Nevada Administrative Code

NAC 450B.611 Base stations, protocols and procedures. (NRS 450B.120) 1. Each service shall identify at least one base station providing 24-hour voice communication between a physician and personnel who provide emergency care. The station or stations must be identified in the appl…

NAC 450B.620 Requirement to file list of ambulances, air ambulances or agency’s vehicles; maintenance of record on report of emergency care; penalty for failure to comply. (NRS 450B.120, 450B.130, 450B.900) 1. Each holder of a permit to operate a service shall file with the Divis…

NAC 450B.630 Records concerning transportation and transfer of patients. (NRS 450B.120, 450B.130) Records concerning the transportation and transfer of patients within or beyond the boundaries of Nevada must be available for inspection by the Division at any reasonable time. Copi…

NAC 450B.640 Inspections: Before service; requests; exceptions; reinspections; fee; penalty. (NRS 439.150, 450B.120, 450B.130, 450B.200, 450B.900) 1. The Division shall: (a) Inspect or have inspected every ambulance, air ambulance configured to be used for providing medical servi…

NAC 450B.645 Reports of emergency care. (NRS 450B.120) A report of emergency care must be accurate and provided in a format approved by the Division. (Added to NAC by Bd. of Health, eff. 8-22-86; A 8-1-91; R045-97, 10-30-97; R182-01, 3-5-2002) DISCIPLINARY ACTION

NAC 450B.650 Periodic examination or investigation by Division; fee to recover costs of investigation. (NRS 439.150, 450B.120, 450B.200) 1. Nothing contained in this chapter prohibits the Division from periodically examining or investigating any person issued a permit, license or…

NAC 450B.655 Unprofessional conduct. (NRS 450B.120) A person exhibits unprofessional conduct if he or she fails, while functioning in the capacity of a person who is licensed or certified pursuant to this chapter, to maintain that standard of performance, to exercise that degree …

NAC 450B.660 Grounds for disciplinary action; request for hearing. (NRS 450B.120, 450B.160, 450B.1993, 450B.200) 1. Whenever the Division determines that any ambulance, air ambulance configured to be used for providing medical services, agency’s vehicle or its equipment which is …

NAC 450B.680 Notification of other licensing authorities of disciplinary action. (NRS 450B.120, 450B.160, 450B.200) Whenever any permit, endorsement, certificate or license issued pursuant to this chapter is suspended, revoked or otherwise terminated, the Division shall immediate…

NAC 450B.690 Reinstatement of permit, certificate, license or endorsement. (NRS 450B.120, 450B.160, 450B.1993, 450B.200) 1. Any person whose permit to operate a service or whose certification, license or endorsement to act as an attendant has been suspended or revoked or otherwis…

NAC 450B.695 Certificate revoked, terminated or suspended under certain circumstances not eligible for renewal. (NRS 450B.120, 450B.195) A person whose certificate was revoked, terminated or suspended pursuant to disciplinary action at the time the certificate expired may not app…

NAC 450B.700 Fees. (NRS 439.150, 439.200, 450B.120, 450B.155, 450B.200) The Division shall charge and collect the following fees: On or after January 27, 2017, and before July 1, 2017 On or after July 1, 2017, and before July 1, 2018 On or after July 1, 2018 1. For licenses: (a) …

NAC 450B.710 Notice to applicant of rejection of permit, license or endorsement; right of appeal. (NRS 450B.120, 450B.160, 450B.1993, 450B.200) If any application for: 1. A permit to operate a service at any level of service; 2. A license as an attendant of such a service; 3. A s…

NAC 450B.715 Renewal of certification of nonresident who is no longer employed by service. (NRS 450B.120, 450B.180) 1. Except as otherwise provided in this section, the Division shall not renew the certificate of a person who holds a certificate issued in Nevada as an emergency m…

NAC 450B.717 Report of crash or incident. (NRS 450B.120) If the holder of a permit to operate a service or any licensee in the service is involved in any crash or incident reportable to the Federal Aviation Administration as a hard landing with an air ambulance or agency’s vehicl…

