Nevada Board Of Medical Examiners

Nevada Revised Statute § 630.356(1) grants physicians the right to judicial review of Nevada State Board of Medical Examiners’ final decisions, while Nevada Revised Statute § 630.356(2) simultaneously prohibits district courts from entering a stay of the Board’s decision pending judicial review.

Medical Boards are required by 45 C.F.R. §§ 60.5(d) and 60.8(a) (2013) to report sanctions to the  National Practitioner Data Bank, which disseminates information of physician misconduct to health-care entities, including hospitals.

Below is an outline and makeup of the discipline process and procedure:

The Board of Medical Examiners consists of nine members appointed by the Governor of the State of Nevada. Six members of the Board must be persons who are licensed to practice medicine in the State of Nevada, and who are actually engaged in the practice of medicine in the State of Nevada and have resided and practiced medicine in Nevada for at least 5 years preceding their respective appointments.

One member of the Board must be a person who has resided in this State for at least 5 years and who represents the interests of persons or agencies that regularly provide health care to patients who are indigent, uninsured or unable to afford health care.

 The remaining two members of the Board must be persons who have resided in this State for at least 5 years and who:

(a) Are not licensed in any state to practice any healing art;

(b) Are not the spouse or the parent or child, by blood, marriage or adoption, of a person licensed in any state to practice any healing art;

(c) Are not actively engaged in the administration of any facility for the dependent as defined in chapter 449 of Nevada Revised Statutes, medical facility or medical school; and

(d) Do not have a pecuniary interest in any matter pertaining to the healing arts, except as a patient or potential patient.

The Board may, by majority vote, select physicians and members of the public, who must meet the same qualifications as required for members of the Board, to serve as advisory members of the Board. One or more advisory members may be designated by the Board to assist a committee of its members in an investigation as provided in NRS 630.311 but may not vote on any matter before the committee. Advisory members may also serve as members of the panel selected to hear charges as provided in NRS 630.339 and may vote on any recommendation made by the panel to the Board.

NRS 630.301  Criminal offenses; disciplinary action taken by other jurisdiction; surrender of previous license while under investigation; malpractice; engaging in sexual activity with patient; disruptive behavior; violating or exploiting trust of patient for financial or personal gain; failure to offer appropriate care with intent to positively influence financial well-being; engaging in disreputable conduct; engaging in sexual contact with surrogate of patient or relatives of patient.  

The following acts, among others, constitute grounds for initiating disciplinary action or denying licensure:

1.  Conviction of a felony relating to the practice of medicine or the ability to practice medicine. A plea of nolo contendere is a conviction for the purposes of this subsection.

2.  Conviction of violating any of the provisions of NRS 616D.200, 616D.220, 616D.240, 616D.300, 616D.310, or 616D.350 to 616D.440, inclusive.

3.  Any disciplinary action, including, without limitation, the revocation, suspension, modification or limitation of a license to practice any type of medicine, taken by another state, the Federal Government, a foreign country or any other jurisdiction or the surrender of the license or discontinuing the practice of medicine while under investigation by any licensing authority, a medical facility, a branch of the Armed Services of the United States, an insurance company, an agency of the Federal Government or an employer.

