H-3423 _______________________________________________
HOUSE BILL NO. 2451
_______________________________________________
State of Washington 51st Legislature 1990 Regular Session
By Representatives Prentice, D. Sommers, Sprenkle, Rayburn, Ferguson, Day, Moyer, Rector, P. King, Wang, Spanel and Brekke
Read first time 1/12/90 and referred to Committee on Health Care.
AN ACT Relating to registered nurses; amending RCW 18.88.280; and adding a new section to chapter 18.88 RCW.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:
NEW SECTION. Sec. 1. A new section is added to chapter 18.88 RCW to read as follows:
The board is authorized to regulate prescriptive privileges for advanced registered nurse practitioners within their scope of practice. Prescriptive privileges include prescribing legend drugs and controlled substances as defined in schedules II through V of the Uniform Controlled Substances Act, chapter 69.50 RCW.
Dispensing of controlled substances under schedules II through V is limited to emergency situations. In such an emergency, dispensing is limited to a maximum of a seventy-two hour supply of the prescribed controlled substance.
The board may adopt rules necessary to administer prescriptive privileges for advanced registered nurse practitioners, including the authority to require continuing education units in order to obtain or maintain prescriptive privileges, the authority to conduct random audits, and any other rules necessary to implement this section and, in consultation with the board of pharmacy, the authority to develop a monitoring system.
Sec. 2. Section 28, chapter 202, Laws of 1949 as last amended by section 7, chapter 114, Laws of 1989 and RCW 18.88.280 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 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 schedule((s))
I ((through IV)) of the Uniform Controlled Substances Act, chapter 69.50
RCW; (17) prohibiting the determination and pronouncement of death.