpatient facility or evalua…

NAC 449.999417 “Outpatient facility” defined. (NRS 449.448) “Outpatient facility” means an office of a physician or a facility that provides health care, other than a medical facility, which offers to a patient a service of general anesthesia, conscious sedation or deep sedation.…

NAC 449.999419 “Treatment” defined. (NRS 449.448) “Treatment” means any medication, drug, test or procedure conducted or administered to diagnose or remedy a physical or mental illness or condition. (Added to NAC by Bd. of Health by R179-09, eff. 7-22-2010) Permitting

NAC 449.99942 Application; general requirements; proof of national accreditation; fee; period for validity; application required for each location. (NRS 449.442, 449.443, 449.448) 1. Before offering to a patient a service of general anesthesia, conscious sedation or deep sedation…

NAC 449.999421 Inspection by Division of applicant and outpatient facility; prerequisite of satisfactory fire inspection. (NRS 449.443, 449.446, 449.448) 1. Upon receipt of a properly completed application for a permit, proof of the identity of the applicant, if applicable, that …

NAC 449.999422 Term of permit; circumstances under which permit deemed invalid. (NRS 449.442, 449.444, 449.448) 1. Except as otherwise provided in subsection 2, a permit is valid for 1 year after the date of issuance, and the holder of the permit may apply for renewal of the perm…

NAC 449.999423 Renewal of permit: Application; additional inspection by Division authorized; fees; untimely filing or failure to file application. (NRS 449.444, 449.448) 1. Except as otherwise provided in subsection 3, a holder of a permit to operate an outpatient facility who wi…

NAC 449.999424 Outpatient facility required to provide proof of national accreditation; submission of reports to Division; application by accrediting organization for recognition by State Board of Health; maintenance of list by Division of approved accrediting organizations. (NRS…

NAC 449.999425 Display of permit; maintenance of outpatient facility in compliance with law; notification of transfer of real property; notification of change of ownership, location or services provided. (NRS 449.448) 1. Upon receipt of a permit, the holder shall display the perm…

NAC 449.999426 Additional grounds for denial, suspension or revocation of permit. (NRS 449.447, 449.448) In addition to the grounds set forth in NRS 449.447 and NAC 449.999459, the Division may deny an application for a permit or may suspend or revoke a permit upon any of the fol…

NAC 449.99943 Definitions. (NRS 441A.120, 449.448) As used in NAC 449.99943 to 449.999448, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.999431 to 449.99944, inclusive, have the meanings ascribed to them in those sections. (Added to NAC …

NAC 449.999431 “Biologic indicator test” defined. (NRS 441A.120, 449.448) “Biologic indicator test” means a test used in every ethylene oxide cycle and in every sterilization load of implantable devices to demonstrate through the destruction of highly resistant bacterial spores w…

NAC 449.999432 “Cleaning” defined. (NRS 441A.120, 449.448) “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 R1…

NAC 449.999433 “High-level disinfection” defined. (NRS 441A.120, 449.448) “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 proce…

NAC 449.999434 “Implantable device” defined. (NRS 441A.120, 449.448) “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. …

NAC 449.999435 “Invasive procedure” defined. (NRS 441A.120, 449.448) “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 R179-09, eff. 7-22-2010)

NAC 449.999436 “Low-level disinfection” defined. (NRS 441A.120, 449.448) “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 throu…

NAC 449.999437 “Multidose vial” defined. (NRS 441A.120, 449.448) “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 …

NAC 449.999438 “Reprocess” defined. (NRS 441A.120, 449.448) “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 449.999439 “Single-dose vial” defined. (NRS 441A.120, 449.448) “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 449.99944 “Sterilization” defined. (NRS 441A.120, 449.448) “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 R179-09, eff. 7-…

NAC 449.999441 Adoption of guidelines by holder of permit for establishment of program. (NRS 441A.120, 449.448) 1. The holder of a permit issued pursuant to NAC 449.99942 shall adopt guidelines which must be used by the outpatient facility in establishing the program for the prev…

NAC 449.999442 General requirements of program. (NRS 441A.120, 449.448) 1. Each outpatient facility 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 449.999441 to …

NAC 449.999443 Program required to include policies and procedures for prevention of exposure to blood-borne and other potentially infectious pathogens. (NRS 441A.120, 449.448) Each program for the prevention and control of infections and communicable diseases must include polici…

NAC 449.999444 Program required to include policies and procedures for single-dose vials and multidose vials. (NRS 441A.120, 449.448) 1. Each program for the prevention and control of infections and communicable diseases must include policies and procedures for single-dose vials …

NAC 449.999445 Sterilization and disinfection of surgical instruments, items and equipment; training required for employees and contractors responsible for sterilization or disinfection. (NRS 441A.120, 449.448) 1. All surgical instruments, items or equipment used in the care of p…