4.  Malpractice, which may be evidenced by claims settled against a practitioner, but only if the malpractice is established by a preponderance of the evidence. 5.  The engaging by a practitioner in any sexual activity with a patient who is currently being treated by the practitioner. 6.  Disruptive behavior with physicians, hospital personnel, patients, members of the families of patients or any other persons if the behavior interferes with patient care or has an adverse impact on the quality of care rendered to a patient. 7.  The engaging in conduct that violates the trust of a patient and exploits the relationship between the physician and the patient for financial or other personal gain. 8.  The failure to offer appropriate procedures or studies, to protest inappropriate denials by organizations for managed care, to provide necessary services or to refer a patient to an appropriate provider, when the failure occurs with the intent of positively influencing the financial well-being of the practitioner or an insurer. 9.  The engaging in conduct that brings the medical profession into disrepute, including, without limitation, conduct that violates any provision of a code of ethics adopted by the Board by regulation based on a national code of ethics. 10.  The engaging in sexual contact with the surrogate of a patient or other key persons related to a patient, including, without limitation, a spouse, parent or legal guardian, which exploits the relationship between the physician and the patient in a sexual manner. 11.  Conviction of: (a) Murder, voluntary manslaughter or mayhem; (b) Any felony involving the use of a firearm or other deadly weapon; (c) Assault with intent to kill or to commit sexual assault or mayhem; (d) Sexual assault, statutory sexual seduction, incest, lewdness, indecent exposure or any other sexually related crime; (e) Abuse or neglect of a child or contributory delinquency; (f) A violation of any federal or state law regulating the possession, distribution or use of any controlled substance or any dangerous drug as defined in chapter 454 of Nevada Revised Statutes; or (g) Any offense involving moral turpitude.

