Nevada Revised Statutes
Chapter 450B - Emergency Medical Services
NRS 450B.130 - Establishment of minimum standards and additional requirements.


1. The board shall adopt regulations establishing reasonable minimum standards for:
(a) Sanitation in ambulances and air ambulances;
(b) Medical and nonmedical equipment and supplies to be carried in ambulances and medical equipment and supplies to be carried in air ambulances and vehicles of a fire-fighting agency;
(c) Interior configuration, design and dimensions of ambulances placed in service after July 1, 1979;
(d) Permits for operation of ambulances, air ambulances and vehicles of a fire-fighting agency;
(e) Records to be maintained by an operator of an ambulance or air ambulance or by a fire-fighting agency; and
(f) Treatment of patients who are critically ill or in urgent need of treatment.
2. Any regulations adopted by the board pursuant to subsection 1 establishing reasonable minimum standards for a permit for the operation of an air ambulance or records to be maintained by an operator of an air ambulance must:
(a) Except as otherwise provided in paragraph (b), be based on the medical aspects of the operation of an air ambulance, including, without limitation, aspects related to patient care; and
(b) Not be based on economic factors, including, without limitation, factors related to the prices, routes or nonmedical services of an air ambulance.
3. The health officers of this state shall jointly adopt regulations to establish the minimum standards for the certification or licensure of persons who provide emergency medical care. Upon adoption of the regulations, each health authority shall adopt the regulations for its jurisdiction. After each health authority adopts the regulations, the standards established constitute the minimum standards for certification or licensure of persons who provide emergency medical care in this state. Any changes to the minimum standards must be adopted jointly by the health officers and by each health authority in the manner set forth in this subsection. Any changes in the minimum standards which are not adopted in the manner set forth in this subsection are void.
4. A health officer may adopt regulations that impose additional requirements for the certification or licensure of persons who provide emergency medical care in the jurisdiction of the health officer, but the health officer must accept the certification or licensure of a person who provides emergency medical care from the jurisdiction of another health officer as proof that the person who provides emergency medical care has met the minimum requirements for certification or licensure.
5. As used in this section, "person who provides emergency medical care" means an emergency medical technician, advanced emergency medical technician, paramedic, attendant of an ambulance or air ambulance or firefighter employed by or serving with a fire-fighting agency.
(Added to NRS by 1973, 1142; A 1979, 69; 1981, 1553; 1985, 1693; 1993, 2829; 2013, 617, 938)

Structure Nevada Revised Statutes

Nevada Revised Statutes

Chapter 450B - Emergency Medical Services

NRS 450B.015 - Legislative declaration.

NRS 450B.020 - Definitions.

NRS 450B.025 - "Advanced emergency medical technician" defined.

NRS 450B.030 - "Air ambulance" defined.

NRS 450B.040 - "Ambulance" defined.

NRS 450B.050 - "Attendant" defined.

NRS 450B.0505 - "Automated external defibrillator" and "defibrillator" defined.

NRS 450B.060 - "Board" defined.

NRS 450B.0605 - "Certificate" defined.

NRS 450B.061 - "Committee" defined.

NRS 450B.0615 - "Community paramedicine services" defined.

NRS 450B.062 - "Designated officer" defined.

NRS 450B.0625 - "Division" defined.

NRS 450B.063 - "Emergency medical dispatcher" defined.

NRS 450B.064 - "Emergency medical services registered nurse" defined.

NRS 450B.065 - "Emergency medical technician" defined.

NRS 450B.0703 - "Emergency response employee" defined.

NRS 450B.0707 - "Exposed" and "exposure" defined.

NRS 450B.071 - "Firefighter" defined.

NRS 450B.072 - "Fire-fighting agency" defined.

NRS 450B.077 - "Health authority" defined.

NRS 450B.082 - "Health officer" defined.

NRS 450B.083 - "Infectious disease" defined.

NRS 450B.090 - "License" defined.

NRS 450B.095 - "Paramedic" defined.

NRS 450B.100 - "Permit" defined.

NRS 450B.105 - "Trauma" defined.

NRS 450B.110 - "Volunteer attendant" defined.

NRS 450B.120 - Regulations, standards and procedures of board.

NRS 450B.130 - Establishment of minimum standards and additional requirements.

NRS 450B.140 - Sources for standards and regulations; standards may differ for different categories.

NRS 450B.150 - Administration and enforcement; inspections.

NRS 450B.1505 - Certain money received by Division to be used for training program for certain emergency medical services personnel.

NRS 450B.151 - Creation; membership; terms of members; alternate members; vacancies.

NRS 450B.152 - Chair; meetings; rules for management; compensation of members.

NRS 450B.153 - Duties.

NRS 450B.154 - Administrative support.

NRS 450B.155 - Training and certification.

NRS 450B.160 - Licensing of attendants and firefighters; regulations; certification of physicians, nurses and physician assistants serving as attendants.

