CHAPTER450B. Emergency Medical Services  


GENERAL PROVISIONS
NRS 450B.015. Legislative declaration.
NRS 450B.020. Definitions.
NRS 450B.025. “Advanced emergency medical technician” defined. [Effective through December 31, 2013.]
NRS 450B.025. “Advanced emergency medical technician” defined. [Effective January 1, 2014.]
NRS 450B.030. “Air ambulance” defined.
NRS 450B.040. “Ambulance” defined. [Effective through December 31, 2013.]
NRS 450B.040. “Ambulance” defined. [Effective January 1, 2014.]
NRS 450B.050. “Attendant” defined.
NRS 450B.0505. “Automated external defibrillator” and “defibrillator” defined.
NRS 450B.060. “Board” defined.
NRS 450B.0605. “Certificate” defined. [Effective January 1, 2014.]
NRS 450B.061. “Committee” defined.
NRS 450B.062. “Designated officer” defined.
NRS 450B.0625. “Division” defined.
NRS 450B.063. “Emergency medical dispatcher” defined.
NRS 450B.065. “Emergency medical technician” defined. [Effective through December 31, 2013.]
NRS 450B.065. “Emergency medical technician” defined. [Effective January 1, 2014.]
NRS 450B.070. “Emergency medical technician certificate” defined. [Effective through December 31, 2013.]
NRS 450B.0703. “Emergency response employee” defined. [Effective through December 31, 2013.]
NRS 450B.0703. “Emergency response employee” defined. [Effective January 1, 2014.]
NRS 450B.0707. “Exposed” and “exposure” defined.
NRS 450B.071. “Firefighter” defined.
NRS 450B.072. “Fire-fighting agency” defined.
NRS 450B.077. “Health authority” defined.
NRS 450B.080. “Health Division” defined. [Repealed]
NRS 450B.082. “Health officer” defined.
NRS 450B.083. “Infectious disease” defined.
NRS 450B.085. “Intermediate emergency medical technician” defined. [Effective through December 31, 2013.]
NRS 450B.090. “License” defined.
NRS 450B.095. “Paramedic” defined. [Effective January 1, 2014.]
NRS 450B.100. “Permit” defined. [Effective through December 31, 2013.]
NRS 450B.100. “Permit” defined. [Effective January 1, 2014.]
NRS 450B.105. “Trauma” defined.
NRS 450B.110. “Volunteer attendant” defined.
NRS 450B.120. Regulations, standards and procedures of board.
NRS 450B.130. Establishment of minimum standards and additional requirements. [Effective through December 31, 2013.]
NRS 450B.130. Establishment of minimum standards and additional requirements. [Effective January 1, 2014.]
NRS 450B.140. Sources for standards and regulations; standards may differ for different categories.
NRS 450B.150. Administration and enforcement; inspections.
NRS 450B.1505. Certain money received by Division to be used for training program for certain emergency medical services personnel.
COMMITTEE ON EMERGENCY MEDICAL SERVICES
NRS 450B.151. Creation; membership; terms of members; alternate members; vacancies.
NRS 450B.152. Chair; meetings; rules for management; compensation of members.
NRS 450B.153. Duties.
NRS 450B.154. Administrative support.
EMERGENCY MEDICAL DISPATCHERS
NRS 450B.155. Training and certification.
AMBULANCE ATTENDANTS, EMERGENCY MEDICAL TECHNICIANS AND FIREFIGHTERS
NRS 450B.160. Licensing of attendants and firefighters; regulations; certification of physicians, nurses and physician assistants serving as attendants. [Effective through December 31, 2013.]
NRS 450B.160. Licensing of attendants and firefighters; regulations; certification of physicians, nurses and physician assistants serving as attendants. [Effective January 1, 2014.]
NRS 450B.165. Attendant, firefighter and emergency medical technician to attest to knowledge of and compliance with certain guidelines concerning safe and appropriate injection practices. [Effective through December 31, 2013.]
NRS 450B.165. Attendant, firefighter and emergency medical technician to attest to knowledge of and compliance with certain guidelines concerning safe and appropriate injection practices. [Effective January 1, 2014.]
NRS 450B.171. Relative of patient or other person may ride with attendants.
NRS 450B.180. Certification and authority of emergency medical technicians; maintenance of central registry of certificates issued; regulations. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupational and recreational licenses for child support arrearages and for noncompliance with certain processes relating to paternity or child support proceedings, or through December 31, 2013, whichever is earlier.]
