Nev. Admin. Code § 449.Sec. 12.2

Current through October 11, 2024

Section 449.Sec. 12.2 - NEW

1. A person employed to engage in the practice of surgical technology in an ambulatory surgical center pursuant to subsection 3 of NRS 449.24185 must have passed a written competency evaluation demonstrating that he or she is competent to practice surgical technology and have:

(a) Not less than 1 year of experience within the immediately preceding 3 years practicing surgical technology in a hospital or surgical center for ambulatory patients that is licensed in a state of the United States, the District of Columbia, the Commonwealth of Puerto Rico or a territory or insular possession subject to the jurisdiction of the United States; or

(b) Completed evidence-based training concerning:

(1) Proper surgical attire;

(2) Identification of patients;

(3) Proper positioning of a patient on an operating table;

(4) Consent of a patient to surgery;

(5) Time-out before surgery;

(6) The proper use of instruments and equipment, including, without limitation, identifying dangers associated with equipment;

(7) Asepsis and sterile technique, including, without limitation, identifying a break in the sterile field;

(8) Washing hands before surgery;

(9) Counting surgical instruments, surgical sponges and any other items used during surgery that may be left in the body of a patient;

(10) Preparing medications in the sterile field;

(11) The use of gowns and gloves;

(12) Draping of the patient;

(13) Proper care for specimens;

(14) Procedures for disinfecting and sterilizing equipment and supplies;

(15) Procedures for determining whether equipment and supplies have been properly sterilized and measures to be taken if a break in the sterile field is identified;

(16) Storage of sterile equipment and supplies; and

(17) Environmental cleaning and disinfecting the operating room.

2. An ambulatory surgical center shall be deemed to have conducted a thorough and diligent search for the purposes of subsection 3 of NRS 449.24185 if the ambulatory surgical center advertises for a surgical technologist who meets the requirements of subsection 1 or 2 of NRS 449.24185 for not less than 30 days:

(a) In a newspaper of general circulation within 50 miles of the ambulatory surgical center; or

(b) On an Internet website on which jobs in health care are regularly posted.

3. The administrator of an ambulatory surgical center that employs a person to engage in the practice of surgical technology in the ambulatory surgical center pursuant to subsection 3 of NRS 449.24185 shall maintain in the personnel file of the person documentation demonstrating:

(a) Compliance with subsection 1 of this section;

(b) Evidence of the advertising conducted pursuant to subsection 2 of this section; and

(c) The reasons the ambulatory surgical center was unable to employ a sufficient number of surgical technologists who meet the requirements prescribed by subsection 1 or 2 of NRS 449.24185.

4. As used in this section, "time-out" means pausing immediately before surgery to confirm the identity of the patient, the surgical procedure that will be performed and the site of the surgery.

Nev. Admin. Code § 449.Sec. 12.2

Added to NAC by Bd. of Health by R048-22A, eff. 12/29/2022

NRS 439.200, 449.0302, 449.24185