2005 Nevada Revised Statutes - Chapter 450B — Emergency Medical Services

CHAPTER 450B - EMERGENCY MEDICAL SERVICES

GENERAL PROVISIONS

NRS 450B.015 Legislativedeclaration.

NRS 450B.020 Definitions.

NRS 450B.025 Advancedemergency medical technician defined.

NRS 450B.030 Airambulance defined.

NRS 450B.040 Ambulancedefined.

NRS 450B.050 Attendantdefined.

NRS 450B.060 Boarddefined.

NRS 450B.061 Committeedefined.

NRS 450B.063 Emergencymedical dispatcher defined.

NRS 450B.065 Emergencymedical technician defined.

NRS 450B.070 Emergencymedical technician certificate defined.

NRS 450B.071 Firefighterdefined.

NRS 450B.072 Fire-fightingagency defined.

NRS 450B.073 Firemandefined. [Replaced in revision by NRS450B.071.]

NRS 450B.077 Healthauthority defined.

NRS 450B.080 HealthDivision defined.

NRS 450B.082 Healthofficer defined.

NRS 450B.085 Intermediateemergency medical technician defined.

NRS 450B.090 Licensedefined.

NRS 450B.100 Permitdefined.

NRS 450B.105 Traumadefined.

NRS 450B.110 Volunteerattendant defined.

NRS 450B.120 Regulations,standards and procedures of board.

NRS 450B.130 Establishmentof minimum standards and additional requirements.

NRS 450B.140 Sourcesfor standards and regulations; standards may differ for different categories.

NRS 450B.150 Administrationand enforcement; inspections.

COMMITTEE ON EMERGENCY MEDICAL SERVICES

NRS 450B.151 Creation;membership; terms of members; alternate members; vacancies.

NRS 450B.152 Chairman;meetings; rules for management; compensation of members.

NRS 450B.153 Duties.

NRS 450B.154 Administrativesupport.

EMERGENCY MEDICAL DISPATCHERS

NRS 450B.155 Trainingand certification.

AMBULANCE ATTENDANTS, EMERGENCY MEDICAL TECHNICIANS ANDFIREFIGHTERS

NRS 450B.160 Licensingof attendants and firefighters; regulations; certification of physicians,nurses and physician assistants serving as attendants.

NRS 450B.171 Relativeof patient or other person may ride with attendants.

NRS 450B.180 Certificationand authority of emergency medical technicians; maintenance of central registryof certificates issued; regulations. [Effective until the date of the repeal ofthe federal law requiring each state to establish procedures for withholding,suspending and restricting the professional, occupational and recreationallicenses for child support arrearages and for noncompliance with certainprocesses relating to paternity or child support proceedings.]

NRS 450B.180 Certificationand authority of emergency medical technicians; maintenance of central registryof certificates issued; regulations. [Effective on the date of the repeal ofthe federal law requiring each state to establish procedures for withholding,suspending and restricting the professional, occupational and recreationallicenses for child support arrearages and for noncompliance with certainprocesses relating to paternity or child support proceedings.]

NRS 450B.183 Paymentof child support: Statement by applicant for license or certificate; groundsfor denial of license or certificate; duty of health authority. [Expires bylimitation on the date of the repeal of the federal law requiring each state toestablish procedures for withholding, suspending and restricting theprofessional, occupational and recreational licenses for child supportarrearages and for noncompliance with certain processes relating to paternityor child support proceedings.]

NRS 450B.185 Suspensionof license or certificate for failure to pay child support or comply withcertain subpoenas or warrants; reinstatement of license or certificate.[Expires by limitation on the date of the repeal of the federal law requiringeach state to establish procedures for withholding, suspending and restrictingthe professional, occupational and recreational licenses for child supportarrearages and for noncompliance with certain processes relating to paternityor child support proceedings.]

NRS 450B.187 Applicationfor license or certificate to include social security number. [Expires bylimitation on the date of the repeal of the federal law requiring each state toestablish procedures for withholding, suspending and restricting theprofessional, occupational and recreational licenses for child support arrearagesand for noncompliance with certain processes relating to paternity or childsupport proceedings.]

NRS 450B.190 Provisionallicensing of attendants.

BASIC EMERGENCY CARE

NRS 450B.1905 Requirementsfor training and certification.

INTERMEDIATE EMERGENCY CARE

NRS 450B.191 Requirementsfor training and certification.

NRS 450B.1915 Authorizedactivities.

ADVANCED EMERGENCY CARE

NRS 450B.195 Requirementsfor training and certification.

NRS 450B.197 Authorizedactivities.

PERMIT AUTHORIZING FIRE-FIGHTING AGENCY TO PROVIDEINTERMEDIATE OR ADVANCED MEDICAL CARE

NRS 450B.1985 Exclusivemethod of issuance; authority of district board of health in certain largercounties to issue; situations in which intermediate or advanced medical caremay be provided.

AMBULANCES AND VEHICLES OF FIRE-FIGHTING AGENCIES

NRS 450B.200 Permitfor operation; actions requiring opportunity for hearing; maintenance ofcentral registry of permits issued; regulations.

NRS 450B.210 Provisionalpermit.

NRS 450B.220 Periodicinspections.

NRS 450B.230 Ownershall not allow operation without required equipment.

NRS 450B.235 Filingand maintenance of schedule of rates.

TREATMENT OF TRAUMA

NRS 450B.236 Approvalrequired for operation of center for treatment of trauma.

NRS 450B.237 Establishmentof program for treatment of trauma; regulations; proposal to designate hospitalas trauma center; approval by Administrator of Health Division; standards;compliance.

NRS 450B.238 Regulationsrequiring hospital to record and maintain information.

NRS 450B.239 HealthDivision to cooperate with American College of Surgeons.

PROHIBITED ACTS

NRS 450B.240 Engagingin operation of services relating to ambulances without permit; provision ofcertain medical care by fire-fighting agency without permit.

NRS 450B.250 Serviceas attendant for ambulance without license; provision of certain medical careby firefighter without license.

NRS 450B.255 Representationas emergency medical technician without certificate.

NRS 450B.260 Operationof ambulance or fire-fighting vehicle used to provide medical care withoutlicensed driver and attendant; exceptions.

NRS 450B.265 Offeringadvanced emergency care without permit; exception.

WITHHOLDING LIFE-SUSTAINING TREATMENT

NRS 450B.400 Definitions.

NRS 450B.405 Attendingphysician defined.

NRS 450B.410 Do-not-resuscitateidentification defined.

NRS 450B.420 Do-not-resuscitateorder defined.

NRS 450B.430 Do-not-resuscitateprotocol defined.

NRS 450B.440 Healthcare facility defined.

NRS 450B.450 Life-resuscitatingtreatment defined.

NRS 450B.460 Personwho administers emergency medical services defined.

NRS 450B.470 Qualifiedpatient defined.

NRS 450B.475 Terminalcondition defined.

NRS 450B.480 Applicability.

NRS 450B.490 Adoptionof regulations; fee for do-not-resuscitate identification.

NRS 450B.500 Do-not-resuscitateidentification: Contents.

NRS 450B.505 Do-not-resuscitateidentification: Manufacture and issuance of bracelet or medallion.

NRS 450B.510 Writtendo-not-resuscitate orders: Issued only to qualified patients; physicianauthorized to apply for identification.

NRS 450B.520 Applicationfor do-not-resuscitate identification: Form; requirements.

NRS 450B.525 Applicationfor do-not-resuscitate identification on behalf of minor: Requirements; form;revocation by parent or legal guardian of authorization to withholdlife-resuscitating treatment; minors of sufficient maturity.

NRS 450B.530 Revocationof authorization to withhold life-resuscitating treatment.

NRS 450B.540 Personnot guilty of unprofessional conduct or subject to liability for withholding orproviding life-resuscitating treatment under certain circumstances.

NRS 450B.550 Personwho administers emergency medical services required to comply withdo-not-resuscitate protocol; exception.

NRS 450B.560 Assumptionthat do-not-resuscitate identification is valid.

NRS 450B.570 Resultingdeath not suicide or homicide; life insurance or annuity not affected bypossession of do-not-resuscitate identification or issuance ofdo-not-resuscitate order; prohibition or requirement of possession ofdo-not-resuscitate identification or issuance of do-not-resuscitate order notallowed in connection with health care.

NRS 450B.580 Unlawfulacts; penalty.

NRS 450B.590 Limitationson effect of NRS 450B.400 to 450B.590, inclusive.

AUTOMATED EXTERNAL DEFIBRILLATORS

NRS 450B.600 Requiredto be placed in certain public buildings and locations; inspection andmaintenance; training on operation and use.

MISCELLANEOUS PROVISIONS

NRS 450B.790 Hospitalrequired to ensure that certain persons in need of emergency services are transferredto appropriate places in hospital within 30 minutes after arrival; regulations;civil or criminal liability.

NRS 450B.800 Fingerprintsof applicant.

NRS 450B.810 Maintenance,inspection and compilation of information.

NRS 450B.820 Localrequirements for franchise or permit are not superseded.

NRS 450B.830 Exemptionsfrom chapter.

NRS 450B.840 Operationof ambulance or fire-fighting agency by county or city subject to provisions ofchapter.

NRS 450B.850 Programsfor training.

NRS 450B.860 Volunteerambulance drivers and attendants: Discharge from employment; civil action;disclosure to employer.

PENALTIES

NRS 450B.900 Violations;penalty.

_________

GENERAL PROVISIONS

NRS 450B.015 Legislativedeclaration. The Legislature hereby declaresthat prompt and efficient emergency medical care and transportation isnecessary for the health and safety of the people of Nevada, and that minimumstandards for such care and all persons providing it must be established.

(Added to NRS by 1981, 1599; A 1993, 2828)

NRS 450B.020 Definitions. As used in this chapter, unless the context otherwiserequires, the words and terms defined in NRS450B.025 to 450B.110, inclusive,have the meanings ascribed to them in those sections.

(Added to NRS by 1973, 1141; A 1985, 1693; 1987,1043, 2207; 1993, 2118, 2828; 1995, 725; 1999, 1172)

NRS 450B.025 Advancedemergency medical technician defined. Advancedemergency medical technician means a person:

1. Trained in advanced emergency medical care in atraining program approved by the board; and

2. Certified by the health officer as havingsatisfactorily completed the training program.

(Added to NRS by 1987, 2206; A 1993, 2828)

NRS 450B.030 Airambulance defined. Air ambulance means anaircraft especially designed, constructed, modified or equipped to be used forthe transportation of injured or sick persons. Air ambulance does not includeany commercial aircraft carrying passengers on regularly scheduled flights.

