S-1861.1 _______________________________________________
SENATE BILL 5922
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State of Washington 53rd Legislature 1993 Regular Session
By Senators Snyder, Deccio, Vognild and Newhouse
Read first time 02/25/93. Referred to Committee on Health & Human Services.
AN ACT Relating to the use of controlled substances by advanced registered nurse practitioners, certified nurse anesthetists; amending RCW 18.88.280; and declaring an emergency.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:
Sec. 1. RCW 18.88.280 and 1989 c 114 s 7 are each amended to read as follows:
This chapter shall not be construed as (1)
prohibiting the incidental care of the sick by domestic servants or persons
primarily employed as housekeepers, so long as they do not practice
professional nursing within the meaning of this chapter, (2) or preventing any
person from the domestic administration of family remedies or the furnishing of
nursing assistance in case of emergency; (3) nor shall it be construed as
prohibiting such practice of nursing by students enrolled in approved schools
as may be incidental to their course of study nor shall it prohibit such
students working as nursing aides; (4) nor shall it be construed as prohibiting
auxiliary services provided by persons carrying out duties necessary for the
support of nursing service including those duties which involve minor nursing
services for persons performed in hospitals, nursing homes or elsewhere under
the direction of licensed physicians or the supervision of licensed, registered
nurses; (5) nor shall it be construed as prohibiting or preventing the practice
of nursing in this state by any legally qualified nurse of another state or
territory whose engagement requires him or her to accompany and care for a
patient temporarily residing in this state during the period of one such
engagement, not to exceed six months in length, if such person does not
represent or hold himself or herself out as a nurse licensed to practice in
this state; (6) nor shall it be construed as prohibiting nursing or care of the
sick, with or without compensation, when done in connection with the practice
of the religious tenets of any church by adherents thereof so long as they do
not engage in the practice of nursing as defined in this chapter; (7) nor shall
it be construed as prohibiting the practice of any legally qualified nurse of
another state who is employed by the United States government or any bureau,
division or agency thereof, while in the discharge of his or her official
duties; (8) permitting the measurement of the powers or range of human vision,
or the determination of the accommodation and refractive state of the human eye
or the scope of its functions in general, or the fitting or adaptation of
lenses or frames for the aid thereof; (9) permitting the prescribing or
directing the use of, or using, any optical device in connection with ocular
exercises, visual training, vision training or orthoptics; (10) permitting the
prescribing of contact lenses for, or the fitting or adaptation of contact
lenses to, the human eye; (11) prohibiting the performance of routine visual
screening; (12) permitting the practice of dentistry or dental hygiene as
defined in chapters 18.32 and 18.29 RCW respectively; (13) permitting the
practice of chiropractic as defined in chapter 18.25 RCW including the
adjustment or manipulation of the articulations of the spine; (14) permitting
the practice of ((podiatry)) podiatric medicine and surgery as
defined in chapter 18.22 RCW; (15) permitting the performance of major surgery,
except such minor surgery as the board may have specifically authorized by rule
or regulation duly adopted in accordance with the provisions of chapter 34.05
RCW; (16) permitting the prescribing of controlled substances as defined in
schedules I through IV of the Uniform Controlled Substances Act, chapter 69.50
RCW, except as provided in subsection (18) of this section; (17)
prohibiting the determination and pronouncement of death; (18) prohibiting
advanced registered nurse practitioners, approved by the board as certified
registered nurse anesthetists from selecting, ordering, or administering
controlled substances as defined in schedules II through IV of the Uniform
Controlled Substances Act, chapter 69.50 RCW, consistent with their
board-recognized scope of practice; subject to facility-specific protocols, and
subject to a request for certified registered nurse anesthetist anesthesia
services issued by a physician licensed under chapter 18.71 RCW, an osteopathic
physician and surgeon licensed under chapter 18.57 RCW, a dentist licensed
under chapter 18.32 RCW, or a podiatric physician and surgeon licensed under
chapter 18.22 RCW; the authority to select, order, or administer schedule II
through IV controlled substances being limited to those drugs which are to be
directly administered to patients within health care facilities as defined in
RCW 70.38.025(6); "select" meaning the decision-making process of
choosing a drug, dosage, route, and time of administration; and
"order" meaning the process of ordering qualified individuals to
directly administer a drug or to dispense, deliver, or distribute a drug for
the purpose of direct administration to a patient, pursuant to instructions of
the certified registered nurse anesthetist.
NEW SECTION. Sec. 2. This act is necessary for the immediate preservation of the public peace, health, or safety, or support of the state government and its existing public institutions, and shall take effect immediately.
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