Nevada Administrative Code

NAC 450B.360 Certification of emergency medical technicians, advanced emergency medical technicians and paramedics: Qualifications; application; penalty for providing service without valid certificate. (NRS 450B.120, 450B.180, 450B.900) 1. To be certified as an emergency medical …

NAC 450B.363 Certification of emergency medical technicians, advanced emergency medical technicians and paramedics trained in another state: Qualifications; Division may impose additional requirements; renewal. (NRS 450B.120, 450B.180, 450B.1905, 450B.191, 450B.195) 1. The Divisi…

NAC 450B.366 Certificate as emergency medical responder: Expiration and renewal. (NRS 450B.120, 450B.180, 450B.1905, 450B.191, 450B.195) 1. A certificate as an emergency medical responder expires on the date of expiration appearing on the certificate and, after the initial period…

NAC 450B.375 Certificate as emergency medical technician, advanced emergency medical technician or paramedic: Late renewal. (NRS 450B.120, 450B.180, 450B.1905, 450B.191, 450B.195) 1. If an emergency medical technician, advanced emergency medical technician or paramedic is unable …

NAC 450B.380 Certificate as emergency medical technician, advanced emergency medical technician or paramedic: Expiration; verification of skills of holder for maintenance; renewal. (NRS 450B.120, 450B.180, 450B.1905, 450B.191, 450B.195) 1. A certificate as an emergency medical te…

NAC 450B.381 Requirements; authorized practice. (NRS 450B.120) 1. To receive an endorsement as a critical care paramedic in emergency medical services, an applicant must provide proof of the successful completion of a course in training equivalent to the national standard set for…

NAC 450B.382 Expiration; renewal. (NRS 450B.120) 1. An endorsement as a critical care paramedic in emergency medical services expires on the date of expiration appearing on the certificate of the paramedic who receives the endorsement. 2. The endorsement is renewable if the holde…

NAC 450B.384 Practice beyond scope of certificate prohibited; exception. (NRS 450B.120, 450B.180) The holder of a certificate issued pursuant to NAC 450B.360 shall not practice beyond the scope of the certificate unless authorized by the health authority which issued the certific…

NAC 450B.440 Requirements for program of training for paramedics. (NRS 450B.120, 450B.195) A program of training in the State of Nevada for paramedics must be at least equivalent to the national standard prepared by the National Highway Traffic Safety Administration of the United…

NAC 450B.447 Additional authorized activities; verbal orders. (NRS 450B.120, 450B.1915, 450B.197) 1. An emergency medical technician, advanced emergency medical technician or paramedic who is licensed may, in addition to his or her other authorized activities: (a) During training…

NAC 450B.450 Provision of care, supplies and equipment by hospital or service; staffing of ambulance or air ambulance. (NRS 450B.120, 450B.130, 450B.230) 1. Any hospital or service which meets the minimum requirements established by the board in NAC 450B.461 to 450B.481, inclusiv…

NAC 450B.455 Documentation of care provided to patients. (NRS 450B.120) An attendant shall document all care provided at each level of contact with a patient and submit this documentation in a manner prescribed by the Division. (Added to NAC by Bd. of Health, eff. 10-14-82; A 8-2…

NAC 450B.456 Qualifications for certification. (NRS 450B.120, 450B.155) 1. To be certified as an emergency medical dispatcher, an applicant must: (a) Be 18 years of age or older; and (b) Successfully complete training pursuant to a national standard for emergency medical dispatch…

NAC 450B.457 Certification of emergency medical dispatcher trained in another state. (NRS 450B.120, 450B.155) 1. The Division may issue a certificate as an emergency medical dispatcher to an applicant who is trained in another state if: (a) The applicant: (1) Is a resident of Nev…

NAC 450B.458 Expiration and renewal of certificate. (NRS 450B.120, 450B.155) 1. A certificate as an emergency medical dispatcher expires on the date of expiration appearing on the certificate and, after the initial period, expires biennially. The Division shall designate the date…