(Added to NRS by 1973, 1141)

NRS 450B.040 Ambulancedefined. Ambulance means a motor vehiclewhich is specially designed, constructed, equipped and staffed to providebasic, intermediate or advanced care for one or more:

1. Sick or injured persons; or

2. Persons whose medical condition may require specialobservation during transportation or transfer,

including,without limitation, such a vehicle of a fire-fighting agency.

(Added to NRS by 1973, 1141; A 1985, 1726, 2117; 2001, 998)

NRS 450B.050 Attendantdefined. Attendant means a person responsiblefor the care of a sick or injured person in an ambulance or air ambulance, andincludes the driver of an ambulance but not the pilot of an air ambulance.

(Added to NRS by 1973, 1141)

NRS 450B.060 Boarddefined. Board means:

1. In a county whose population is less than 400,000,the State Board of Health.

2. In a county whose population is 400,000 or more,the district board of health.

(Added to NRS by 1973, 1141; A 1993, 2828; 1995,2547; 2005, 2471)

NRS 450B.061 Committeedefined. Committee means the Committee onEmergency Medical Services.

(Added to NRS by 1999, 1170)

NRS 450B.063 Emergencymedical dispatcher defined. Emergencymedical dispatcher means a person who:

1. Has completed a training program in emergencymedical dispatching which has been approved by the board; and

2. Has been certified as having satisfactorilycompleted such a training program by an entity approved by the board to providesuch training.

(Added to NRS by 1993, 2117)

NRS 450B.065 Emergencymedical technician defined. Emergencymedical technician means a person:

1. Trained in basic emergency medical care in atraining program approved by the board; and

2. Certified by the health officer as havingsatisfactorily completed the training program.

(Added to NRS by 1987, 2206; A 1993, 2828)

NRS 450B.070 Emergencymedical technician certificate defined. Emergencymedical technician certificate means the certificate issued by the healthauthority acknowledging successful completion of an approved course for an emergencymedical technician at the level identified on the certificate.

(Added to NRS by 1973, 1141; A 1987, 2207; 1993,2828)

NRS 450B.071 Firefighterdefined. Firefighter means a person whoholds a license and is employed by or serving as a volunteer with afire-fighting agency.

(Added to NRS by 1985, 1692; A 2005, 330)(Substitutedin revision for NRS 450B.073)

NRS 450B.072 Fire-fightingagency defined. Fire-fighting agency meansa fire department or fire protection district of the State or a politicalsubdivision which holds a permit issued pursuant to this chapter. The term doesnot include a person or governmental entity, other than a governmental entityto whom a permit is issued in accordance with the provisions of NRS 450B.1985, which providestransportation of sick or injured persons to a medical facility.

(Added to NRS by 1985, 1692; A 1987, 718; 2001, 998)

NRS 450B.073 Firemandefined. [Replaced inrevision by NRS 450B.071.]

 

NRS 450B.077 Healthauthority defined. Health authority means:

1. In a county whose population is less than 400,000,the Health Division.

2. In a county whose population is 400,000 or more,the district board of health.

(Added to NRS by 1993, 2827; A 1995, 2547; 2005, 2471)

NRS 450B.080 HealthDivision defined. Health Division means theHealth Division of the Department of Health and Human Services.

(Added to NRS by 1973, 1141; A 1973, 1406)

NRS 450B.082 Healthofficer defined. Health officer means:

1. In a county whose population is less than 400,000,the State Health Officer.

2. In a county whose population is 400,000 or more,the district health officer.

(Added to NRS by 1993, 2827; A 1995, 2547; 2005, 2471)

NRS 450B.085 Intermediateemergency medical technician defined. Intermediateemergency medical technician means a person:

1. Trained in intermediate emergency medical care in atraining program approved by the board; and

2. Individually certified by the health officer ashaving satisfactorily completed the training program.

(Added to NRS by 1981, 277; A 1993, 2828)

NRS 450B.090 Licensedefined. License means the license issued bythe health authority under the provisions of this chapter to an attendant of anambulance or an air ambulance or to a firefighter employed by or serving as avolunteer with a fire-fighting agency.

(Added to NRS by 1973, 1141; A 1985, 1693; 1993,2828; 2005, 330)

NRS 450B.100 Permitdefined. Permit means the permit issued bythe health authority under the provisions of this chapter to:

1. A person, agency of the State or politicalsubdivision to own or operate an ambulance or air ambulance in the State of Nevada; or

2. A fire-fighting agency to provide intermediate oradvanced medical care to sick or injured persons:

(a) At the scene of an emergency; or

(b) At the scene of an emergency and while transportingthose persons to a medical facility.

(Added to NRS by 1973, 1141; A 1985, 1693; 1993,2829; 2001, 998)

NRS 450B.105 Traumadefined. Trauma means any acute injurywhich, according to standardized criteria for triage in the field, involves asignificant risk of death or the precipitation of complications ordisabilities.

(Added to NRS by 1987, 1042)

NRS 450B.110 Volunteerattendant defined. Volunteer attendantmeans a person who does not receive the majority of his annual employmentincome from employment as an attendant, and who is not employed by a commercialambulance firm or corporation.

(Added to NRS by 1973, 1141)

NRS 450B.120 Regulations,standards and procedures of board. The boardshall establish and promulgate such rules, regulations, standards and proceduresas it determines are necessary to administer the provisions of this chapter.

(Added to NRS by 1973, 1141)

NRS 450B.130 Establishmentof minimum standards and additional requirements.

1. The board shall adopt regulations establishingreasonable minimum standards for:

(a) Sanitation in ambulances and air ambulances;

(b) Medical and nonmedical equipment and supplies to becarried in ambulances and air ambulances and medical equipment and supplies tobe carried in vehicles of a fire-fighting agency;

(c) Interior configuration, design and dimensions ofambulances placed in service after July 1, 1979;

(d) Permits for operation of ambulances, air ambulancesand vehicles of a fire-fighting agency;

(e) Records to be maintained by an operator of anambulance or air ambulance or by a fire-fighting agency; and

(f) Treatment of patients who are critically ill or inurgent need of treatment.

2. The health officers of this state shall jointlyadopt regulations to establish the minimum standards for the certification ofemergency medical technicians. Upon adoption of the regulations, each healthauthority shall adopt the regulations for its jurisdiction. After each healthauthority adopts the regulations, the standards established constitute theminimum standards for certification of emergency medical technicians in thisstate. Any changes to the minimum standards must be adopted jointly by thehealth officers and by each health authority in the manner set forth in thissubsection. Any changes in the minimum standards which are not adopted in themanner set forth in this subsection are void.

3. A health officer may adopt regulations that imposeadditional requirements for the certification of emergency medical techniciansin his jurisdiction, but he must accept the certification of an emergencymedical technician from the jurisdiction of another health officer as proofthat the emergency medical technician has met the minimum requirements forcertification.

(Added to NRS by 1973, 1142; A 1979, 69; 1981, 1553;1985, 1693; 1993, 2829)

NRS 450B.140 Sourcesfor 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 andregulations proposed by:

(a) The Committee on Trauma of the American College of Surgeons;

(b) The United States Department of Transportation;

(c) The United States Public Health Service;

(d) The Bureau of Health Insurance of the SocialSecurity Administration;

(e) The American Academy of Orthopaedic Surgeons;

(f) The National Academy of SciencesNational ResearchCouncil;

(g) The American Heart Association; and

(h) Regional, state and local emergency medical servicescommittees and councils.

2. The board may establish different standards forcommercial, volunteer, industrial and other categories of ambulances andfire-fighting agencies to reflect different circumstances and in the publicinterest.

(Added to NRS by 1973, 1142; A 1985, 1693; 1993,2829)

NRS 450B.150 Administrationand enforcement; inspections.

1. The health authority shall administer and enforcethe provisions of this chapter.

2. The health authority and its authorized agentsshall enter upon and inspect, in a reasonable manner and during reasonablebusiness hours, the premises and vehicles of persons and governmental entitiesproviding services regulated pursuant to the provisions of this chapter.

(Added to NRS by 1973, 1142; A 1985, 1694; 1987,2207; 1989, 1505, 1928; 1993, 2830)

COMMITTEE ON EMERGENCY MEDICAL SERVICES

NRS 450B.151 Creation;membership; terms of members; alternate members; vacancies.

1. The Committee on Emergency Medical Services,consisting of nine members appointed by the Governor, is hereby created.

2. Upon request of the Governor, employee associationsthat represent persons that provide emergency medical services, including,without limitation, physicians and nurses that provide emergency medicalservices, emergency medical technicians, ambulance attendants, firefighters,fire chiefs and employees of rural hospitals, shall submit to the Governorwritten nominations for appointments to the Committee.

3. After considering the nominations submittedpursuant to subsection 2, the Governor shall appoint to the Committee:

(a) One member who is a physician licensed pursuant to chapter 630 or 633of NRS and who has experience providing emergency medical services;

(b) One member who is a registered nurse and who hasexperience providing emergency medical services;

(c) One member who is a volunteer firefighter;

(d) One member who is employed by a fire-fightingagency at which some of the firefighters are employed and some serve asvolunteers;

(e) One member who is employed by an urbanfire-fighting agency;

(f) One member who is employed by or serves as avolunteer with a medical facility that is located in a rural area and thatprovides emergency medical services;

(g) One member who is employed by an organization thatprovides emergency medical services in an air ambulance and whose duties areclosely related to such emergency medical services;

(h) One member who is employed by a privately ownedentity that provides emergency medical services; and

(i) One member who is employed by an operator of aservice which is:

(1) Provided for the benefit of the employees ofan industry who become sick or are injured at the industrial site; and

(2) Staffed by employees who are licensedattendants and perform emergency medical services primarily for the industry.

4. In addition to the members set forth in subsection3, the following persons are ex officio members of the Committee:

(a) An employee of the Health Division, appointed bythe Administrator of the Health Division, whose duties relate to administrationand enforcement of the provisions of this chapter;

(b) The county health officer appointed pursuant to NRS 439.290 in each county whose populationis 100,000 or more, or his designee; and

(c) A physician who is a member of a committee whichconsists of directors of trauma centers in this State and who is nominated bythat committee.

