Title 40

NRS 450B.105 “Trauma” defined. “Trauma” means any acute injury which, according to standardized criteria for triage in the field, involves a significant risk of death or the precipitation of complications or disabilities. (Added to NRS by 1987, 1042)

NRS 450B.110 “Volunteer attendant” defined. “Volunteer attendant” means a person who does not receive the majority of his or her annual employment income from employment as an attendant, and who is not employed by a commercial ambulance firm or corporation. (Added to NRS by 1973,…

NRS 450B.120 Regulations, standards and procedures of board. The board shall establish and promulgate such rules, regulations, standards and procedures as it determines are necessary to administer the provisions of this chapter. (Added to NRS by 1973, 1141)

NRS 450B.130 Establishment of minimum standards and additional requirements. 1. The board shall adopt regulations establishing reasonable minimum standards for: (a) Sanitation in ambulances and air ambulances; (b) Medical and nonmedical equipment and supplies to be carried in amb…

NRS 450B.140 Sources for standards and regulations; standards may differ for different categories. 1. In adopting regulations under NRS 450B.120 and 450B.130, the board may use standards and regulations proposed by: (a) The Committee on Trauma of the American College of Surgeons;…

NRS 450B.145 Recognition of Emergency Medical Services Personnel Licensure Interstate Compact. The Recognition of Emergency Medical Services Personnel Licensure Interstate Compact is hereby ratified and entered into with all other jurisdictions legally joining the Compact, in sub…

NRS 450B.150 Administration and enforcement; inspections. 1. The health authority shall administer and enforce the provisions of this chapter. 2. The health authority and its authorized agents shall enter upon and inspect, in a reasonable manner and during reasonable business hou…

NRS 450B.1505 Use of certain money received by Division from fees, administrative penalties and appropriations. 1. Any money the Division receives from a fee set by the State Board of Health pursuant to NRS 439.150 for the issuance or renewal of a license pursuant to NRS 450B.160…

NRS 450B.151 Creation; membership; terms of members; alternate members; vacancies. 1. The Committee on Emergency Medical Services, consisting of 11 members appointed by the State Board of Health, is hereby created. 2. Upon request of the State Board of Health, employee associatio…

NRS 450B.152 Chair; meetings; rules for management; compensation of members. 1. The Committee shall elect a Chair from among its members. The term of the Chair is 1 year. 2. The Committee shall meet at the call of the Chair at least four times each year. 3. The Committee shall ad…

NRS 450B.153 Duties. The Committee shall: 1. Review and advise the Division regarding the management and performance of emergency medical services in this State and regarding statewide emergency medical protocols; 2. Advise the Division on matters of policy relating to emergency …

NRS 450B.154 Administrative support. The Division shall provide administrative support and assistance to the Committee. (Added to NRS by 1999, 1172) EMERGENCY MEDICAL DISPATCHERS

NRS 450B.155 Training and certification. 1. An educational institution, public or private agency or other entity may provide a training program for emergency medical dispatchers and issue certificates of completion if the program meets the requirements set forth in the regulation…

NRS 450B.160 Licensing of attendants and firefighters; regulations; certification of physicians, nurses and physician assistants serving as attendants. 1. The health authority may issue licenses to attendants and to firefighters employed by or serving as volunteers with a fire-fi…

NRS 450B.165 Applicant for issuance or renewal of license or certificate to attest to knowledge of and compliance with certain guidelines concerning safe and appropriate injection practices. The health authority shall not issue or renew: 1. A license to an attendant or firefighte…

NRS 450B.169 Petition to determine if criminal history will disqualify person from obtaining license or certificate; fee; posting of requirements for license or certificate and list of disqualifying crimes on Internet; reports. 1. The health authority shall develop and implement …

NRS 450B.171 Relative of patient or other person may ride with attendants. Except as otherwise provided in this chapter, unlicensed relatives of a sick or injured patient and other persons may ride in an ambulance if there are two attendants in the ambulance, each of whom is lice…

NRS 450B.180 Certification and authority of emergency medical responder, emergency medical technicians, advanced emergency medical technicians and paramedics; maintenance of central registry of certificates issued; regulations. [Effective until the date of the repeal of 42 U.S.C.…

NRS 450B.183 Payment of child support: Statement by applicant for license or certificate; grounds for denial of license or certificate; duty of health authority. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedur…

NRS 450B.185 Suspension of license or certificate for failure to pay child support or comply with certain subpoenas or warrants; reinstatement of license or certificate. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish …

NRS 450B.187 Application for license or certificate to include social security number. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupation…

NRS 450B.188 Prohibition on denial of application based on immigration or citizenship status; provision of alternative personally identifying number; confidentiality of social security or alternative personally identifying number. 1. The health authority shall not deny the applic…

NRS 450B.190 Provisional licensing of attendants. 1. The health authority may, at its discretion, issue a provisional license as an attendant to a person who does not meet the qualifications established pursuant to this chapter, if the health authority determines that such issuan…

NRS 450B.1905 Program of training for certification; maintenance of certification. 1. A program of training for certification as an emergency medical responder or emergency medical technician must be: (a) Supervised by a physician and approved by the health authority; or (b) Pres…

