May 7, 2015, Introduced by Senators KOWALL, SHIRKEY, HERTEL, MACGREGOR, MARLEAU and EMMONS and referred to the Committee on Health Policy.
A bill to amend 1978 PA 368, entitled
"Public health code,"
by amending sections 17210 and 17708 (MCL 333.17210 and 333.17708),
section 17708 as amended by 2012 PA 209.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 17210. (1) The board of nursing may issue a specialty
certification to a registered professional nurse who has advanced
training beyond that required for initial licensure and who has
demonstrated competency through examination or other evaluative
processes
and who practices in 1 of the following health profession
specialty
fields: field of nurse midwifery, nurse anesthetist, or
nurse practitioner.
(2) All of the following apply to a registered professional
nurse who holds a specialty certification as a nurse anesthetist:
(a) In addition to performing duties within the scope of the
practice of nursing, he or she may provide any of the following
anesthesia and analgesia services:
(i) Development of a plan of care.
(ii) Performance of all patient assessments, procedures, and
monitoring to implement the plan of care or to address patient
emergencies that arise during implementation of the plan of care.
(iii) Selection, ordering, or prescribing and the administration
of anesthesia and analgesic agents, including pharmacological
agents that are prescription drugs as defined in section 17708 or
controlled substances as defined in section 7104.
(b) The anesthesia and analgesia services described in
subdivision (a) may be performed in a health facility or agency
licensed under article 17 or other medical setting.
(c) The anesthesia and analgesia services described in
subdivision (a) may be performed for operative, obstetrical,
interventional, or diagnostic purposes, but only during the pre-,
intra-, and post-operative obstetrical, interventional, or
diagnostic service period.
(d) The anesthesia and analgesia services described in
subdivision (a) do not include chronic pain management services.
However, he or she may perform chronic pain management services
under delegation pursuant to section 16215.
Sec. 17708. (1) "Preceptor" means a pharmacist who is approved
by the board to direct the training of an intern in an approved
pharmacy.
(2)
"Prescriber" means a any
of the following:
(a)
A licensed dentist. ,
a
(b)
A licensed doctor of medicine. ,
a
(c)
A licensed doctor of osteopathic
medicine and surgery. , a
(d)
A licensed doctor of podiatric medicine
and surgery. , a
(e) A licensed optometrist certified under part 174 to
administer
and prescribe therapeutic pharmaceutical agents. , a
(f)
A licensed veterinarian. ,
or another
(g) A registered professional nurse who holds a specialty
certification as a nurse anesthetist under section 17210 when he or
she is engaging in the practice of nursing and providing the
anesthesia and analgesia services described in section 17210(2).
(h) Any other licensed health professional acting under the
delegation and using, recording, or otherwise indicating the name
of the delegating licensed doctor of medicine or licensed doctor of
osteopathic medicine and surgery.
(3) "Prescription" means an order by a prescriber to fill,
compound, or dispense a drug or device written and signed; written
or created in an electronic format, signed, and transmitted by
facsimile; or transmitted electronically or by other means of
communication. An order transmitted in other than written or hard-
copy form shall be electronically recorded, printed, or written and
immediately dated by the pharmacist, and that record constitutes
the original prescription. In a health facility or agency licensed
under article 17 or other medical institution, an order for a drug
or device in the patient's chart constitutes for the purposes of
this definition the original prescription. Subject to section
17751(2) and (5), prescription includes, but is not limited to, an
order for a drug, not including a controlled substance as defined
in section 7104 except under circumstances described in section
17763(e), written and signed; written or created in an electronic
format, signed, and transmitted by facsimile; or transmitted
electronically or by other means of communication by a physician
prescriber or dentist prescriber licensed to practice dentistry,
medicine, or osteopathic medicine and surgery in a state other than
Michigan.this state.
(4) "Prescription drug" means 1 or more of the following:
(a) A drug dispensed pursuant to a prescription.
(b) A drug bearing the federal legend "CAUTION: federal law
prohibits dispensing without prescription" or "Rx only".
(c) A drug designated by the board as a drug that may only be
dispensed pursuant to a prescription.
Enacting section 1. This amendatory act takes effect 90 days
after the date it is enacted into law.