5. The term of each member appointed by the Governoris 2 years, and such a member may not serve more than two consecutive terms.

6. The Governor shall not appoint to the Committee twopersons who are employed by or volunteer with the same organization, except theGovernor may appoint a person who is employed by or volunteers with the sameorganization of which a member who serves ex officio is an employee.

7. Each member of the Committee shall appoint analternate to serve in his place if he is temporarily unable to perform theduties required of him pursuant to NRS450B.151 to 450B.154, inclusive.

8. A position on the Committee that becomes vacantbefore the end of the term of the member must be filled in the mannerprescribed by this section for the remainder of the term.

(Added to NRS by 1999, 1170; A 2005, 330)

NRS 450B.152 Chairman;meetings; rules for management; compensation of members.

1. The Committee shall elect a chairman from among itsmembers. The term of the Chairman is 1 year.

2. The Committee shall meet at the call of theChairman at least four times each year.

3. The Committee shall adopt rules for its ownmanagement.

4. A member of the Committee serves withoutcompensation, except that, for each day or portion of a day during which heattends a meeting of the Committee or is otherwise engaged in the business ofthe Committee, a member of the Committee is entitled to receive the per diemallowance and travel expenses provided for state officers and employeesgenerally. The per diem allowance and travel expenses must be paid by theHealth Division from money not allocated by specific statute for another use.

(Added to NRS by 1999, 1171)

NRS 450B.153 Duties. The Committee shall:

1. Review and advise the Health Division regarding themanagement and performance of emergency medical services in this State andregarding statewide emergency medical protocols;

2. Advise the Health Division on matters of policyrelating to emergency care, including, without limitation, the qualificationsof persons who provide emergency medical services;

3. Advise the board and Health Division with respectto the preparation and adoption of regulations regarding emergency care;

4. Review periodically the budget of the HealthDivision that relates to emergency medical services;

5. Encourage the training and education of emergencymedical service personnel to improve the system of public safety in this State;and

6. Perform such other duties as may be required by lawor regulation.

(Added to NRS by 1999, 1171)

NRS 450B.154 Administrativesupport. The Health Division shall provideadministrative support and assistance to the Committee.

(Added to NRS by 1999, 1172)

EMERGENCY MEDICAL DISPATCHERS

NRS 450B.155 Trainingand certification.

1. An educational institution, public or privateagency or other entity may provide a training program for emergency medicaldispatchers and issue certificates of completion if the program meets therequirements set forth in the regulations of the board and is approved by theboard.

2. The board shall adopt regulations:

(a) Prescribing the requirements for a program fortraining and certifying an emergency medical dispatcher;

(b) Prescribing the procedures for an educationalinstitution, public or private agency or other entity to obtain the approval ofthe board to provide such a program; and

(c) Establishing such fees as are necessary to coverthe cost of administering the provisions of this section.

(Added to NRS by 1993, 2117)

AMBULANCE ATTENDANTS, EMERGENCY MEDICAL TECHNICIANS ANDFIREFIGHTERS

NRS 450B.160 Licensingof attendants and firefighters; regulations; certification of physicians,nurses and physician assistants serving as attendants.

1. The health authority may issue licenses toattendants and to firefighters employed by or serving as volunteers with afire-fighting agency.

2. Each license must be evidenced by a card issued tothe holder of the license, is valid for a period not to exceed 2 years and isrenewable.

3. An applicant for a license must file with the healthauthority:

(a) A current, valid certificate evidencing hissuccessful completion of a program or course for training in emergency medicaltechnology, if he is applying for a license as an attendant, or, if a volunteerattendant, at a level of skill determined by the board.

(b) A current valid certificate evidencing hissuccessful completion of a program for training as an intermediate emergencymedical technician or advanced emergency medical technician if he is applyingfor a license as a firefighter with a fire-fighting agency.

(c) A signed statement showing:

(1) His name and address;

(2) His employers name and address; and

(3) A description of his duties.

(d) Such other certificates for training and such otheritems as the board may specify.

4. The board shall adopt such regulations as itdetermines are necessary for the issuance, suspension, revocation and renewalof licenses.

5. Each operator of an ambulance or air ambulance andeach fire-fighting agency shall annually file with the health authority acomplete list of the licensed persons in its service.

6. Licensed physicians, registered nurses and licensedphysician assistants may serve as attendants without being licensed under theprovisions of this section. A registered nurse who performs advanced emergencycare in an ambulance or air ambulance shall perform the care in accordance withthe regulations of the State Board of Nursing. A licensed physician assistantwho performs advanced emergency care in an ambulance or air ambulance shallperform the care in accordance with the regulations of the Board of MedicalExaminers.

7. Each licensed physician, registered nurse andlicensed physician assistant who serves as an attendant must have currentcertification of completion of training in:

(a) Advanced life-support procedures for patients whorequire cardiac care;

(b) Life-support procedures for pediatric patients whorequire cardiac care; or

(c) Life-support procedures for patients with traumathat are administered before the arrival of those patients at a hospital.

Thecertification must be issued by the Board of Medical Examiners for a physicianor licensed physician assistant or by the State Board of Nursing for aregistered nurse.

8. The Board of Medical Examiners and the State Boardof Nursing shall issue a certificate pursuant to subsection 7 if the licensedphysician, licensed physician assistant or registered nurse attends:

(a) A course offered by a national organization whichis nationally recognized for issuing such certification;

(b) Training conducted by the operator of an ambulanceor air ambulance; or

(c) Any other course or training,

approved bythe Board of Medical Examiners or the State Board of Nursing, whichever isissuing the certification. The Board of Medical Examiners and the State Boardof Nursing may require certification of training in all three areas set forthin subsection 7 for a licensed physician, licensed physician assistant orregistered nurse who primarily serves as an attendant in a county whosepopulation is 400,000 or more.

(Added to NRS by 1973, 1142; A 1977, 962; 1979, 70;1981, 278, 1554; 1985, 1694, 2118; 1987, 2207; 1993, 317, 2830; 1995, 725;1997, 690; 2001, 782;2005, 331)

NRS 450B.171 Relativeof patient or other person may ride with attendants. Exceptas otherwise provided in this chapter, unlicensed relatives of a sick orinjured patient and other persons may ride in an ambulance if there are twoattendants in the ambulance, each of whom is licensed pursuant to this chapteror exempt from licensing pursuant to subsection 6 of NRS 450B.160.

(Added to NRS by 1989, 286; A 1993, 318)

NRS 450B.180 Certificationand authority of emergency medical technicians; maintenance of central registryof certificates issued; regulations. [Effective until the date of the repeal ofthe federal law requiring each state to establish procedures for withholding,suspending and restricting the professional, occupational and recreationallicenses for child support arrearages and for noncompliance with certainprocesses relating to paternity or child support proceedings.]

1. Any person desiring certification as an emergencymedical technician must apply to the health authority using forms prescribed bythe health authority.

2. The health authority, pursuant to regulations andprocedures adopted by the board, shall make a determination of the applicantsqualifications to be certified as an emergency medical technician, and shallissue a certificate as an emergency medical technician to each qualifiedapplicant.

3. A certificate as an emergency medical technician isvalid for a period not exceeding 2 years and may be renewed if the holder ofthe certificate complies with the provisions of this chapter and meets thequalifications set forth in the regulations and standards established by theboard pursuant to this chapter. The regulations and standards established bythe board must provide for the completion of a course of instruction, within 2years after initial licensure, relating to the medical consequences of an actof terrorism that involves the use of a weapon of mass destruction. The coursemust provide at least 4 hours of instruction that includes instruction in thefollowing subjects:

(a) An overview of acts of terrorism and weapons ofmass destruction;

(b) Personal protective equipment required for acts ofterrorism;

(c) Common symptoms and methods of treatment associatedwith exposure to, or injuries caused by, chemical, biological, radioactive andnuclear agents;

(d) Syndromic surveillance and reporting procedures foracts of terrorism that involve biological agents; and

(e) An overview of the information available on, andthe use of, the Health Alert Network.

The boardmay thereafter determine whether to establish regulations and standardsrequiring additional courses of instruction relating to the medical consequencesof an act of terrorism that involves the use of a weapon of mass destruction.

4. The health authority may suspend or revoke thecertificate of an emergency medical technician if it finds that the holder ofthe certificate no longer meets the prescribed qualifications. Unless thecertificate is suspended by the district court pursuant to NRS 425.540, the holder of the certificatemay appeal the suspension or revocation of his certificate pursuant toregulations adopted by the board.

5. The board shall determine the procedures andtechniques which may be performed by an emergency medical technician.

6. A certificate issued pursuant to this section isvalid throughout the State, whether issued by the Health Division or a districtboard of health.

7. The Health Division shall maintain a centralregistry of all certificates issued pursuant to this section, whether issued bythe Health Division or a district board of health.

8. The board shall adopt such regulations as arenecessary to carry out the provisions of this section.

9. As used in this section:

(a) Act of terrorism has the meaning ascribed to itin NRS 202.4415.

(b) Biological agent has the meaning ascribed to itin NRS 202.442.

(c) Chemical agent has the meaning ascribed to it in NRS 202.4425.

(d) Radioactive agent has the meaning ascribed to itin NRS 202.4437.

(e) Weapon of mass destruction has the meaningascribed to it in NRS 202.4445.

(Added to NRS by 1973, 1143; A 1977, 70; 1981, 279,1555; 1991, 1916; 1993, 2831; 1995, 2548; 1997, 2056; 2003, 2953; 2005, 2471)

NRS 450B.180 Certification and authority ofemergency medical technicians; maintenance of central registry of certificatesissued; regulations. [Effective on the date of the repeal of the federal lawrequiring each state to establish procedures for withholding, suspending andrestricting the professional, occupational and recreational licenses for childsupport arrearages and for noncompliance with certain processes relating topaternity or child support proceedings.]

1. Any person desiring certification as an emergencymedical technician must apply to the health authority using forms prescribed bythe health authority.

2. The health authority, pursuant to regulations andprocedures adopted by the board, shall make a determination of the applicantsqualifications to be certified as an emergency medical technician, and shallissue a certificate as an emergency medical technician to each qualifiedapplicant.