NAC 450B.718 Report by host organization: Attendance at special event; contacts and transports by emergency medical personnel. (NRS 450B.120, 450B.690, 450B.695, 450B.700) Not later than 30 days after the last day of a special event, the host organization shall submit a report to…

NAC 450B.720 Programs of training: Application for approval; retention of documentation by provider; certification prerequisites to receive certain training. (NRS 450B.120, 450B.155, 450B.160, 450B.1905, 450B.191, 450B.195) 1. The Division shall, within the limits of its appropri…

NAC 450B.721 Training center: Application for approval; fee; expiration and renewal. (NRS 439.150, 450B.120, 450B.155, 450B.160, 450B.1905, 450B.191, 450B.195) 1. At least 90 days before establishing a training center, the university, college, school, service or other entity that…

NAC 450B.722 Training center: Duties; audit. (NRS 439.150, 450B.120) 1. A training center that is approved in accordance with NAC 450B.721 shall: (a) Issue continuing education credits to students who successfully complete continuing education courses provided by the training cen…

NAC 450B.723 Endorsement as instructor: Qualifications; fee; authorized scope of instruction; exception; penalty for serving as instructor without valid endorsement. (NRS 439.150, 450B.120, 450B.900) 1. To receive an endorsement as an instructor in emergency medical services, an …

NAC 450B.725 Endorsement as instructor: Expiration; renewal; fee. (NRS 439.150, 450B.120) 1. An endorsement to be an instructor in emergency medical services expires on the date of expiration appearing on the certificate for an emergency medical dispatcher, emergency medical resp…

NAC 450B.760 Definitions. (NRS 450B.120, 450B.237) As used in NAC 450B.760 to 450B.774, inclusive, unless the context otherwise requires: 1. “Center for the treatment of trauma” has the meaning ascribed to it in NAC 450B.786. 2. “Glasgow Coma Scale” means a system of valuation th…

NAC 450B.762 Adoption of certain publications by reference. (NRS 450B.120, 450B.237) 1. The State Board of Health hereby adopts by reference: (a) The Journal of Trauma, Volume 14, Issue 3, 1974, at pages 187 to 196, inclusive, and any subsequent revision of the publication unless…

NAC 450B.764 Nevada Trauma Registry: Development of system for collection of information concerning treatment of trauma. (NRS 450B.120, 450B.237) The Division shall develop a standardized system for the collection of information concerning the treatment of trauma and carry out a …

NAC 450B.765 Nevada Trauma Registry: Confidentiality of information collected; maintenance of list of reporting entities. (NRS 450B.120, 450B.237) 1. Except as otherwise provided in this subsection, all information collected or maintained using the Nevada Trauma Registry that con…

NAC 450B.7655 Nevada Trauma Registry: Access for scientific research; application to grant access; fee; restrictions on publication. (NRS 450B.120, 450B.237) 1. A person who wishes to conduct scientific research concerning trauma using information maintained in the Nevada Trauma …

NAC 450B.766 Submission of information by licensee who provides emergency medical care at scene of injury. (NRS 450B.120, 450B.237) 1. A licensee providing emergency medical care at the scene of an injury shall submit to: (a) The Division, information concerning patients with tra…

NAC 450B.768 Submission of quarterly reports by hospital concerning patients treated by hospital; annual reports by Division. (NRS 450B.120, 450B.237, 450B.238) 1. Each hospital shall submit to the Division quarterly reports which comply with the criteria prescribed by the Divisi…

NAC 450B.770 Standard for initial identification and care of patients with traumas. (NRS 450B.120, 450B.237) 1. A licensee providing emergency medical care to a patient at the scene of an injury shall use the national standard set forth by the National Highway Traffic Safety Admi…

NAC 450B.772 Criteria for determining destination for transportation and treatment of patients with traumas. (NRS 439.200, 450B.120, 450B.237) 1. The field triage criteria set forth by the Centers for Disease Control and Prevention in “Guidelines for Field Triage of Injured Patie…

NAC 450B.774 Procedure when patient refuses transportation to center for treatment of trauma. (NRS 450B.120, 450B.237) 1. If a patient at the scene of an injury refuses to be transported to a center for the treatment of trauma after a determination has been made that the patient’…

