NAC442.430. Level III subspecialty care facilities: Requirements for designation.

A hospital seeking designation as a level III subspecialty care facility must:

     1. Demonstrate its capability to provide all required services and equipment, which include:

     (a) The following services and equipment for the transportation of a neonate:

          (1) A portable incubator;

          (2) Resuscitation equipment;

          (3) Oxygen, a means of application and a means to monitor levels of saturation;

          (4) Portable cardiac and temperature monitoring equipment;

          (5) A ventilator; and

          (6) Continuous intravenous infusion equipment.

     (b) Participation in services for each neonate while he or she remains in the hospital and after release from the hospital, coordinating those services and cooperating with the Division in providing the data concerning those services, including referring all neonates with birth defects, as defined in NRS 442.310, to the Bureau of Early Intervention Services of the Division for review of program eligibility.

     (c) A program for perinatal education, offered for all physicians, nurses, respiratory therapists, nurses specializing in community health, advanced practice registered nurses, physician assistants, specialists in the development of children, nutritionists and social workers within the area the hospital serves.

     (d) The following diagnostic imaging procedures and associated consultation services 24 hours per day:

          (1) X-ray;

          (2) Ultra-sound;

          (3) Fluoroscopy X-ray;

          (4) Computerized axial tomography;

          (5) Nuclear medicine; and

          (6) Echo cardiography.

     (e) Pharmaceutical services including parenteral nutritional solutions 7 days per week.

     (f) Laboratory and associated consultation services 24 hours per day.

     2. Provide medical personnel, equipment and services required for a neonate in need of intensive care, and a system for consultation between medical personnel and for the use of equipment and services.

     3. Adopt a written policy which contains:

     (a) The description of the system for neonatal intensive care;

     (b) The description of the system for transportation and referral for intensive care;

     (c) The plan to provide continuing education of personnel providing neonatal services within those hospitals which make referrals to the level III subspecialty care facility; and

     (d) A method for evaluating the plan required by paragraph (c).

     4. Demonstrate its intent to provide services to any neonate requiring intensive care regardless of race, religion, color, national origin or ability to pay.

     5. Demonstrate its capability to conduct continuing analysis of each neonate, as appropriate, and coordinate that care by periodic conferences on mortality and morbidity.

     6. Accept maternal transfers if indicated for care of a high-risk pregnancy regardless of the ability of the patient to pay for hospital services.

     (Added to NAC by Bd. of Health, 7-16-85, eff. 8-1-85; A 9-1-89; 9-16-92; R064-04, 8-4-2004)