NAC 450B.459 Late renewal of certificate. (NRS 450B.120, 450B.155) If an emergency medical dispatcher is unable to attend a course for continuing training required to renew his or her certificate, or otherwise comply with the requirements for renewal, within the prescribed period…

NAC 450B.461 Restrictions on authority to administer. (NRS 450B.120, 450B.180, 450B.1915, 450B.197, 453.375, 454.213) 1. No paramedic may administer any controlled substance as defined in the preliminary chapter of NRS to a patient while serving as an attendant in a service unles…

NAC 450B.465 Storage and security. (NRS 450B.120) 1. Each dangerous drug and controlled substance used by a service must be stored: (a) In its original container, and each original container must bear a securely attached label which is legibly marked; and (b) Under appropriately …

NAC 450B.471 Administration: Reporting requirements; discarding of unused portion of unit dose. (NRS 450B.120, 450B.180, 450B.1915, 450B.197, 453.375, 454.213) 1. Each time a paramedic or registered nurse administers a controlled substance or an advanced emergency medical technic…

NAC 450B.475 Supplying of controlled substances; handling, use and maintenance of controlled substances and dangerous drugs; procedures to address discrepancies. (NRS 450B.120) 1. Controlled substances used by a service must be supplied as follows: (a) The medical director of the…

NAC 450B.481 Controlled substances: Record of usage; inventory. (NRS 450B.120) 1. A record of usage must accompany the controlled substances used by a service. 2. Each time a controlled substance is administered to a patient, an entry must be made in the record. The entry must in…

NAC 450B.482 Application to provide services; maintenance of protocols by Division; submission of revised protocols; holder of endorsement required to adopt quality improvement program; penalty for providing services without endorsement. (NRS 439.200, 449.0302, 450B.120, 450B.199…

NAC 450B.484 Quarterly report: Additional information required. (NRS 450B.120, 450B.1993, 450B.1996) In addition to the information required by NRS 450B.1996, the quarterly report described in that section must include: 1. The number of patients to whom the holder of the permit p…

NAC 450B.486 Requirements for course of training in community paramedicine services. (NRS 450B.120, 450B.1993) 1. A course of training in community paramedicine services must: (a) Consist of five modules, with each module concentrating on a topic set forth in this paragraph. The …

NAC 450B.488 Attendant community paramedicine endorsement: Application; qualifications; scope of practice; penalty for providing services without endorsement or beyond scope of practice. (NRS 439.200, 449.0302, 450B.120, 450B.1993, 450B.900) 1. An emergency medical provider may a…

NAC 450B.489 Attendant community paramedicine endorsement: Expiration; renewal. (NRS 439.200, 449.0302, 450B.120, 450B.1993) 1. An attendant community paramedicine endorsement expires on the date on which the license issued to the holder of the endorsement expires or 2 years afte…

NAC 450B.493 Application; qualifications; proof of certification as advanced emergency medical technician or paramedic; fee not required. (NRS 450B.120, 450B.1975) 1. To receive an endorsement to administer immunizations, dispense medications and prepare and respond to certain pu…

NAC 450B.496 Authorized activities. (NRS 450B.120, 450B.1975) 1. A person who receives an endorsement pursuant to NAC 450B.493 may participate in: (a) A public vaccination clinic or training exercise sponsored by a local public health authority if: (1) A list of the emergency med…

NAC 450B.497 Expiration and renewal; fee not required. (NRS 450B.120, 450B.1975) 1. An endorsement issued pursuant to NAC 450B.493 expires on the date of expiration of the person’s certificate as an advanced emergency medical technician or paramedic or on the date the certificate…

NAC 450B.505 Permit required; appointment, powers and duties of medical director; penalty for providing emergency care without permit. (NRS 450B.120, 450B.200, 450B.900) 1. Each service providing emergency care must: (a) Apply for and receive a permit from the Division; and (b) H…

NAC 450B.510 Permits: Application; renewal. (NRS 450B.120, 450B.200) 1. Within 30 days after receipt of an application to operate a service, the Division shall: (a) Have an investigation made of the applicant, his or her proposed service and the information contained in the appli…

