Nevada Administrative Code

NAC 457.070 Procedures for maintaining confidentiality of information. (NRS 457.065, 457.240) Each employee of the Division who has access to confidential information of the registry shall comply with the following procedures for maintaining the confidentiality of that informatio…

NAC 457.080 Procedures for taking confidential information outside offices of Division. (NRS 457.065, 457.240) Each employee of the Division who takes confidential information of the registry outside the offices of the Division shall comply with the following procedures: 1. Any d…

NAC 457.090 Mailing of confidential information; list of persons authorized to receive confidential information. (NRS 457.065, 457.240) 1. If confidential information of the registry is to be mailed to a provider of health care, health care facility or other facility that provide…

NAC 457.100 Persons with whom Chief Medical Officer contracts. (NRS 457.065, 457.240) If the Chief Medical Officer contracts with another person to perform data processing or other services using the confidential information of the registry, the other person shall maintain the co…

NAC 457.110 Disclosure of information: Authorized recipients; verification of identity. (NRS 457.065, 457.240) 1. The Chief Medical Officer or person employed in the registry shall not disclose the existence or nonexistence in the registry of a record concerning any patient or di…

NAC 457.120 Disclosure of information: Requirements of person seeking information. (NRS 457.065, 457.240) The Chief Medical Officer or person employed in the registry may provide confidential medical information in the registry concerning a patient’s medical treatment for cancer …

NAC 457.130 Verification of identity of person making request by telephone. (NRS 457.065, 457.240) If an employee in the registry receives a request to provide confidential information over the telephone pursuant to NAC 457.110 or 457.120, and the employee does not personally kno…

NAC 457.140 Disclosure of information: Scientific research into cancer. (NRS 457.065, 457.240) 1. A person who desires to use the confidential records of individual patients or the statistical data of the registry for the purpose of scientific research into cancer must apply in w…

NAC 457.145 Administrative penalty for violation; appeal; single report authorized for company that operates multiple health care facilities; imposition of administrative penalty upon company rather than health care facility. (NRS 457.065, 457.250) 1. Before imposing an administr…

NAC 457.150 Fees. (NRS 439.150, 457.065, 457.250, 457.260) The Chief Medical Officer shall charge and collect from: 1. A provider of health care who is required to report information on cases of cancer and other neoplasms pursuant to NRS 457.230 or a health care facility or other…

NAC 457.200 Definitions. (NRS 457.065) As used in NAC 457.200 to 457.445, inclusive, unless the context otherwise requires, the words and terms defined in NAC 457.205 to 457.280, inclusive, have the meanings ascribed to them in those sections. (Added to NAC by Bd. of Health, eff.…

NAC 457.205 “Anti-scatter grid” defined. (NRS 457.065) “Anti-scatter grid” means a device that consists of a series of lead foil strips separated by spacers that are transparent to X-rays, and which is used to remove scattered radiation during the performance of mammography. (Add…

NAC 457.210 “Certificate” defined. (NRS 457.065) “Certificate” means a certificate for a machine or a mammographer’s certificate. (Added to NAC by Bd. of Health, eff. 1-24-92)

NAC 457.215 “Certificate for a machine” defined. (NRS 457.065) “Certificate for a machine” means a certificate of authorization issued pursuant to NRS 457.184. (Added to NAC by Bd. of Health, eff. 1-24-92)

NAC 457.220 “Device for compression” defined. (NRS 457.065) “Device for compression” means a device, made of a material transparent to X-rays, that is used to compress the breast during mammography. (Added to NAC by Bd. of Health, eff. 1-24-92)

NAC 457.223 “Division” defined. (NRS 457.065) “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. 1-24-92; A by R033-06, 6-28-2006)—(Substituted in revision for NAC 457.235)

NAC 457.225 “Facility for mammography” defined. (NRS 457.065) “Facility for mammography” means any place at which a machine is operated. (Added to NAC by Bd. of Health, eff. 1-24-92)

NAC 457.230 “Half-value layer” defined. (NRS 457.065) “Half-value layer” has the meaning ascribed to it in NAC 459.450. (Added to NAC by Bd. of Health, eff. 1-24-92)

NAC 457.240 “Image receptor” defined. (NRS 457.065) “Image receptor” has the meaning ascribed to it in NAC 459.454. (Added to NAC by Bd. of Health, eff. 1-24-92)

NAC 457.245 “Machine” defined. (NRS 457.065) “Machine” means a radiation machine designed specifically for mammography. (Added to NAC by Bd. of Health, eff. 1-24-92)

NAC 457.250 “Mammographer” defined. (NRS 457.065) “Mammographer” means a person who holds a valid mammographer’s certificate. (Added to NAC by Bd. of Health, eff. 1-24-92)

NAC 457.255 “Mammographer’s certificate” defined. (NRS 457.065) “Mammographer’s certificate” means a certificate of authorization issued pursuant to NRS 457.183. (Added to NAC by Bd. of Health, eff. 1-24-92)

NAC 457.260 “Operator of a facility” defined. (NRS 457.065) “Operator of a facility” means the owner or lessee of a machine or other responsible person to whom a certificate for a machine is issued. (Added to NAC by Bd. of Health, eff. 1-24-92)

NAC 457.263 “Patients’ log” defined. (NRS 457.065) “Patients’ log” means the daily record of the patients who visit a facility for mammography which is prepared and maintained by the operator of the facility. (Added to NAC by Bd. of Health, eff. 7-7-94)