NRS 450B.180. Certification and authority of emergency medical technicians; maintenance of central registry of certificates issued; regulations. [Effective on the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupational and recreational licenses for child support arrearages and for noncompliance with certain processes relating to paternity or child support proceedings, and through December 31, 2013.]
NRS 450B.180. Certification and authority of emergency medical technicians, advanced emergency medical technicians and paramedics; maintenance of central registry of certificates issued; regulations. [Effective January 1, 2014, and until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupational and recreational licenses for child support arrearages and for noncompliance with certain processes relating to paternity or child support proceedings.]
NRS 450B.180. Certification and authority of emergency medical technicians, advanced emergency medical technicians and paramedics; maintenance of central registry of certificates issued; regulations. [Effective on the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupational and recreational licenses for child support arrearages and for noncompliance with certain processes relating to paternity or child support proceedings, or on January 1, 2014, whichever is later.]
NRS 450B.183. Payment of child support: Statement by applicant for license or certificate; grounds for denial of license or certificate; duty of health authority. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupational and recreational licenses for child support arrearages and for noncompliance with certain processes relating to paternity or child support proceedings, or through December 31, 2013, whichever is earlier.]
NRS 450B.183. Payment of child support: Statement by applicant for license or certificate; grounds for denial of license or certificate; duty of health authority. [Effective January 1, 2014, and until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupational and recreational licenses for child support arrearages and for noncompliance with certain processes relating to paternity or child support proceedings.]
NRS 450B.185. Suspension of license or certificate for failure to pay child support or comply with certain subpoenas or warrants; reinstatement of license or certificate. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupational and recreational licenses for child support arrearages and for noncompliance with certain processes relating to paternity or child support proceedings, or through December 31, 2013, whichever is earlier.]
NRS 450B.185. Suspension of license or certificate for failure to pay child support or comply with certain subpoenas or warrants; reinstatement of license or certificate. [Effective January 1, 2014, and until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupational and recreational licenses for child support arrearages and for noncompliance with certain processes relating to paternity or child support proceedings.]
NRS 450B.187. Application for license or certificate to include social security number. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupational and recreational licenses for child support arrearages and for noncompliance with certain processes relating to paternity or child support proceedings, or through December 31, 2013, whichever is earlier.]
NRS 450B.187. Application for license or certificate to include social security number. [Effective January 1, 2014, and until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupational and recreational licenses for child support arrearages and for noncompliance with certain processes relating to paternity or child support proceedings.]
NRS 450B.190. Provisional licensing of attendants.
EMERGENCY MEDICAL TECHNICIANS
NRS 450B.1905. Requirements for training and certification. [Effective through December 31, 2013.]
NRS 450B.1905. Program of training for certification; maintenance of certification. [Effective January 1, 2014.]
ADVANCED EMERGENCY MEDICAL TECHNICIANS AND PARAMEDICS; ENDORSEMENT TO ADMINISTER IMMUNIZATIONS AND DISPENSE MEDICATION
NRS 450B.191. Program of training in intermediate emergency care; maintenance of certification. [Effective through December 31, 2013.]
NRS 450B.191. Program of training for certification as advanced emergency medical technician; maintenance of certification. [Effective January 1, 2014.]
NRS 450B.1915. Authorized activities of intermediate emergency medical technician. [Effective through December 31, 2013.]
NRS 450B.1915. Authorized activities of advanced emergency medical technician. [Effective January 1, 2014.]
NRS 450B.195. Program of training in advanced emergency care; maintenance of certification. [Effective through December 31, 2013.]
NRS 450B.195. Program of training for certification as paramedic; maintenance of certification. [Effective January 1, 2014.]
NRS 450B.197. Authorized activities of advanced emergency medical technician. [Effective through December 31, 2013.]
NRS 450B.197. Authorized activities of paramedic. [Effective January 1, 2014.]
NRS 450B.1975. Endorsement to administer immunizations, dispense medication and respond to public health needs. [Effective through December 31, 2013.]
NRS 450B.1975. Endorsement to administer immunizations, dispense medication and respond to public health needs. [Effective January 1, 2014.]
PERMIT AUTHORIZING FIRE-FIGHTING AGENCY TO PROVIDE CERTAIN LEVEL OF MEDICAL CARE
NRS 450B.1985. Exclusive method of issuance; authority of district board of health in certain larger counties to issue; situations in which intermediate or advanced medical care may be provided. [Effective through December 31, 2013.]
NRS 450B.1985. Exclusive method of issuance; authority of district board of health in certain larger counties to issue; situations in which certain medical care may be provided. [Effective January 1, 2014.]