NRS 630.304  Misrepresentation in obtaining or renewing license; false advertising; practicing under another name; signing blank prescription forms; influencing patient to engage in sexual activity; discouraging second opinion; terminating care without adequate notice. The following acts, among others, constitute grounds for initiating disciplinary action or denying licensure: 1.  Obtaining, maintaining or renewing or attempting to obtain, maintain or renew a license to practice medicine by bribery, fraud or misrepresentation or by any false, misleading, inaccurate or incomplete statement. 2.  Advertising the practice of medicine in a false, deceptive or misleading manner. 3.  Practicing or attempting to practice medicine under another name. 4.  Signing a blank prescription form. 5.  Influencing a patient in order to engage in sexual activity with the patient or with others. 6.  Attempting directly or indirectly, by way of intimidation, coercion or deception, to obtain or retain a patient or to discourage the use of a second opinion. 7.  Terminating the medical care of a patient without adequate notice or without making other arrangements for the continued care of the patient.NRS 630.305  Accepting compensation to influence evaluation or treatment; inappropriate division of fees; inappropriate referral to health facility, laboratory or commercial establishment; charging for services not rendered; aiding practice by unlicensed person; delegating responsibility to unqualified person; failing to disclose conflict of interest; failing to initiate performance of community service; exception.1.  The following acts, among others, constitute grounds for initiating disciplinary action or denying licensure: (a) Directly or indirectly receiving from any person, corporation or other business organization any fee, commission, rebate or other form of compensation which is intended or tends to influence the physician’s objective evaluation or treatment of a patient. (b) Dividing a fee between licensees except where the patient is informed of the division of fees and the division of fees is made in proportion to the services personally performed and the responsibility assumed by each licensee. (c) Referring, in violation of NRS 439B.425, a patient to a health facility, medical laboratory or commercial establishment in which the licensee has a financial interest. (d) Charging for visits to the physician’s office which did not occur or for services which were not rendered or documented in the records of the patient. (e) Aiding, assisting, employing or advising, directly or indirectly, any unlicensed person to engage in the practice of medicine contrary to the provisions of this chapter or the regulations of the Board. (f) Delegating responsibility for the care of a patient to a person if the licensee knows, or has reason to know, that the person is not qualified to undertake that responsibility. (g) Failing to disclose to a patient any financial or other conflict of interest. (h) Failing to initiate the performance of community service within 1 year after the date the community service is required to begin, if the community service was imposed as a requirement of the licensee’s receiving loans or scholarships from the Federal Government or a state or local government for the licensee’s medical education. 2.  Nothing in this section prohibits a physician from forming an association or other business relationship with an optometrist pursuant to the provisions of NRS 636.373.NRS 630.306  Inability to practice medicine; deceptive conduct; violation of regulation governing practice of medicine or adopted by State Board of Pharmacy; unlawful distribution of controlled substance; injection of silicone; practice beyond scope of license; practicing experimental medicine without consent of patient or patient’s family; lack of skill or diligence; alcohol or other substance use disorder; filing of false report; failure to report certain changes of information or disciplinary or criminal action in another jurisdiction; failure to be found competent after examination; certain operation of a medical facility; prohibited administration of anesthesia or sedation; engaging in unsafe or unprofessional conduct; knowingly or willfully procuring or administering certain controlled substances or dangerous drugs; failure to supervise medical assistant adequately; allowing person not enrolled in accredited medical school to perform certain activities; failure to obtain required training regarding controlled substances; unauthorized injection of dermal or soft tissue fillers or botulinum toxin. [Effective through June 30, 2020.]1.  The following acts, among others, constitute grounds for initiating disciplinary action or denying licensure: (a) Inability to practice medicine with reasonable skill and safety because of illness, a mental or physical condition or the use of alcohol, drugs, narcotics or any other substance. (b) Engaging in any conduct: (1) Which is intended to deceive; (2) Which the Board has determined is a violation of the standards of practice established by regulation of the Board; or (3) Which is in violation of a provision of chapter 639 of NRS, or a regulation adopted by the State Board of Pharmacy pursuant thereto, that is applicable to a licensee who is a practitioner, as defined in NRS 639.0125. (c) Administering, dispensing or prescribing any controlled substance, or any dangerous drug as defined in chapter 454 of NRS, to or for himself or herself or to others except as authorized by law. (d) Performing, assisting or advising the injection of any substance containing liquid silicone into the human body, except for the use of silicone oil to repair a retinal detachment. (e) Practicing or offering to practice beyond the scope permitted by law or performing services which the licensee knows or has reason to know that he or she is not competent to perform or which are beyond the scope of his or her training. (f) Performing, without first obtaining the informed consent of the patient or the patient’s family, any procedure or prescribing any therapy which by the current standards of the practice of medicine is experimental. (g) Continual failure to exercise the skill or diligence or use the methods ordinarily exercised under the same circumstances by physicians in good standing practicing in the same specialty or field. (h) Having an alcohol or other substance use disorder. (i) Making or filing a report which the licensee or applicant knows to be false or failing to file a record or report as required by law or regulation. (j) Failing to comply with the requirements of NRS 630.254. (k) Failure by a licensee or applicant to report in writing, within 30 days, any disciplinary action taken against the licensee or applicant by another state, the Federal Government or a foreign country, including, without limitation, the revocation, suspension or surrender of a license to practice medicine in