Download Zipped Introduced WordPerfect HB0243.ZIP
[Status][Bill Documents][Fiscal Note][Bills Directory]

H.B. 243

             1     

REPEAL OF GERIATRIC CARE MANAGER

             2     
2005 GENERAL SESSION

             3     
STATE OF UTAH

             4     
Sponsor: Rebecca D. Lockhart

             5     
             6      LONG TITLE
             7      General Description:
             8          This bill amends the Nurse Practices Act to repeal provisions related to Geriatric Care
             9      Managers.
             10      Highlighted Provisions:
             11          This bill:
             12          .    removes the reference to geriatric care managers in the following areas of the Nurse
             13      Practices Act:
             14              .    definitions;
             15              .    qualifications for licensure;
             16              .    qualifications for admission to examinations;
             17              .    unprofessional conduct; and
             18              .    minimum standards for nursing programs; and
             19          .    repeals the pilot program for geriatric care managers.
             20      Monies Appropriated in this Bill:
             21          None
             22      Other Special Clauses:
             23          None
             24      Utah Code Sections Affected:
             25      AMENDS:
             26          58-31b-102, as last amended by Chapter 247, Laws of Utah 2004
             27          58-31b-301, as last amended by Chapter 247, Laws of Utah 2004



             28          58-31b-302, as last amended by Chapters 15 and 247, Laws of Utah 2004
             29          58-31b-303, as last amended by Chapter 247, Laws of Utah 2004
             30          58-31b-304, as last amended by Chapter 247, Laws of Utah 2004
             31          58-31b-308, as last amended by Chapter 219, Laws of Utah 2003
             32          58-31b-501, as last amended by Chapter 247, Laws of Utah 2004
             33          58-31b-502, as last amended by Chapter 247, Laws of Utah 2004
             34          58-31b-601, as last amended by Chapter 247, Laws of Utah 2004
             35          58-31d-103, as enacted by Chapter 15, Laws of Utah 2004
             36          63-55b-158, as enacted by Chapter 247, Laws of Utah 2004
             37     
             38      Be it enacted by the Legislature of the state of Utah:
             39          Section 1. Section 58-31b-102 is amended to read:
             40           58-31b-102. Definitions.
             41          In addition to the definitions in Section 58-1-102 , as used in this chapter:
             42          (1) "Administrative penalty" means a monetary fine imposed by the division for acts or
             43      omissions determined to constitute unprofessional or unlawful conduct in accordance with a
             44      fine schedule established by rule and as a result of an adjudicative proceeding conducted in
             45      accordance with Title 63, Chapter 46b, Administrative Procedures Act.
             46          (2) "Applicant" means a person who applies for licensure or registration under this
             47      chapter by submitting a completed application for licensure or registration and the required fees
             48      to the department.
             49          (3) "Approved education program" means a nursing education program that meets the
             50      minimum standards for educational programs established under this chapter and by division
             51      rule in collaboration with the board.
             52          (4) "Board" means the Board of Nursing created in Section 58-31b-201 .
             53          (5) "Consultation and referral plan" means a written plan jointly developed by an
             54      advanced practice registered nurse and a consulting physician that permits the advanced
             55      practice registered nurse to prescribe schedule II-III controlled substances in consultation with
             56      the consulting physician.
             57          (6) "Consulting physician" means a physician and surgeon or osteopathic physician and
             58      surgeon licensed in accordance with this title who has agreed to consult with an advanced


