Bill Text: HI SB705 | 2011 | Regular Session | Amended
Bill Title: Health; Registered Nurse; Physician Assistant
Spectrum: Partisan Bill (Democrat 7-0)
Status: (Engrossed - Dead) 2011-03-10 - (H) Referred to HLT, CPC, referral sheet 33 [SB705 Detail]
Download: Hawaii-2011-SB705-Amended.html
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THE SENATE |
S.B. NO. |
705 |
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TWENTY-SIXTH LEGISLATURE, 2011 |
S.D. 2 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
RELATING TO HEALTH.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that both physician assistants and registered nurses provide valuable medical care to patients under the orders of licensed physicians. The legislature acknowledges that registered nurses are licensed under chapter 457, Hawaii Revised Statutes, and are regulated by the board of nursing, whereas physician assistants are licensed under section 453-5.3, Hawaii Revised Statutes, and practice under the supervision of a physician or osteopathic physician. When performing the practice of nursing as a registered nurse, a registered nurse must currently use reasonable judgment in carrying out prescribed medical orders of a licensed dentist, medical doctor, osteopathic physician, or podiatrist, or the orders of an advanced practice registered nurse.
Since the historical process of licensing and regulating the scopes of practice of physician assistants and of registered nurses has developed independently for the two health care disciplines, the legislature finds that the relevant statutory language pertaining to their respective responsibilities is unclear. Specifically, there is a lack of clarity with respect to nurses administering orders given by physician assistants and this has led to confusion between hospital administrators and nurses when physician assistants write or give verbal orders in a hospital setting.
SECTION 2. Section 457-2, Hawaii Revised Statutes, is amended by amending the definition of "the practice of nursing as a registered nurse" to read as follows:
""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 the orders of an advanced practice registered
nurse recognized in accordance with this chapter[.] or the orders of
a physician delivered through a physician assistant licensed pursuant to
chapter 453 and practicing with physician supervision as required by chapter
453."
SECTION 3. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 4. This Act shall take effect upon its approval.
Report Title:
Health; Registered Nurse; Physician Assistant
Description:
Amends the definition of "the practice of nursing as a registered nurse" to require registered nurses to carry out the orders of physicians that are delivered by licensed physician assistants practicing with physician supervision. (SD2)
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
