Nevada Administrative Code
Chapter 449 - Medical and Other Related Facilities
FACILITIES FOR TREATMENT OF IRREVERSIBLE RENAL DISEASE
Construction; Health and Safety
Section 449.5235 - Maintenance and repair of equipment

1. Any equipment that is used by a facility, including any equipment used for backup, must be maintained free from any defect that may be hazardous to the patients or members of the staff of the facility or any visitors to the facility. Any maintenance or repair of the equipment must be performed by a member of the staff of the facility who is qualified to conduct the maintenance or repair or by contract personnel.

2. Each facility shall ensure that each person employed on the staff of the facility is able to identify any equipment that malfunctions and report the malfunction to the appropriate person for repair.

3. If any medical equipment of a facility malfunctions, the equipment:

4. Each facility shall maintain written evidence of any activity concerning repair or maintenance that occurs at the facility.

5. If any repair or alteration is made to any equipment or system of a facility, the facility must test the equipment or system to ensure proper operation of the equipment or system before the equipment or system is returned to service at the facility.

6. Each facility shall comply with the provisions of 21 U.S.C. § 360 i(b) concerning the reporting of a device, as defined in 21 U.S.C. § 321(h), that has or may have caused or contributed to the injury or death of a patient of the facility.

7. Each facility shall develop and comply with a written policy concerning preventative maintenance to ensure that all equipment which is used by the facility to treat a patient or which is provided by the facility for use by the patient in the patient's residence receives electrical safety inspections, if appropriate, and maintenance at least annually or more often if recommended by the manufacturer of the equipment. Any maintenance conducted pursuant to the provisions of this subsection may be provided by a qualified member of the staff of the facility or by contract personnel.

8. Each facility shall ensure that at least one complete dialysis machine is available for use at the facility as a backup machine for every 14 dialysis machines used by the facility.

9. If a facility provides treatment for a pediatric patient, the facility shall use equipment and supplies, including, without limitation, blood pressure cuffs, dialyzers and blood tubing, that are appropriate for treating that patient.

10. Any appliance or other electrical equipment of a facility must be grounded in accordance with the provisions of section 7-5.1 of NFPA 99: Standard for Health Care Facilities, 1999 edition, which is hereby adopted by reference. A copy of those provisions may be obtained from the National Fire Protection Association, 11 Tracy Drive, Avon, Massachusetts 02322, for the price of $40.25.

11. A facility shall not use any electrical extension cord or cable in any portion of the permanent electrical wiring of the facility.

12. Each facility shall maintain emergency equipment and supplies that are immediately accessible in any area of the facility which is used to treat the patients of the facility. Such equipment and supplies include:

13. Each facility shall establish and comply with a written policy for periodically testing and maintaining all emergency equipment used by the facility. The members of the staff of the facility shall properly maintain the equipment and maintain a written record of the testing and maintenance of that equipment.

14. If a facility uses a central delivery system for bicarbonate dialysate, the system must be:

15. As used in this section, "pediatric patient" means a person who is not more than 14 years of age and is under the care of a facility.