Las Vegas Medical Rules and Regulations
Starting a medical business in Las Vegas is complicated, especially if the business you are starting is not a "traditional" medical practice where a physician sees every patient.
The IV industry is not a new area of medicine. It is simply “Urgent Care.” RNs cannot run urgent cares on their own or do medical house calls on their own. It is a felony in most states.
A Physician, Nurse Practitioner, or Physician Assistant has to be physically involved in the process when patients are given prescription medications. This is a Board of Pharmacy issue related to dispensing medications and it is a felony.
It is a violation of Pharmacy Board rules for an EMT or RN to be the only person involved in giving prescription medications. This is a felony.
An RN or EMT cannot do an IV hydration house call on their own. It is a Class D felony. Simple phone calls do not "check the box" for telemedicine. Furthermore, the Nevada Board of Pharmacy does not allow RN's to take medications to medical housecalls with telemedicine at this point.
If you are an RN or EMT doing house calls on your own, you are breaking the law and could lose your RN or NREMT license.
There are at least three entities to contact, The Nevada Board of Medical Examiners, The Nevada Board of Nursing, the Nevada Board of Pharmacy, and the Southern Nevada Health District. The Nevada Board of Health might be involved if you are attempting to get a license for a specific entity such as a surgery center, home health practice, or simiilar.
Las Vegas medical rules and regulations helps people figure out which NRS and NAC regulations might apply to a business they are starting.
The key issue to remember is that to prescribe medications to a patient, the initial consult has to be a face-to-face consult with a physician or mid-level (physician assistant or nurse practitioner) or it can now be via a telemedicine consult. Telemedicine requires video and audio. A phone-only consult is not allowed. Under NRS 629.515, phone calls, emails, and faxes are specifically excluded as legal ways to have a consult with a patient. But, telemedicine is not allowed for remote administration of medications. This is a complicated area and you should call David Wuest or Brett Kandt at the Nevada Board of Pharmacy for further information. Here is their contact info.
After this, the physician must physically see the patient every 6 months to be able to continue to prescribe medications to the patient. They may also be seen via telemedicine consult
A"Prescribing Provider" or "P2" is a Physician (MD or DO, ) Nurse Practitioner (NP,) or Physician Assistant (PA.) New regulations came out in June of 2015 which allow the use of telemedicine for a P2-patient interaction. This does then allow for a medication to be prescribed to a patient, but the patient has to pick the meds up from a licensed pharmacy. This is a key issue.
The issue with treating patients in their hotel rooms has to do with the Board of Pharmacy or BOP. The BOP requires that a P2 be involved in the transport of prescription medications to another location. A nurse or EMT cannot be the sole person involved in the transport of prescription medications and their administration. A P2 must be physically involved.
This issue is where a number of clinics are getting into trouble is that they do not know that there are multiple regulatory entities involved in treating patients.
This website is purely informational. It is not endorsed by any government agency or regulatory board. You may use the information at your own risk. Call the appropriate agency with any questions.