3. A certificate as an emergency medical technician isvalid for a period not exceeding 2 years and may be renewed if the holder ofthe certificate meets the qualifications set forth in the regulations andstandards established by the board pursuant to this chapter. The regulationsand standards established by the board must provide for the completion of acourse of instruction, within 2 years after initial licensure, relating to themedical consequences of an act of terrorism that involves the use of a weaponof mass destruction. The course must provide at least 4 hours of instructionthat includes instruction in the following subjects:

(a) An overview of acts of terrorism and weapons ofmass destruction;

(b) Personal protective equipment required for acts ofterrorism;

(c) Common symptoms and methods of treatment associatedwith exposure to, or injuries caused by, chemical, biological, radioactive andnuclear agents;

(d) Syndromic surveillance and reporting procedures foracts of terrorism that involve biological agents; and

(e) An overview of the information available on, andthe use of, the Health Alert Network.

The boardmay thereafter determine whether to establish regulations and standardsrequiring additional courses of instruction relating to the medicalconsequences of an act of terrorism that involves the use of a weapon of massdestruction.

4. The health authority may suspend or revoke thecertificate of an emergency medical technician if it finds that the holder ofthe certificate no longer meets the prescribed qualifications. The holder ofthe certificate may appeal the suspension or revocation of his certificatepursuant to regulations adopted by the board.

5. The board shall determine the procedures andtechniques which may be performed by an emergency medical technician.

6. A certificate issued pursuant to this section isvalid throughout the State, whether issued by the Health Division or a districtboard of health.

7. The Health Division shall maintain a centralregistry of all certificates issued pursuant to this section, whether issued bythe Health Division or a district board of health.

8. The board shall adopt such regulations as arenecessary to carry out the provisions of this section.

9. As used in this section:

(a) Act of terrorism has the meaning ascribed to itin NRS 202.4415.

(b) Biological agent has the meaning ascribed to itin NRS 202.442.

(c) Chemical agent has the meaning ascribed to it NRS 202.4425.

(d) Radioactive agent has the meaning ascribed to itin NRS 202.4437.

(e) Weapon of mass destruction has the meaningascribed to it in NRS 202.4445.

(Added to NRS by 1973, 1143; A 1977, 70; 1981, 279,1555; 1991, 1916; 1993, 2831; 1995, 2548; 1997, 2056; 2003, 2953; 2005, 2471, 2472, effective onthe date of the repeal of the federal law requiring each state to establishprocedures for withholding, suspending and restricting the professional,occupational and recreational licenses for child support arrearages and fornoncompliance with certain processes relating to paternity or child supportproceedings)

NRS 450B.183 Paymentof child support: Statement by applicant for license or certificate; groundsfor denial of license or certificate; duty of health authority. [Expires bylimitation on the date of the repeal of the federal law requiring each state toestablish procedures for withholding, suspending and restricting theprofessional, occupational and recreational licenses for child supportarrearages and for noncompliance with certain processes relating to paternityor child support proceedings.]

1. An applicant for the issuance or renewal of alicense as an attendant or firefighter employed by a fire-fighting agency or anemergency medical technician certificate shall submit to the health authoritythe statement prescribed by the Division of Welfare and Supportive Services ofthe Department of Health and Human Services pursuant to NRS 425.520. The statement must becompleted and signed by the applicant.

2. The health authority shall include the statementrequired pursuant to subsection 1 in:

(a) The application or any other forms that must besubmitted for the issuance or renewal of the license or certificate; or

(b) A separate form prescribed by the health authority.

3. A license or certificate described in subsection 1may not be issued or renewed by the health authority if the applicant:

(a) Fails to submit the statement required pursuant tosubsection 1; or

(b) Indicates on the statement submitted pursuant tosubsection 1 that he is subject to a court order for the support of a child andis not in compliance with the order or a plan approved by the district attorneyor other public agency enforcing the order for the repayment of the amount owedpursuant to the order.

4. If an applicant indicates on the statementsubmitted pursuant to subsection 1 that he is subject to a court order for thesupport of a child and is not in compliance with the order or a plan approvedby the district attorney or other public agency enforcing the order for therepayment of the amount owed pursuant to the order, the health authority shalladvise the applicant to contact the district attorney or other public agencyenforcing the order to determine the actions that the applicant may take to satisfythe arrearage.

(Added to NRS by 1997, 2055; A 2005, 332)

NRS 450B.185 Suspensionof license or certificate for failure to pay child support or comply withcertain subpoenas or warrants; reinstatement of license or certificate.[Expires by limitation on the date of the repeal of the federal law requiringeach state to establish procedures for withholding, suspending and restrictingthe professional, occupational and recreational licenses for child supportarrearages and for noncompliance with certain processes relating to paternityor child support proceedings.]

1. If the health authority receives a copy of a courtorder issued pursuant to NRS 425.540that provides for the suspension of all professional, occupational andrecreational licenses, certificates and permits issued to a person who is theholder of a license as an attendant or firefighter employed by a fire-fightingagency or an emergency medical technician certificate, the health authorityshall deem the license or certificate issued to that person to be suspended atthe end of the 30th day after the date on which the court order was issuedunless the health authority receives a letter issued to the holder of thelicense or certificate by the district attorney or other public agency pursuantto NRS 425.550 stating that the holderof the license or certificate has complied with the subpoena or warrant or hassatisfied the arrearage pursuant to NRS425.560.

2. The health authority shall reinstate a license asan attendant or firefighter employed by a fire-fighting agency or an emergencymedical technician certificate that has been suspended by a district courtpursuant to NRS 425.540 if:

(a) The health authority receives a letter issued bythe district attorney or other public agency pursuant to NRS 425.550 to the person whose license orcertificate was suspended stating that the person whose license or certificatewas suspended has complied with the subpoena or warrant or has satisfied thearrearage pursuant to NRS 425.560; and

(b) The person whose license or certificate wassuspended pays any fees imposed by the health authority for the reinstatementof a suspended license or certificate.

(Added to NRS by 1997, 2056; A 2005, 333)

NRS 450B.187 Applicationfor license or certificate to include social security number. [Expires bylimitation on the date of the repeal of the federal law requiring each state toestablish procedures for withholding, suspending and restricting theprofessional, occupational and recreational licenses for child supportarrearages and for noncompliance with certain processes relating to paternityor child support proceedings.] An applicationfor the issuance or renewal of a license as an attendant or firefighteremployed by a fire-fighting agency or an emergency medical techniciancertificate must include the social security number of the applicant.

(Added to NRS by 1997, 2056; A 2005, 333)

NRS 450B.190 Provisionallicensing of attendants.

1. The health authority may, at its discretion, issuea provisional license as an attendant to a person who does not meet thequalifications established pursuant to this chapter, if the health authoritydetermines that such issuance will be in the public interest.

2. A provisional license as an attendant must not bemade valid for more than 1 year from the date of issuance and is not renewable.

(Added to NRS by 1973, 1144; A 1987, 2208; 1993,2832)

BASIC EMERGENCY CARE

NRS 450B.1905 Requirementsfor training and certification.

1. A program for training in the basic care of apatient in urgent need of medical care or observation must be:

(a) Supervised by a physician and approved by thehealth authority; or

(b) Presented by a national organization which isnationally recognized for providing such training and approved by the board.

2. Except as otherwise provided in subsections 3 and4, training in basic care must include:

(a) Procedures to establish and maintain an open airwayin a patient;

(b) Administration of oxygen, both manually and by adevice which uses intermittent positive pressure;

(c) Cardiopulmonary resuscitation;

(d) Treatment of shock;

(e) Control of bleeding;

(f) Treatment of wounds;

(g) Application of splints;

(h) Treatment for poisoning;

(i) Childbirth; and

(j) Rescue.

3. A program for training in the basic care of apatient may follow the curriculum prepared by the United States Department ofTransportation as a national standard for emergency medical technicians.

4. The board may adopt regulations which prescribeother requirements for training in the basic care of a patient in urgent needof medical care or observation.

5. An owner of an ambulance shall not offer basic careof a patient in urgent need of medical care or observation unless the attendanthas successfully completed a program of training in such care or is exempt,pursuant to subsection 6 of NRS 450B.160,from the requirement to obtain that training.

6. The board may by regulation prescribe additionalrequirements for receiving and maintaining certification in basic emergencycare. The curriculum for training must be:

(a) At the level of advanced first aid; or

(b) At least equivalent to any curriculum prepared bythe Department of Transportation as a national standard for emergency medicaltechnicians.

(Added to NRS by 1985, 2117; A 1987, 2208; 1993, 318,2832)

INTERMEDIATE EMERGENCY CARE

NRS 450B.191 Requirementsfor training and certification.

1. A program of training in intermediate emergencycare of a patient in urgent need of medical care or observation must beconducted by a licensed physician and approved by the health authority.

2. A program of training for an intermediate emergencymedical technician must include an approved curriculum in intravenous therapyand the management of a passage for air to the lungs. Only a certifiedemergency medical technician with experience as established by the board iseligible for this training.

3. In order to maintain his certification, eachintermediate emergency medical technician must annually:

(a) Comply with the requirements established by theboard for continuing medical education; and

(b) Demonstrate his skills as required by regulation ofthe board.

4. The board may by regulation prescribe thecurriculum and other requirements for training and maintaining certification inintermediate emergency care. The curriculum must be at least equivalent to anycurriculum prepared by the United States Department of Transportation as anational standard for intermediate emergency medical technicians.

5. A person shall not represent himself to be anintermediate emergency medical technician unless he has on file with the healthauthority a currently valid certificate demonstrating successful completion ofthe program of training required by this section.

6. Except as authorized by subsection 6 of NRS 450B.160, an attendant or firefightershall not perform, and the owner, operator, director or chief officer of an ambulanceor a fire-fighting agency must not offer, intermediate emergency care withoutfulfilling the requirements established by the board.

(Added to NRS by 1981, 277; A 1981, 1557; 1985, 1695;1987, 2209; 1993, 319, 2833; 1995, 725; 2005, 333)

NRS 450B.1915 Authorizedactivities. An intermediate emergency medicaltechnician may perform any procedure and administer any drug approved by regulationof the board.

(Added to NRS by 1981, 278; A 1987, 2210)

ADVANCED EMERGENCY CARE

NRS 450B.195 Requirementsfor training and certification.

1. Only a certified emergency medical technician whois a licensed attendant or a firefighter with experience as established by theboard is eligible for training as an advanced emergency medical technician.

