Steve Marcus
State Sen. Joe Hardy, center, joined by other senators, asks a question Thursday during a hearing at the Sawyer State Building on the health scare caused by the Endoscopy Center of Southern Nevada.
By Marshall Allen, David McGrath Schwartz
Sat, Mar 8, 2008 (2 a.m.)
With patients in unprecedented numbers endangered by a Las Vegas endoscopy clinic, the state’s appetite and resources for regulating and enforcing laws governing medical practices are facing new scrutiny.
And as the crisis grows, teams of federal health investigators are swooping into Nevada. Their mission: to help inspect all 50 ambulatory surgical centers in the next 30 days and share their findings across the country.
They hope to learn how to avoid what Nevadans are still trying to grasp: nurses in one of the busiest clinics in the state knowingly neglecting the most basic disease prevention methods when they injected patients, apparently at the direction of physicians. That led to six acute hepatitis C cases and 40,000 people being told to be tested for hepatitis B, hepatitis C and HIV.
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The federal government contracts with states to inspect facilities. A heated debate about the state’s effectiveness in regulating the clinics is taking place in Nevada after the Endoscopy Center debacle. The arguments center on two subjects: inspections and enforcement.
The Endoscopy Center had not undergone a full inspection by the state because of a lack of resources, said Lisa Jones, chief of the state’s Licensure and Certification Bureau.
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Last year, Gov. Jim Gibbons proposed cutting 10 additional inspectors from a proposed budget because paying for them would have required a fee increase.
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