Section 450B.447 - Additional authorized activities; verbal orders1. An emergency medical technician, advanced emergency medical technician or paramedic who is licensed may, in addition to his or her other authorized activities:(a) During training received in a clinical facility setting, in an ambulance or on the scene of an emergency, perform skills within the scope of an advanced emergency medical technician or paramedic under the direction of a physician or a registered nurse supervised by a physician, preceptor or member of the clinical staff when approved by a physician or a registered nurse supervised by a physician.(b) Under the direct supervision of a physician or a registered nurse supervised by a physician, or under such prescribed conditions as are set forth by the medical director pursuant to written protocols of the service, perform such procedures and administer such medications as are approved by the board and recommended by the medical director of the service in accordance with written protocols approved by the medical director of the service and on file with the Division.2. Any verbal order from a physician or registered nurse acting on the authority of a physician to the emergency medical technician, advanced emergency medical technician or paramedic to perform one of the procedures must originate from an emergency room department of a hospital or any other site designated by the Division and must be provided to the Department of Transportation for the purpose of recording and maintaining the verbal order within a database maintained by the Department.3. Each tape or digital recording of a physician's verbal orders to an emergency medical technician, advanced emergency medical technician or paramedic concerning the procedures must be retained by the hospital or the facility issuing the medical directions, or the regional dispatch center, for at least 90 days after the recording is made.4. The emergency medical technician, advanced emergency medical technician or paramedic shall enter the physician's verbal order on the report of emergency care. The entry must be countersigned by the physician receiving the patient unless the emergency medical technician, advanced emergency medical technician or paramedic performed the procedure pursuant to a written order of the physician or a written protocol of the hospital.Nev. Admin. Code § 450B.447
Added to NAC by Bd. of Health, eff. 11-12-87; A 8-1-91; R182-01, 3-5-2002; A by R024-14, eff. 10/24/2014; A by R068-16A, eff. 1/27/2017NRS 450B.120, 450B.1915 and 450B.197