2. A program of training in advanced emergency carefor advanced emergency medical technicians must be conducted by a licensedphysician and approved by the health authority.

3. In order to maintain his certification, eachadvanced emergency medical technician must annually:

(a) Comply with the requirements established by theboard for continuing medical education; and

(b) Demonstrate his skills as required by regulation ofthe board.

4. The board may by regulation prescribe thecurriculum and other requirements for training and maintaining certification inadvanced emergency care. The curriculum must be at least equivalent to anycurriculum prepared by the United States Department of Transportation as anational standard for advanced emergency medical technicians.

5. A person shall not represent himself to be anadvanced emergency medical technician unless he has on file with the healthauthority a currently valid certificate evidencing his successful completion ofthe program of training required by this section.

6. Except as authorized by subsection 6 of NRS 450B.160, an attendant or firefightershall not perform, and the owner, operator, director or chief officer of an ambulanceor a fire-fighting agency must not offer, advanced emergency care withoutfulfilling the requirements established by the board.

(Added to NRS by 1973, 610; A 1975, 38; 1979, 71;1981, 1555; 1985, 1696; 1987, 2210; 1993, 319, 2833; 1995, 725; 2005, 334)

NRS 450B.197 Authorizedactivities. An attendant or a firefighter whois an advanced emergency medical technician may perform any procedure and administerany drug approved by regulation of the board.

(Added to NRS by 1973, 610; A 1975, 38; 1981, 1556;1985, 1696; 1987, 2211; 2005,334)

PERMIT AUTHORIZING FIRE-FIGHTING AGENCY TO PROVIDEINTERMEDIATE OR ADVANCED MEDICAL CARE

NRS 450B.1985 Exclusivemethod of issuance; authority of district board of health in certain largercounties to issue; situations in which intermediate or advanced medical caremay be provided.

1. Except as otherwise provided in subsection 2, nopermit may be issued pursuant to this chapter authorizing a fire-fightingagency to provide intermediate or advanced medical care to sick or injuredpersons while transporting those persons to a medical facility.

2. Except as otherwise provided in subsection 9 of NRS 450B.200, the district board ofhealth in a county whose population is 400,000 or more may issue a permitpursuant to NRS 450B.200 or 450B.210 authorizing a fire-fightingagency to provide intermediate or advanced medical care to sick or injuredpersons at the scene of an emergency and while transporting those persons to amedical facility.

(Added to NRS by 2001, 998; A 2005, 2473)

AMBULANCES AND VEHICLES OF FIRE-FIGHTING AGENCIES

NRS 450B.200 Permitfor operation; actions requiring opportunity for hearing; maintenance ofcentral registry of permits issued; regulations.

1. The health authority may issue a permit for theoperation of an ambulance, an air ambulance or a vehicle of a fire-fightingagency at the scene of an emergency.

2. Each permit must be evidenced by a card issued tothe holder of the permit.

3. No permit may be issued unless the applicant isqualified pursuant to the regulations of the board.

4. An application for a permit must be made upon formsprescribed by the board and in accordance with procedures established by theboard, and must contain the following:

(a) The name and address of the owner of the ambulanceor air ambulance or of the fire-fighting agency;

(b) The name under which the applicant is doingbusiness or proposes to do business, if applicable;

(c) A description of each ambulance, air ambulance orvehicle of a fire-fighting agency, including the make, year of manufacture andchassis number, and the color scheme, insigne, name, monogram or otherdistinguishing characteristics to be used to designate the applicantsambulance, air ambulance or vehicle;

(d) The location and description of the places fromwhich the ambulance, air ambulance or fire-fighting agency intends to operate;and

(e) Such other information as the board deemsreasonable and necessary to a fair determination of compliance with theprovisions of this chapter.

5. The board shall establish a reasonable fee forannual permits.

6. All permits expire on July 1 following the date ofissue, and are renewable annually thereafter upon payment of the fee requiredby subsection 5 at least 30 days before the expiration date.

7. The health authority shall:

(a) Revoke, suspend or refuse to renew any permitissued pursuant to this section for violation of any provision of this chapteror of any regulation adopted by the board; or

(b) Bring an action in any court for violation of thischapter or the regulations adopted pursuant to this chapter,

only afterthe holder of a permit is afforded an opportunity for a public hearing pursuantto regulations adopted by the board.

8. The health authority may suspend a permit if theholder is using an ambulance, air ambulance or vehicle of a fire-fightingagency which does not meet the minimum requirements for equipment asestablished by the board pursuant to this chapter.

9. The issuance of a permit pursuant to this sectionor NRS 450B.210 does not authorize anyperson or governmental entity to provide those services or to operate anyambulance, air ambulance or vehicle of a fire-fighting agency not in conformitywith any ordinance or regulation enacted by any county, municipality or specialpurpose district.

10. A permit issued pursuant to this section is validthroughout the State, whether issued by the Health Division or a district boardof health. An ambulance, air ambulance or vehicle of a fire-fighting agencywhich has received a permit from the district board of health in a county whosepopulation is 400,000 or more is not required to obtain a permit from theHealth Division, even if the ambulance, air ambulance or vehicle of afire-fighting agency has routine operations outside the county.

11. The Health Division shall maintain a centralregistry of all permits issued pursuant to this section, whether issued by theHealth Division or a district board of health.

12. The board shall adopt such regulations as arenecessary to carry out the provisions of this section.

(Added to NRS by 1973, 1144; A 1977, 71; 1981, 279;1985, 1697; 1987, 2212; 1991, 1916; 1993, 2834; 1995, 2548; 2005, 2473)

NRS 450B.210 Provisionalpermit.

1. The board may issue provisional permits limited asto time, place and purpose, based on the need therefor. No provisional permitmay be issued for a period of longer than 6 months. The board may establish areasonable fee for such provisional permits.

2. Unless otherwise limited in the permit, aprovisional permit issued pursuant to this section is valid for providingemergency services throughout the State, whether issued by the Health Divisionor a district board of health.

(Added to NRS by 1973, 1145; A 1991, 1917; 2005, 2474)

NRS 450B.220 Periodicinspections. Subsequent to issuance of anypermit under NRS 450B.200 and 450B.210, the health authority shallcause to be inspected the ambulances, aircraft, vehicles, medical supplies,equipment, personnel, records, premises and operational procedures of a holderof a permit whenever that inspection is deemed necessary, but no lessfrequently than once each year. The periodic inspection required by thissection is in addition to any other state or local inspections required forambulances, aircraft or motor vehicles under statute or ordinances.

(Added to NRS by 1973, 1145; A 1985, 1699; 1993,2835)

NRS 450B.230 Ownershall not allow operation without required equipment. Thepublic or private owner of an ambulance or air ambulance or the fire-fightingagency who owns a vehicle used in providing emergency medical care shall notpermit its operation and use without the equipment required by regulations andstandards of the board.

(Added to NRS by 1973, 1145; A 1985, 1699)

NRS 450B.235 Filingand maintenance of schedule of rates.

1. Each public and private owner of an ambulance orair ambulance shall file his schedule of rates with the health authority. Anychange in a schedule must be filed before the change becomes effective.

2. The health authority shall keep each schedule ofrates or changes filed with it for at least 3 years after the schedule has beensuperseded or otherwise become ineffective.

(Added to NRS by 1979, 726; A 1993, 2835)

TREATMENT OF TRAUMA

NRS 450B.236 Approvalrequired for operation of center for treatment of trauma. A person shall not operate a center for the treatment oftrauma without first applying for and obtaining the written approval of theAdministrator of the Health Division.

(Added to NRS by 1987, 1042)

NRS 450B.237 Establishmentof program for treatment of trauma; regulations; proposal to designate hospitalas trauma center; approval by Administrator of Health Division; standards;compliance.

1. The board shall establish a program for treating personswho require treatment for trauma and for transporting and admitting suchpersons to centers for the treatment of trauma. The program must provide forthe development, operation and maintenance of a system of communication to beused in transporting such persons to the appropriate centers.

2. The State Board of Health shall adopt regulationswhich establish the standards for the designation of hospitals as centers forthe treatment of trauma. The State Board of Health shall consider the standardsadopted by the American College of Surgeons for a center for the treatment oftrauma as a guide for such regulations. The Administrator of the HealthDivision shall not approve a proposal to designate a hospital as a center forthe treatment of trauma unless the hospital meets the standards establishedpursuant to this subsection.

3. Each district board of health in a county whosepopulation is 400,000 or more shall adopt regulations which establish thestandards for the designation of hospitals in the county as centers for thetreatment of trauma which are consistent with the regulations adopted by theState Board of Health pursuant to subsection 2. A district board of healthshall not approve a proposal to designate a hospital as a center for thetreatment of trauma unless the hospital meets the standards establishedpursuant to this subsection.

4. A proposal to designate a hospital located in acounty whose population is 400,000 or more as a center for the treatment oftrauma:

(a) Must be approved by the Administrator of the HealthDivision and by the district board of health of the county in which thehospital is located; and

(b) May not be approved unless the district board ofhealth of the county in which the hospital is located has established and adopteda comprehensive trauma system plan concerning the treatment of trauma in thecounty, which includes, without limitation, consideration of the future traumaneeds of the county, consideration of and plans for the development anddesignation of new centers for the treatment of trauma in the county based onthe demographics of the county and the manner in which the county may mosteffectively provide trauma services to persons in the county.

5. Upon approval by the Administrator of the HealthDivision and, if the hospital is located in a county whose population is400,000 or more, the district board of health of the county in which thehospital is located, of a proposal to designate a hospital as a center for thetreatment of trauma, the Administrator of the Health Division shall issuewritten approval which designates the hospital as such a center. As a conditionof continuing designation the hospital must comply with the followingrequirements:

(a) The hospital must admit any injured person whorequires medical care.

(b) Any physician who provides treatment for traumamust be qualified to provide that treatment.

(c) The hospital must maintain the standards specifiedin the regulations adopted pursuant to subsections 2 and 3.

(Added to NRS by 1987, 1042; A 1993, 2835; 2005, 1349)

NRS 450B.238 Regulationsrequiring hospital to record and maintain information.The State Board of Health shall adopt regulations which require eachhospital to record and maintain information concerning the treatment of traumain the hospital. The Board shall consider the guidelines adopted by theAmerican College of Surgeons which concern the information which must berecorded.

