NAC630.700. Application for license.

     1. An application for licensure as a perfusionist must be made on a form provided by the Board. The application must set forth:

     (a) The date and place of birth of the applicant;

     (b) The gender of the applicant;

     (c) The education of the applicant, including, without limitation, each high school and postsecondary institution attended by the applicant, the dates of attendance and whether the applicant is a graduate of those schools and institutions;

     (d) If the applicant has ever applied for a license or certificate to practice perfusion in another state or jurisdiction, the date and disposition of the application;

     (e) The training and experience of the applicant in the practice of perfusion;

     (f) If the applicant has ever been investigated for misconduct in the practice of perfusion, had a license or certificate to practice perfusion revoked, modified, limited or suspended or had any disciplinary action or proceeding instituted against the applicant by a licensing body in another state or jurisdiction, the dates, circumstances and disposition of each such occurrence;

     (g) If the applicant has ever been convicted of a felony or any offense involving moral turpitude, the dates, circumstances and disposition of each such occurrence;

     (h) If the applicant has ever been investigated for, charged with or convicted of the use or illegal sale or dispensing of a controlled substance, the dates, circumstances and disposition of each such occurrence; and

     (i) Each place of residence of the applicant after the date of graduation of the applicant from high school or the receipt by the applicant of a high school general equivalency diploma, whichever occurred most recently.

     2. An applicant must submit to the Board:

     (a) Proof that the applicant is a citizen of the United States or that the applicant is lawfully entitled to remain and work in the United States.

     (b) Proof of completion of a perfusion education program that satisfies the requirements of NRS 630.2691. For the purpose of that section, the following perfusion education programs shall be deemed approved by the Board:

          (1) Any perfusion education program completed by the applicant on or before June 1, 1994, which was approved by the Committee on Allied Health Education and Accreditation of the American Medical Association;

          (2) Any perfusion education program completed by the applicant after June 1, 1994, which was accredited by the Accreditation Committee-Perfusion Education and approved by the Commission on Accreditation of Allied Health Education Programs of the American Medical Association, or its successor; or

          (3) Any other perfusion education program completed by the applicant, the educational standards of which the Board determines are at least as stringent as those established by the Accreditation Committee-Perfusion Education and approved by the Commission on Accreditation of Allied Health Education Programs of the American Medical Association, or its successor.

     (c) Except as otherwise provided in NRS 630.2693, proof of passage of the certification examination given by the American Board of Cardiovascular Perfusion or its successor, as required by NRS 630.2692.

     (d) Such further evidence and other documents or proof of qualifications as are required by the Board.

     3. Each application must be signed by the applicant and sworn to before a notary public or other officer authorized to administer oaths.

     4. The application must be accompanied by the applicable fee.

     5. An applicant shall pay the reasonable costs of any examination required for licensure.

(Added to NAC by Bd. of Medical Exam’rs by R079-10, eff. 12-16-2010; A by R093-12, 2-20-2013; R036-13, 2-26-2014)