State flag Nevada Scope of Practice Policy: State Profile

Education Required for Addiction Counselor Credentialing

Nevada credentials two types of addiction counselors. A Certified Alcohol and Drug Abuse Counselor requires a bachelor’s degree, completion of relevant education courses and 4,000 hours of supervised practice. A Licensed Alcohol and Drug Abuse Counselor requires a master’s degree, completion of relevant education courses and 4,000 hours of experience. Nev. Rev. Stat. §641C and Nevada State Board of Examiners for Alcohol, Drug, and Gambling Counselors

Licensed Professional Counselor Ability to Diagnose

Clinical professional counselors may provide treatment, assessment and counseling to individuals or groups to achieve mental, emotional, physical and social development and adjustment. Counseling interventions include preventing, diagnosing and treating mental, emotional or behavioral disorders and associated distresses that interfere with mental health. Nev. Rev. Stat. §641A.065

Number of Nurse Practitioners Prescribing Buprenorphine

As of August 2018, 52 NPs in Nevada have received a federal waiver to treat opioid dependency with buprenorphine-containing products. Consistent with their prescriptive authority and with proper training or appropriate experience an NP in independent practice can receive a federal waiver to dispense buprenorphine-containing products. An NP who is prescribing while in supervised practice with a physician may be able to receive a federal waiver with proper training or experience and as long as the supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. Nev. Rev. Stat. §632.237, Nev. Admin. Code §632.259 and Nev. Admin. Code §632.2595

Number of Physician Assistants Prescribing Buprenorphine

As of August 2018, 13 PAs in Nevada have received a federal waiver to treat opioid dependency with buprenorphine-containing products. A PA in Nevada may prescribe Schedules II-V controlled substances in accordance to written guidelines developed with a supervising physician. With proper training or appropriate experience a PA in Nevada can receive a federal waiver to dispense buprenorphine-containing products, as long as the supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. Nev. Admin. Code §639.1373

Peer Support Specialist Certification or Credentialing Authority

The standards for the certification of peer recovery support specialists, including experience, training, and supervision requirements, are developed and administered by a third-party, non-profit association.

Practice Authority

Before full independent practice authority, an NP must have a regulated relationship with a physician for prescribing Schedule II controlled substances for 2,000 hours or two years. Nev. Rev. Stat. §632.237

Prescriptive Authority

An NP may prescribe controlled substances if they are within the NP’s scope of practice. The NP must pass an exam administered by the State Board of Nursing and must receive certification from State Board of Pharmacy. Nev. Admin. Code §632.259, Nev. Admin. Code §632.2595

Nurse Practitioner as a Primary Care Provider

NPs are recognized in state policy as primary care providers. An NP who wishes to obtain a license to practice as an advanced practice registered nurse must request that the State Board of Nursing issue the license to specify the role of the applicant and the population of focus of the applicant within that specific role. The State Board of Nursing recognizes the following populations of focus: 1) women’s health or gender-specific health; 2) family health and caring for a patient across the life span of the patient; 3) mental health; 4) adult health; 5) gerontology; 6) pediatrics; 7) neonatal; and 8) any other population of focus approved by the board. Nev. Admin. Code §632.2597(5)

Dental Hygienists with Direct Access

A dental hygienist may obtain approval to work as a public health dental hygienist in schools, community centers, hospitals, nursing homes and other such locations as the state dental health officer deems appropriate without supervision. They must submit a protocol to describe the methods a dental hygienist will use to provide services. Nev. Rev. Stat. §631.287

Dental Therapists

Dental therapists practice under a written agreement with a supervising dentist. The agreement must include the services, procedures, the practice settings for those services and procedures and the dispensing and administration of medications. (Statute not updated. Law effective January 1, 2020)

Practice of Teledentistry

Nevada does not explicitly allow for the practice of teledentistry.

Prescription Adaptation

Nevada does not allow pharmacists to modify prescriptions.

Prescription of Hormonal Contraceptives

Nevada does not allow pharmacists to prescribe hormonal contraceptives.

Prescription of Tobacco Cessation Aids

Nevada does not allow pharmacists to prescribe tobacco cessation aids.

Supervision Requirements

Adequate supervision is defined in state regulations. The physician must develop and carry out a program to ensure the quality of care provided by a PA. The physician must spend part of a day with a PA to act as a consultant and monitor the quality of care once a month. Nev. Admin. Code §630.370

Prescriptive Authority for Physician Assistants

A PA may prescribe drugs and Schedules II-V controlled substances in accordance with written guidelines mutually developed and agreed upon by the PA and the supervising physician. Nev. Admin. Code §639.1373

Scope of Practice Determination

Medical services provided by a PA must be within the scope of practice of the supervising physician and commensurate with the education, training, experience and level of competence of the PA. Nev. Admin. Code §630.360

Nevada SOP Legislation

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