(Added to NRS by 1987, 1043; A 1993, 2836)

NRS 450B.239 HealthDivision to cooperate with American College of Surgeons. In addition to the education and training required by thischapter, the Health Division shall cooperate with the American College ofSurgeons to provide training in the treatment of trauma.

(Added to NRS by 1987, 1043)

PROHIBITED ACTS

NRS 450B.240 Engagingin operation of services relating to ambulances without permit; provision ofcertain medical care by fire-fighting agency without permit.

1. A person or governmental entity shall not engage inthe operation of any ambulance or air ambulance service in this state without acurrently valid permit for that service issued by the health authority.

2. A fire-fighting agency shall not provide intermediateor advanced medical care to sick or injured persons at the scene of anemergency or while transporting those persons to a medical facility without acurrently valid permit for that care issued by the health authority.

(Added to NRS by 1973, 1145; A 1985, 1699; 1993,2836; 2001, 999)

NRS 450B.250 Serviceas attendant for ambulance without license; provision of certain medical careby firefighter without license. Except asotherwise provided in this chapter, a person shall not serve as an attendant onany ambulance or air ambulance and a firefighter shall not provide intermediateor advanced medical care to sick or injured persons at the scene of anemergency or while transporting those persons to a medical facility unless heholds a currently valid license issued by the health authority under theprovisions of this chapter.

(Added to NRS by 1973, 1145; A 1985, 1699; 1993,2836; 2001, 999; 2005, 334)

 

NRS 450B.255 Representationas emergency medical technician without certificate. Aperson shall not represent himself to be an emergency medical technician unlesshe has been issued a currently valid certificate as an emergency medicaltechnician by the health authority.

(Added to NRS by 1979, 71; A 1993, 2836)

NRS 450B.260 Operationof ambulance or fire-fighting vehicle used to provide medical care withoutlicensed driver and attendant; exceptions.

1. Except as otherwise provided in this section, thepublic or private owner of an ambulance or air ambulance or a fire-fightingagency which owns a vehicle used in providing medical care to sick or injuredpersons at the scene of an emergency or while transporting those persons to amedical facility shall not permit its operation and use by any person notlicensed under this chapter.

2. An ambulance carrying a sick or injured patientmust be occupied by a driver and an attendant, each of whom is licensed as anattendant pursuant to this chapter or exempt from licensing pursuant tosubsection 6 of NRS 450B.160, exceptas otherwise provided in subsection 5 or in geographic areas which may bedesignated by the board and for which the board may prescribe lesserqualifications.

3. An air ambulance carrying a sick or injured patientmust be occupied by a licensed attendant, or a person exempt from licensingpursuant to subsection 6 of NRS 450B.160,in addition to the pilot of the aircraft.

4. The pilot of an air ambulance is not required tohave a license under this chapter.

5. A person who operates or uses a vehicle owned by afire-fighting agency is not required to be licensed under this chapter, exceptthat such a vehicle may not be used to provide intermediate or advanced medicalcare to sick or injured persons:

(a) At the scene of an emergency unless at least oneperson in the vehicle is licensed to provide the care; or

(b) While transporting those persons to a medicalfacility unless at least two persons in the vehicle are licensed to provide thecare.

(Added to NRS by 1973, 1145; A 1985, 1699; 1993, 320;2001, 999)

NRS 450B.265 Offeringadvanced emergency care without permit; exception.

1. Except as otherwise provided in subsection 2, afire-fighting agency or an owner, operator, director or chief officer of anambulance shall not represent, advertise or imply that it:

(a) Is authorized to provide advanced emergency care;or

(b) Uses the services of an advanced emergency medicaltechnician,

unless theservice has a currently valid permit to provide advanced emergency care issuedby the health authority.

2. Any service in a county whose population is lessthan 400,000, that holds a valid permit for the operation of an ambulance butis not authorized by the health authority to provide advanced emergency caremay represent, for billing purposes, that its ambulance provided advancedemergency care if:

(a) A registered nurse employed by a hospital renderedadvanced emergency care to a patient being transferred from the hospital by theambulance; and

(b) The equipment deemed necessary by the healthauthority for the provision of advanced emergency care was on board theambulance at the time the registered nurse rendered advanced emergency care.

3. A hospital that employs a registered nurse whorenders the care described in subsection 2 is entitled to reasonablereimbursement for the services rendered by the nurse.

(Added to NRS by 1979, 71; A 1985, 1700; 1987, 2213;1989, 286, 1936; 1993, 2836)

WITHHOLDING LIFE-SUSTAINING TREATMENT

NRS 450B.400 Definitions. As used in NRS450B.400 to 450B.590, inclusive,unless the context otherwise requires, the words and terms defined in NRS 450B.405 to 450B.475, inclusive, have the meaningsascribed to them in those sections.

(Added to NRS by 1997, 287; A 2001, 815)

NRS 450B.405 Attendingphysician defined. Attending physician hasthe meaning ascribed to it in NRS 449.550.

(Added to NRS by 2001, 814)

NRS 450B.410 Do-not-resuscitateidentification defined. Do-not-resuscitateidentification means:

1. A form of identification approved by the healthauthority, which signifies that:

(a) A person is a qualified patient who wishes not tobe resuscitated in the event of cardiac or respiratory arrest; or

(b) The patients attending physician has:

(1) Issued a do-not-resuscitate order for thepatient;

(2) Obtained the written approval of the patientconcerning the order; and

(3) Documented the grounds for the order in thepatients medical record.

2. The term also includes a valid do-not-resuscitateidentification issued under the laws of another state.

(Added to NRS by 1997, 287)

NRS 450B.420 Do-not-resuscitateorder defined. Do-not-resuscitate ordermeans a written directive issued by a physician licensed in this state thatemergency life-resuscitating treatment must not be administered to a qualifiedpatient. The term also includes a valid do-not-resuscitate order issued underthe laws of another state.

(Added to NRS by 1997, 288)

NRS 450B.430 Do-not-resuscitateprotocol defined. Do-not-resuscitateprotocol means the standardized procedure and guidelines established by theboard for the withholding of emergency life-resuscitating treatment incompliance with a do-not-resuscitate order or a do-not-resuscitateidentification.

(Added to NRS by 1997, 288; A 1999, 45)

NRS 450B.440 Healthcare facility defined. Health care facilityhas the meaning ascribed to it in NRS449.800.

(Added to NRS by 1997, 288)

NRS 450B.450 Life-resuscitatingtreatment defined. Life-resuscitating treatmentmeans cardiopulmonary resuscitation or a component of cardiopulmonaryresuscitation, including chest compressions, defibrillation, cardioversion,assisted ventilation, airway intubation or administration of cardiotonic drugs.

(Added to NRS by 1997, 288)

NRS 450B.460 Personwho administers emergency medical services defined. Personwho administers emergency medical services means a paid or volunteerfirefighter, law enforcement officer, emergency medical technician, ambulanceattendant or other person trained to provide emergency medical services.

(Added to NRS by 1997, 288)

NRS 450B.470 Qualified patient defined. Qualified patient means:

1. A patient18 years of age or older who has been determined by his attending physician tobe in a terminal condition and who:

(a) Hasexecuted a declaration in accordance with the requirements of NRS 449.600; or

(b) Has beenissued a do-not-resuscitate order pursuant to NRS 450B.510.

2. A patientwho is less than 18 years of age and who:

(a) Has beendetermined by his attending physician to be in a terminal condition; and

(b) Has been issued a do-not-resuscitate order pursuantto NRS 450B.510.

(Added to NRS by 1997, 288; A 2001, 815)

NRS 450B.475 Terminalcondition defined. Terminal condition hasthe meaning ascribed to it in NRS 449.590.

(Added to NRS by 2001, 814)

NRS 450B.480 Applicability. The provisions of NRS450B.400 to 450B.590, inclusive,apply only to emergency medical services administered to a qualified patient:

1. Before he is admitted to a medical facility; or

2. While the qualified patient is being prepared to betransferred, or is being transferred, from one health care facility to anotherhealth care facility.

(Added to NRS by 1997, 288; A 2001, 816)

NRS 450B.490 Adoptionof regulations; fee for do-not-resuscitate identification.

1. The board shall adoptregulations to carry out the provisions of NRS450B.400 to 450B.590, inclusive.The regulations must establish:

(a) A do-not-resuscitate protocol; and

(b) The procedure to apply for a do-not-resuscitateidentification.

2. The board may establish a fee for:

(a) A do-not-resuscitate identification to be collectedby the health authority. The fee may not exceed the actual cost to the healthauthority of:

(1) Manufacturing or obtaining theidentification from a manufacturer, including the cost of shipping andhandling; and

(2) Engraving the identification.

(b) The issuance of a bracelet or medallion whichindicates that a do-not-resuscitate identification has been issued to aqualified patient.

3. In the case of a district board of health, suchregulations take effect immediately upon approval by the State Board of Health.

(Added to NRS by 1997, 288; A 1999, 45; 2001, 816; 2005, 2475)

NRS 450B.500 Do-not-resuscitateidentification: Contents. Eachdo-not-resuscitate identification issued by the health authority must include,without limitation:

1. An identification number that is unique to thequalified patient to whom the identification is issued;

2. The name and date of birth of the patient; and

3. The name of the attending physician of the patient.

(Added to NRS by 1997, 288)

NRS 450B.505 Do-not-resuscitateidentification: Manufacture and issuance of bracelet or medallion. The board may enter into an agreement for the manufactureof a bracelet or medallion to be worn by a qualified patient which indicatesthat the qualified patient has been issued a do-not-resuscitate identification.Such a bracelet or medallion may be issued to a qualified patient in additionto, and not in lieu of, the do-not-resuscitate identification.

(Added to NRS by 2001, 814)

NRS 450B.510 Writtendo-not-resuscitate orders: Issued only to qualified patients; physicianauthorized to apply for identification.

1. A physician licensed in this state may issue awritten do-not-resuscitate order only to a patient who has been determined tobe in a terminal condition.

2. Except as otherwise provided in subsection 3, theorder is effective only if the patient has agreed to its terms, in writing,while he is capable of making an informed decision.

3. If the patient is a minor, the order is effectiveonly if:

(a) The parent or legal guardian of the minor hasagreed to its terms, in writing; and

(b) The minor has agreed to its terms, in writing,while he is capable of making an informed decision if, in the opinion of theattending physician, the minor is of sufficient maturity to understand thenature and effect of withholding life-resuscitating treatment.