AMBULANCES, AIR AMBULANCES AND VEHICLES OF FIRE-FIGHTING AGENCIES
NRS 450B.200. Permit for operation; fees; renewal; disciplinary or legal action for violations; maintenance of central registry of permits issued; regulations.
NRS 450B.210. Provisional permit.
NRS 450B.220. Periodic inspections.
NRS 450B.230. Owner not to allow operation without required equipment; exception.
NRS 450B.235. Filing and maintenance of schedule of rates of ambulance.
TREATMENT OF TRAUMA
NRS 450B.236. Approval required for operation of center for treatment of trauma.
NRS 450B.237. Establishment of program for treatment of trauma; regulations; proposal to designate hospital as trauma center; approval by Administrator of Division; standards; compliance.
NRS 450B.238. Regulations requiring hospital to record and maintain information.
NRS 450B.239. Division to cooperate with American College of Surgeons.
PROHIBITED ACTS
NRS 450B.240. Engaging in operation of services relating to ambulances or air ambulances without permit prohibited; provision of certain medical care by fire-fighting agency without permit prohibited. [Effective through December 31, 2013.]
NRS 450B.240. Engaging in operation of services relating to ambulances or air ambulances without permit prohibited; provision of certain medical care by fire-fighting agency without permit prohibited. [Effective January 1, 2014.]
NRS 450B.250. Service as attendant for ambulance without license prohibited; provision of certain medical care by firefighter without license prohibited. [Effective through December 31, 2013.]
NRS 450B.250. Service as attendant for ambulance or air ambulance without license prohibited; provision of certain medical care by firefighter without license prohibited. [Effective January 1, 2014.]
NRS 450B.255. Representation as emergency medical technician without certificate prohibited. [Effective through December 31, 2013.]
NRS 450B.255. Representation as emergency medical technician, advanced emergency medical technician or paramedic without certificate prohibited. [Effective January 1, 2014.]
NRS 450B.260. Operation of ambulance, air ambulance or fire-fighting vehicle used to provide medical care without licensed driver and attendant prohibited; exceptions. [Effective through December 31, 2013.]
NRS 450B.260. Operation of ambulance, air ambulance or fire-fighting vehicle used to provide certain medical care without licensed driver and attendant prohibited; exceptions. [Effective January 1, 2014.]
NRS 450B.265. Offering advanced emergency care without permit prohibited; exception. [Effective through December 31, 2013.]
NRS 450B.265. Offering level of emergency care provided by paramedic without permit prohibited; exception. [Effective January 1, 2014.]
SAFETY OF EMERGENCY RESPONSE EMPLOYEES CONCERNING EXPOSURE TO INFECTIOUS DISEASES
NRS 450B.340. Designation of officer to receive notifications and responses and make requests on behalf of emergency response employees.
NRS 450B.350. Duty of medical facility or county coroner or medical examiner to notify designated officer if victim transported has infectious disease; time and contents for notification.
NRS 450B.360. Determination of possible exposure of emergency response employee to infectious disease; request for response from medical facility or county coroner or medical examiner.
NRS 450B.370. Response of medical facility or county coroner or medical examiner.
NRS 450B.375. Procedure upon notification that insufficient information exists to determine whether emergency response employee was exposed to infectious disease; request for further evaluation; duties of health officer.
NRS 450B.380. Notice to emergency response employee of possible exposure to infectious disease.
NRS 450B.390. Limitations on effect of NRS 450B.340 to 450B.390, inclusive.
WITHHOLDING LIFE-SUSTAINING TREATMENT
NRS 450B.400. Definitions.
NRS 450B.405. “Attending physician” defined.
NRS 450B.410. “Do-not-resuscitate identification” defined.
NRS 450B.420. “Do-not-resuscitate order” defined.
NRS 450B.430. “Do-not-resuscitate protocol” defined.
NRS 450B.440. “Health care facility” defined.
NRS 450B.450. “Life-resuscitating treatment” defined.
NRS 450B.460. “Person who administers emergency medical services” defined. [Effective through December 31, 2013.]
NRS 450B.460. “Person who administers emergency medical services” defined. [Effective January 1, 2014.]
NRS 450B.470. “Qualified patient” defined.
NRS 450B.475. “Terminal condition” defined.
NRS 450B.480. Applicability.
NRS 450B.490. Adoption of regulations; fee for do-not-resuscitate identification.
NRS 450B.500. Do-not-resuscitate identification: Contents.
