Am. Sub. S. B. No. 89 As Passed by the House

Cosponsors: Senators Fedor, Cafaro, Schiavoni, Miller, R., Miller, D., Kearney, Turner, Sawyer, Wilson, Wagoner, Gillmor, Schuring, Carey, Gibbs, Harris, Hughes, Niehaus, Patton, Schaffer, Strahorn, Smith
Representatives Bolon, Boose, Boyd, Brown, Carney, Celeste, Chandler, DeBose, DeGeeter, Dyer, Fende, Foley, Garland, Garrison, Goyal, Hackett, Hagan, Harris, Harwood, Koziura, Lehner, Letson, Luckie, Lundy, Mallory, Moran, Murray, Oelslager, Okey, Patten, Skindell, Slesnick, Stewart, Ujvagi, Weddington, Williams, B., Williams, S., Winburn, Yuko

Section 1. That sections 4723.01, 4723.06, 4723.48, 4723.482,	13
and 4723.50 be amended; sections 4723.484 (4723.485), and 4723.485	14
(4723.486) be amended for the purpose of adopting new section	15
numbers as indicated in parentheses; and new section 4723.484 and	16
section 3333.29 of the Revised Code be enacted to read as follows:	17

Sec. 3333.29. (A) As used in this section, "state institution	18
of higher education" has the same meaning as in section 3345.011	19
of the Revised Code.	20

(B) The chancellor of the Ohio board of regents shall	21
establish, within the Ohio skills bank, a mechanism to facilitate	22
communication, cooperation, and partnerships among state	23
institutions of higher education with nursing education programs	24
and between state institutions of higher education and hospitals	25
in this state to meet regional and statewide nursing education	26
needs.	27

(A) "Registered nurse" means an individual who holds a	29
current, valid license issued under this chapter that authorizes	30
the practice of nursing as a registered nurse.	31

(B) "Practice of nursing as a registered nurse" means	32
providing to individuals and groups nursing care requiring	33
specialized knowledge, judgment, and skill derived from the	34
principles of biological, physical, behavioral, social, and	35
nursing sciences. Such nursing care includes:	36

(1) Identifying patterns of human responses to actual or	37
potential health problems amenable to a nursing regimen;	38

(2) Executing a nursing regimen through the selection,	39
performance, management, and evaluation of nursing actions;	40

(3) Assessing health status for the purpose of providing	41
nursing care;	42

(5) Administering medications, treatments, and executing	44
regimens authorized by an individual who is authorized to practice	45
in this state and is acting within the course of the individual's	46
professional practice;	47

(6) Teaching, administering, supervising, delegating, and	48
evaluating nursing practice.	49

(C) "Nursing regimen" may include preventative, restorative,	50
and health-promotion activities.	51

(D) "Assessing health status" means the collection of data	52
through nursing assessment techniques, which may include	53
interviews, observation, and physical evaluations for the purpose	54
of providing nursing care.	55

(E) "Licensed practical nurse" means an individual who holds	56
a current, valid license issued under this chapter that authorizes	57
the practice of nursing as a licensed practical nurse.	58

(F) "The practice of nursing as a licensed practical nurse"	59
means providing to individuals and groups nursing care requiring	60
the application of basic knowledge of the biological, physical,	61
behavioral, social, and nursing sciences at the direction of a	62
licensed physician, dentist, podiatrist, optometrist,	63
chiropractor, or registered nurse. Such nursing care includes:	64

(1) Observation, patient teaching, and care in a diversity of	65
health care settings;	66

(2) Contributions to the planning, implementation, and	67
evaluation of nursing;	68

(5) Delegation of nursing tasks as directed by a registered	84
nurse;	85

(3) Administration of medications and treatments authorized	69
by an individual who is authorized to practice in this state and	70
is acting within the course of the individual's professional	71
practice, except that administration of intravenous therapy shall	72
be performed only in accordance with section 4723.17 or 4723.171	73
of the Revised Code. Medications may be administered by a licensed	74
practical nurse upon proof of completion of a course in medication	75
administration approved by the board of nursing.	76

(4) Administration to an adult of intravenous therapy	77
authorized by an individual who is authorized to practice in this	78
state and is acting within the course of the individual's	79
professional practice, on the condition that the licensed	80
practical nurse is authorized under section 4723.17 or 4723.171 of	81
the Revised Code to perform intravenous therapy and performs	82
intravenous therapy only in accordance with those sections;	83

(6) Teaching nursing tasks to licensed practical nurses and	86
individuals to whom the licensed practical nurse is authorized to	87
delegate nursing tasks as directed by a registered nurse.	88

