Bill Text: HI SB2676 | 2016 | Regular Session | Introduced
Bill Title: Physician Assistants; Nurses
Spectrum: Partisan Bill (Democrat 9-0)
Status: (Introduced - Dead) 2016-02-17 - The committee on CPH deferred the measure. [SB2676 Detail]
Download: Hawaii-2016-SB2676-Introduced.html
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THE SENATE |
S.B. NO. |
2676 |
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TWENTY-EIGHTH LEGISLATURE, 2016 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
RELATING TO PHYSICIAN ASSISTANTS.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that physician assistants, licensed practical nurses, and registered nurses provide valuable medical care to patients under the orders of licensed physicians. Chapter 457, Hawaii Revised Statutes, relating to nurses, requires licensed practical nurses and registered nurses to administer orders given by physician assistants. However, that same law is absent in chapter 453, Hawaii Revised Statutes, relating to medicine and surgery.
Act 255, Session Laws of Hawaii 2012, requires registered nurses and licensed practical nurses to follow the orders of physician assistants but sunsets on July 1, 2017. The legislature finds that physician assistants are an invaluable component in the delivery of health care services.
The purpose of this Act is to:
(1) Set out the authority of physician assistants regarding nurses under the chapter of the Hawaii Revised Statutes relating to medicine and surgery, rather than under certain term definitions; and
(2) Make permanent Act 255, Session Laws of Hawaii 2012.
SECTION 2. Chapter 453, Hawaii Revised Statutes, is amended by adding a new section to be appropriately designated and to read as follows:
"§453- Physician assistant authority regarding nurses. A registered nurse or a licensed practical nurse shall comply with the orders of a physician assistant licensed under this chapter who is practicing with physician supervision as required by this chapter and acting as the agent of the supervising physician."
SECTION 3. Section 457-2, Hawaii Revised Statutes, is amended as follows:
1. By amending the definition of "the practice of nursing as a licensed practical nurse" to read:
""The
practice of nursing as a licensed practical nurse" means the performance
of those acts commensurate with the required educational preparation and
demonstrated competency of the individual, whereby the individual shall be
accountable and responsible to the consumer for the quality of nursing care
rendered. The foregoing may include, but shall not be limited to: implementation
of basic nursing procedures in the plan of care; observing and caring for
individuals at all levels of the health spectrum, giving counsel and acting to
safeguard life and health and functioning as a part of the health care team,
under the direction of a dentist, physician, osteopathic physician, registered
nurse, or podiatrist licensed in accordance with chapter 448, 453, 457, or 463E[,
or under the orders of a physician assistant licensed pursuant to chapter 453,
practicing with physician supervision as required by chapter 453, and acting as
the agent of the supervising physician]; administration of treatment and
medication as prescribed; promotion of health maintenance of individuals,
families, or groups; or teaching and supervision of auxiliary personnel."
2. By amending the definition of "the practice of nursing as a registered nurse" to read:
""The
practice of nursing as a registered nurse" means the performance of
professional services commensurate with the educational preparation and
demonstrated competency of the individual having specialized knowledge,
judgment, and skill based on the principles of the biological, physical,
behavioral, and sociological sciences and nursing theory, whereby the
individual shall be accountable and responsible to the consumer for the quality
of nursing care rendered. The foregoing may include but shall not be limited
to observation, assessment, development, implementation, and evaluation of a
plan of care, health counseling, supervision and teaching of other personnel,
and teaching of individuals, families, and groups in any stage of health or
illness; administration, supervision, coordination, delegation, and evaluation
of nursing practice; provision of health care to the patient in collaboration
with other members of the health care team as autonomous health care
professionals providing the nursing component of health care; [or] use
of reasonable judgment in carrying out prescribed medical orders of a licensed
dentist, physician, osteopathic physician, or podiatrist licensed in accordance
with chapter 448, 453, or 463E; or orders of an advanced practice
registered nurse licensed in accordance with this chapter[; or the orders of
a physician assistant licensed pursuant to chapter 453, practicing with
physician supervision as required by chapter 453, and acting as the agent of
the supervising physician].
SECTION 4. Act 255, Session Laws of Hawaii 2012, is amended by amending section 5 to read as follows:
"SECTION 5. This Act shall take effect
upon its approval [and shall be repealed on July 1, 2017; provided that the
definitions of "the practice of nursing as a licensed practical
nurse" and "the practice of nursing as a registered nurse" under
section 457-2, Hawaii Revised Statutes, shall be reenacted in the form in which
they read on the day prior to the effective date of this Act]."
SECTION 5. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 6. This Act shall take effect upon its approval.
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INTRODUCED BY: |
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Report Title:
Physician Assistants; Nurses
Description:
Clarifies powers of physician assistants regarding nurses under chapter regulating physicians. Removes sunset date of Act 255, SLH 2012.
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
