Nevadans should avoid all cosmetic and oral treatments from doctors at the dermatologist office in Reno, Nevada, the National Journal reported Wednesday.
The Reno Medical Association’s (NMDA) rules, adopted in 2013, stipulate that the medical office must be located within 30 miles of the nearest state park, public recreation facility, hospital, or public school.
It also requires the office to be at least one mile from the nearest interstate highway, state-run power station, airport, or military base.
In the past year, the medical offices have been found to provide inadequate care, including an inappropriate use of anesthesia, the use of outdated diagnostic protocols, poor hygiene, and the improper handling of patients’ medical data.
The association’s rules were introduced after a series of cases in which doctors in Nevada were accused of treating patients as though they were HIV-positive.
A Nevada man died after his family received an experimental treatment for melanoma at the Reno Medical Center and doctors at another clinic used improper procedures.
In January, a Nevada woman was hospitalized for dehydration after an emergency appointment with a dermatologist at the clinic.
The woman died after doctors prescribed a high-dose vitamin C solution, which caused her to lose control of her body temperature.
In April, a man in his 50s died after he received a dermatology consultation at the same clinic.
Nevadans who use the Reno medical office for their primary care doctorate or specialty should also avoid the following cosmetic and mouthwash treatments, according to the rules: A single application of the products should not exceed two weeks.
A single application should not include any more than six different products.
The amount of the application and frequency of the applications should be limited to not more than once a week.
An individual patient may use as many as three products.
Patients may use only one product per treatment session, per person.
A patient may not use more than one application of any one product.
Dr. Darryl D. McNeill, chairman of the Nevada Medical Association, said the rules are an important step in preventing patients from dying.
The state is also working to expand its existing dental and ophthalmological residency programs.
“There’s no reason for these things to be occurring in the first place,” he said.
The rules require that the Nevada medical office be staffed by qualified health care professionals who are certified to perform a wide range of cosmetic and dental procedures.
A full-time dermatologist and a full-timeliness oral surgeon must be available 24 hours a day, seven days a week for the office.
They must be able to perform the following services: cleanse, treat, maintain, or remove the patient’s skin, including cuts, abrasions, creases, or other skin-related injuries, or use the patient as a model.
An oral surgeon may also perform a full range of skin-care and aesthetic procedures.
If the Nevada office is a medical specialty clinic, the rules state that a nurse must be present to treat all patients with an approved cosmetic or oral procedure.
A nurse may administer medication to treat a patient’s underlying medical conditions, such as diabetes, heart disease, or a skin condition.
The nurse also must be in the office during any outpatient visits, such if the nurse is a primary care physician or dermatologist.
No one at the Nevada clinic has been charged with violating the rules.
In a statement, the Las Vegas Medical Center said it “remains committed to maintaining and providing high-quality care.”