(G) "Certified registered nurse anesthetist" means a	89
registered nurse who holds a valid certificate of authority issued	90
under this chapter that authorizes the practice of nursing as a	91
certified registered nurse anesthetist in accordance with section	92
4723.43 of the Revised Code and rules adopted by the board of	93
nursing.	94

(H) "Clinical nurse specialist" means a registered nurse who	95
holds a valid certificate of authority issued under this chapter	96
that authorizes the practice of nursing as a clinical nurse	97
specialist in accordance with section 4723.43 of the Revised Code	98
and rules adopted by the board of nursing.	99

(I) "Certified nurse-midwife" means a registered nurse who	100
holds a valid certificate of authority issued under this chapter	101
that authorizes the practice of nursing as a certified	102
nurse-midwife in accordance with section 4723.43 of the Revised	103
Code and rules adopted by the board of nursing.	104

(J) "Certified nurse practitioner" means a registered nurse	105
who holds a valid certificate of authority issued under this	106
chapter that authorizes the practice of nursing as a certified	107
nurse practitioner in accordance with section 4723.43 of the	108
Revised Code and rules adopted by the board of nursing.	109

(K) "Physician" means an individual authorized under Chapter	110
4731. of the Revised Code to practice medicine and surgery or	111
osteopathic medicine and surgery, except as used in divisions (C)	112
and (D) of section 4723.482 of the Revised Code.	113

(1) In the case of a clinical nurse specialist, except as	115
provided in division (L)(3) of this section, or a certified nurse	116
practitioner, that one or more podiatrists acting within the scope	117
of practice of podiatry in accordance with section 4731.51 of the	118
Revised Code and with whom the nurse has entered into a standard	119
care arrangement or one or more physicians with whom the nurse has	120
entered into a standard care arrangement are continuously	121
available to communicate with the clinical nurse specialist or	122
certified nurse practitioner either in person or by radio,	123
telephone, or other form of telecommunication;	124

(2) In the case of a certified nurse-midwife, that one or	125
more physicians with whom the certified nurse-midwife has entered	126
into a standard care arrangement are continuously available to	127
communicate with the certified nurse-midwife either in person or	128
by radio, telephone, or other form of telecommunication;	129

(3) In the case of a clinical nurse specialist who practices	130
the nursing specialty of mental health or psychiatric mental	131
health without being authorized to prescribe drugs and therapeutic	132
devices, that one or more physicians are continuously available to	133
communicate with the nurse either in person or by radio,	134
telephone, or other form of telecommunication.	135

(M) "Supervision," as it pertains to a certified registered	136
nurse anesthetist, means that the certified registered nurse	137
anesthetist is under the direction of a podiatrist acting within	138
the podiatrist's scope of practice in accordance with section	139
4731.51 of the Revised Code, a dentist acting within the dentist's	140
scope of practice in accordance with Chapter 4715. of the Revised	141
Code, or a physician, and, when administering anesthesia, the	142
certified registered nurse anesthetist is in the immediate	143
presence of the podiatrist, dentist, or physician.	144

(N) "Standard care arrangement" means a written, formal guide	145
for planning and evaluating a patient's health care that is	146
developed by one or more collaborating physicians or podiatrists	147
and a clinical nurse specialist, certified nurse-midwife, or	148
certified nurse practitioner and meets the requirements of section	149
4723.431 of the Revised Code.	150

(O) "Advanced practice nurse" means a certified registered	151
nurse anesthetist, clinical nurse specialist, certified	152
nurse-midwife, or certified nurse practitioner.	153

(P) "Dialysis care" means the care and procedures that a	154
dialysis technician is authorized to provide and perform, as	155
specified in section 4723.72 of the Revised Code.	156

(Q) "Dialysis technician" means an individual who holds a	157
current, valid certificate or temporary certificate issued under	158
this chapter that authorizes the individual to practice as a	159
dialysis technician in accordance with section 4723.72 of the	160
Revised Code.	161

(R) "Certified community health worker" means an individual	162
who holds a current, valid certificate as a community health	163
worker issued by the board of nursing under section 4723.85 of the	164
Revised Code.	165

(1) Administer and enforce the provisions of this chapter,	167
including the taking of disciplinary action for violations of	168
section 4723.28 of the Revised Code, any other provisions of this	169
chapter, or rules adopted under this chapter;	170

(2) Develop criteria that an applicant must meet to be	171
eligible to sit for the examination for licensure to practice as a	172
registered nurse or as a licensed practical nurse;	173

(3) Issue and renew nursing licenses, dialysis technician	174
certificates, and community health worker certificates, as	175
provided in this chapter;	176