EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted. Green numbers along left margin indicate location on the printed bill (e.g., 5-15 indicates page 5, line 15).

1-1 Section 1. (Deleted by amendment.)

1-2 Sec. 2. NRS 453.375 is hereby amended to read as follows:

1-3 453.375 A controlled substance may be possessed and administered by

1-16 (b) In accordance with any applicable regulations of:

2-1 (1) The state board of health in a county whose population is less than

2-2 100,000;

2-3 (2) A county board of health in a county whose population is 100,000

2-4 or more; or

2-5 (3) A district board of health created pursuant to NRS 439.370 in any

2-6 county.

2-7 4. A respiratory therapist, at the direction of a physician or physician’s

2-8 assistant.

2-9 5. A medical student, student in training to become a physician’s

2-10 assistant or student nurse in the course of his studies at an approved college

2-11 of medicine or school of professional or practical nursing, at the direction

2-12 of a physician or physician’s assistant and:

2-13 (a) In the presence of a physician, physician’s assistant or a registered

2-14 nurse; or

2-15 (b) Under the supervision of a physician, physician’s assistant or a

2-16 registered nurse if the student is authorized by the college or school to

2-17 administer the substance outside the presence of a physician, physician’s

2-18 assistant or nurse.

2-19 A medical student or student nurse may administer a controlled substance

2-20 in the presence or under the supervision of a registered nurse alone only if

2-21 the circumstances are such that the registered nurse would be authorized to

2-22 administer it personally.

2-23 6. An ultimate user or any person whom the ultimate user designates

2-24 pursuant to a written agreement.

2-25 7. Any person designated by the head of a correctional institution.

2-26 8. A veterinary technician at the direction of his supervising

2-27 veterinarian.

2-28 9. In accordance with applicable regulations of the state board of

2-29 health, an employee of a residential facility for groups, as defined in NRS

2-30 449.017, pursuant to a written agreement entered into by the ultimate user.

2-31 10. In accordance with applicable regulations of the state board of

2-32 pharmacy, an animal control officer, a wildlife biologist or an employee

2-33 designated by a federal, state or local governmental agency whose duties

2-34 include the control of domestic, wild and predatory animals.

2-35 Sec. 3. (Deleted by amendment.)

2-36 Sec. 4. NRS 454.213 is hereby amended to read as follows:

2-37 454.213 A drug or medicine referred to in NRS 454.181 to 454.371,

2-42 supervision of a dentist.

3-1 3. [A] Except as otherwise provided in subsection 4, a registered

3-2 nurse licensed to practice professional nursing or licensed practical nurse,

3-3 at the direction of a prescribing physician, dentist, podiatric physician or

3-4 advanced practitioner of nursing, or pursuant to a chart order, for

3-5 administration to a patient at another location.

3-6 4. In accordance with applicable regulations of the board, a

3-7 registered nurse licensed to practice professional nursing or licensed

3-8 practical nurse who is:

3-9 (a) Employed by a health care agency or health care facility that is

3-10 authorized to provide emergency care, or to respond to the immediate

3-11 needs of a patient, in the residence of the patient; and

3-12 (b) Acting under the direction of the medical director of that agency

3-13 or facility who works in this state.

3-14 5. An intermediate emergency medical technician or an advanced

3-15 emergency medical technician, as authorized by regulation of the state

3-16 board of pharmacy and in accordance with any applicable regulations of:

3-17 (a) The state board of health in a county whose population is less than

3-18 100,000;

3-19 (b) A county board of health in a county whose population is 100,000 or

3-20 more; or

3-21 (c) A district board of health created pursuant to NRS 439.370 in any

3-22 county.

3-23 [5.] 6. A respiratory therapist employed in a health care facility. The

3-24 therapist may possess and administer respiratory products only at the

3-25 direction of a physician.

3-26 [6.] 7. A dialysis technician, under the direction or supervision of a

3-27 physician or registered nurse only if the drug or medicine is used for the

3-28 process of renal dialysis.

3-29 [7.] 8. A medical student or student nurse in the course of his studies

3-30 at an approved college of medicine or school of professional or practical

3-31 nursing, at the direction of a physician and:

3-32 (a) In the presence of a physician or a registered nurse; or

3-33 (b) Under the supervision of a physician or a registered nurse if the

3-34 student is authorized by the college or school to administer the drug or

3-35 medicine outside the presence of a physician or nurse.

3-36 A medical student or student nurse may administer a dangerous drug in the

3-37 presence or under the supervision of a registered nurse alone only if the

3-38 circumstances are such that the registered nurse would be authorized to

3-39 administer it personally.

3-40 [8.] 9. Any person designated by the head of a correctional institution.

3-41 [9.] 10. An ultimate user or any person designated by the ultimate user

3-42 pursuant to a written agreement.

4-1 [10.] 11. A nuclear medicine technologist, at the direction of a

4-2 physician and in accordance with any conditions established by regulation

4-3 of the board.

4-4 [11.] 12. A radiologic technologist, at the direction of a physician and

4-5 in accordance with any conditions established by regulation of the board.

4-6 [12.] 13. A chiropractic physician, but only if the drug or medicine is a

4-7 topical drug used for cooling and stretching external tissue during

4-8 therapeutic treatments.

4-9 [13.] 14. A physical therapist, but only if the drug or medicine is a

4-10 topical drug which is:

4-11 (a) Used for cooling and stretching external tissue during therapeutic

4-12 treatments; and

4-13 (b) Prescribed by a licensed physician for:

4-14 (1) Iontophoresis; or

4-15 (2) The transmission of drugs through the skin using ultrasound.

4-16 [14.] 15. In accordance with applicable regulations of the state board

4-17 of health, an employee of a residential facility for groups, as defined in

4-18 NRS 449.017, pursuant to a written agreement entered into by the ultimate

4-19 user.

4-20 [15.] 16. A veterinary technician at the direction of his supervising

4-21 veterinarian.