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Cultural Competency Regulations : NRS 449.103

Nevada is a majority-minority state, and its population demographics continue to grow exponentially in diversity and size. Nevertheless, standard training for equitable care does not represent the state of Nevada's cultural diversity. Discrimination on the basis of religion, race, ethnicity, sexual orientation and identity, and countless other cultural traits affect Nevadans in all sectors of their lives, and the arena of healthcare is no exception. Discrimination arises from a lack of understanding or familiarity with different lived experiences and cultures, resulting in cultural barriers that prevent quality care and dignity from being provided to all patients. To foster a culture of cultural humility and inclusivity in healthcare, NRS 449.103 mandates all employees within health facilities take cultural competency training annually.

Section 449.103 - Training Relating to Cultural Competency

1. To enable an agent or employee of a medical facility, facility for the dependent or facility which is otherwise required by regulations adopted by the Board pursuant to NRS 449.0303 to be licensed who provides care to a patient or resident of the facility to more effectively treat patients or care for residents, as applicable, the Board shall, by regulation, require such a facility to conduct training relating specifically to cultural competency for any agent or employee of the facility who provides care to a patient or resident of the facility so that such an agent or employee may better understand patients or residents who have different cultural backgrounds.

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Required topics in approved trainings include:

  • Best Practices For:

    • Various gender, racial and ethnic backgrounds;

    • Various religious backgrounds;

    • Lesbian, gay, bisexual, transgender and questioning persons;

    • Children and senior citizens;

    • Persons with a mental or physical disability;

    • Part of any other population that such an agent or employee may need to better understand, as determined by the Board

  • Discriminatory Language and Behaviors

  • Welcoming and Safe Environments

  • Cultural Competency Overview

  • Implicit Bias

  • Indirect Discrimination

  • Assumptions and Myths

  • Gender

  • Race and ethnicity

  • Religion

  • Sexual Orientation and Gender Identities

  • Mental and physical disabilities

  • Barriers to care

More Information:

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