The Las Vegas IV industry has grown quite considerably in the last six 6 years, yet many people are unaware of the Las Vegas Medical Rules. Many people are not very well educated on what the regulatory requirements are for doing an IV hydration treatment or for doing a house call for IV hydration. Read on, or click the link below to learn more.
The key issue with Las Vegas Medical Rules is that a Prescribing Provider (P2) which is a Nurse Practitioner, Physician, or Physician Assistant must be physically involved in the process of handling the medications and administering the medications.
A P2 must go to every house call where new patients receive medications. In addition, a P2 must be at any clinic where new patients are receiving medications.
A P2 has a DEA license, which allows them to posses prescription medications. An RN cannot possess prescription medications without a valid prescription for a specific patient. Therefore, an RN cannot keep a duffel bag of saline and Zofran at their house. Nor can a medical assistant.
According to Las Vegas Medical Rules, it is illegal for an RN and medical assistant to do an IV hydration treatment on their own. It is a Class D felony punishable by up to 5 years in jail and the various people involved could lose their nursing or medical license.
A bag of saline, botox, and a B12 shot are all prescription medications and require a P2-Patient relationship.
Currently, numerous clinics in Las Vegas, their staff, and owners are under active investigation by the:
For sending out RNs and Paramedics to treat patients with IV fluids, IV vitamins, IV medications, Botox, and other prescription medications who have not been seen by a “P2 – Prescribing Provider” (Physician, Nurse Practitioner, or Physician Assistant.) This is illegal, punishable as a D felony with up to 5 years in prison. It constitutes “Practicing Medicine without a license.”
“Conspiracy to Practice Medicine without a license” is also a felony and loops in everybody at a medical clinic that is involved in supporting the illegal activity.
A “Medical Director” is only relevant to patients that are treated by a Licensed Ambulance Unit, such as AMR, Medic West, Fire Department, or Community Ambulance. If you are not “On Duty” which means “clocked-in” for a Licensed Ambulance Unit, you cannot practice your EMS scope of practice. See SNHD regulations 500.022, 500.024, and 500.026.
In any medical clinic, every patient who receives a prescription for a medication must have a face-to-face or bona fide telemedicine (audio/video) consult with a P2. Otherwise, this constitutes “Practicing Medicine Without a License” which is a felony.
Under Las Vegas Medical Rules, a paramedic is only able to practice their scope of practice while “on duty” for a licensed ambulance unit. Once they are off duty, they function as a medical assistant and must be directly (eyes-on) supervised by the physician or PA.
Contact your respective Board to make sure you are working under the correct regulatory conditions or you could be in legal trouble and possibly lose your nursing license or National Registry certification. Being arrested is grounds for the National Registry canceling your certification.
Important Regulatory Points:
Contact information for the various regulatory boards is below. The Nevada Board of Pharmacy, Board of Medicine, and Board of Nursing are investigating various IV, aesthetic, and wellness companies in Clark County. In addition, the Nevada Attorney General is involved in the investigatory proceedings. A few of these NRS violations are misdemeanors, but most are Class D or C felonies and can carry jail time of one year or more.
Furthermore, even being charged with a Class E felony with no jail time will likely result in loss of one’s nursing license or National Registry Certification.
Currently, the only model for doing IV hydration medical house calls is for a P2 to go on the house call with the RN or MA.
Contact info for regulatory Boards
All of the people listed below are very accessible. They are much more interested in helping people get their regulatory deficiencies corrected versus throwing people in jail. But, many wellness and aesthetic clinics in Las Vegas have already received letters from various regulatory boards and continuing to operate illegally will likely be met with more severe penalties.
Please see the included case information on Dr. Braunstein who was investigated by the Nevada Medical Board for similar issues. He could have lost his medical license for what he did with Spa Dorin Clinic here in Las Vegas. This is all public record available to everybody.
Nevada Board of Pharmacy
David Wuest, PharmD
Deputy Director, Nevada Board of Pharmacy
dwuest at pharmacy.nv.gov
Brett Kandt, JD
Nevada State Board of Pharmacy
Dena McClish – Senior Investigator
Nevada State Board of Pharmacy
1050 E Flamingo Rd Ste E-217
Las Vegas, NV, 89119
Office: 702.486.6420 ext 154
E-mail: dmcclish at pharmacy.nv.gov
Web Page: www.bop.nv.gov
Nevada Board of Medicine
Kim Friedman – Senior investigator
Sr. Investigator, CMBI
Nevada State Board of Medical Examiners
6010 S. Rainbow Blvd. Bld. A, Suite 2
Las Vegas, NV 89118
Office Phone: 702-486-3339
Kfriedman at medboard.nv.gov
Nevada Board of Nursing
Kim Arguello, Esq
General Counsel, Nevada Board of Nursing
Sam McCord, BSN, RN
Director of Nursing Practice and Investigations
Nevada State Board of Nursing
smccord at nsbn.state.nv.us
Southern Nevada Health District
SNHD EMS and Trauma System Manager
Hammond at snhdmail.org
Nevada Attorney General’s Office
555 E Washington Ave # 3900
Las Vegas, NV 89101