Nev. Admin. Code § 449.Sec. 12.2

Current through November 8, 2024
Section 449.Sec. 12.2 - NEW
1. A person employed to engage in the practice of surgical technology in an ambulatory surgical center pursuant to subsection 3 of NRS 449.24185 must have passed a written competency evaluation demonstrating that he or she is competent to practice surgical technology and have:
(a) Not less than 1 year of experience within the immediately preceding 3 years practicing surgical technology in a hospital or surgical center for ambulatory patients that is licensed in a state of the United States, the District of Columbia, the Commonwealth of Puerto Rico or a territory or insular possession subject to the jurisdiction of the United States; or
(b) Completed evidence-based training concerning:
(1) Proper surgical attire;
(2) Identification of patients;
(3) Proper positioning of a patient on an operating table;
(4) Consent of a patient to surgery;
(5) Time-out before surgery;
(6) The proper use of instruments and equipment, including, without limitation, identifying dangers associated with equipment;
(7) Asepsis and sterile technique, including, without limitation, identifying a break in the sterile field;
(8) Washing hands before surgery;
(9) Counting surgical instruments, surgical sponges and any other items used during surgery that may be left in the body of a patient;
(10) Preparing medications in the sterile field;
(11) The use of gowns and gloves;
(12) Draping of the patient;
(13) Proper care for specimens;
(14) Procedures for disinfecting and sterilizing equipment and supplies;
(15) Procedures for determining whether equipment and supplies have been properly sterilized and measures to be taken if a break in the sterile field is identified;
(16) Storage of sterile equipment and supplies; and
(17) Environmental cleaning and disinfecting the operating room.
2. An ambulatory surgical center shall be deemed to have conducted a thorough and diligent search for the purposes of subsection 3 of NRS 449.24185 if the ambulatory surgical center advertises for a surgical technologist who meets the requirements of subsection 1 or 2 of NRS 449.24185 for not less than 30 days:
(a) In a newspaper of general circulation within 50 miles of the ambulatory surgical center; or
(b) On an Internet website on which jobs in health care are regularly posted.
3. The administrator of an ambulatory surgical center that employs a person to engage in the practice of surgical technology in the ambulatory surgical center pursuant to subsection 3 of NRS 449.24185 shall maintain in the personnel file of the person documentation demonstrating:
(a) Compliance with subsection 1 of this section;
(b) Evidence of the advertising conducted pursuant to subsection 2 of this section; and
(c) The reasons the ambulatory surgical center was unable to employ a sufficient number of surgical technologists who meet the requirements prescribed by subsection 1 or 2 of NRS 449.24185.
4. As used in this section, "time-out" means pausing immediately before surgery to confirm the identity of the patient, the surgical procedure that will be performed and the site of the surgery.

Nev. Admin. Code § 449.Sec. 12.2

Added to NAC by Bd. of Health by R048-22A, eff. 12/29/2022

NRS 439.200, 449.0302, 449.24185