NRS 450B.165 - Applicant for issuance or renewal of license or certificate to attest to knowledge of and compliance with certain guidelines concerning safe and appropriate injection practices.

NRS 450B.169 - Petition to determine if criminal history will disqualify person from obtaining license or certificate; fee; posting of requirements for license or certificate and list of disqualifying crimes on Internet; reports.

NRS 450B.171 - Relative of patient or other person may ride with attendants.

NRS 450B.180 - Certification and authority of emergency medical technicians, advanced emergency medical technicians and paramedics; maintenance of central registry of certificates issued; regulations. [Effective until the date of the repeal of 42 U.S...

NRS 450B.183 - Payment of child support: Statement by applicant for license or certificate; grounds for denial of license or certificate; duty of health authority. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring...

NRS 450B.185 - Suspension of license or certificate for failure to pay child support or comply with certain subpoenas or warrants; reinstatement of license or certificate. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law re...

NRS 450B.187 - Application for license or certificate to include social security number. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restrict...

NRS 450B.188 - Prohibition on denial of application based on immigration or citizenship status; provision of alternative personally identifying number; confidentiality of social security or alternative personally identifying number.

NRS 450B.190 - Provisional licensing of attendants.

NRS 450B.1905 - Program of training for certification; maintenance of certification.

NRS 450B.191 - Program of training for certification as advanced emergency medical technician; maintenance of certification.

NRS 450B.1915 - Authorized activities of advanced emergency medical technician.

NRS 450B.195 - Program of training for certification as paramedic; maintenance of certification; paramedic services prohibited without certification.

NRS 450B.197 - Authorized activities of certain paramedics and emergency medical services registered nurses.

NRS 450B.1975 - Endorsement to administer immunizations, dispense medication and respond to public health needs.

NRS 450B.199 - "Emergency medical provider" defined.

NRS 450B.1993 - Endorsement to provide community paramedicine services: Regulations; application; expiration; circumstances under which emergency medical provider may provide community paramedicine services.

NRS 450B.1996 - Reports.

NRS 450B.200 - Permit for operation; fees; renewal; disciplinary or legal action for violations; maintenance of central registry of permits issued; regulations.

NRS 450B.210 - Provisional permit.

NRS 450B.220 - Periodic inspections.

NRS 450B.225 - Staffing of air ambulance; regulations; letter of endorsement and identification card for staff that meet requirements.

NRS 450B.230 - Owner not to allow operation without required equipment; exception.

NRS 450B.235 - Filing and maintenance of schedule of rates of ambulance.

NRS 450B.236 - Approval required for operation of center for treatment of trauma.

NRS 450B.237 - Establishment of program for treatment of trauma; designation of hospital as trauma center; approval of designation; compliance with certain requirements.

NRS 450B.238 - Regulations requiring hospital to record and maintain information.

NRS 450B.239 - Division to cooperate with American College of Surgeons.

NRS 450B.240 - Engaging in operation of services relating to ambulances or air ambulances without permit prohibited; provision of certain medical care by fire-fighting agency without permit prohibited; provision of community paramedicine services wit...

NRS 450B.250 - Service as attendant for ambulance or air ambulance without license prohibited; provision of certain medical care by firefighter without license prohibited; requirements for person to provide community paramedicine services.

NRS 450B.255 - Representation as emergency medical technician, advanced emergency medical technician or paramedic without certificate prohibited.

NRS 450B.260 - Operation of ambulance, air ambulance or fire-fighting vehicle used to provide certain medical care without licensed driver and attendant prohibited; exceptions.

NRS 450B.265 - Offering level of emergency care provided by paramedic without permit prohibited; exception.

NRS 450B.340 - Designation of officer to receive notifications and responses and make requests on behalf of emergency response employees.

NRS 450B.350 - Duty of medical facility or county coroner or medical examiner to notify designated officer if victim transported has infectious disease; time and contents for notification.

NRS 450B.360 - Determination of possible exposure of emergency response employee to infectious disease; request for response from medical facility or county coroner or medical examiner.

NRS 450B.370 - Response of medical facility or county coroner or medical examiner.

NRS 450B.375 - Procedure upon notification that insufficient information exists to determine whether emergency response employee was exposed to infectious disease; request for further evaluation; duties of health officer.

NRS 450B.380 - Notice to emergency response employee of possible exposure to infectious disease.

NRS 450B.390 - Limitations on effect of NRS 450B.340 to 450B.390, inclusive.

NRS 450B.400 - Definitions.

NRS 450B.402 - "Advanced practice registered nurse" defined.

NRS 450B.404 - "Attending advanced practice registered nurse" defined.

NRS 450B.405 - "Attending physician" defined.

NRS 450B.410 - "Do-not-resuscitate identification" defined.

NRS 450B.420 - "Do-not-resuscitate order" defined.