another jurisdiction. The provisions of this paragraph do not apply to any disciplinary action taken by the Board or taken because of any disciplinary action taken by the Board. (l) Failure by a licensee or applicant to report in writing, within 30 days, any criminal action taken or conviction obtained against the licensee or applicant, other than a minor traffic violation, in this State or any other state or by the Federal Government, a branch of the Armed Forces of the United States or any local or federal jurisdiction of a foreign country. (m) Failure to be found competent to practice medicine as a result of an examination to determine medical competency pursuant to NRS 630.318. (n) Operation of a medical facility at any time during which: (1) The license of the facility is suspended or revoked; or (2) An act or omission occurs which results in the suspension or revocation of the license pursuant to NRS 449.160. Ê This paragraph applies to an owner or other principal responsible for the operation of the facility. (o) Failure to comply with the requirements of NRS 630.373. (p) Engaging in any act that is unsafe or unprofessional conduct in accordance with regulations adopted by the Board. (q) Knowingly or willfully procuring or administering a controlled substance or a dangerous drug as defined in chapter 454 of Nevada Revised Statutes that is not approved by the United States Food and Drug Administration, unless the unapproved controlled substance or dangerous drug: (1) Was procured through a retail pharmacy licensed pursuant to chapter 639 of NRS; (2) Was procured through a Canadian pharmacy which is licensed pursuant to chapter 639 of NRS and which has been recommended by the State Board of Pharmacy pursuant to subsection 4 of NRS 639.2328; (3) Is marijuana being used for medical purposes in accordance with chapter 453A of NRS; or (4) Is an investigational drug or biological product prescribed to a patient pursuant to NRS 630.3735 or 633.6945. (r) Failure to supervise adequately a medical assistant pursuant to the regulations of the Board. (s) Failure to comply with the provisions of NRS 630.3745. (t) Failure to obtain any training required by the Board pursuant to NRS 630.2535. (u) Failure to comply with the provisions of NRS 454.217 or 629.086. 2.  As used in this section, “investigational drug or biological product” has the meaning ascribed to it in NRS 454.351.NRS 630.3062  Failure to maintain proper medical records; altering medical records; making false report; failure to file or obstructing required report; failure to allow inspection and copying of medical records; failure to report other person in violation of chapter or regulations; failure to comply with certain requirements relating to controlled substances.1.  The following acts, among others, constitute grounds for initiating disciplinary action or denying licensure: (a) Failure to maintain timely, legible, accurate and complete medical records relating to the diagnosis, treatment and care of a patient. (b) Altering medical records of a patient. (c) Making or filing a report which the licensee knows to be false, failing to file a record or report as required by law or knowingly or willfully obstructing or inducing another to obstruct such filing. (d) Failure to make the medical records of a patient available for inspection and copying as provided in NRS 629.061, if the licensee is the custodian of health care records with respect to those records. (e) Failure to comply with the requirements of NRS 630.3068. (f) Failure to report any person the licensee knows, or has reason to know, is in violation of the provisions of this chapter or the regulations of the Board within 30 days after the date the licensee knows or has reason to know of the violation. (g) Failure to comply with the requirements of NRS 453.163, 453.164, 453.226, 639.23507, 639.23535 and 639.2391 to 639.23916, inclusive, and any regulations adopted by the State Board of Pharmacy pursuant thereto. (h) Fraudulent, illegal, unauthorized or otherwise inappropriate prescribing, administering or dispensing of a controlled substance listed in schedule II, III or IV. 2.  As used in this section, “custodian of health care records” has the meaning ascribed to it in NRS 629.016.NRS 630.3065  Knowing or willful disclosure of privileged communication; knowing or willful failure to comply with law, subpoena or order; knowing or willful failure to perform legal obligation. The following acts, among others, constitute grounds for initiating disciplinary action or denying licensure:1.  Knowingly or willfully disclosing a communication privileged pursuant to a statute or court order. 2.  Knowingly or willfully failing to comply with: (a) A regulation, subpoena or order of the Board or a committee designated by the Board to investigate a complaint against a physician; (b) A court order relating to this chapter; or (c) A provision of this chapter. 3.  Knowingly or willfully failing to perform a statutory or other legal obligation imposed upon a licensed physician, including a violation of the provisions of NRS 439B.410.NRS 630.3066  Prescribing or administering certain controlled substances for treatment of intractable pain or engaging in activity relating to medical use of marijuana not grounds for disciplinary action under certain circumstances. [Effective through June 30, 2020.]A physician is not subject to disciplinary action solely for:1.  Prescribing or administering to a patient under his or her care a controlled substance which is listed in schedule II, III, IV or V by the State Board of Pharmacy pursuant to NRS 453.146, if the controlled substance is lawfully prescribed or administered for the treatment of intractable pain in accordance with the provisions of NRS 639.23507 and 639.2391 to 639.23916, inclusive, any regulations adopted by the State Board of Pharmacy pursuant thereto and any other regulations adopted by the Board of Medical Examiners. 2.  Engaging in any activity in accordance with the provisions of chapter 453A of NRS. NRS 630.3066  Prescribing or administering certain controlled substances for treatment of intractable pain or engaging in activity relating to medical use of cannabis not grounds for disciplinary action under certain circumstances. [Effective July 1, 2020.]A physician is not subject to disciplinary action solely for:1.  Prescribing or administering to a patient under his or her care a controlled substance which is listed in schedule II, III, IV or V by the State Board of Pharmacy pursuant to NRS 453.146, if the controlled substance is lawfully prescribed or administered for the treatment of intractable pain in accordance with the provisions of NRS 639.23507 and 639.2391 to 639.23916, inclusive, any regulations adopted by the State Board of Pharmacy pursuant thereto and any other regulations adopted by the Board of Medical Examiners. 2.  Engaging in any activity in accordance with the provisions of chapter 678C of NRS.

