HB0313ham003 100TH GENERAL ASSEMBLY

Rep. Sara Feigenholtz

Filed: 4/19/2017

 

 


 

 


 
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1
AMENDMENT TO HOUSE BILL 313

2    AMENDMENT NO. ______. Amend House Bill 313, AS AMENDED,
3with reference to page and line numbers of House Amendment No.
42, on page 292, immediately below line 25, by inserting the
5following:
6    ""Comprehensive nursing assessment" means the gathering of
7information about the patient's physiological, psychological,
8sociological, and spiritual status on an ongoing basis by a
9registered professional nurse and is the first step in
10implementing and guiding the nursing plan of care."; and
 
11on page 293, by replacing lines 23 and 24 with "comprehensive
12nursing assessment performed by the registered professional
13nurse or advanced practice registered nurse or the assessment
14by the physician assistant,"; and
 
15on page 295, by deleting lines 9 through 14; and
 

 

 

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1on page 295, line 16, after "performs.", by inserting "An
2individual or entity shall not mandate that a registered
3professional nurse delegate nursing interventions if the
4registered professional nurse determines it is inappropriate
5to do so. A nurse shall not be subject to disciplinary or any
6other adverse action for refusing to delegate a nursing
7intervention based on patient safety."; and
 
8on page 296, lines 5 and 6, by replacing "at the direction of
9as delegated by" with "under the guidance of as delegated by";
10and
 
11on page 296, line 26, after "injury,", by inserting
12"development and implementation of the nursing plan of care,";
13and
 
14on page 297, line 1, by replacing "through care coordination"
15with ", care coordination,"; and
 
16on page 303, by replacing lines 13 and 14 with "being licensed
17under this Act shall, in addition to any other penalty provided
18by law, pay a civil penalty to the Department"; and
 
19on page 307, by replacing line 18 with "interventions or
20guiding the practice of a licensed practical nurse activities
21or tasks as authorized under this Act;"; and
 

 

 

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1on page 307, immediately below line 18, by inserting the
2following:
3        "(19) Discipline or take other adverse action against a
4    nurse who refused to delegate a nursing intervention based
5    on patient safety; and"; and
 
6on page 307, line 19, by replacing "(19)" with "(20)"; and
 
7on page 314, line 12, after "delegation", by inserting "by a
8registered professional nurse"; and
 
9on page 314, line 19, by deleting "or advanced practice
10registered nurse"; and
 
11on page 314, lines 24 and 25, by deleting "or advanced practice
12registered nurse"; and
 
13on page 315, line 12, by deleting "or advanced practice
14registered nurse"; and
 
15on page 315, by replacing lines 13 and 14 with the following:
16        "(1) delegate nursing interventions to other
17    registered professional nurses, licensed practical nurses,
18    and other unlicensed personnel based on the comprehensive
19    nursing assessment that includes, but is not limited to:";

 

 

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1    and
 
2on page 315, by replacing lines 23 through 25 with "licensed
3nurses;"; and
 
4on page 315, immediately below line 25, by inserting the
5following:
6        "(3) in community-based or in-home care settings,
7    delegate the administration of medication (limited to oral
8    or subcutaneous dosage and topical or transdermal
9    application) to unlicensed personnel, if all the
10    conditions for delegation set forth in this Section are
11    met;"; and
 
12on page 315, line 26, by replacing "(3)" with "(4)"; and
 
13on page 316, line 1, by replacing "delegation." with
14"delegation; or"; and
 
15on page 316, immediately below line 7, by inserting the
16following:
17        "(5) in community-based or in-home care settings,
18    delegate, guide, and evaluate the implementation of
19    nursing interventions as a component of patient care
20    coordination after completion of the comprehensive patient
21    assessment based on analysis of the comprehensive nursing

 

 

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1    assessment data; care coordination in in-home care and
2    school settings may occur in person, by telecommunication,
3    or by electronic communication."; and
 
4on page 316, line 10, by deleting "or advanced practice nurse";
5and
 
6on page 316 line 11, after "registered", by inserting
7"professional"; and
 
8on page 316, lines 11 and 12, by deleting "or advanced practice
9"registered nurse"; and
 
10on page 316, lines 24 and 25, by deleting "or advanced practice
11registered nurse"; and
 
12on page 316, line 26, after "judgment,", by inserting "the";
13and
 
14on page 316, line 26, after "assessment,", by inserting "the";
15and
 
16on page 318, line 9, by replacing "have" with "has have"; and
 
17on page 327, immediately below line 20, by inserting the
18following:

 

 

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1        "(2.5) the applicant has successfully completed a
2    licensure examination approved by the Department;"; and
 
3on page 327, line 21, by replacing "an LPN" with "a licensed
4practical nurse"; and
 
5on page 336, line 4, by deleting "directed"; and
 
6on page 336, line 6, by replacing "direction" with "guidance";
7and
 
8on page 336, lines 7 and 8, by replacing "or as directed by"
9with "or as directed by"; and
 
10on page 336, by replacing lines 13 and 14 with "contributing to
11the ongoing comprehensive nursing assessment of the patient
12performed by the registered professional nurse. Collecting
13data and collaborating in the"; and
 
14on page 341, line 15, by replacing "have" with "has have"; and
 
15on page 350, immediately below line 18, by inserting the
16following:
17        "(2.5) the applicant has successfully completed a
18    licensure examination approved by the Department;"; and
 

 

 

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1on page 350, line 19, by replacing "an LPN" with "a registered
2professional nurse"; and
 
3on page 358, line 25, after "injury,", by inserting "the
4development and implementation of the nursing plan of care,";
5and
 
6on page 359, line 8, by replacing "includes" with "may
7include"; and
 
8on page 359, line 10, after "situation", by inserting "on an
9ongoing basis through the comprehensive nursing assessment";
10and
 
11on page 359, line 11, by replacing "the" with "comprehensive
12nursing"; and
 
13on page 359, line 20, after "administration", by inserting
14"according to Section 50-75 of this Act"; and
 
15on page 359, line 21, after "Evaluating", by inserting
16"patient"; and
 
17on page 359, line 23, by deleting "and assigning"; and
 
18on page 359, immediately below line 25, by inserting the

 

 

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1following:
2        "(7.5) Advocating for the patient."; and
 
3on page 360, by replacing lines 18 and 19 with "and sustain
4evidence-based nursing services that are safe and effective.";
5and
 
6on page 360, by deleting lines 20 and 21; and
 
7on page 375, by replacing line 10 with the following:
8        "(7) Delegating selected nursing interventions
9activities or tasks to".