             59      practice registered nurse with a controlled substance license, a DEA registration number, and
             60      who will be prescribing schedule II-III controlled substances.
             61          (7) "Diagnosis" means the identification of and discrimination between physical and
             62      psychosocial signs and symptoms essential to the effective execution and management of
             63      health care.
             64          (8) "Examinee" means a person who applies to take or does take any examination
             65      required under this chapter for licensure.
             66          (9) "Health care assistant" means an individual who:
             67          (a) engages in the practice of a health care assistant; and
             68          (b) is subject to registration under this chapter and is not subject to registration,
             69      licensure, or certification under any other chapter of this title.
             70          [(10) "Geriatric care manager" means a licensed practical nurse who has had additional
             71      training in long-term care nursing and holds a current, valid certificate of completion from a
             72      training course approved by the division in collaboration with the board, and is certified by the
             73      division as a Licensed Practical Nurse - Geriatric Care Manager.]
             74          [(11)] (10) "Licensee" means a person who is licensed, registered, or certified under
             75      this chapter.
             76          [(12)] (11) "Long-term care facility" means any of the following facilities licensed by
             77      the Department of Health pursuant to Title 26, Chapter 21, Health Care Facility Licensing and
             78      Inspection Act:
             79          (a) a nursing care facility;
             80          (b) a small health care facility;
             81          (c) an intermediate care facility for the mentally retarded;
             82          (d) an assisted living facility Type I or II; or
             83          (e) a designated swing bed unit in a general hospital.
             84          [(13)] (12) "Practice as a health care assistant" means providing direct personal
             85      assistance or care for compensation to an individual who is ill, injured, infirm, developmentally
             86      or physically disabled, mentally disabled, or mentally retarded, and who is in a private
             87      residence or regulated facility.
             88          [(14) "Practice of geriatric care management":]
             89          [(a) means a licensed practical nurse with specialized knowledge of geriatric and


             90      chronically ill patients residing in a long-term care facility as provided in Subsection
             91      58-31b-302 (2); and]
             92          [(b) includes an expanded scope of practice which may include:]
             93          [(i) implementing a plan of care;]
             94          [(ii) completing an assessment and evaluation of response to treatment; and]
             95          [(iii) other tasks and skills as defined by division rule.]
             96          [(15)] (13) "Practice of nursing" means assisting individuals or groups to maintain or
             97      attain optimal health, implementing a strategy of care to accomplish defined goals and
             98      evaluating responses to care and treatment. The practice of nursing requires substantial
             99      specialized or general knowledge, judgment, and skill based upon principles of the biological,
             100      physical, behavioral, and social sciences, and includes:
             101          (a) initiating and maintaining comfort measures;
             102          (b) promoting and supporting human functions and responses;
             103          (c) establishing an environment conducive to well-being;
             104          (d) providing health counseling and teaching;
             105          (e) collaborating with health care professionals on aspects of the health care regimen;
             106          (f) performing delegated procedures only within the education, knowledge, judgment,
             107      and skill of the licensee; and
             108          (g) delegating nurse interventions that may be performed by others and are not in
             109      conflict with this chapter.
             110          [(16)] (14) (a) "Practice of nurse anesthesia" means the practice of nursing related to
             111      the provision of preoperative, intraoperative, and postoperative anesthesia care and related
             112      services upon the request of a physician, surgeon, or other licensed professional, who is acting
             113      within the scope of their practice, by a person licensed under this chapter as a certified
             114      registered nurse anesthetist and includes:
             115          (i) preanesthesia preparation and evaluation including:
             116          (A) performing a preanesthetic assessment of the patient;
             117          (B) ordering and evaluating appropriate lab and other studies to determine the health of
             118      the patient; and
             119          (C) selecting, ordering, or administering appropriate medications;
             120          (ii) anesthesia induction, maintenance, and emergence, including:


             121          (A) selecting and initiating the planned anesthetic technique;
             122          (B) selecting and administering anesthetics and adjunct drugs and fluids; and
             123          (C) administering general, regional, and local anesthesia;
             124          (iii) postanesthesia follow-up care, including:
             125          (A) evaluating the patient's response to anesthesia and implementing corrective
             126      actions; and
             127          (B) selecting, ordering, or administering the above medications and studies; and
             128          (iv) other related services within the scope of practice of a certified registered nurse
             129      anesthetist, including:
             130          (A) emergency airway management;
             131          (B) advanced cardiac life support; and
             132          (C) the establishment of peripheral, central, and arterial invasive lines.
             133          (b) Nothing in this section shall be construed as to require a certified registered nurse
             134      anesthetist to obtain an advance practice registered nurse license in order to select, administer,
             135      or provide preoperative, intraoperative, or postoperative anesthesia care and services.
             136          [(17)] (15) "Practice of practical nursing" means the performance of nursing acts in the
             137      generally recognized scope of practice of licensed practical nurses as defined by rule and as
             138      provided in this Subsection [(17)] (15) by a person licensed under this chapter as a licensed
             139      practical nurse and under the direction of a registered nurse, licensed physician, or other
             140      specified health care professional as defined by rule. Practical nursing acts include:
             141          (a) contributing to the assessment of the health status of individuals and groups;
             142          (b) participating in the development and modification of the strategy of care;
             143          (c) implementing appropriate aspects of the strategy of care;
             144          (d) maintaining safe and effective nursing care rendered to a patient directly or
             145      indirectly; and
             146          (e) participating in the evaluation of responses to interventions.
             147          [(18)] (16) "Practice of registered nursing" means performing acts of nursing as
             148      provided in this Subsection [(18)] (16) by a person licensed under this chapter as a registered
             149      nurse within the generally recognized scope of practice of registered nurses as defined by rule.
             150      Registered nursing acts include:
             151          (a) assessing the health status of individuals and groups;


