Section 449.9925 - Blood and derivatives of blood: Procurement, storage, transfusion and administration; policies and procedures; reporting of adverse reaction1. If the ambulatory surgical center provides its own service for blood transfusions through its medical laboratory as defined in NRS 652.060: (a) Any arrangement for the procurement, safekeeping or transfusion of blood or derivatives of blood must be under the supervision of a pathologist;(b) Any reaction to a transfusion of blood must be investigated;(c) The storage equipment for blood and derivatives of blood must be protected by an alarm system which must be tested each month and the temperature continuously monitored to verify its operation;(d) Samples of the blood of any patient receiving a transfusion and of each unit of blood used in the center must be retained in accordance with the written policy of the laboratory for at least 7 days for further testing in the event of a reaction to the transfusion; and(e) Blood and derivatives of blood that have exceeded their expiration date must not be used and must be disposed of as biohazardous waste.2. If the ambulatory surgical center depends on an outside source for blood, there must be in force a written agreement governing the procurement of blood and derivatives of blood that is reviewed annually by the governing body and the staff pathologist or the pathologist used as a consultant by the center.3. Blood and derivatives of blood used in the ambulatory surgical center must be administered only by a physician or a registered nurse.4. The ambulatory surgical center shall establish policies and procedures for the administration of blood and derivatives of blood that are in accordance with the program for the prevention and control of infections and communicable diseases adopted pursuant to NAC 449.98452.5. Any suspected adverse reaction to a blood transfusion must immediately be reported by members of the nursing staff to the physician attending the patient and to the service that furnished the blood. The nursing staff shall document the reaction in the medical history of the patient.Nev. Admin. Code § 449.9925
Added to NAC by Bd. of Health, eff. 12-15-88; A by R049-99, 9-27-99; R096-08, 8-26-2008, eff. 10-25-2008