Text: SSB03184 Text: SSB03186 Text: SSB03100 - SSB03199 Text: SSB 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 6718XC 78 2 34 rn/cf/24
Text: SSB03184 Text: SSB03186 Text: SSB03100 - SSB03199 Text: SSB Index Bills and Amendments: General Index Bill History: General Index
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