NRS 450B.430 - "Do-not-resuscitate protocol" defined.

NRS 450B.440 - "Health care facility" defined.

NRS 450B.450 - "Life-resuscitating treatment" defined.

NRS 450B.460 - "Person who administers emergency medical services" defined.

NRS 450B.470 - "Qualified patient" defined.

NRS 450B.475 - "Terminal condition" defined.

NRS 450B.480 - Applicability.

NRS 450B.490 - Adoption of regulations; fee for do-not-resuscitate identification.

NRS 450B.500 - Do-not-resuscitate identification: Contents.

NRS 450B.505 - Do-not-resuscitate identification: Manufacture and issuance of bracelet or medallion.

NRS 450B.510 - Written do-not-resuscitate orders: Issued only to qualified patients; physician or advanced practice registered nurse authorized to apply for identification.

NRS 450B.520 - Application for do-not-resuscitate identification: Form; requirements.

NRS 450B.525 - Application for do-not-resuscitate identification on behalf of minor: Requirements; form; revocation by parent or legal guardian of authorization to withhold life-resuscitating treatment; effect when minor is of sufficient maturity.

NRS 450B.530 - Revocation of authorization to withhold life-resuscitating treatment.

NRS 450B.540 - Person not guilty of unprofessional conduct or subject to liability for withholding or providing life-resuscitating treatment under certain circumstances.

NRS 450B.550 - Person who administers emergency medical services required to comply with do-not-resuscitate protocol; exception.

NRS 450B.560 - Assumption that do-not-resuscitate identification is valid.

NRS 450B.570 - Resulting death not suicide or homicide; life insurance or annuity not affected by possession of do-not-resuscitate identification or issuance of do-not-resuscitate order; prohibition or requirement of possession of do-not-resuscitate...

NRS 450B.580 - Unlawful acts; penalty.

NRS 450B.590 - Limitations on effect of provisions.

NRS 450B.600 - Required to be placed in certain public buildings and locations; inspection and maintenance; training on operation and use.

NRS 450B.610 - Maintenance of database by Division; disclosure of information in database; duties of manufacturer; registration of defibrillator; civil penalty for violation.

NRS 450B.620 - Placement and maintenance by school districts, health clubs and medical facilities; training of employees.

NRS 450B.650 - Definitions.

NRS 450B.655 - "Dedicated advanced life support ambulance" defined.

NRS 450B.660 - "First-aid station" defined.

NRS 450B.665 - "Host organization" defined.

NRS 450B.670 - "Roving emergency medical technician team" defined.

NRS 450B.675 - "Roving intermediate emergency medical technician team" defined.

NRS 450B.680 - "Significant number" defined.

NRS 450B.685 - "Special event" defined.

NRS 450B.690 - Host organization of certain special events held in certain larger counties required to provide certain emergency medical services; exception.

NRS 450B.695 - Host organization of certain special events held in certain larger counties required to provide certain number of dedicated advanced life support ambulances; exception.

NRS 450B.700 - Host organization of special event at which 50,000 or more persons are projected to be in attendance required to provide certain emergency medical services; exception.

NRS 450B.710 - "Authorized entity" defined.

NRS 450B.712 - Order of physician for doses of epinephrine maintained by authorized entity; administration and storage of epinephrine; reports.

NRS 450B.714 - Required training for owner, employee or agent of authorized entity who administers epinephrine.

NRS 450B.716 - Limitation on liability relating to acquisition, possession, provision or administration of epinephrine; administration of epinephrine does not constitute practice of medicine.

NRS 450B.790 - Hospital required to ensure that certain persons in need of emergency services are transferred to appropriate places in hospital within 30 minutes after arrival; civil and criminal liability.

NRS 450B.795 - State Board of Health to collect data concerning waiting times for provision of emergency services to certain persons; hospitals and providers of emergency services in certain larger counties required to participate in collection of da...

NRS 450B.800 - Fingerprints of applicant.

NRS 450B.805 - Availability of data request concerning practice of licensed attendant or holders of certain certificates; confidentiality of information; applicant for renewal not required to complete request.

NRS 450B.810 - Maintenance, inspection and compilation of information.

NRS 450B.820 - Local requirements for franchise or permit are not superseded.

NRS 450B.830 - Exemptions from chapter.

NRS 450B.840 - Operation of ambulance or fire-fighting agency by county or city subject to provisions of chapter.

NRS 450B.850 - Programs for training.

NRS 450B.855 - Establishment of program to provide peer support counseling to emergency response employees; duties of nonprofit organization that establishes program and Division.

NRS 450B.860 - Volunteer ambulance drivers and attendants: Discharge from employment; civil action; disclosure to employer.

NRS 450B.870 - Medical review committee entitled to autopsy records concerning death under review; sharing of information concerning subject of review; autopsy records are privileged.

NRS 450B.900 - Penalties for violation.