Current through September 16, 2024
1. Except as otherwise provided in subsection
5, a provider of health care may authorize a member of the direct support staff
of a provider of supported living arrangement services who does not hold a
professional license or certificate as a provider of health care to perform
specific skilled care services for a person who is receiving supported living
arrangement services if:
(a) The skilled care
services to be performed are usual and customary services that a person without
an intellectual or developmental disability would personally perform without
the assistance of a provider of health care;
(b) The provider of health care determines
that:
(1) The member of the direct support
staff has the knowledge, skill and ability to competently perform the skilled
care services;
(2) The skilled care
services are simple and the performance of the skilled care services by the
member of the direct support staff does not increase the risk of harm to the
person receiving the skilled care services; and
(3) The condition of the person receiving the
skilled care services is stable and predictable;
(c) The member of the direct support staff
agrees to comply with subsection 2; and
(d) A professional license or certificate is
not required by law to perform the skilled care services.
2. A member of the direct support staff of a
provider of supported living arrangement services who is providing the skilled
care services pursuant to subsection 1 to a person who is receiving supported
living arrangement services shall refer the person to a provider of health care
if:
(a) The medical condition of the person
changes or the person develops a new medical condition;
(b) The skilled care services provided to the
person do not accomplish the expected objectives of the skilled care
services;
(c) An emergency
situation develops; or
(d) Any
other occurrence designated by the provider of health care who authorized the
services as requiring such referral occurs.
3. A provider of health care who authorizes a
member of the direct support staff of a provider of supported living
arrangement services to perform skilled care services in accordance with this
section shall include in the medical records of the person to whom services are
provided:
(a) The specific skilled care
services that the provider of health care has authorized the member of the
direct support staff to perform; and
(b) Notations evidencing compliance with the
requirements of this section.
4. After a provider of health care authorizes
a member of the direct support staff of a provider of supported living
arrangement services to perform skilled care services in accordance with this
section, no further authorization or supervision by the provider of health care
is required for the member of the direct support staff to continue providing
those skilled care services.
5. A
member of the direct support staff of a provider of supported living
arrangement services who performs skilled care services in accordance with this
section shall not:
(a) Perform any skilled
care services for a person who resides in a medical facility; or
(b) Perform any skilled care services that
have not been specifically authorized by a provider of health care pursuant to
this section.
6. As used
in this section:
(a) "Provider of health care"
means:
(1) A physician licensed pursuant to
chapter 630, 630A or 633 of NRS;
(2) An advanced practice registered nurse
certified pursuant to chapter 632 of NRS; or
(3) A physician assistant licensed pursuant
to chapter 630 or 633 of NRS.
(b) "Skilled care services" include, without
limitation, administering medication, wound care, gastronomy, jejunostomy tube
feeding, ostomy care, catheter care and other similar services.
Added
to NAC by Div. of Men. Health & Dev. Services by
R026-24A,
eff. 8/13/2024
NRS
435.333
