NAC449.3978. Attendants: Prohibition on provision of certain types of services to clients.

     1. The administrator of an agency shall ensure that each attendant working for the agency is working within the attendant’s scope of service and conducts himself or herself in a professional manner. An attendant is prohibited from providing any of the services listed in subsection 2 to a client.

     2. The services an attendant must not provide to a client include, without limitation:

     (a) Insertion or irrigation of a catheter;

     (b) Irrigation of any body cavity, including, without limitation, irrigation of the ear, insertion of an enema or a vaginal douche;

     (c) Application of a dressing involving prescription medication or aseptic techniques, including, without limitation, the treatment of moderate or severe conditions of the skin;

     (d) Administration of injections of fluids into veins, muscles or the skin;

     (e) Administration of medication, including, without limitation, the insertion of rectal suppositories, the application of a prescribed topical lotion for the skin and the administration of drops in the eyes;

     (f) Performing physical assessments;

     (g) Monitoring vital signs;

     (h) Using specialized feeding techniques;

     (i) Performing a digital rectal examination;

     (j) Trimming or cutting toenails;

     (k) Massage;

     (l) Providing specialized services to increase the range of motion of a client;

     (m) Providing medical case management, including, without limitation, accompanying a client to the office of a physician to provide medical information to the physician concerning the client or to receive medical information from the physician concerning the client; and

     (n) Any task identified in chapter 632 of NRS and the regulations adopted by the State Board of Nursing as requiring skilled nursing care, including, without limitation, any services that are within the scope and practice of a certified nursing assistant.

     (Added to NAC by Bd. of Health by R182-07, eff. 1-30-2008)