Nevada Revised Statutes
Chapter 450B - Emergency Medical Services
NRS 450B.265 - Offering level of emergency care provided by paramedic without permit prohibited; exception.


1. Except as otherwise provided in subsection 2, a fire-fighting agency or an owner, operator, director or chief officer of an ambulance shall not represent, advertise or imply that it:
(a) Is authorized to provide the level of emergency care provided by a paramedic; or
(b) Uses the services of a paramedic,
unless the service has a currently valid permit to provide the level of emergency care provided by a paramedic issued by the health authority.
2. Any service in a county whose population is less than 700,000, that holds a valid permit for the operation of an ambulance but is not authorized by the health authority to provide the level of emergency care provided by a paramedic may represent, for billing purposes, that its ambulance provided emergency care by a paramedic if:
(a) A registered nurse employed by a hospital rendered the level of emergency care provided by a paramedic to a patient being transferred from the hospital by the ambulance; and
(b) The equipment deemed necessary by the health authority for the provision of the level of emergency care provided by a paramedic was on board the ambulance at the time the registered nurse rendered the emergency care.
3. A hospital that employs a registered nurse who renders the care described in subsection 2 is entitled to reasonable reimbursement for the services rendered by the nurse.
(Added to NRS by 1979, 71; A 1985, 1700; 1987, 2213; 1989, 286, 1936; 1993, 2836; 2011, 1274; 2013, 947)

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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.