NRS 630.339  Contents of formal complaint; answer; case conference; procedure for hearing resulting from report of violations of Industrial Insurance Act; formal hearing. 1.  If a committee designated by the Board to conduct an investigation of a complaint decides to proceed with disciplinary action, it shall bring charges against the licensee by filing a formal complaint. The formal complaint must include a written statement setting forth the charges alleged and setting forth in concise and plain language each act or omission of the respondent upon which the charges are based. The formal complaint must be prepared with sufficient clarity to ensure that the respondent is able to prepare a defense. The formal complaint must specify any applicable law or regulation that the respondent is alleged to have violated. The formal complaint may be signed by the chair of the investigative committee or the legal counsel for the Board. 2.  The respondent may file an answer to the formal complaint within 20 days after service of the complaint upon the respondent. An answer must state in concise and plain language the respondent’s defenses to each charge set forth in the complaint and must admit or deny the averments stated in the complaint. If a party fails to file an answer within the time prescribed, the party shall be deemed to have generally denied the allegations of the formal complaint and the Board or an investigative committee of the Board may proceed pursuant to this section in the same manner as if the answer were timely filed. 3.  Within 20 days after the filing of an answer or 20 days after the date on which an answer is due, whichever is earlier, the parties shall hold an early case conference at which the parties and a hearing officer appointed by the Board or a member of the Board must preside. At the early case conference, the parties shall in good faith: (a) Set the earliest possible hearing date agreeable to the parties and the hearing officer, panel of the Board or the Board, including the estimated duration of the hearing; (b) Set dates: (1) By which all documents must be exchanged; (2) By which all prehearing motions and responses thereto must be filed; (3) On which to hold the prehearing conference; and (4) For any other foreseeable actions that may be required for the matter; (c) Discuss or attempt to resolve all or any portion of the evidentiary or legal issues in the matter; (d) Discuss the potential for settlement of the matter on terms agreeable to the parties; and (e) Discuss and deliberate any other issues that may facilitate the timely and fair conduct of the matter. 4.  If the Board receives a report pursuant to subsection 5 of NRS 228.420, such a hearing must be held within 30 days after receiving the report. The Board shall notify the licensee of the charges brought against him or her, the time and place set for the hearing, and the possible sanctions authorized in NRS 630.352. 5.  A formal hearing must be held at the time and date set at the early case conference by: (a) The Board; (b) A hearing officer; (c) A member of the Board designated by the Board or an investigative committee of the Board; (d) A panel of members of the Board designated by an investigative committee of the Board or the Board; (e) A hearing officer together with not more than one member of the Board designated by an investigative committee of the Board or the Board; or (f) A hearing officer together with a panel of members of the Board designated by an investigative committee of the Board or the Board. If the hearing is before a panel, at least one member of the panel must not be a physician. 6.  At any hearing at which at least one member of the Board presides, whether in combination with a hearing officer or other members of the Board, the final determinations regarding credibility, weight of evidence and whether the charges have been proven must be made by the members of the Board. If a hearing officer presides together with one or more members of the Board, the hearing officer shall: (a) Conduct the hearing; (b) In consultation with each member of the Board, make rulings upon any objections raised at the hearing; (c) In consultation with each member of the Board, make rulings concerning any motions made during or after the hearing; and (d) Within 30 days after the conclusion of the hearing, prepare and file with the Board written findings of fact and conclusions of law in accordance with the determinations made by each member of the Board.NRS 630.342  Submission of fingerprints required upon initiation of disciplinary action; effect of noncompliance; additional grounds for disciplinary action. 1.  Any licensee against whom the Board initiates disciplinary action pursuant to this chapter shall, within 30 days after the licensee’s receipt of notification of the initiation of the disciplinary action, submit to the Board a complete set of fingerprints and written permission authorizing the Board to forward the fingerprints to the Central Repository for Nevada Records of Criminal History for submission to the Federal Bureau of Investigation for its report. 