NAC442.405. Level II specialty care facilities and level III subspecialty care facilities: Additional requirements.

In addition to the requirements set forth in NAC 442.390 and 442.401, level II specialty care facilities and level III subspecialty care facilities must meet the following requirements:

     1. The following support personnel must be available in level II specialty care facilities and level III subspecialty care facilities:

     (a) At least one full-time social worker, licensed pursuant to chapter 641B of NRS, for every 30 beds in the facility. The social worker must have experience with the socioeconomic and psychosocial problems of high-risk women and fetuses, as defined in the Guidelines for Perinatal Care adopted by reference pursuant to NAC 442.370, ill neonates and the families of ill neonates.

     (b) At least one occupational therapist or physical therapist with experience in the care of neonates.

     (c) At least one licensed dietitian who has special training in perinatal nutrition and can plan diets that meet the special needs of high-risk women and neonates.

     (d) Personnel in the pharmacy, including, but not limited to, pharmacists and technicians, who will work to review continually their systems and process of administering medication to ensure that policies relating to the care of patients are maintained.

     2. Level II specialty care facilities and level III subspecialty care facilities must have a policy for the use of interpreters to address the needs of patients and their families who do not speak English or are hearing impaired.

     3. Level II specialty care facilities and level III subspecialty care facilities must:

     (a) Demonstrate through quality assurance activities the ability of the facility to report and track data on morbidity and mortality; and

     (b) Establish a policy for obstetricians, perinatologists, neonatologists and pediatricians to confer with other physicians, including physicians not located in the facility, to report trends and outcomes related to data on morbidity and mortality and other issues related to perinatology.

     (Added to NAC by Bd. of Health by R064-04, eff. 8-4-2004; A by R090-12, 12-20-2012)