             152          (b) identifying health care needs;
             153          (c) establishing goals to meet identified health care needs;
             154          (d) planning a strategy of care;
             155          (e) prescribing nursing interventions to implement the strategy of care;
             156          (f) implementing the strategy of care;
             157          (g) maintaining safe and effective nursing care that is rendered to a patient directly or
             158      indirectly;
             159          (h) evaluating responses to interventions;
             160          (i) teaching the theory and practice of nursing; and
             161          (j) managing and supervising the practice of nursing.
             162          [(19)] (17) "Practice of advanced practice registered nursing" means the practice of
             163      nursing within the generally recognized scope and standards of advanced practice registered
             164      nursing as defined by rule and consistent with professionally recognized preparation and
             165      education standards of an advanced practice registered nurse by a person licensed under this
             166      chapter as an advanced practice registered nurse. Advanced practice registered nursing
             167      includes:
             168          (a) maintenance and promotion of health and prevention of disease;
             169          (b) diagnosis, treatment, correction, consultation, and referral for common health
             170      problems; and
             171          (c) prescription or administration of prescription drugs or devices including:
             172          (i) local anesthesia;
             173          (ii) schedule IV-V controlled substances; and
             174          (iii) schedule II-III controlled substances in accordance with a consultation and referral
             175      plan.
             176          [(20)] (18) "Regulated facility" means a health care facility subject to licensure under
             177      Title 26, Chapter 21, Health Care Facility Licensing and Inspection Act and does not include:
             178          (a) the Utah State Hospital or the Utah State Developmental Center;
             179          (b) a residential treatment or residential support facility:
             180          (i) subject to licensure under Title 62A, Chapter 2, Licensure of Programs and
             181      Facilities; and
             182          (ii) serving people with disabilities, as defined by Department of Human Services


             183      rules; or
             184          (c) a health care facility which is licensed or certified under Title 26, Chapter 21.
             185          [(21)] (19) "Unlawful conduct" is as defined in Sections 58-1-501 and 58-31b-501 .
             186          [(22)] (20) "Unlicensed assistive personnel" means any unlicensed person, regardless
             187      of title, to whom tasks are delegated by a licensed nurse as permitted by rule and in accordance
             188      with the standards of the profession.
             189          [(23)] (21) "Unprofessional conduct" is as defined in Sections 58-1-501 and
             190      58-31b-502 and as may be further defined by rule.
             191          Section 2. Section 58-31b-301 is amended to read:
             192           58-31b-301. License or certification required -- Classifications.
             193          (1) A license is required to engage in the practice of nursing, except as specifically
             194      provided in Sections 58-1-307 and 58-31b-308 .
             195          (2) The division shall issue to a person who qualifies under this chapter a license or
             196      certification in the classification of:
             197          (a) licensed practical nurse;
             198          [(b) licensed practical nurse - geriatric care manager;]
             199          [(c)] (b) registered nurse;
             200          [(d)] (c) advanced practice registered nurse intern;
             201          [(e)] (d) advanced practice registered nurse; and
             202          [(f)] (e) certified registered nurse anesthetist.
             203          (3) An individual holding an advanced practice registered nurse license as of July 1,
             204      1998, who cannot document the successful completion of advanced course work in patient
             205      assessment, diagnosis and treatment, and pharmacotherapeutics, may not prescribe and shall be
             206      issued an "APRN - without prescriptive practice" license.
             207          (4) The division shall grant an advanced practice registered nurse license to any
             208      licensed advanced practice registered nurse currently holding prescriptive authority under any
             209      predecessor act on July 1, 1998.
             210          (5) (a) An individual shall be registered under this chapter in order to engage in
             211      practice as a health care assistant, except as provided in Sections 58-31b-308 and
             212      58-31b-308.5 .
             213          (b) The division shall issue to a person who qualifies under this chapter a registration


