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Summary

Here is the quick summary of the Nevada Revised Statutes and Nevada Administrative Code regarding who can possess, administer, and dispense dangerous (prescription drugs.)

1.  A bag of saline and an IV catheter are prescription items.

2.  A prescribing provider (also called a practitioner) which is an MD, DO, NP, PA-C, Dentist, Podiatrist or similar must physically (in person) see a patient every six months to be able to prescribe or give the patient a medication.

3.  A medical assistant may be supervised by a physician or physician assistant, but not a nurse practitioner.  The MA may perform some invasive procedures that they have been trained to do by the physician or PA.  The physician or PA must be there in person (in the building) while the MA is doing the invasive procedure.  Placing an IV is an invasive procedure and the IV catheter is a prescription item, so the patient must be physically seen by a practitioner before the IV can be placed.

4.  A medical assistant may not be remotely supervised.  

5.  EMTs and paramedics are only licensed to practice their "scope of practice" while working for a licensed EMS unit.  Outside of that, they can function as an MA and are governed by the NRS and NAC rules regarding MA's.  See sections 500.022, 500.024, and 500.026 of the SNHD EMS regulations.  These sections start on page 40.

6.  The term "Medical Director" means nothing outside of a licensed EMS unit.  The Southern Nevada Health District licenses EMS units.

7.  NeitherRN's nor MA's have prescribing privileges

8.  Phone consults are not OK for the initial visit.  The Practitioner must physically see the patient, in person.  See NRS 629.515.

9.  An RN may not store medications in her house or car without a valid prescription for a specific patient.   This is a class E felony under NRS 454.316.