NRS 450B.191 Program of training for certification as advanced emergency medical technician; maintenance of certification; advanced emergency medical technician services prohibited without certification; exceptions. 1. A program of training for certification as an advanced emerge…

NRS 450B.1915 Authorized activities of advanced emergency medical technician. An advanced emergency medical technician may perform any procedure and administer any drug: 1. Approved by regulation of the board; or 2. Authorized pursuant to NRS 450B.1975, if the advanced emergency …

NRS 450B.195 Program of training for certification as paramedic; maintenance of certification; paramedic services prohibited without certification; exceptions. 1. Only a certified emergency medical technician with experience as established by the board is eligible for training as…

NRS 450B.197 Authorized activities of certain paramedics and emergency medical services registered nurses. An attendant or a firefighter who is a paramedic or emergency medical services registered nurse may perform any procedure and administer any drug: 1. Approved by regulation …

NRS 450B.1975 Endorsement to administer immunizations, dispense medication and respond to public health needs. 1. An advanced emergency medical technician or a paramedic who holds an endorsement to administer immunizations, dispense medication and prepare and respond to certain p…

NRS 450B.199 “Emergency medical provider” defined. As used in this section and NRS 450B.1993 and 450B.1996, unless the context otherwise requires, “emergency medical provider” means an emergency medical technician, advanced emergency medical technician or paramedic who is certifi…

NRS 450B.1993 Endorsement to provide community paramedicine services: Regulations; application; expiration; circumstances under which emergency medical provider may provide community paramedicine services. 1. The board shall adopt regulations to provide for the issuance of an end…

NRS 450B.1996 Reports. 1. Each holder of a permit who has obtained an endorsement to provide community paramedicine services pursuant to NRS 450B.1993 shall submit a quarterly report to the health authority that issued the endorsement which must include, without limitation: (a) I…

NRS 450B.200 Permit for operation; fees; renewal; disciplinary or legal action for violations; maintenance of central registry of permits issued; regulations. 1. The health authority may issue a permit for: (a) The operation of an ambulance or an air ambulance; or (b) The operati…

NRS 450B.210 Provisional permit. 1. The board may issue provisional permits limited as to time, place and purpose, based on the need therefor. No provisional permit may be issued for a period of longer than 6 months. The board may establish a reasonable fee for such provisional p…

NRS 450B.215 Administrative sanctions: Failure to comply with requirements concerning electronic health information; failure to pay assessment. 1. If the health authority receives notification from the Nevada Health Authority pursuant to NRS 439.5895 that the holder of a permit t…

NRS 450B.220 Periodic inspections. 1. Subsequent to issuance of any permit under NRS 450B.200 and 450B.210, the health authority shall cause to be inspected the ambulances, aircraft, vehicles, medical supplies, equipment, personnel, records, premises and operational procedures of…

NRS 450B.225 Staffing of air ambulance; regulations; letter of endorsement and identification card for staff that meet requirements. 1. Except as otherwise provided in subsection 2 or as otherwise authorized by the Recognition of Emergency Medical Services Personnel Licensure Int…

NRS 450B.230 Owner not to allow operation without required equipment; exception. 1. The public or private owner of an ambulance or air ambulance or the fire-fighting agency who owns a vehicle used in providing emergency medical care shall not permit its operation and use without …

NRS 450B.235 Filing and maintenance of schedule of rates of ambulance. 1. Each public and private owner of an ambulance shall file his or her schedule of rates with the health authority. Any change in a schedule of an ambulance must be filed before the change becomes effective. 2…

NRS 450B.236 Approval required for operation of center for treatment of trauma; representation as center for treatment of trauma requires designation as such. A person shall not: 1. Operate a center for the treatment of trauma without first applying for and obtaining the written …

NRS 450B.237 Establishment of program for treatment of trauma; designation of hospital as trauma center; levels of treatment; approval of designation; compliance with certain requirements. 1. The district board of health in a county whose population is 700,000 or more or the Stat…

NRS 450B.238 Regulations requiring hospital to record and maintain information. The State Board of Health shall adopt regulations which require each hospital to record and maintain information concerning the treatment of trauma in the hospital. The Board shall consider the guidel…

NRS 450B.239 Division to cooperate with American College of Surgeons. In addition to the education and training required by this chapter, the Division shall cooperate with the American College of Surgeons to provide training in the treatment of trauma. (Added to NRS by 1987, 1043…

NRS 450B.240 Engaging in operation of services relating to ambulances or air ambulances without permit prohibited; provision of certain medical care by fire-fighting agency without permit prohibited; provision of community paramedicine services without endorsement prohibited. 1. …

NRS 450B.250 Service as attendant for ambulance or air ambulance without license prohibited; provision of certain medical care by firefighter without license prohibited; requirements for person to provide community paramedicine services. 1. Except as otherwise provided in this ch…

NRS 450B.255 Representation as emergency medical responder, emergency medical technician, advanced emergency medical technician or paramedic without credentials prohibited. A person shall not represent himself or herself to be an emergency medical responder, emergency medical tec…