NRS 450B.505. Do-not-resuscitate identification: Manufacture and issuance of bracelet or medallion.
NRS 450B.510. Written do-not-resuscitate orders: Issued only to qualified patients; physician authorized to apply for identification.
NRS 450B.520. Application for do-not-resuscitate identification: Form; requirements.
NRS 450B.525. Application for do-not-resuscitate identification on behalf of minor: Requirements; form; revocation by parent or legal guardian of authorization to withhold life-resuscitating treatment; effect when minor is of sufficient maturity.
NRS 450B.530. Revocation of authorization to withhold life-resuscitating treatment.
NRS 450B.540. Person not guilty of unprofessional conduct or subject to liability for withholding or providing life-resuscitating treatment under certain circumstances.
NRS 450B.550. Person who administers emergency medical services required to comply with do-not-resuscitate protocol; exception.
NRS 450B.560. Assumption that do-not-resuscitate identification is valid.
NRS 450B.570. Resulting death not suicide or homicide; life insurance or annuity not affected by possession of do-not-resuscitate identification or issuance of do-not-resuscitate order; prohibition or requirement of possession of do-not-resuscitate identification or issuance of do-not-resuscitate order not allowed in connection with health care.
NRS 450B.580. Unlawful acts; penalty.
NRS 450B.590. Limitations on effect of provisions.
AUTOMATED EXTERNAL DEFIBRILLATORS
NRS 450B.595. “Automated external defibrillator” and “defibrillator” defined. [Repealed]
NRS 450B.600. Required to be placed in certain public buildings and locations; inspection and maintenance; training on operation and use.
NRS 450B.610. Maintenance of database by Division; disclosure of information in database; duties of manufacturer; registration of defibrillator; civil penalty for violation.
NRS 450B.620. Placement and maintenance by school districts, health clubs and medical facilities; training of employees.
EMERGENCY MEDICAL SERVICES AT SPECIAL EVENTS
NRS 450B.650. Definitions.
NRS 450B.655. “Dedicated advanced life support ambulance” defined. [Effective through December 31, 2013.]
NRS 450B.655. “Dedicated advanced life support ambulance” defined. [Effective January 1, 2014.]
NRS 450B.660. “First-aid station” defined.
NRS 450B.665. “Host organization” defined.
NRS 450B.670. “Roving emergency medical technician team” defined. [Effective through December 31, 2013.]
NRS 450B.670. “Roving emergency medical technician team” defined. [Effective January 1, 2014.]
NRS 450B.675. “Roving intermediate emergency medical technician team” defined. [Effective through December 31, 2013.]
NRS 450B.675. “Roving intermediate emergency medical technician team” defined. [Effective January 1, 2014.]
NRS 450B.680. “Significant number” defined.
NRS 450B.685. “Special event” defined.
NRS 450B.690. Host organization of certain special events held in certain larger counties required to provide certain emergency medical services. [Effective through December 31, 2013.]
NRS 450B.690. Host organization of certain special events held in certain larger counties required to provide certain emergency medical services. [Effective January 1, 2014.]
NRS 450B.695. Host organization of certain special events held in certain larger counties required to provide certain number of dedicated advanced life support ambulances.
NRS 450B.700. Host organization of special event at which 50,000 or more persons are projected to be in attendance required to provide certain emergency medical services.
MISCELLANEOUS PROVISIONS
NRS 450B.790. Hospital required to ensure that certain persons in need of emergency services are transferred to appropriate places in hospital within 30 minutes after arrival; civil and criminal liability.
NRS 450B.795. State Board of Health to collect data concerning waiting times for provision of emergency services to certain persons; hospitals and providers of emergency services in certain counties required to participate in collection of data; development of system of collecting data; advisory committees; quarterly report to Legislative Committee on Health Care; expenses; regulations; written request for repeal of section.
NRS 450B.800. Fingerprints of applicant.
NRS 450B.810. Maintenance, inspection and compilation of information.
NRS 450B.820. Local requirements for franchise or permit are not superseded.
NRS 450B.830. Exemptions from chapter.
NRS 450B.840. Operation of ambulance or fire-fighting agency by county or city subject to provisions of chapter.
NRS 450B.850. Programs for training.
NRS 450B.860. Volunteer ambulance drivers and attendants: Discharge from employment; civil action; disclosure to employer.
NRS 450B.870. Medical review committee entitled to autopsy records concerning death under review; sharing of information concerning subject of review; autopsy records are privileged.
PENALTIES
NRS 450B.900. Penalties for violation.