Nevada Administrative Code
Chapter 630 - Physicians, Physician Assistants, Medical Assistants, Perfusionists and Practitioners of Respiratory Care
STANDARDS OF PRACTICE
Section 630.230 - Prohibited professional conduct
Universal Citation: NV Admin Code 630.230
Current through February 27, 2024
1. A person who is licensed as a physician or physician assistant shall not:
(a) Falsify records of health care;
(b) Falsify the medical records of a hospital
so as to indicate his or her presence at a time when he or she was not in
attendance or falsify those records to indicate that procedures were performed
by him or her which were in fact not performed by him or her;
(c) Render professional services to a patient
while the physician or physician assistant is under the influence of alcohol or
any controlled substance or is in any impaired mental or physical
condition;
(d) Acquire any
controlled substances from any pharmacy or other source by misrepresentation,
fraud, deception or subterfuge;
(e)
Prescribe anabolic steroids for any person to increase muscle mass for
competitive or athletic purposes;
(f) Make an unreasonable additional charge
for tests in a laboratory, radiological services or other services for testing
which are ordered by the physician or physician assistant and performed outside
his or her own office;
(g) Allow
any person to act as a medical assistant in the treatment of a patient of the
physician or physician assistant, unless the medical assistant has sufficient
training to provide the assistance;
(h) Fail to provide adequate supervision of a
medical assistant who is employed or supervised by the physician or physician
assistant, including, without limitation, supervision provided in the manner
described in NAC
630.810 or
630.820;
(i) If the person is a physician, fail to
provide adequate supervision of a physician assistant or adequate collaboration
with an advanced practice registered nurse with whom the physician is
collaborating;
(j) Fail to honor
the advance directive of a patient without informing the patient or the
surrogate or guardian of the patient, and without documenting in the patient's
records the reasons for failing to honor the advance directive of the patient
contained therein;
(k) Engage in
the practice of writing prescriptions for controlled substances to treat acute
pain or chronic pain in a manner that deviates from the policies set forth in
the Guidelines for the Chronic Use of Opioid Analgesics adopted by reference in
NAC 630.187; or
(l) Administer or use, or allow any person
under his or her supervision, direction or control to administer or use, a
single-use medical device:
(1) For more than
one procedure;
(2) For more than
one patient; or
(3) In a manner
inconsistent with the manufacturer's instructions or directions included on or
with the single-use medical device.
2. A physician or physician assistant shall comply with all applicable provisions of chapters 440 and 629 of NRS and any regulation adopted pursuant thereto.
3. As used in this section:
(a) "Chronic pain" has the meaning ascribed
to it in section 3 of the Guidelines for the Chronic Use of Opioid Analgesics
adopted by reference in NAC
630.187.
(b) "Single-dose vial" means a vial,
including, without limitation, a sealed sterile vial, which may be accessed by
insertion of a needle and which, according to the manufacturer's instructions:
(1) Contains only one dose of a medication;
and
(2) May be used for only one
patient.
(c) "Single-use
medical device" means a medical device that is intended for one use or on a
single patient during a single procedure and includes, without limitation, a
blade, clip, catheter, implant, insufflator, lancet, needle, sleeve, syringe
and single-dose vial.
Bd. of Medical Exam'rs, § 630.230, eff. 12-20-79-NAC A 6-23-86; 9-19-90; 1-13-94; 7-18-96; R007-99, 9-27-99; R089-00, 7-19-2000; R108-01, 11-29-2001; R052-10, 10-15-2010; R059-11, 5-30-2012; R094-12, 2-20-2013; A by R001-14, eff. 6/26/2015; A by R057-14, eff. 6/26/2015; A by R008-17A, eff. 8/21/2019; A by R002-23A, eff. 11/9/2023
NRS 630.130, 630.275
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