1. In addition to
those specified by statute and subsection 3 of NAC
631.177, the following acts
constitute unprofessional conduct:
(a) The
falsification of records of health care or medical records.
(b) Writing prescriptions for controlled
substances in such excessive amounts as to constitute a departure from
prevailing standards of acceptable dental practice.
(c) The consistent use of dental procedures,
services or treatments which constitute a departure from prevailing standards
of acceptable dental practice even though the use does not constitute
malpractice or gross malpractice.
(d) The acquisition of any controlled
substances from any pharmacy or other source by misrepresentation, fraud,
deception or subterfuge.
(e) Making
an unreasonable additional charge for laboratory tests, radiology services or
other testing services which are ordered by the dentist and performed outside
his or her own office.
(f) The
failure to report to the Board as required in NAC
631.155 or to sign any affidavit
required by the Board.
(g)
Employing any person in violation of NAC
631.260 or failing to report to
the Board as required by that section.
(h) The failure of a dentist who is
administering or directly supervising the administration of general anesthesia,
deep sedation or moderate sedation to be physically present while a patient is
under general anesthesia, deep sedation or moderate sedation.
(i) Administering moderate sedation to more
than one patient at a time, unless each patient is directly supervised by a
person authorized by the Board to administer moderate sedation.
(j) Administering general anesthesia or deep
sedation to more than one patient at a time.
(k) The failure to have any patient who is
undergoing general anesthesia, deep sedation or moderate sedation monitored
with a pulse oximeter or similar equipment required by the Board.
(l) Allowing a person who is not certified in
basic cardiopulmonary resuscitation to care for any patient who is undergoing
general anesthesia, deep sedation or moderate sedation.
(m) The failure to obtain a patient's
written, informed consent before administering general anesthesia, deep
sedation or moderate sedation to the patient or, if the patient is a minor, the
failure to obtain his or her parent's or guardian's consent unless the dentist
determines that an emergency situation exists in which delaying the procedure
to obtain the consent would likely cause permanent injury to the
patient.
(n) The failure to
maintain a record of all written, informed consents given for the
administration of general anesthesia, deep sedation or moderate
sedation.
(o) The failure to report
to the Board, in writing, the death or emergency hospitalization of any patient
to whom general anesthesia, deep sedation or moderate sedation was
administered. The report must be made within 30 days after the event.
(p) Allowing a person to administer general
anesthesia, deep sedation or moderate sedation to a patient if the person does
not hold a permit to administer such anesthesia or sedation unless the
anesthesia or sedation is administered in a facility for which a permit is held
as required by NRS
449.442.
(q) The failure of a dentist who owns a
dental practice to provide copies of the records of a patient to a dentist or
dental hygienist who provided the services as an employee or independent
contractor of the dentist when the records are the basis of a complaint before
the Board. Nothing in this paragraph relieves the treating dentist or dental
hygienist from the obligation to provide records of the patient to the
Board.
(r) The failure of a dentist
who owns a dental practice to verify the license of a dentist or dental
hygienist before offering employment or contracting for services with the
dentist or dental hygienist as an independent contractor.
(s) The failure of a dentist who owns a
dental practice and participates in the diagnosis and treatment of any patient
to ensure that the services rendered by a dentist or dental hygienist who is an
employee or independent contractor of that dentist meet the prevailing
standards of acceptable dental practice. If a dentist or dental hygienist who
is an employee or independent contractor of the dentist is found by substantial
evidence to have provided services below the prevailing standards of acceptable
dental practice, the dentist who owns the dental practice may be required to
reimburse the patient to whom the services were provided pursuant to paragraph
(l) of subsection 1 of
NRS
631.350.
(t) The failure of a dentist who owns a
dental practice to record the name of the dentist or dental hygienist who
provided the services in the records of a patient each time the services are
rendered.
(u) The failure of a
dentist who is registered to dispense controlled substances with the State
Board of Pharmacy pursuant to chapter 453 of NRS to conduct annually a minimum
of one self-query regarding the issuance of controlled substances through the
Prescription Monitoring Program of the State Board of Pharmacy.
2. For purposes of
NRS
631.347, a plan or practice requiring a
patient to select a dentist from a specific group does not provide the patient
with a reasonable opportunity to select a dentist of his or her own choice, and
constitutes unprofessional conduct on the part of any dentist participating in
such a plan or practice, unless it, or another plan concurrently available to
the patient, allows the patient to:
(a) Have
an annual opportunity, lasting for a minimum of 30 days, to select a dentist of
his or her own choice for all dental work to be performed during the subsequent
12 months. Any new patient added to the plan or practice must immediately be
given an initial opportunity, lasting at least 30 days, to select the coverage
supplied by the plan or practice or a dentist of his or her own
choice.
(b) Receive the allowance
for a procedure performed by a dentist of his or her own choice in
substantially the same amount as he or she would if he or she used the services
of one of the group of dentists specified by the plan or practice.
Bd. of
Dental Exam'rs, § XXVII, eff. 7-21-82-NAC A 10-21-83; 7-30-84; 9-13-85;
9-16-85; 4-3-89; 11-28-90; R005-99, 9-7-2000; R023-06, 9-18-2006; R159-08,
4-23-2009; A by
R020-14, eff. 6/23/2014; A by
R004-17AP,
eff. 5/16/2018