NRS 391.291. Supervision by chief nurse required; qualifications for employment as school nurse; designation of school employees authorized to administer auto-injectable epinephrine or opioid antagonist [Effective July 1, 2026.]

1. 1. The provision of nursing services in a school district by school nurses and other qualified personnel must be under the direction and supervision of a chief nurse who is a registered nurse as provided in NRS 632.240 and who:

   1. (a) Holds an endorsement to serve as a school nurse issued pursuant to regulations adopted by the Commission; or
   2. (b) Is employed by a state, county, city or district health department and provides nursing services to the school district in the course of that employment.
2. 2. Except as otherwise provided in regulations adopted by the Commission pursuant to NRS 391.019, a school district shall not employ a person to serve as a school nurse unless the person holds an endorsement to serve as a school nurse issued pursuant to regulations adopted by the Commission.

3. 3. The chief nurse shall ensure that each school nurse:

   1. (a) Coordinates with the principal of each school to designate:

      1. (1) Employees of the school who are authorized to administer auto-injectable epinephrine; and
      2. (2) If the school has obtained an order for an opioid antagonist pursuant to subsection 2 of NRS 386.870, at least two employees of the school who are authorized to administer the opioid antagonist.
   2. (b) Provides the employees so designated with training concerning the proper storage and administration of auto-injectable epinephrine or opioid antagonists, as applicable.
4. 4. As used in this section, “opioid antagonist” has the meaning ascribed to it in NRS 453C.040.

(Added to NRS by 1991, 1697; A 2001, 540; 2013, 1225; 2021, 426; 2025, 2970, effective July 1, 2026)