4. A physician who issues a do-not-resuscitate ordermay apply, on behalf of the patient, to the health authority for ado-not-resuscitate identification for that patient.

(Added to NRS by 1997, 289; A 2001, 816)

NRS 450B.520 Applicationfor do-not-resuscitate identification: Form; requirements. Except as otherwise provided in NRS 450B.525:

1. A qualified patient may apply to the healthauthority for a do-not-resuscitate identification by submitting an applicationon a form provided by the health authority. To obtain a do-not-resuscitate identification,the patient must comply with the requirements prescribed by the board and signa form which states that he has informed each member of his family within thefirst degree of consanguinity or affinity, whose whereabouts are known to him,or if no such members are living, his legal guardian, if any, or if he has nosuch members living and has no legal guardian, his caretaker, if any, of hisdecision to apply for an identification.

2. An application must include, without limitation:

(a) Certification by the patients attending physicianthat the patient suffers from a terminal condition;

(b) Certification by the patients attending physicianthat the patient is capable of making an informed decision or, when he wascapable of making an informed decision:

(1) He executed:

(I) A written directive thatlife-resuscitating treatment be withheld under certain circumstances; or

(II) A durable power of attorney forhealth care decisions pursuant to NRS449.800 to 449.860, inclusive; or

(2) He was issued a do-not-resuscitate orderpursuant to NRS 450B.510;

(c) A statement that the patient does not wish thatlife-resuscitating treatment be undertaken in the event of a cardiac orrespiratory arrest;

(d) The name, signature and telephone number of thepatients attending physician; and

(e) The name and signature of the patient or theattorney-in-fact or agent who is authorized to make health care decisions onthe patients behalf pursuant to a durable power of attorney for health caredecisions.

(Added to NRS by 1997, 289; A 1999, 45; 2001, 817)

NRS 450B.525 Applicationfor do-not-resuscitate identification on behalf of minor: Requirements; form;revocation by parent or legal guardian of authorization to withholdlife-resuscitating treatment; minors of sufficient maturity.

1. A parent or legal guardian of a minor may apply tothe health authority for a do-not-resuscitate identification on behalf of theminor if the minor has been:

(a) Determined by his attending physician to be in aterminal condition; and

(b) Issued a do-not-resuscitate order pursuant to NRS 450B.510.

2. To obtain such a do-not-resuscitate identification,the parent or legal guardian must:

(a) Submit an application on a form provided by thehealth authority; and

(b) Comply with the requirements prescribed by theboard.

3. An application submitted pursuant to subsection 2must include, without limitation:

(a) Certification by the minors attending physicianthat the minor:

(1) Suffers from a terminal condition; and

(2) Has been issued a do-not-resuscitate orderpursuant to NRS 450B.510;

(b) A statement that the parent or legal guardian ofthe minor does not wish that life-resuscitating treatment be undertaken in theevent of a cardiac or respiratory arrest;

(c) The name of the minor;

(d) The name, signature and telephone number of theminors attending physician; and

(e) The name, signature and telephone number of theminors parent or legal guardian.

4. The parent or legal guardian of the minor mayrevoke the authorization to withhold life-resuscitating treatment by removingor destroying or requesting the removal or destruction of the identification orotherwise indicating to a person that he wishes to have the identificationremoved or destroyed.

5. If, in the opinion of the attending physician, theminor is of sufficient maturity to understand the nature and effect ofwithholding life-resuscitating treatment:

(a) The do-not-resuscitate identification obtainedpursuant to this section is not effective without the assent of the minor.

(b) The minor may revoke the authorization to withholdlife-resuscitating treatment by removing or destroying or requesting theremoval or destruction of the identification or otherwise indicating to aperson that he wishes to have the identification removed or destroyed.

(Added to NRS by 2001, 815)

NRS 450B.530 Revocationof authorization to withhold life-resuscitating treatment. Except as otherwise provided in NRS 450B.525, a qualified patient whopossesses a do-not-resuscitate identification may revoke his authorization towithhold life-resuscitating treatment by removing or destroying or requestingthe removal or destruction of his identification or otherwise indicating to aperson that he wishes to have his identification removed or destroyed.

(Added to NRS by 1997, 289; A 2001, 817)

NRS 450B.540 Personnot guilty of unprofessional conduct or subject to liability for withholding orproviding life-resuscitating treatment under certain circumstances.

1. A person is not guilty of unprofessional conduct orsubject to civil or criminal liability if he:

(a) Is a physician who:

(1) Causes the withholding of life-resuscitatingtreatment from a qualified patient who possesses a do-not-resuscitateidentification in accordance with the do-not-resuscitate protocol; or

(2) While the patient is being prepared to betransferred, or is being transferred, from one health care facility to anotherhealth care facility, carries out a do-not-resuscitate order that is documentedin the medical record of a qualified patient, in accordance with thedo-not-resuscitate protocol;

(b) Pursuant to the direction of or with theauthorization of a physician, participates in:

(1) The withholding of life-resuscitatingtreatment from a qualified patient who possesses a do-not-resuscitateidentification in accordance with the do-not-resuscitate protocol; or

(2) While the patient is being prepared to betransferred, or is being transferred, from one health care facility to anotherhealth care facility, carrying out a do-not-resuscitate order that isdocumented in the medical record of a qualified patient, in accordance with thedo-not-resuscitate protocol; or

(c) Administers emergency medical services and:

(1) Causes or participates in the withholding oflife-resuscitating treatment from a qualified patient who possesses ado-not-resuscitate identification;

(2) Before a qualified patient is admitted to amedical facility, carries out a do-not-resuscitate order that has been issuedin accordance with the do-not-resuscitate protocol; or

(3) While the patient is being prepared to betransferred, or is being transferred, from one health care facility to anotherhealth care facility, carries out a do-not-resuscitate order that is documentedin the medical record of a qualified patient, in accordance with thedo-not-resuscitate protocol.

2. A health care facility, ambulance service orfire-fighting agency that employs a person described in subsection 1 is notguilty of unprofessional conduct or subject to civil or criminal liability forthe acts or omissions of the employee carried out in accordance with theprovisions of subsection 1.

3. A physician, a person pursuant to the direction orauthorization of a physician, a health care facility or a person administeringemergency medical services who provides life-resuscitating treatment pursuantto:

(a) An oral or written request made by a qualifiedpatient, or the parent or legal guardian of a qualified patient, who may revokethe authorization to withhold life-resuscitating treatment pursuant to NRS 450B.525 or 450B.530; or

(b) An observation that a qualified patient, or theparent or legal guardian of a qualified patient, has revoked or otherwiseindicated that he wishes to revoke the authorization to withholdlife-resuscitating treatment pursuant to NRS450B.525 or 450B.530,

is notguilty of unprofessional conduct or subject to civil or criminal liability.

(Added to NRS by 1997, 289; A 2001, 817)

NRS 450B.550 Personwho administers emergency medical services required to comply withdo-not-resuscitate protocol; exception.

1. Except as otherwise provided in subsection 2, aperson who administers emergency medical services shall comply withdo-not-resuscitate protocol when he observes a do-not-resuscitateidentification or carries out a do-not-resuscitate order.

2. A person who administers emergency medical servicesand who is unwilling or unable to comply with the do-not-resuscitate protocolshall take all reasonable measures to transfer a qualified patient whopossesses a do-not-resuscitate identification or has been issued ado-not-resuscitate order to a physician or health care facility in which thedo-not-resuscitate protocol may be followed.

(Added to NRS by 1997, 290; A 2001, 818)

NRS 450B.560 Assumptionthat do-not-resuscitate identification is valid.

1. Unless he has knowledge to the contrary, a physician,any other provider of health care or any person who administers emergencymedical services may assume that a do-not-resuscitate identification complieswith the provisions of NRS 450B.400 to450B.590, inclusive, and is valid.

2. The provisions of NRS 450B.400 to 450B.590, inclusive, do not create apresumption concerning the intention of a:

(a) Qualified patient or a parent or legal guardian ofa qualified patient who has revoked authorization to withholdlife-resuscitating treatment pursuant to NRS450B.525 or 450B.530; or

(b) Person who has not obtained a do-not-resuscitateidentification,

concerningthe use or withholding of life-resuscitating treatment in a life-threateningemergency.

(Added to NRS by 1997, 290; A 2001, 819)

NRS 450B.570 Resultingdeath not suicide or homicide; life insurance or annuity not affected bypossession of do-not-resuscitate identification or issuance ofdo-not-resuscitate order; prohibition or requirement of possession ofdo-not-resuscitate identification or issuance of do-not-resuscitate order not allowedin connection with health care.

1. Death that results when life-resuscitatingtreatment has been withheld pursuant to the do-not-resuscitate protocol and inaccordance with the provisions of NRS450B.400 to 450B.590, inclusive,does not constitute a suicide or homicide.

2. The possession of a do-not-resuscitateidentification or the issuance of a do-not-resuscitate order does not affectthe sale, procurement or issuance of a policy of life insurance or an annuityor impair or modify the terms of a policy of life insurance or an annuity. Apolicy of life insurance or an annuity is not legally impaired or invalidatedif life-resuscitating treatment has been withheld from an insured who possessesa do-not-resuscitate identification or has been issued a do-not-resuscitateorder, notwithstanding any term in the policy or annuity to the contrary.

3. A person may not prohibit or require the possessionof a do-not-resuscitate identification or the issuance of a do-not-resuscitateorder as a condition of being insured for, or receiving, health care.

(Added to NRS by 1997, 290; A 2001, 819)

NRS 450B.580 Unlawfulacts; penalty.

1. It is unlawful for:

(a) A person who administers emergency medical servicesto fail willfully to transfer a qualified patient in accordance with theprovisions of NRS 450B.550.

(b) A person purposely to conceal, cancel, deface orobliterate a do-not-resuscitate identification of a qualified patient, unlessit is done in compliance with a request of the qualified patient or a parent orlegal guardian of the qualified patient to remove or destroy thedo-not-resuscitate identification pursuant to NRS 450B.525 or 450B.530.

(c) A person to falsify or forge the do-not-resuscitateidentification of a qualified patient or purposely to conceal or withholdpersonal knowledge of the revocation of a do-not-resuscitate identificationwith the intent to cause the use, withholding or withdrawal oflife-resuscitating treatment.