2.  The knowing or willful failure of a licensee to comply with the requirements of subsection 1 constitutes additional grounds for disciplinary action and the revocation of the license of the licensee. 3.  The Board has additional grounds for initiating disciplinary action against a licensee if the report from the Federal Bureau of Investigation indicates that the licensee has been convicted of: (a) An act that is a ground for disciplinary action pursuant to NRS 630.301 to 630.3066, inclusive; or (b) A violation of NRS 630.400.NRS 630.344  Service of process; publication of notice. 1.  Except as otherwise provided in subsection 2, service of process under this chapter must be made on a licensee personally, or by registered or certified mail with return receipt requested addressed to the licensee at his or her last known address. If personal service cannot be made and if notice by mail is returned undelivered, the President or Secretary-Treasurer of the Board shall cause notice to be published once a week for 4 consecutive weeks in a newspaper published in the county of the last known address of the licensee or, if no newspaper is published in that county, then in a newspaper widely distributed in that county. 2.  In lieu of the methods of service of process set forth in subsection 1, if the Board obtains written consent from the licensee, service of process under this chapter may be made by electronic mail on the licensee at an electronic mail address designated by the licensee in the written consent. 3.  Proof of service of process or publication of notice made under this chapter must be filed with the Board and may be recorded in the minutes of the Board.NRS 630.346  Board, panel or hearing officer not bound by formal rules of evidence; requirements for proof; burden of proof.  In any disciplinary hearing: 1.  The Board, a panel of the members of the Board and a hearing officer are not bound by formal rules of evidence, except that evidence must be taken and considered in the hearing pursuant to NRS 233B.123, and a witness must not be barred from testifying solely because the witness was or is incompetent. 2.  A finding of the Board must be supported by a preponderance of the evidence. 3.  Proof of actual injury need not be established. 4.  A certified copy of the record of a court or a licensing agency showing a conviction or plea of nolo contendere or the suspension, revocation, limitation, modification, denial or surrender of a license to practice medicine, perfusion or respiratory care is conclusive evidence of its occurrence.NRS 630.352  Disposition of charges: Adjudication by Board; dismissal of charges or required disciplinary action for violations; private reprimands prohibited; issuance of order imposing discipline; orders imposing discipline deemed public records. 1.  Any member of the Board, other than a member of an investigative committee of the Board who participated in any determination regarding a formal complaint in the matter or any member serving on a panel of the Board at the hearing of the matter, may participate in an adjudication to obtain the final order of the Board. At the adjudication, the Board shall consider any findings of fact and conclusions of law submitted after the hearing and shall allow: (a) Counsel for the Board to present a disciplinary recommendation and argument in support of the disciplinary recommendation subject to the provisions of NRS 622A.200 and 622A.210; (b) The respondent or counsel of the respondent to present a disciplinary recommendation and argument in support of the disciplinary recommendation; and (c) The complainant in the matter to make a statement to the Board regarding the disciplinary recommendations by the parties and to address the effect of the respondent’s conduct upon the complainant or the patient involved, if other than the complainant. Ê The Board may limit the time within which the parties and the complainant may make their arguments and statements. 2.  At the conclusion of the presentations of the parties and the complainant, the Board shall deliberate and may by a majority vote impose discipline based upon the findings of fact and conclusions of law and the presentations of the parties and the complainant. 3.  If, in the findings of fact and conclusions of law, the Board, hearing officer or panel of the Board determines that no violation has occurred, the Board shall dismiss the charges, in writing, and notify the respondent that the charges have been dismissed. 4.  