Text: HF00086 Text: HF00088 Text: HF00000 - HF00099 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section 1. Section 142C.2, Code 2003, is amended by adding 1 2 the following new subsection: 1 3 NEW SUBSECTION. 0A. "Advanced registered nurse 1 4 practitioner" means a registered nurse licensed pursuant to 1 5 chapter 152 or licensed in another state and recognized for 1 6 licensure in this state pursuant to the nurse licensure 1 7 compact contained in chapter 152E, who has completed an 1 8 advanced formal academic nursing education program in a 1 9 specialty area approved by the board of nursing, and who meets 1 10 additional qualification criteria as determined by the board 1 11 of nursing by rule. 1 12 Sec. 2. Section 142C.6, subsection 2, Code 2003, is 1 13 amended to read as follows: 1 14 2. If an anatomical gift is made to a designated donee, 1 15 the document of gift, or a copy, may be delivered to the donee 1 16 to expedite the appropriate procedures after the death of the 1 17 donor. The document of gift, or a copy, may be deposited in 1 18 any hospital, organ procurement organization, bank or storage 1 19 organization, or donor registry office that accepts the 1 20 document of gift for safekeeping or for the facilitation of 1 21 procedures after the death of the donor. If a document is 1 22 deposited by a donor in a hospital, donor registry, or bank or 1 23 storage organization, the hospital or bank or storage 1 24 organization may forward the document to an organ procurement 1 25 organization which will retain the document for facilitating 1 26 procedures following the death of the donor. Upon request of 1 27 a hospital, physician,orsurgeon, or advanced registered 1 28 nurse practitioner, upon or after the donor's death, the 1 29 person in possession of the document of gift may allow the 1 30 hospital, physician,orsurgeon, or advanced registered nurse 1 31 practitioner, to examine or copy the document of gift. 1 32 Sec. 3. Section 142C.8, subsections 3 and 4, Code 2003, 1 33 are amended to read as follows: 1 34 3. The time of death shall be determined by a physician or 1 35 advanced registered nurse practitioner who attends the donor 2 1 at death, as defined in section 702.8, or, if no attending 2 2 physician or advanced registered nurse practitioner is 2 3 present, the physician or advanced registered nurse 2 4 practitioner who certifies the death. The physician or 2 5 advanced registered nurse practitioner who attends the donor 2 6 at death and the physician or advanced registered nurse 2 7 practitioner who certifies the time of death shall not 2 8 participate in the procedures for removing or transplanting a 2 9 part of the decedent. A medical examiner acting to determine 2 10 the time of death or to certify the death, however, may remove 2 11 a part if otherwise in accordance with this chapter. 2 12 4. If an anatomical gift is made, a physician or 2 13 technician may remove any donated parts and an enucleator may 2 14 remove any donated eyes or parts of eyes, after determination 2 15 of death by a physician or advanced registered nurse 2 16 practitioner. 2 17 Sec. 4. Section 144.26, subsection 1, Code 2003, is 2 18 amended to read as follows: 2 19 1. A death certificate for each death which occurs in this 2 20 state shall be filed as directed by the state registrar within 2 21 three days after the death and prior to final disposition, and 2 22 shall be registered by the county registrar if it has been 2 23 completed and filed in accordance with this chapter. A death 2 24 certificate shall include the social security number, if 2 25 provided, of the deceased person. All information including 2 26 the certifying physician's or advanced registered nurse 2 27 practitioner's name shall be typewritten. 2 28 Sec. 5. Section 144.28, subsection 1, Code 2003, is 2 29 amended to read as follows: 2 30 1. The medical certification shall be completed and signed 2 31 by the physician or advanced registered nurse practitioner in 2 32 charge of the patient's care for the illness or condition 2 33 which resulted in death within seventy-two hours after receipt 2 34 of the death certificate from the funeral director or 2 35 individual who initially assumes custody of the body, except 3 1 when inquiry is required by the county medical examiner. When 3 2 inquiry is required by the county medical examiner, the 3 3 medical examiner shall investigate the cause of death and 3 4 shall complete and sign the medical certification within 3 5 seventy-two hours after determination of the cause of death. 3 6 Sec. 6. Section 144.31, unnumbered paragraph 1, Code 2003, 3 7 is amended to read as follows: 3 8 The medical certification shall be completed within twenty- 3 9 four hours after delivery by the physician or advanced 3 10 registered nurse practitioner in attendance at or after 3 11 delivery except when inquiry is required by the county medical 3 12 examiner. 3 13 EXPLANATION 3 14 This bill provides for authorization for the determination 3 15 of time of death and signing of a death certificate by an 3 16 advanced registered nurse practitioner. The bill defines an 3 17 "advanced registered nurse practitioner" as a registered nurse 3 18 licensed pursuant to Code chapter 152 or licensed in another 3 19 state and recognized for licensure in this state pursuant to 3 20 the nurse licensure compact contained in Code chapter 152E, 3 21 who has completed an advanced formal academic nursing 3 22 education program in a specialty area approved by the board of 3 23 nursing, and who meets additional qualification criteria as 3 24 determined by the board of nursing by rule. The bill provides 3 25 for the addition of advanced registered nurse practitioners to 3 26 current Code sections authorizing the determination of the 3 27 time of death and signing of a death certificate by a 3 28 physician. Specifically, the bill authorizes an advanced 3 29 registered nurse practitioner to examine or copy a document of 3 30 anatomical gift upon the death of an organ donor, and that in 3 31 addition to a physician, the time of death may be determined 3 32 by, and certificate of death signed by, an advanced registered 3 33 nurse practitioner who attends the donor at death. The bill 3 34 also provides for certification of a fetal death by an 3 35 advanced registered nurse practitioner. 4 1 LSB 1841HH 80 4 2 rn/sh/8
Text: HF00086 Text: HF00088 Text: HF00000 - HF00099 Text: HF Index Bills and Amendments: General Index Bill History: General Index
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