NAC 450B.780 Definitions. (NRS 450B.120, 450B.237) As used in NAC 450B.780 to 450B.875, inclusive, unless the context otherwise requires, the words and terms defined in NAC 450B.783 to 450B.815, inclusive, have the meanings ascribed to them in those sections. (Added to NAC by Bd.…

NAC 450B.783 “Board” defined. (NRS 450B.120, 450B.237) “Board” means the State Board of Health. (Added to NAC by Bd. of Health by R139-07, eff. 1-30-2008)

NAC 450B.786 “Center for the treatment of trauma” defined. (NRS 439.200, 450B.120, 450B.237) “Center for the treatment of trauma” means a hospital licensed in this State which has been designated as a level I, II or III center by the Administrator of the Division, pursuant to the…

NAC 450B.798 “Patient with trauma” defined. (NRS 450B.120, 450B.237) “Patient with trauma” means a person who has sustained injury and meets the triage criteria used to evaluate the condition of the patient. (Added to NAC by Bd. of Health, eff. 3-15-88)

NAC 450B.799 “Pediatric center for the treatment of trauma” defined. (NRS 450B.120, 450B.237) “Pediatric center for the treatment of trauma” means a facility that is designated by the Administrator of the Division pursuant to the provisions of NAC 450B.780 to 450B.875, inclusive,…

NAC 450B.808 “Service area” defined. (NRS 450B.120, 450B.237) “Service area” means the geographical area described by a center for the treatment of trauma or a pediatric center for the treatment of trauma in its plan for providing treatment for trauma as the area served by that c…

NAC 450B.810 “System for providing treatment for trauma” defined. (NRS 450B.120, 450B.237) “System for providing treatment for trauma” means a formally organized arrangement of resources providing health care which is described in writing by a center for the treatment of trauma o…

NAC 450B.814 “Triage criteria” defined. (NRS 450B.120, 450B.237) “Triage criteria” means a measure or method of assessing the severity of a person’s injuries which is used to evaluate the patient’s condition in the field and is based on anatomical considerations, physiological co…

NAC 450B.815 “Verification review” defined. (NRS 450B.120, 450B.237) “Verification review” means the process by which the American College of Surgeons, or an equivalent medical organization or agency approved by the Board, conducts an on-site review of a hospital and confirms tha…

NAC 450B.816 Adoption of certain publications by reference. (NRS 450B.120, 450B.237) 1. The Board hereby adopts by reference: (a) Resources for Optimal Care of the Injured Patient, 2006 edition, published by the American College of Surgeons, and any subsequent revision of the pub…

NAC 450B.817 Restrictions on applications for initial designation; applications authorized at time for renewal. (NRS 450B.120, 450B.237) 1. On or after January 30, 2008, if a hospital wishes to apply for initial designation as a center for the treatment of trauma, the hospital ma…

NAC 450B.819 Submission, contents and review of applications for designation; requests for verification; provisional authorization in certain counties. (NRS 450B.120, 450B.237) 1. A hospital applying for designation as a level I, II or III center for the treatment of trauma or as…

NAC 450B.820 Verification reviews. (NRS 450B.120, 450B.237) 1. Before a hospital is designated as a center for the treatment of trauma or a pediatric center for the treatment of trauma, a verification review of the hospital must be conducted. 2. The cost to verify the proposed ce…

NAC 450B.8205 Prerequisites to renewal of designation. (NRS 450B.120, 450B.237) 1. Before the designation of a level I, II or III center for the treatment of trauma or a pediatric center for the treatment of trauma is renewed, an application for renewal must be submitted to the D…

NAC 450B.824 Notice of decision regarding application for designation or renewal of designation. (NRS 450B.120, 450B.237) The Division shall give written notice of its decision to any hospital which submits an application for designation as a center for the treatment of trauma or…

NAC 450B.826 Duration of designation; provisional designation. (NRS 450B.120, 450B.237) 1. Except as otherwise provided in subsection 3, the initial designation of a level I, II or III center for the treatment of trauma or a pediatric center for the treatment of trauma is valid f…