             214      in the classification of health care assistant.
             215          Section 3. Section 58-31b-302 is amended to read:
             216           58-31b-302. Qualifications for licensure or certification -- Criminal background
             217      checks.
             218          (1) An applicant for licensure as a licensed practical nurse shall:
             219          (a) submit to the division an application in a form prescribed by the division;
             220          (b) pay to the division a fee determined under Section 63-38-3.2 ;
             221          (c) have a high school diploma or its equivalent;
             222          (d) be in a condition of physical and mental health that will permit the applicant to
             223      practice safely as a licensed practical nurse;
             224          (e) have completed an approved practical nursing education program or an equivalent
             225      as determined by the board;
             226          (f) have passed the examinations as required by division rule made in collaboration
             227      with the board; and
             228          (g) meet with the board, if requested, to determine the applicant's qualifications for
             229      licensure.
             230          [(2) An applicant for certification as a licensed practical nurse - geriatric care manager
             231      shall:]
             232          [(a) submit an application to the division on a form prescribed by the division;]
             233          [(b) pay a fee to the division as determined under Section 63-38-3.2 ;]
             234          [(c) have a current license, in good standing, as a licensed practical nurse;]
             235          [(d) have one year experience in a long-term care facility;]
             236          [(e) be in a condition of physical and mental health that will permit the applicant to
             237      practice safely as a licensed practical nurse - geriatric care manager;]
             238          [(f) have completed a division-approved geriatric care management education program
             239      or an equivalent as determined by the division in collaboration with the board;]
             240          [(g) have passed the examinations as required by division rule made in collaboration
             241      with the board; and]
             242          [(h) meet with the board, if requested, to determine the applicant's qualifications for
             243      licensure.]
             244          [(3)] (2) An applicant for licensure as a registered nurse shall:


             245          (a) submit to the division an application form prescribed by the division;
             246          (b) pay to the division a fee determined under Section 63-38-3.2 ;
             247          (c) have a high school diploma or its equivalent;
             248          (d) be in a condition of physical and mental health that will allow the applicant to
             249      practice safely as a registered nurse;
             250          (e) have completed an approved registered nursing education program;
             251          (f) have passed the examinations as required by division rule made in collaboration
             252      with the board; and
             253          (g) meet with the board, if requested, to determine the applicant's qualifications for
             254      licensure.
             255          [(4)] (3) Applicants for licensure as an advanced practice registered nurse shall:
             256          (a) submit to the division an application on a form prescribed by the division;
             257          (b) pay to the division a fee determined under Section 63-38-3.2 ;
             258          (c) be in a condition of physical and mental health which will allow the applicant to
             259      practice safely as an advanced practice registered nurse;
             260          (d) hold a current registered nurse license in good standing issued by the state or be
             261      qualified at the time for licensure as a registered nurse;
             262          (e) have earned a graduate degree in an advanced practice registered nurse nursing
             263      education program or a related area of specialized knowledge as determined appropriate by the
             264      division in collaboration with the board;
             265          (f) have completed course work in patient assessment, diagnosis and treatment, and
             266      pharmacotherapeutics from an education program approved by the division in collaboration
             267      with the board;
             268          (g) have successfully completed clinical practice in psychiatric and mental health
             269      nursing, including psychotherapy as defined by division rule, after completion of the masters
             270      degree required for licensure, to practice within the psychiatric and mental health nursing
             271      specialty;
             272          (h) have passed the examinations as required by division rule made in collaboration
             273      with the board;
             274          (i) be currently certified by a program approved by the division in collaboration with
             275      the board and submit evidence satisfactory to the division of the certification; and