2. A person who violates any of the provisions of thissection is guilty of a misdemeanor.

(Added to NRS by 1997, 291; A 2001, 819)

NRS 450B.590 Limitationson effect of NRS 450B.400 to 450B.590, inclusive. The provisions of NRS450B.400 to 450B.590, inclusive,do not:

1. Require a physician or other provider of healthcare to take action contrary to reasonable medical standards;

2. Condone, authorize or approve mercy killing,euthanasia or assisted suicide;

3. Substitute for any other legally authorizedprocedure by which a person may direct that he not be resuscitated in the eventof a cardiac or respiratory arrest;

4. Affect or impair any right created pursuant to theprovisions of NRS 449.535 to 449.690, inclusive; or

5. Affect the right of a qualified patient to makedecisions concerning the use of life-resuscitating treatment, if he is able todo so, or impair or supersede a right or responsibility of a person to affectthe withholding of medical care in a lawful manner.

(Added to NRS by 1997, 291)

AUTOMATED EXTERNAL DEFIBRILLATORS

NRS 450B.600 Requiredto be placed in certain public buildings and locations; inspection andmaintenance; training on operation and use.

1. Not later than July 1, 2004, and thereafter:

(a) The board of trustees of a school district in acounty whose population is 100,000 or more shall ensure that at least oneautomated external defibrillator is placed in a central location at each highschool within the district.

(b) The Reno-Tahoe Airport Authority shall ensure thatat least three automated external defibrillators are placed in centrallocations at the largest airport within the county.

(c) The board of county commissioners of each countywhose population is 400,000 or more shall ensure that at least seven automatedexternal defibrillators are placed in central locations at the largest airportwithin the county.

(d) The Board of Regents of the University of Nevada shallensure that at least two automated external defibrillators are placed incentral locations at each of:

(1) The largest indoor sporting arena or eventscenter controlled by the University in a county whose population is 100,000 ormore but less than 400,000; and

(2) The largest indoor sporting arena or eventscenter controlled by the University in a county whose population is 400,000 ormore.

(e) The Health Division shall ensure that at least oneautomated external defibrillator is placed in a central location at each of thefollowing state buildings:

(1) The Capitol Building in Carson City;

(2) The Kinkead Building in Carson City;

(3) The Legislative Building in Carson City; and

(4) The Grant Sawyer Building in Las Vegas.

(f) The board of county commissioners of each countywhose population is 100,000 or more shall:

(1) Identify five county buildings or offices ineach of their respective counties which are characterized by large amounts ofpedestrian traffic or which house one or more county agencies that provideservices to large numbers of persons; and

(2) Ensure that at least one automated externaldefibrillator is placed in a central location at each county building or officeidentified pursuant to subparagraph (1).

2. Each governmental entity that is required to ensurethe placement of one or more automated external defibrillators pursuant tosubsection 1:

(a) May accept gifts, grants and donations for use inobtaining, inspecting and maintaining the defibrillators;

(b) Shall ensure that those defibrillators areinspected and maintained on a regular basis; and

(c) Shall encourage the entity where the automatedexternal defibrillator is placed to require any employee who will use theautomated external defibrillator to successfully complete the trainingrequirements of a course in basic emergency care of a person in cardiac arrestthat includes training in the operation and use of an automated externaldefibrillator and is conducted in accordance with the standards of the AmericanHeart Association, the American National Red Cross or any other similarorganization.

3. As used in this section, automated externaldefibrillator means a medical device that:

(a) Has been approved by the United States Food andDrug Administration;

(b) Is capable of recognizing the presence or absence,in a patient, of ventricular fibrillation and rapid ventricular tachycardia;

(c) Is capable of determining, without intervention bythe operator of the device, whether defibrillation should be performed on thepatient;

(d) Upon determining that defibrillation should beperformed, automatically charges and requests delivery of an electrical impulseto the patients heart; and

(e) Upon action by the operator of the device, deliversto the patients heart an appropriate electrical impulse.

(Added to NRS by 2003, 2464)

MISCELLANEOUS PROVISIONS

NRS 450B.790 Hospitalrequired to ensure that certain persons in need of emergency services aretransferred to appropriate places in hospital within 30 minutes after arrival;regulations; civil or criminal liability.

1. Each hospital in this State which receives a personin need of emergency services and care who has been transported to the hospitalby an ambulance, air ambulance or vehicle of a fire-fighting agency that has apermit to operate pursuant to this chapter shall ensure that the person istransferred to a bed, chair, gurney or other appropriate place in the hospitalto receive emergency services and care as soon as practicable, but not laterthan 30 minutes after the time at which the person arrives at the hospital.

2. The Health Division shall adopt regulationsconcerning the manner in which a hospital and an attendant responsible for thecare of a person in need of emergency services and care during transport to thehospital shall determine and track the time at which a person arrives at ahospital and the time at which the person is transferred to an appropriate placein the hospital to receive emergency services and care for the purposes of thissection. The regulations must provide that:

(a) The time at which a person arrives at a hospital isthe time at which he is presented to the emergency room of the hospital; and

(b) The time at which the person is transferred to anappropriate place in the hospital to receive emergency services and care is thetime at which the person is physically in that place and the staff of theemergency room of the hospital have received a report concerning the person.

3. This section does not create a duty of care and isnot a ground for civil or criminal liability.

4. As used in this section:

(a) Emergency services and care has the meaningascribed to it in NRS 439B.410.

(b) Hospital has the meaning ascribed to it in NRS 449.012.

(Added to NRS by 2005, 1474)

NRS 450B.800 Fingerprintsof applicant. An applicant for any permit,license or certificate issued pursuant to this chapter shall furnish to thehealth authority a complete set of his fingerprints and written permissionauthorizing the health authority to forward those fingerprints to the CentralRepository for Nevada Records of Criminal History for submission to the FederalBureau of Investigation for its report. The health authority may exchange withthe Federal Bureau of Investigation any information respecting the fingerprintsof an applicant.

(Added to NRS by 1981, 278; A 1993, 2837; 2003, 2850)

NRS 450B.810 Maintenance,inspection and compilation of information. Eachholder of a permit shall maintain accurate records upon such forms as may beprovided by the health authority and containing such information as may bereasonably required by the board concerning the care or transportation of eachpatient, or both, within this state and beyond its limits. These records mustbe available for inspection by the health authority at any reasonable time andcopies thereof must be furnished to the health authority upon request. Thisrecord does not constitute a diagnosis, and a legal signature is not requiredon forms dealing with the type of injury sustained by a particular patient. Thehealth authority shall compile and provide a summary of this information.

(Added to NRS by 1973, 1145; A 1985, 1700; 1993,2837)(Substituted in revision for NRS 450B.270)

NRS 450B.820 Localrequirements for franchise or permit are not superseded. The issuance of a permit does not authorize any person,firm, corporation or association to provide ambulance services or to operate anambulance without a franchise or permit in any county or incorporated citywhich has enacted an ordinance making it unlawful to do so.

(Added to NRS by 1973, 1146)(Substituted in revisionfor NRS 450B.280)

NRS 450B.830 Exemptionsfrom chapter. The following are exempted fromthe provisions of this chapter:

1. The occasional use of a vehicle or aircraft totransport injured or sick persons, which vehicle or aircraft is not ordinarilyused in the business of transporting persons who are sick or injured.

2. A vehicle or aircraft rendering services as anambulance or air ambulance in case of a major catastrophe or emergency ifambulance or air ambulance services with permits are insufficient to render theservices required.

3. Persons rendering service as attendants in case ofa major catastrophe or emergency if licensed attendants cannot be secured.

4. Ambulances and air ambulances based outside thisState.

5. Attendants based outside this State.

6. Vehicles owned and operated by search and rescueorganizations chartered by the State as corporations not for profit orotherwise existing as nonprofit associations which are not regularly used totransport injured or sick persons except as part of rescue operations.

7. Ambulances or air ambulances owned and operated byan agency of the United States Government.

(Added to NRS by 1973, 1146; A 1987, 2213; 1991,1918)(Substituted in revision for NRS 450B.290)

NRS 450B.840 Operationof ambulance or fire-fighting agency by county or city subject to provisions ofchapter. No county or city may operate an ambulanceor contract to have another operate an ambulance or provide for the operationof a fire-fighting agency in violation of this chapter or the regulations adoptedunder this chapter.

(Added to NRS by 1973, 1146; A 1985,1700)(Substituted in revision for NRS 450B.310)

NRS 450B.850 Programsfor training. The health authority may operatetraining programs and may contract with others to operate training programs forambulance attendants, ambulance service operators, firefighters, lawenforcement officers, physicians, nurses and others in emergency first aid,emergency care and any other techniques associated with emergency care,transportation and treatment of the sick and injured and the proper operationof an ambulance service.

(Added to NRS by 1973, 1146; A 1993, 2837; 2005, 334)

NRS 450B.860 Volunteerambulance drivers and attendants: Discharge from employment; civil action;disclosure to employer.

1. Any person or other entity who is an employer or isvested with the power to discharge or recommend the discharge of a person whoserves as a volunteer ambulance driver or attendant shall not deprive theperson performing that service of his employment as a consequence of his actionas a volunteer ambulance driver or attendant.

2. A person discharged in violation of subsection 1may commence a civil action against his employer and obtain:

(a) Wages and benefits lost as a result of theviolation;

(b) An order of reinstatement without loss of position,seniority or benefits;

(c) Damages equal to the amount of lost wages andbenefits; and

(d) Reasonable attorneys fees fixed by the court.

3. Any applicant for employment who is, and anyemployee who becomes, a volunteer ambulance driver or attendant must disclosethat fact to his prospective or present employer.

4. As used in this section, volunteer ambulancedriver or attendant means a person who is a driver of or attendant on anambulance owned or operated by:

(a) A nonprofit organization that provides volunteerambulance service in any county, city or town in this State; or

(b) A political subdivision of this State.

(Added to NRS by 1997, 467)

PENALTIES

NRS 450B.900 Violations;penalty. Any person who violates any of theprovisions of this chapter is guilty of a misdemeanor.

(Added to NRS by 1973, 1147)(Substituted in revisionfor NRS 450B.330)

 

Disclaimer: These codes may not be the most recent version. Nevada may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.