AB 358 — Revises provisions governing emergency medical services. (BDR 40-859)

- *AB358* – 7 – (f) The National Academy of Sciences—National Research Council;

- *AB358_R1* – 8 – (a) Must be deposited in the State Treasury and accounted for separately in the State General Fund;

Upon request of the [State Board of Health,] Director of the Department of Public Safety, employee associations that represent - *AB358* – 8 – persons that provide emergency medical services, including, without limitation, physicians and nurses that provide emergency medical services, emergency medical technicians, ambulance attendants, firefighters, fire chiefs and employees of rural hospitals, shall submit to the [State Board of Health] Director of the Department of Public Safety written nominations for appointments to the Committee.

(d) One member who is a certified emergency medical technician and employed by a volunteer organization that provides emergency medical services or by a fire-fighting agency at which some of the firefighters and persons who provide emergency - *AB358_R1* – 9 – medical services for the agency are employed and some serve as volunteers;

- *AB358* – 9 – 4.

The [State Board of Health] Director of the Department of Public Safety shall not appoint to the Committee two persons who are employed by or volunteer with the same organization, except the - *AB358_R1* – 10 – [State Board of Health] Director of the Department of Public Safety may appoint a person who is employed by or volunteers with the same organization of which a member who serves ex officio is an employee.

A member of the Committee serves without compensation, except that, for each day or portion of a day during which a member attends a meeting of the Committee or is otherwise engaged in the business of the Committee, the member of the Committee is entitled - *AB358* – 10 – to receive the per diem allowance and travel expenses provided for state officers and employees generally.

- *AB358_R1* – 11 – Sec.

- *AB358* – 11 – 2.

- *AB358_R1* – 12 – (e) Such other certificates for training and such other items as the board may specify.

- *AB358* – 12 – 8.

- *AB358_R1* – 13 – 10.

(a) A course of instruction, within 2 years after initial certification, relating to the medical consequences of an act of - *AB358* – 13 – terrorism that involves the use of a weapon of mass destruction.

- *AB358_R1* – 14 – 4.

- *AB358* – 14 – (c) “Chemical agent” has the meaning ascribed to it in NRS 202.4425.

and - *AB358_R1* – 15 – (c) Will be serving in a training capacity for less than a 24- hour period as part of a course of study at an institution of higher learning in this State.

An owner of an ambulance shall not offer emergency medical care to a patient in urgent need of medical care or observation unless the attendant has successfully completed a - *AB358* – 15 – program of training for certification as an emergency medical technician or is exempt, pursuant to subsection 7 of NRS 450B.160, from the requirement to obtain that training.

- *AB358_R1* – 16 – 3.

- *AB358* – 16 – Sec.

- *AB358_R1* – 17 – 4.

- *AB358* – 17 – Sec.

and - *AB358_R1* – 18 – (f) Such other requirements as the [board] health authority deems necessary to carry out the provisions of this section and NRS 450B.199 and 450B.1996.

- *AB358* – 18 – Sec.

(c) A description of each ambulance, air ambulance or vehicle of a fire-fighting agency, including the make, year of manufacture and chassis number, and the color scheme, insigne, name, monogram or - *AB358_R1* – 19 – other distinguishing characteristics to be used to designate the applicant’s ambulance, air ambulance or vehicle;

- *AB358* – 19 – 8.

An ambulance, air ambulance or vehicle of a fire- fighting agency which has received a permit from the district board - *AB358_R1* – 20 – of health in a county whose population is 700,000 or more is not required to obtain a permit from the [Division,] Bureau, even if the ambulance, air ambulance or vehicle of a fire-fighting agency has routine operations outside the county.

- *AB358* – 20 – (a) Except as otherwise provided in paragraph (b), may consider the medical aspects of the operation of an air ambulance, including, without limitation, aspects related to patient care;

- *AB358_R1* – 21 – (3) Has successfully completed an air ambulance attendant course which includes didactic and clinical components and is approved or in compliance with requirements set by the board;

The public or private owner of an ambulance or air ambulance or the fire-fighting agency who owns a vehicle used in providing emergency medical care shall not permit its operation - *AB358* – 21 – and use without the equipment required by regulations and standards of the [board.] health authority.

- *AB358_R1* – 22 – 4.

- *AB358* – 22 – (1) Issued a do-not-resuscitate order for the patient;

- *AB358_R1* – 23 – (b) The issuance of a bracelet or medallion which indicates that a do-not-resuscitate identification has been issued to a qualified patient.

To obtain a do-not-resuscitate - *AB358* – 23 – identification, the patient must comply with the requirements prescribed by the board and sign a form which states that the patient has informed each member of his or her family within the first degree of consanguinity or affinity, whose whereabouts are known to the patient, or if no such members are living, the patient’s legal guardian, if any, or if he or she has no such members living and has no legal guardian, his or her caretaker, if any, of the patient’s decision to apply for an identification.

or - *AB358_R1* – 24 – (III) A Provider Order for Life-Sustaining Treatment form pursuant to NRS 449A.500 to 449A.581, inclusive, if the form provides that the patient is not to receive life-resuscitating treatment;

- *AB358* – 24 – 2.

- *AB358_R1* – 25 – (d) The name, signature and telephone number of the minor’s attending physician or attending advanced practice registered nurse;

A governmental entity which licenses and regulates emergency response employees may, within the limits of available money, enter into a contract with a nonprofit organization - *AB358* – 25 – to establish a program to provide peer support counseling to emergency response employees.

- *AB358_R1* – 26 – (a) The telephone number of each toll-free hotline established pursuant to subsection 2;

Each state agency and regulatory body identified in subsections 2 to 16, inclusive, shall report, subject to any - *AB358* – 26 – limitations or restrictions contained in any state or federal law governing the privacy or confidentiality of records, the data identified in subsections 2 to 17, inclusive, as applicable, to the Interagency Council on Veterans Affairs.

- *AB358_R1* – 27 – (e) The number of claims filed on behalf of veterans and the family members of veterans by veterans service officers in this State;

and - *AB358* – 27 – (c) The total number of veterans with service-connected disabilities who are seeking preferences through the Purchasing Division and the State Public Works Division of the Department of Administration pursuant to NRS 333.3366 and 338.13844.

- *AB358_R1* – 28 – 7.

- *AB358* – 28 – (a) The total number of veterans who have declared themselves as a veteran and who applied for and received a commercial driver’s license;

- *AB358_R1* – 29 – 13.

- *AB358* – 29 – (a) “Have you ever served on active duty in the Armed Forces of the United States and separated from such service under conditions other than dishonorable?” (b) “Have you ever been assigned to duty for a minimum of 6 continuous years in the National Guard or a reserve component of the Armed Forces of the United States and separated from such service under conditions other than dishonorable?” (c) “Have you ever served the Commissioned Corps of the United States Public Health Service or the Commissioned Corps of the National Oceanic and Atmospheric Administration of the United States in the capacity of a commissioned officer while on active duty in defense of the United States and separated from such service under conditions other than dishonorable?” 18.

- *AB358_R1* – 30 – (c) “Service member” has the meaning ascribed to it in NRS 125C.0635.

- *AB358* – 30 – 3.

- *AB358_R1* – 31 – Sec.

(a) Upon passage and approval for the purpose of adopting any regulations and performing any other preparatory administrative tasks that are necessary to carry out the provisions of this act;

H - *AB358**AB358_R1*