             276          (j) meet with the board, if requested, to determine the applicant's qualifications for
             277      licensure.
             278          [(5)] (4) An applicant for licensure as a certified registered nurse anesthetist shall:
             279          (a) submit to the division an application on a form prescribed by the division;
             280          (b) pay to the division a fee determined under Section 63-38-3.2 ;
             281          (c) be in a condition of physical and mental health which will allow the applicant to
             282      practice safely as a certified registered nurse anesthetist;
             283          (d) hold a current registered nurse license in good standing issued by the state or be
             284      qualified at the time for licensure as a registered nurse;
             285          (e) complete a nurse anesthesia program which is approved by the Council on
             286      Accreditation of Nurse Anesthesia Educational Programs;
             287          (f) be currently certified by a program approved by the division in collaboration with
             288      the board and submit evidence satisfactory to the division of the certification; and
             289          (g) meet with the board, if requested, to determine the applicant's qualifications for
             290      licensure.
             291          [(6)] (5) An applicant for registration as a health care assistant shall:
             292          (a) submit an application in a form prescribed by the division;
             293          (b) pay a fee determined by the department under Section 63-38-3.2 ;
             294          (c) certify in writing that he is free from any physical, mental, or emotional condition
             295      that will or may reasonably be expected to prevent the applicant from practicing as a health
             296      care assistant in compliance with this chapter; and
             297          (d) may not, within five years immediately prior to application, have any substantiated
             298      allegations of abuse, neglect, or misappropriation of client property listed against him on the
             299      certified nurse assistant registry maintained by the State Office of Education or on a similar
             300      registry maintained in another state in compliance with 42 CFR 483.156.
             301          [(7)] (6) An applicant for licensure, registration, or certification under this chapter:
             302          (a) (i) shall submit fingerprint cards in a form acceptable to the division at the time the
             303      license application is filed and shall consent to a fingerprint background check by the Utah
             304      Bureau of Criminal Identification and the Federal Bureau of Investigation regarding the
             305      application; and
             306          (ii) the division shall request the Department of Public Safety to complete a Federal


             307      Bureau of Investigation criminal background check for each applicant through the national
             308      criminal history system (NCIC) or any successor system; and
             309          (b) if convicted of one or more felonies, must receive an absolute discharge from the
             310      sentences for all felony convictions five or more years prior to the date of filing an application
             311      for licensure or registration under this chapter.
             312          [(8)] (7) For purposes of conducting the criminal background checks required in
             313      Subsection (6), the division shall have direct access to criminal background information
             314      maintained pursuant to Title 53, Chapter 10, Part 2, Bureau of Criminal Identification.
             315          [(9)] (8) (a) (i) Any new nurse license or health care assistant registration issued under
             316      this section shall be conditional, pending completion of the criminal background check.
             317          (ii) If the criminal background check discloses the applicant has failed to accurately
             318      disclose a criminal history, the license or registration shall be immediately and automatically
             319      revoked.
             320          (b) (i) Any person whose conditional license or registration has been revoked under
             321      Subsection [(9)] (8)(a) shall be entitled to a postrevocation hearing to challenge the revocation.
             322          (ii) The hearing shall be conducted in accordance with Title 63, Chapter 46b,
             323      Administrative Procedures Act.
             324          Section 4. Section 58-31b-303 is amended to read:
             325           58-31b-303. Qualifications for licensure -- Graduates of nonapproved nursing
             326      programs.
             327          An applicant for licensure as a practical nurse or registered nurse who is a graduate of a
             328      nursing education program not approved by the division in collaboration with the board must
             329      comply with the requirements of this section.
             330          (1) An applicant for licensure as a licensed practical nurse shall:
             331          (a) meet all requirements of Subsection 58-31b-302 (1), except Subsection (1)(e); and
             332          (b) produce evidence acceptable to the division and the board that the nursing
             333      education program completed by the applicant is equivalent to the minimum standards
             334      established by the division in collaboration with the board for an approved licensed practical
             335      nursing education program.
             336          (2) An applicant for licensure as a registered nurse shall:
             337          (a) meet all requirements of Subsection 58-31b-302 [(3)](2), except Subsection [(3)]


