Washington State House of Representatives Office of Program Research | BILL ANALYSIS |
Health Care & Wellness Committee |
HB 2186
This analysis was prepared by non-partisan legislative staff for the use of legislative members in their deliberations. This analysis is not a part of the legislation nor does it constitute a statement of legislative intent. |
Brief Description: Concerning licensed midwives ability to work with registered nurses and licensed practical nurses.
Sponsors: Representatives Bailey, Cody, Schmick, Darneille and Ahern.
Brief Summary of Bill |
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Hearing Date: 1/9/12
Staff: Jim Morishima (786-7191).
Background:
Registered Nurses.
A registered nurse is a person who performs acts requiring substantial specialized knowledge, judgment, and skill based on the principles of the biological, physiological, behavioral, and sociological sciences in a variety of areas, including the execution of medical regimen as prescribed by:
a licensed physician and surgeon;
a dentist;
an osteopathic physician and surgeon;
a podiatric physician and surgeon;
a physician assistant;
an osteopathic physician and surgeon; or
an advanced registered nurse practitioner.
A registered nurse may administer medications, treatments, tests, and inoculations, if within his or her scope of practice, at the direction of:
a licensed physician and surgeon;
a dentist;
an osteopathic physician and surgeon;
a naturopathic physician;
an optometrist;
a podiatric physician and surgeon;
a physician assistant;
an osteopathic physician assistant; or
an advanced registered nurse practitioner.
Licensed Practical Nurses.
A licensed practical nurse is a person who performs services requiring the knowledge, skill and judgment necessary for carrying out selected aspects of the designated nursing regimen under the direction and supervision of:
a licensed physician and surgeon;
a dentist;
an osteopathic physician and surgeon;
a physician assistant;
an osteopathic physician assistant;
a podiatric physician and surgeon;
an advanced registered nurse practitioner; or
a registered nurse.
A licensed practical nurse may administer drugs, medications, treatments, tests, injections, and inoculations at the direction and under the supervision of a registered nurse or at the direction of:
a licensed physician and surgeon;
an osteopathic physician and surgeon;
a dentist;
a naturopathic physician;
a podiatric physician and surgeon;
a physician assistant;
an osteopathic physician assistant; or
an advanced registered nurse practitioner.
Midwives.
A licensed midwife renders medical care for compensation to a woman during prenatal, intrapartum, and post-partum stages. A licensed midwife must consult with a physician when there are significant deviations from normal in either the mother or the infant.
Summary of Bill:
Registered Nurses.
A registered nurse may execute a medical regimen as prescribed by a licensed midwife. A registered nurse may also administer medications, treatments, tests, and inoculations, at the direction of a licensed midwife.
Licensed Practical Nurses.
A licensed practical nurse may practice under the direction of a licensed midwife. A licensed practical nurse may also administer drugs, medications, treatments, tests, injections, and inoculations at the direction of a licensed midwife.
Appropriation: None.
Fiscal Note: Requested on January 4, 2012.
Effective Date: The bill takes effect 90 days after adjournment of the session in which the bill is passed.