NAC450B.526. Application for endorsement.

The Health Division shall prescribe forms for an operator’s use in applying for an endorsement to operate a service or fire-fighting agency at the level of intermediate or advanced emergency care. The following information must be included in the application:

     1. The name and address of the applicant’s service or fire-fighting agency.

     2. The name and signature of the medical director of the service or fire-fighting agency.

     3. A copy of the written agreement between the service or fire-fighting agency and a hospital, signed by an authorized representative of the hospital, pursuant to which the hospital agrees to:

     (a) Provide 24-hour communication between a physician and a provider of emergency care for the service or fire-fighting agency; and

     (b) Require each physician who provides medical instructions to the provider of emergency care to know:

          (1) The procedures and protocols for treatment established by the medical director of the service or fire-fighting agency;

          (2) The emergency care required for treating an acutely ill or injured patient;

          (3) The ability of the providers of emergency care to provide that care; and

          (4) The policies of any local or regional emergency medical service for providing emergency care and the protocols for referring a patient with trauma, as defined in NAC 450B.798, to the hospital.

     4. A copy of the protocols of the service or fire-fighting agency for each level of emergency care provided by the service or fire-fighting agency that are approved by the medical director of the service or fire-fighting agency and the Health Division.

     5. A list of equipment and supplies, including specific medications and intravenous fluids, proposed for use.

     6. A description of the systems to be used for:

     (a) Keeping records; and

     (b) An audit of the performance of the service or fire-fighting agency by the medical director.

     7. A copy of the requirements of the service or fire-fighting agency for testing each level of licensure, including the requirements for knowledge of the protocols of the service or fire-fighting agency for verification of the skills of each attendant for the specified level of licensure, if those requirements are different from the requirements of the Health Division for testing the attendant.

     (Added to NAC by Bd. of Health, eff. 10-14-82; A 8-22-86; 11-12-87; 8-1-91; R045-97, 10-30-97; R182-01, 3-5-2002; R139-07, 1-30-2008)