General Provisions

NAC 449.501. Definitions.

NAC 449.502. “Advanced practice registered nurse” defined.

NAC 449.504. “Charge nurse” defined.

NAC 449.5045. “Competency” defined.

NAC 449.505. “Dialysis” defined.

NAC 449.5053. “Dialysis technician” defined.

NAC 449.5055. “Direct supervision” defined.

NAC 449.5065. “End-stage renal disease” defined.

NAC 449.507. “Facility” defined.

NAC 449.508. “Hemodialysis” defined.

NAC 449.510. “Immediate supervision” defined.

NAC 449.511. “Intermediate level disinfection” defined.

NAC 449.513. “Licensed practical nurse” defined.

NAC 449.516. “Product water” defined.

NAC 449.517. “Supervision” defined.

NAC 449.519. “Training” defined.

Construction; Health and Safety

NAC 449.520. New construction or remodeling: Notification; increase in number of stations for which facility is licensed.

NAC 449.5205. New construction or remodeling: Submission of plans and specifications; minor changes; inspection.

NAC 449.522. Construction, space and design; physical environment; restrictions for treatment of patients with hepatitis B.

NAC 449.5225. Safety and comfort of patients during construction; imposition of more stringent design and space requirements.

NAC 449.523. Safety requirements.

NAC 449.5235. Maintenance and repair of equipment.

NAC 449.525. Water treatment system: General requirements.

NAC 449.5255. Water treatment system: Chemical testing of product water; records.

NAC 449.526. Water treatment system: Microbiological testing of product water.

NAC 449.5265. Reuse of hemodialyzer; transport of used dialyzer.

NAC 449.528. Adoption of more stringent requirements for treatment of water and reuse of hemodialyzers.

NAC 449.5285. Sanitation: Precautions regarding blood and bodily fluids.

NAC 449.529. Sanitation: Control of infections; nonsmoking policy.

NAC 449.5295. Sanitation: Provision of sanitary environment; walls, floors and ceilings; blood spills.

NAC 449.531. Sanitation: Disinfection of dialysis machines; culturing dialysate; cleaning of machines and equipment; handling of waste.

NAC 449.5315. Hepatitis B: Vaccinations for certain staff members; postvaccination screening; adoption of related provisions.

NAC 449.532. Hepatitis B: Vaccinations for certain patients.

NAC 449.5325. Hepatitis B surface antigen: Screening of patients; additional serologic screening.

NAC 449.534. Hepatitis B surface antigen: Treatment of patients who test positive.

NAC 449.5345. Tuberculosis: Screening of staff and patients.

Provision of Services

NAC 449.540. Program of quality assurance; recordation of accidents and incidents; reporting of certain events.

NAC 449.5405. Rights of patients.

NAC 449.541. Interdisciplinary teams; plans for care of patients.

NAC 449.5415. Preparations for emergencies and disasters.

NAC 449.543. Pharmaceutical services.

NAC 449.5435. Nursing services; physicians and other staff.

NAC 449.544. Nutrition services.

NAC 449.5445. Social services.

NAC 449.546. Patient care: Advanced practice registered nurses and physician assistants; medical emergencies.

NAC 449.5465. Patient care: Licensed practical nurses and dialysis technicians.

NAC 449.547. Self-dialysis: Provision of training and certain services.

NAC 449.5475. Continuous ambulatory peritoneal dialysis.

NAC 449.549. Continuous cycling peritoneal dialysis.

NAC 449.5495. Patient services by contract; laboratory.

Administration and Personnel

NAC 449.550. Governing body.

NAC 449.5505. Medical director.

NAC 449.552. Physicians.

NAC 449.5525. Orientation program for new employees; continuing education.

NAC 449.553. Medical staff: Generally.

NAC 449.5535. Nurses.

NAC 449.555. Dietitians.

NAC 449.5555. Social workers.

NAC 449.556. Staff responsible for operating water treatment system.

NAC 449.5565. Staff that repairs or maintains equipment used to provide care to patients.

Clinical Records

NAC 449.558. Preparation and maintenance.

NAC 449.5585. Additional requirements.

NAC 449.559. Medical history and physical examination.

NAC 449.5595. Transient patients.

NAC 449.561. Discharge or transfer of patients; removal of records.

NAC 449.5615. Cessation of operation of facility.

Dialysis Technicians

NAC 449.570. General qualifications; identification to be worn during training; provision of care; requirements to act as preceptor.

NAC 449.5705. Qualification of technician determined to be qualified before July 1, 2001.

NAC 449.571. Program of training: Curriculum; duties of instructor; written examinations.

NAC 449.5715. Program of training: Qualifications of instructors.

NAC 449.573. Program of training: Certain persons authorized to provide instruction and serve as preceptor.

NAC 449.5735. Program of training: Required hours.

NAC 449.574. Committee to review program of training.

NAC 449.5745. Written list concerning knowledge and skills.

NAC 449.576. Peritoneal dialysis: Additional activities required.

NAC 449.5765. Cannulation or administration of normal saline or heparin: Additional activities required.

NAC 449.577. Cannulation or administration of normal saline, heparin or lidocaine: Verification and documentation of competency required.

NAC 449.5775. Documentation of successful completion of program of training; employment by another facility.

NAC 449.579. Patient care: Technicians must demonstrate certain knowledge and competency.

NAC 449.5795. Prohibited acts.