Nursing Services Requirements for the State of Ohio

3701-17-13.1 Use of Advanced Practice Nurses in Nursing Homes.

(A) An advanced practice nurse, as defined in paragraph (E) of rule 3701-17-01 of the Administrative Code, who is acting within his or her scope of practice and is working in collaboration with an attending physician if authorized by a written standard care arrangement required by rule 4723-8-04 of the Administrative Code, may undertake the following:

(1) Receive notice and participate in consultations under paragraph (A) of rule 3701-17-12 of the Administrative Code in addition to or in lieu of the attending physician;

(2) Notwithstanding paragraph (C) of rule 3701-17-13 of the Administrative Code, perform all resident evaluations required to be performed under that rule;

(3) Issue orders relating to resident appropriate room furnishings under paragraph (B) of rule 3701-17-16 of the Administrative Code.

(B) The nursing home medical director may discuss identified problems of a resident with the resident's advanced practice nurse who is acting within his or her scope of practice, and who is working in collaboration with the attending physician pursuant to a written standard arrangement required by rule 4723-8-04 of the Administrative Code.

(C) The name of a resident's advanced practice nurse shall be listed in addition to the attending physician on the resident admission record as required by paragraph (A)(1)(a) of rule 3701-17-19 of the Administrative Code.

(D) The name of the advanced practice nurse shall be listed in addition to the attending  physician on the medication administration record referenced in paragraph (A)(1)(d) of rule 3701-17-19 of the Administrative Code.  An advanced practice nurse may sign orders on the doctors order sheet under paragraph (A)(1)(d) of rule 3701-17-19 of the Administrative Code when acting within his or her scope of practice, and when working in collaboration with the attending physician pursuant to a written standard arrangement required by rule 4723-8-04 of the Administrative Code.

(E) Nothing in this rule shall be construed to allow the use of an advanced practice nurse to perform the physician requirements specified in rule 3701-17-15 of the Administrative Code. 2

Effective: 06/20/2005

R.C. 119.032 review dates: 06/01/2010

CERTIFIED ELECTRONICALLY

Certification Date 06/09/2005
Promulgated Under: 119.03   Statutory Authority: 3721.04 Rule Amplifies: 3721.02, 3721.04, 3721.13 Prior Effective Dates: None