NAC 449.999446 Outpatient facility required to designate employee or enter into contract for overseeing and managing program; qualifications and duties of employee or contractor. (NRS 441A.120, 449.448) 1. Each outpatient facility shall designate an employee or enter into a contr…

NAC 449.999447 Mandatory training and evaluation of employees and other persons. (NRS 441A.120, 449.448) 1. Each employee of an outpatient facility and each person under contract with an outpatient facility who works at the facility and has exposure to patients at the facility sh…

NAC 449.999448 Establishment of additional policies and guidelines by holder of permit to ensure health and safety of patients; professional standards of practice; requirement of tuberculosis test for employees and persons under contract with outpatient facility. (NRS 441A.120, 4…

NAC 449.99945 Definitions. (NRS 449.447, 449.448) As used in NAC 449.99945 to 449.999489, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.999451 to 449.999457, inclusive, have the meanings ascribed to them in those sections. (Added to NAC …

NAC 449.999451 “Cluster” defined. (NRS 449.447, 449.448) “Cluster” means a deficiency that involves the same or similar kinds of care, treatment or services as one or more other deficiencies. (Added to NAC by Bd. of Health by R179-09, eff. 7-22-2010)

NAC 449.999452 “De minimis deficiency” defined. (NRS 449.447, 449.448) “De minimis deficiency” means a deficiency rated at a severity level of one or two and at a scope level of one or two. (Added to NAC by Bd. of Health by R179-09, eff. 7-22-2010)

NAC 449.999453 “Deficiency” defined. (NRS 449.447, 449.448) 1. “Deficiency” means noncompliance with any state statute or regulation of the Board. The term includes an incident concerning an outpatient facility where there are no extenuating circumstances or where the facility ha…

NAC 449.999454 “Immediate and serious threat” and “immediate jeopardy” defined. (NRS 449.447, 449.448) “Immediate and serious threat” or “immediate jeopardy” means a situation in which corrective action within 48 hours is necessary because the failure by an outpatient facility to…

NAC 449.999455 “Incident” defined. (NRS 449.447, 449.448) “Incident” means an action, practice or situation that appears to be inconsistent with a state statute or regulation of the Board. (Added to NAC by Bd. of Health by R179-09, eff. 7-22-2010)

NAC 449.999456 “Initial deficiency” defined. (NRS 449.447, 449.448) “Initial deficiency” means the first occurrence of a deficiency recorded by the Bureau, including, without limitation, any deficiency found during a standard inspection, during an extended inspection or in respon…

NAC 449.999457 “Severity and scope score” defined. (NRS 449.447, 449.448) “Severity and scope score” means the sum of the numerical levels of severity and scope assigned to a deficiency. (Added to NAC by Bd. of Health by R179-09, eff. 7-22-2010)

NAC 449.999458 Purpose of sanctions. (NRS 449.447, 449.448) The purposes of administrative sanctions are to: 1. Safeguard the rights, interests and well-being of patients, including the protection of patients from actual or potential harm resulting from deficiencies; and 2. Encou…

NAC 449.999459 Grounds for denial, suspension or revocation of permit. (NRS 449.447, 449.448) In accordance with NRS 449.447, the Division may deny an application for a permit or may suspend or revoke a permit upon any of the following grounds: 1. Offering to a patient a service …

NAC 449.99946 Appeal of denial, suspension or revocation of permit or other sanction. (NRS 449.447, 449.448) An applicant or holder of a permit who is aggrieved by an action of the Division relating to the denial, suspension or revocation of a permit or any other sanction assesse…

NAC 449.999461 Imposition of sanctions: Authority of Division and Bureau. (NRS 449.447, 449.448) Administrative sanctions authorized by NRS 449.447 may be imposed by the Division through the Bureau. (Added to NAC by Bd. of Health by R179-09, eff. 7-22-2010)

NAC 449.999462 Imposition of sanctions: Requirement for imposition; optional imposition; multiple sanctions; use of severity and scope factors for particular sanction. (NRS 449.447, 449.448) 1. The Bureau shall impose at least one sanction listed in NRS 449.447 upon an outpatient…

NAC 449.999463 Imposition of sanctions in emergencies: Notice; authority; exception to notice requirement. (NRS 449.447, 449.448) 1. Except as otherwise provided in this section, the Bureau shall give notice pursuant to the provisions of NAC 439.300 to 439.395, inclusive, before …

NAC 449.999464 Deficiencies: Basis for imposition of sanctions; reporting; presumption of de minimis deficiency. (NRS 449.447, 449.448) 1. The Bureau may apply one or more sanctions on the basis of deficiencies found during inspections or investigations of complaints conducted by…