Except as otherwise provided in subsection 5, if the Board finds that a violation has occurred, it shall by order take one or more of the following actions: (a) Place the person on probation for a specified period on any of the conditions specified in the order; (b) Administer a written public reprimand to the person; (c) Limit the person’s practice or exclude one or more specified branches of medicine from his or her practice; (d) Suspend the person’s license for a specified period or until further order of the Board; (e) Revoke the person’s license; (f) Require the person to participate in a program to correct an alcohol or other substance use disorder or any other impairment; (g) Require supervision of the person’s practice; (h) Impose a fine not to exceed $5,000 for each violation; (i) Require the person to perform community service without compensation; (j) Require the person to take a physical or mental examination or an examination testing his or her competence; and (k) Require the person to fulfill certain training or educational requirements. 5.  If the Board finds that the respondent has violated the provisions of NRS 439B.425, the Board shall suspend the respondent’s license for a specified period or until further order of the Board. 6.  The Board shall not administer a private reprimand if the Board finds that a violation has occurred. 7.  Within 30 days after the conclusion of the adjudication by the Board, the Board shall issue a final order, certified by the Secretary-Treasurer of the Board, that imposes discipline and incorporates the findings of fact and conclusions of law obtained from the hearing. An order that imposes discipline and the findings of fact and conclusions of law supporting that order are public records.NRS 630.355  Acts constituting contempt; stay of related disciplinary proceedings; transfer of jurisdiction to district court; penalties; manner in which person may purge himself or herself of contempt. 1.  If a person, in a proceeding before the Board, a hearing officer or a panel of the Board: (a) Disobeys or resists a lawful order; (b) Refuses to take an oath or affirmation as a witness; (c) Refuses to be examined; or (d) Engages in conduct during a hearing or so near the place thereof as to obstruct the proceeding, Ê the Board, hearing officer or panel may certify the facts to the district court of the county in which the proceeding is being conducted. Such a certification operates as a stay of all related disciplinary proceedings. The court shall issue an order directing the person to appear before the court and show cause why he or she should not be held in contempt. 2.  A copy of the statement of the Board, hearing officer or panel, and the order of the district court issued pursuant to subsection 1, must be served on the person. Thereafter, the court has jurisdiction of the matter. 3.  The same proceedings must be had, the same penalties may be imposed and the person may purge himself or herself of the contempt in the same way as in the case of a person who has committed a contempt in the trial of a civil action.NRS 630.356  Judicial review; effective date of order; stay of Board’s order by court prohibited. 1.  Any person aggrieved by a final order of the Board is entitled to judicial review of the Board’s order. 2.  Every order that imposes a sanction against a licensee pursuant to subsection 4 or 5 of NRS 630.352 or any regulation of the Board is effective from the date the Secretary-Treasurer certifies the order until the date the order is modified or reversed by a final judgment of the court. The court shall not stay the order of the Board pending a final determination by the court. 3.  The district court shall give a petition for judicial review of the Board’s order priority over other civil matters which are not expressly given priority by law.NRS 630.358  Removal of limitation on or restoration of license. 1.  Any person: (a) Whose practice of medicine, perfusion or respiratory care has been limited; or (b) Whose license to practice medicine, perfusion or respiratory care has been: (1) Suspended until further order; or (2) Revoked, Ê by an order of the Board, may apply to the Board for removal of the limitation or restoration of the license. 2.  In hearing the application, the Board: (a) May require the person to submit to a mental or physical examination or an examination testing his or her competence to practice medicine, perfusion or respiratory care by physicians, perfusionists or practitioners of respiratory care, as appropriate, or other examinations it designates and submit such other evidence of changed conditions and of fitness as it deems proper; (b) Shall determine whether under all the circumstances the time of the application is reasonable; and (c) May deny the application or modify or rescind its order as it deems the evidence and the public safety warrants. 3.  The licensee has the burden of proving by clear and convincing evidence that the requirements for restoration of the license or removal of the limitation have been met. 4.  The Board shall not restore a license unless it is satisfied that the person has complied with all of the terms and conditions set forth in the final order of the Board and that the person is capable of practicing medicine, perfusion or respiratory care in a safe manner. 5.  To restore a license that has been revoked by the Board, the applicant must apply for a license and take an examination as though the applicant had never been licensed under this chapter.