NAC 450B.515 Ambulance permits: Fee. (NRS 450B.120, 450B.200) The fee for an initial application for a permit, in the amount set forth in NAC 450B.700, or the number of a purchase order issued by a governmental entity in the amount of the fee, must accompany the application when …

NAC 450B.520 Permits: Denial of application. (NRS 450B.120, 450B.200) The Division may disapprove an application for a permit or an application for the renewal of a permit to operate a service for one or more of the following reasons, regardless of the category of the proposed se…

NAC 450B.526 Forms for application for permit; contents. (NRS 450B.120, 450B.200) The Division shall prescribe forms for an operator’s use in applying for a permit to operate a service at the level of service of basic, intermediate or advanced emergency care. The following inform…

NAC 450B.529 Permit: Investigation of applicant; issuance or rejection. (NRS 450B.120, 450B.200) After receiving an application for a permit to operate a service at the level of service of basic, intermediate or advanced emergency care, or any combination thereof, the Division sh…

NAC 450B.532 Additional conditions for renewal of permit to provide any level of emergency care or service community paramedicine endorsement. (NRS 450B.120, 450B.1993, 450B.200) The Division may require a review of the applicant’s operations or a submission of updated informatio…

NAC 450B.540 Display, alteration and transferability of permit. (NRS 450B.120, 450B.200) 1. The holder of a permit or provisional permit must display it prominently in his or her principal place of business. 2. If an official entry on any permit is altered, defaced or obliterated…

NAC 450B.550 Ambulance: Design and equipment. (NRS 450B.120, 450B.130) 1. Each ambulance placed in service after August 1, 1991, must contain at least 300 cubic feet (8.5 cubic meters) of space and meet the following requirements: (a) Have at least 60 inches (152 centimeters) of …

NAC 450B.560 Ambulance, air ambulance or agency’s vehicle: Equipment and supplies. (NRS 450B.120, 450B.130) Each ambulance, air ambulance or agency’s vehicle must, during any period in which the ambulance, air ambulance or agency’s vehicle is used to provide emergency medical car…

NAC 450B.562 Air ambulance: Compliance with certain Federal Aviation rules. (NRS 450B.120, 450B.130) To be operated as an air ambulance, an aircraft, whether a fixed- or rotary-wing type, must comply with all Federal Aviation Administration rules as they pertain to maintenance in…

NAC 450B.564 Air ambulance: Surveillance review for safety and compliance. (NRS 450B.120, 450B.200) The Division shall not issue an original permit or renew a permit to operate an air ambulance service unless the service has received a satisfactory surveillance review for safety …

NAC 450B.566 Air ambulance: Landing site for helicopters. (NRS 450B.120) 1. An air ambulance service using helicopters shall make available training in the proper marking and securing of a safe area for landing to emergency medical personnel, fire agency personnel and law enforce…

NAC 450B.568 Air ambulance: Restriction on transfer of patients from one hospital to another. (NRS 450B.120) A patient must not be transferred by air ambulance from one hospital to another unless such transfer has been determined necessary by a physician, physician assistant or a…

NAC 450B.570 Air ambulance: Design, medical equipment and medical supplies. (NRS 450B.120, 450B.130) 1. To be used as an air ambulance, an aircraft, whether a fixed- or rotary-wing type, must meet the requirements set forth in 14 C.F.R. Part 135, including by means of receiving a…

NAC 450B.574 Unit used to provide emergency care at scene of emergency without transporting patients: Required personnel. (NRS 450B.120) A unit used by a service in any configuration to provide emergency care at the scene of an emergency without transporting a patient, when in op…

NAC 450B.575 Ambulance, air ambulance or any other unit used to transport patients and provide any level of emergency care: Required equipment and personnel. (NRS 450B.120, 450B.130) An ambulance, air ambulance or any other unit that is used to transport a patient and provide any…

NAC 450B.576 Driver-only program: Restrictions; application; approval of drivers required; expiration of approval; annual report. (NRS 450B.120, 450B.130) 1. A driver-only program may not be operated: (a) In a city whose population is more than 100,000; or (b) If the Division has…