Nevada

NEVADA

CNMs practice in Nevada under a 1973 Nurse Practice Act, which authorizes regulations for nurse practitioners as a generic group. Nursemidwifery is not mentioned specifically in either the statute or the regulations. A nurse practitioner is defined as a “registered professional nurse who has specialized skill, knowledge and experience who is authorized to perform designated medical acts in collaboration with and under the supervision of a licensed physician(s).” The regulations require that the nurse practitioner applicant have a signed written agreement with a physician that delineates protocols, a description of duties, regular consultations, and an emergency service plan. A supervising physician may not employ more than two nurse practitioners at one time, except for public health physicians. Nurse practitioners may apply to the State Board of Nursing for prescription privileges at the same time they apply for certification. Once approved by the Board of Nursing, the nurse practitioner applies to the State Board of Pharmacy for registration. The State Board of Pharmacy is authorized to adopt rules regarding the specific type and amount of drugs a nurse practitioner can use

Journal of Nurse-Midwifery

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depending on the specialty area of practice; the experience and training of the applicant; the population being served; and the distances between areas of practice and the nearest hospitals and physicians. Other midwives have no legal authority to practice in Nevada; however, state sources report that a bill to recognize lay-midwifery under the State Division of Health has been proposed.

Are CNMs practicing in the jurisdiction: Yes Authorizing law: Nurse Practice Act Regulated by: Board

ofNursing

Form of legal authorization to practice: RN license and certification

Medicaid reimbursement known

status: Un-

Can graduate nurse-midwiues practice before ACNM certification: No CEUs required for CNM: No CEUs required for RN: Yes

ADDRESS OF REGULATORY AGENCY

Nevada Board of Nursing 1135 Terminal Way, Room 209 Reno, NV 89502 ADDRESS

OF MEDICAID OFFICE

Department of Human Resources Capital Complex Carson City, NV 89710

Frequency of renewal of legal authorization: Every two years

ESSENTIAL LEGAL CITATIONS

CNM named in statute: No

Practice statute: Nevada Revised Statutes, Section 632.000 et seq.

CNM named in regulations: No ACNE certification recognized: No RN license required: Yes Written evidence of collaboration agreement required: Yes Prescriptive authority: Yes

Practice regulations: Nevada Administrative Code, Section 632.250 Prescriptive authority: Nevada Revised Statutes, Sections 453.375 and 639.1375

Can CNMs sign birth certificates: Yes

Medical practice act: Nevada Revised Statutes, Section 630.150 et seq.

Third-party reimbursement dated: No

Birth certificates: Nevada Revised Statutes, Section 440.100

Vol. 29, No. 2, March/April

Coourioht 0 1984 bu the American Colleoe of Nurse-Midwives

1984

man-

119 0091-2182/84/$03.00