House
File
272
-
Introduced
HOUSE
FILE
272
BY
MURPHY
A
BILL
FOR
An
Act
requiring
the
establishment
of
a
collaborative
1
nurse
council
in
licensed
hospitals
and
licensed
nursing
2
facilities.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
TLSB
1617HH
(1)
84
jr/nh
H.F.
272
Section
1.
NEW
SECTION
.
135B.35
Collaborative
nurse
1
council.
2
1.
A
hospital
shall
establish
a
collaborative
nurse
council
3
comprised
of
nonsupervisory
staff
nurses.
The
membership
of
4
the
council
must
be
apportioned
between
registered
nurses,
5
licensed
practical
nurses,
and
advanced
practice
registered
6
nurses
based
upon
the
proportion
of
each
type
of
nonsupervisory
7
nurse
licensee
to
the
total
of
all
nonsupervisory
nurses
8
employed
by
the
hospital.
Each
member
of
the
council
shall
9
be
appointed
respectively
by
other
nonsupervisory
nurses
who
10
have
the
same
license.
Each
council
shall
include
at
least
six
11
members,
and
shall
meet
at
least
annually.
12
2.
By
majority
vote,
the
council
may
establish
its
own
rules
13
and
procedures,
and
shall
set
the
term
of
membership.
14
3.
The
council
shall
recommend
to
the
hospital
appropriate
15
nurse-to-patient
ratios
based
upon
patient
acuity
and
other
16
factors
as
determined
by
the
council.
The
council
may
make
17
other
recommendations
related
to
providing
appropriate
direct
18
care
to
patients.
If
the
council
makes
a
recommendation
to
19
the
hospital
and
the
hospital
does
not
follow
the
council’s
20
recommendation,
it
shall
provide
a
written
response
to
21
the
council,
indicating
the
reason
for
not
following
the
22
recommendation
of
the
council.
23
Sec.
2.
NEW
SECTION
.
135C.20C
Collaborative
nurse
council.
24
1.
A
nursing
facility
shall
establish
a
collaborative
25
nurse
council
comprised
of
nonsupervisory
staff
nurses.
26
The
membership
of
the
council
must
be
apportioned
between
27
registered
nurses,
licensed
practical
nurses,
and
advanced
28
practice
registered
nurses
based
upon
the
proportion
of
29
each
type
of
nonsupervisory
nurse
licensee
to
the
total
of
30
all
nonsupervisory
nurses
employed
by
the
facility.
Each
31
member
of
the
council
shall
be
appointed
respectively
by
32
other
nonsupervisory
nurses
who
have
the
same
license.
When
33
possible,
each
council
shall
include
at
least
six
members,
and
34
shall
meet
at
least
annually.
35
-1-
LSB
1617HH
(1)
84
jr/nh
1/
2
H.F.
272
2.
By
majority
vote,
the
council
may
establish
its
own
rules
1
and
procedures,
and
shall
set
the
term
of
membership.
2
3.
The
council
shall
recommend
to
the
facility
appropriate
3
nurse-to-patient
ratios
based
upon
patient
acuity
and
other
4
factors
as
determined
by
the
council.
The
council
may
make
5
other
recommendations
related
to
providing
appropriate
direct
6
care
to
patients.
If
the
council
makes
a
recommendation
to
7
the
facility
and
the
facility
does
not
follow
the
council’s
8
recommendation,
it
shall
provide
a
written
response
to
9
the
council,
indicating
the
reason
for
not
following
the
10
recommendation
of
the
council.
11
EXPLANATION
12
This
bill
requires
that
each
hospital
and
nursing
facility
13
establish
a
collaborative
nurse
council
comprised
of
14
nonsupervisory
staff
nurses.
Each
member
of
the
council
shall
15
be
appointed
respectively
by
other
nonsupervisory
nurses
who
16
have
the
same
type
of
license.
17
The
council
shall
recommend
to
the
hospital
or
nursing
18
facility
appropriate
nurse-to-patient
ratios
based
upon
patient
19
acuity
and
other
factors
as
determined
by
the
council.
The
20
council
may
make
other
recommendations
related
to
providing
21
appropriate
direct
care
to
patients.
22
-2-
LSB
1617HH
(1)
84
jr/nh
2/
2