Nevada Administrative Code
Chapter 449 - Medical and Other Related Facilities
FACILITIES FOR TREATMENT OF IRREVERSIBLE RENAL DISEASE
Construction; Health and Safety
Section 449.5265 - Reuse of hemodialyzer; transport of used dialyzer
Universal Citation: NV Admin Code 449.5265
Current through September 16, 2024
1. If a facility reuses any hemodialyzer in providing treatment to a patient of the facility, the facility shall:
(a) Ensure
that the reuse of the hemodialyzer is conducted in accordance with the
provisions of the American National Standard, Water
Treatment Equipment for Hemodialysis Applications, adopted by
reference pursuant to the provisions of NAC 449.520.
(b) Ensure that each transducer protector
used during the treatment is:
(1) Replaced,
if it becomes wet during the treatment; and
(2) Used only for one treatment.
(c) Ensure that, in any area of
the facility in which the reuse occurs, the supply of water in that area
incorporates a mechanism to prevent any chemical agents from flowing into the
water distribution system of the facility.
(d) Ensure that any ventilation system
installed in an area specified in paragraph (c):
(1) Is connected to an exhaust system that:
(I) Leads to the outside of the building in
which the room is located; and
(II)
Is separate from the exhaust system of the building;
(2) Has an exhaust fan that is located at the
discharge end of the ventilation system;
(3) Has a system of exhaust ducts that is
constructed of material that is noncombustible and resistant to corrosion;
and
(4) Has an exhaust outlet that
is located above the level of the roof of the building to which the exhaust
outlet is attached, and if more than one exhaust outlet is installed, the
facility shall ensure that each of those outlets is arranged in such a manner
as to minimize any recirculation of exhaust air into the building.
(e) Adopt and comply with a policy
that sets forth the criteria for reuse, including the number of reuses allowed
by the facility.
(f) Ensure that
access to an area of the facility specified in paragraph (c) is restricted to
persons who are authorized by the facility to enter that area.
(g) Before providing treatment to the
patient:
(1) Consider and address the health
and safety of the patient if he or she is sensitive to disinfectant solution
residuals;
(2) Provide to the
patient information regarding the policy of reuse for the facility and the
opportunity to submit and receive a response to questions concerning the reuse;
and
(3) Obtain written consent for
the reuse from the patient or legal representative of the patient.
2. A facility shall not transport any dialyzer that has been used in the treatment of a patient of the facility or allow a person to transport that dialyzer for reprocessing to a location that is off the premises of the facility unless the facility:
(a) Requires the use of automated equipment
at that location to reprocess the dialyzer;
(b) Remains responsible for the entire
process of reuse;
(c) Adopts and
complies with a policy which ensures that the transfer and transportation of
any used or reprocessed dialyzer to and from the location does not increase the
contamination of the dialyzer, the environment or any member of the staff of
the facility; and
(d) Allows an
employee of the Bureau to enter the off-site reprocessing site as part of any
inspection of the facility conducted by the Bureau.
Added to NAC by Bd. of Health by R130-99, eff. 8-1-2001; A by R075-04, 8-5-2004
NRS 449.0302
Disclaimer: These regulations may not be the most recent version. Nevada may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