NAC 457.265 “Responsible provider of care” defined. (NRS 457.065) “Responsible provider of care” means the provider of health care that will ensure that proper consultation or follow-up treatment, or both, for a patient will be provided if necessary. (Added to NAC by Bd. of Healt…

NAC 457.270 “Scattered radiation” defined. (NRS 457.065) “Scattered radiation” has the meaning ascribed to it in NAC 459.502. (Added to NAC by Bd. of Health, eff. 1-24-92)

NAC 457.275 “Source-image receptor distance” defined. (NRS 457.065) “Source-image receptor distance” has the meaning ascribed to it in NAC 459.508. (Added to NAC by Bd. of Health, eff. 1-24-92)

NAC 457.280 “Target” defined. (NRS 457.065) “Target” means the portion of the anode struck by electrons from the cathode in an X-ray tube. (Added to NAC by Bd. of Health, eff. 1-24-92)

NAC 457.285 Adoption of certain publications and federal regulations by reference; review of revisions. (NRS 457.065) 1. The State Board of Health hereby adopts by reference the provisions of: (a) The Mammography Quality Control Manual, American College of Radiology, Committee on…

NAC 457.290 Granting of exemptions, exceptions or variances from requirements. (NRS 457.065) The Division may, upon application or on its own initiative, grant such exemptions, exceptions or variances from the requirements of NAC 457.200 to 457.445, inclusive, as it determines wi…

NAC 457.293 Procedure for review of actions taken by Division; appeals. (NRS 457.065) 1. A holder of a certificate or an applicant for a certificate who has reason to believe that an action taken by the Division pursuant to NAC 457.200 to 457.445, inclusive, is incorrect or based…

NAC 457.295 Fees for certificates; fee for support of system for reporting information on cancer and other neoplasms; refund of portion of fees paid in error; duties of certificate holder if renewal fee not received before certificate expires. (NRS 439.150, 439.200, 457.065, 457.…

NAC 457.297 Postponement of expiration of certificate for machine during review of application to renew. (NRS 457.065, 457.184) If an operator of a facility submits an application to renew his or her certificate for a machine and the appropriate fee to the Division at least 30 da…

NAC 457.299 Requirements for approval of applications for certificates for machines and mammographer’s certificates. (NRS 457.065, 457.183, 457.184) 1. Except as otherwise provided in subsection 2, the Division shall approve an application for a certificate for a machine or an ap…

NAC 457.2995 Grounds for denial of application for renewal of certificate or withdrawal or suspension of certificate. (NRS 457.065) In addition to the grounds for disciplinary action set forth in chapter 457 of NRS, the Division may deny an application for renewal of a certificat…

NAC 457.300 Quality assurance and control: General requirements. (NRS 457.065) The operator of a facility shall: 1. Establish and maintain a program of quality assurance in accordance with the provisions of 21 C.F.R. § 900.12 for each machine and all other equipment at the facili…

NAC 457.305 Quality assurance: Preparation and contents of manual; allocation of adequate time to perform duties. (NRS 457.065) 1. The operator of a facility shall prepare or cause to be prepared a manual for quality assurance for the facility. The manual must include: (a) The na…

NAC 457.310 Maintenance of records generally; contents and action on records of tests for quality assurance; maintenance of signature or initial cards; recording of number of films or projections used for patients. (NRS 457.065) 1. The operator of a facility shall ensure that rec…

NAC 457.312 Maintenance of records of patients; imaging requirements for digital mammography machine. (NRS 457.065) 1. Each facility for mammography shall maintain the records of a patient in accordance with the provisions of 21 C.F.R. § 900.12. 2. Each facility for mammography t…

NAC 457.313 Preliminary interpretation and reports of mammograms; standards for mammography records and reports; report and statement regarding breast density to be provided to patient. (NRS 457.065, 457.1857) 1. The operator of a facility shall ensure that: (a) Each mammogram ha…

NAC 457.315 Maintenance of record of repair or calibration of equipment used to perform test for quality assurance. (NRS 457.065) The operator of a facility shall ensure that a record is made of any repair or calibration of the equipment used to perform a test for quality assuran…

NAC 457.320 Maintenance of record documenting maintenance of equipment used for mammography. (NRS 457.065) At each facility for mammography, a record must be maintained documenting the maintenance of all equipment used for mammography at the facility in accordance with the provis…

NAC 457.325 Documentation required for imaging processing systems and printing equipment. (NRS 457.065) The operator of a facility shall document all maintenance, quality assurance and quality control of the imaging processing system of each machine used at the facility for mammo…

NAC 457.330 Plotting and evaluation of certain information on control chart; action required when information is not within applicable control limits. (NRS 457.065) 1. The following information must be plotted and evaluated on a control chart in accordance with the provisions of …

NAC 457.335 Inspection of facility and certain records. (NRS 457.065) The operator of a facility shall: 1. Allow an employee or other representative of the Division to inspect the facility at any reasonable time. 2. Make available to an employee or other representative of the Div…

NAC 457.340 Physician who supervises operation of machine: Preparation, review and updating of manual of procedures; compliance with standards; notification of violation of chapter. (NRS 457.065) The physician who supervises the operation of a machine at a facility for mammograph…

NAC 457.345 Interpreter of mammograms: Prerequisites to certification of machine. (NRS 457.065, 457.184) 1. A person who is employed or retained by a facility for mammography to interpret mammograms must comply with the requirements of this section as a prerequisite to the issuan…