Text: SF02345 Text: SF02347 Text: SF02300 - SF02399 Text: SF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Section 1. Section 147A.8, subsection 2, Code Supplement
1 2 1999, is amended to read as follows:
1 3 2. Function in any hospital or any other entity in which
1 4 health care is ordinarily provided only when under the direct
1 5 supervision, as defined by rules adopted pursuant to chapter
1 6 17A, of a physician, when:
1 7 a. Enrolled as a student or participating as a preceptor
1 8 in a training program approved by the department; or
1 9 b. Fulfilling continuing education requirements as defined
1 10 by rule; or
1 11 c. Employed by or assigned to a hospital or other entity
1 12 in which health care is ordinarily provided only when under
1 13 the direct supervision of a physician, as a member of an
1 14 authorized ambulance, rescue, or first response service, or in
1 15 an individual capacity, by rendering lifesaving services in
1 16 the facility in which employed or assigned pursuant to the
1 17 emergency medical care provider's certification and under the
1 18 direct supervision of a physician, physician assistant, or
1 19 registered nurse. An emergency medical care provider shall
1 20 not routinely function without the direct supervision of a
1 21 physician, physician assistant, or registered nurse. However,
1 22 when the physician, physician assistant, or registered nurse
1 23 cannot directly assume emergency care of the patient, the
1 24 emergency medical care provider may perform without direct
1 25 supervision emergency medical care procedures for which that
1 26 individual is certified if the life of the patient is in
1 27 immediate danger and such care is required to preserve the
1 28 patient's life; or
1 29 d. Employed by or assigned to a hospital or other entity
1 30 in which health care is ordinarily provided only when under
1 31 the direct supervision of a physician, as a member of an
1 32 authorized ambulance, rescue, or first response service, or in
1 33 an individual capacity, to perform nonlifesaving procedures
1 34 for which those individuals have been trained and are
1 35 designated in a written job description. Such procedures may
2 1 be performed after the patient is observed by and when the
2 2 emergency medical care provider is under the supervision of
2 3 the physician, physician assistant, or registered nurse,
2 4 including when the registered nurse is not acting in the
2 5 capacity of a physician designee, and where the procedure may
2 6 be immediately abandoned without risk to the patient.
2 7 EXPLANATION
2 8 This bill provides for changes relating to the
2 9 authorization of emergency medical care providers to provide
2 10 emergency and nonemergency medical care services. The bill
2 11 provides that Code section 147A.8, subsection 2, which relates
2 12 to the provision of services by emergency medical care
2 13 providers in a hospital setting, shall be expanded to include,
2 14 in addition to a hospital, the provision of services in any
2 15 other entity in which health care is ordinarily provided only
2 16 when under the direct supervision of a physician. The bill
2 17 provides that the phrase "direct supervision" shall be defined
2 18 by the department of public health by rule. The bill
2 19 additionally provides that in providing emergency and
2 20 nonemergency medical care services, an emergency medical care
2 21 provider shall now be authorized to act in an individual
2 22 capacity, as well as in their capacity as a member of an
2 23 authorized ambulance, rescue, or first response service, while
2 24 employed or assigned to the hospital or other entity in which
2 25 health care is ordinarily provided only when under the direct
2 26 supervision of a physician. The bill further provides that
2 27 the list of individuals under whose supervision an emergency
2 28 medical care provider may perform nonlifesaving procedures,
2 29 which currently includes a physician, physician assistant, or
2 30 registered nurse, shall have added to it the phrase "including
2 31 when the registered nurse is not acting in the capacity of a
2 32 physician designee".
2 33 LSB 6718SV 78
2 34 rn/cf/24
Text: SF02345 Text: SF02347 Text: SF02300 - SF02399 Text: SF Index Bills and Amendments: General Index Bill History: General Index
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