             338      (2)(e); and
             339          (b) (i) pass the Commission on Graduates of Foreign Nursing Schools (CGFNS)
             340      Examination; or
             341          (ii) produce evidence acceptable to the division and the board that the applicant is
             342      currently licensed as a registered nurse in one of the states, territories, or the District of
             343      Columbia of the United States and has passed the NCLEX-RN examination.
             344          Section 5. Section 58-31b-304 is amended to read:
             345           58-31b-304. Qualifications for admission to the examinations.
             346          [(1) To be admitted to the examinations required for certification as a licensed practical
             347      nurse - geriatric care manager, a person shall:]
             348          [(a) submit an application on a form prescribed by the division;]
             349          [(b) pay a fee as determined by the division under Section 63-38-3.2 ; and]
             350          [(c) meet all requirements of Subsection 58-31b-302 (2) except the passing of the
             351      examination.]
             352          [(2)] (1) To be admitted to the examinations required for licensure as a practical nurse,
             353      a person shall:
             354          (a) submit an application form prescribed by the division;
             355          (b) pay a fee as determined by the division under Section 63-38-3.2 ; and
             356          (c) meet all requirements of Subsection 58-31b-302 (1), except Subsection (1)(f).
             357          [(3)] (2) To be admitted to the examinations required for licensure as a registered
             358      nurse, a person shall:
             359          (a) submit an application form prescribed by the division;
             360          (b) pay a fee as determined by the division under Section 63-38-3.2 ; and
             361          (c) meet all the requirements of Subsection 58-31b-302 [(3)] (2), except Subsection
             362      [(3)] (2)(f).
             363          Section 6. Section 58-31b-308 is amended to read:
             364           58-31b-308. Exemptions from licensure or registration.
             365          (1) In addition to the exemptions from licensure in Section 58-1-307 , the following
             366      persons may engage in acts included within the definition of the practice of nursing, subject to
             367      the stated circumstances and limitations, without being licensed under this chapter:
             368          (a) friends, family members, foster parents, or legal guardians of a patient performing


             369      gratuitous nursing care for the patient;
             370          (b) persons providing care in a medical emergency;
             371          (c) persons engaged in the practice of religious tenets of a church or religious
             372      denomination; and
             373          (d) after July 1, 2000, a person licensed to practice nursing by a jurisdiction that has
             374      joined the Nurse Licensure Compact to the extent permitted by Section 58-31c-102 .
             375          (2) Notwithstanding Subsection (1)(d), the division may, in accordance with Section
             376      58-31c-102 , limit or revoke practice privileges in this state of a person licensed to practice
             377      nursing by a jurisdiction that has joined the Nurse Licensing Compact.
             378          (3) In addition to the exemptions from licensure under Section 58-1-307 , the following
             379      individuals may engage in acts or practices included in the practice of a health care assistant,
             380      within the stated limitations, without being registered under this chapter:
             381          (a) an individual providing gratuitous care for another individual;
             382          (b) a volunteer, whether or not he receives token compensation other than salary or
             383      wages:
             384          (i) in programs sponsored or authorized by federal Public Law 93-113; or
             385          (ii) at any regulated facility; and
             386          (c) individuals providing:
             387          (i) services generally considered independent living activities such as preparing meals,
             388      shopping for personal items or groceries, managing money, using the telephone, performing
             389      housekeeping, and other similar activities not involving direct personal assistance and care as
             390      the division may define by rule; and
             391          (ii) child day care or baby-sitting, whether or not the services are subject to licensure
             392      under Title 26, Chapter 39, Utah Child Care Licensing Act;
             393          (d) an individual employed on an intermittent basis to provide a specified limited
             394      period of care for an adult or child with disabilities needing regular daily care, in order to allow
             395      the relative or other person who is the adult or child's regular and unpaid caretaker respite from
             396      his or her caregiver duties regarding the adult or child; or
             397          (e) notwithstanding Subsection 58-31b-102 [(11)](10) an individual employed by
             398      another person who is self directing his personal care in his private residence.
             399          Section 7. Section 58-31b-501 is amended to read:


             400           58-31b-501. Unlawful conduct.
             401          (1) "Unlawful conduct" includes:
             402          (a) using the following titles, names or initials, if the user is not properly licensed
             403      under this chapter:
             404          (i) nurse;
             405          (ii) licensed practical nurse, practical nurse, or L.P.N.;
             406          (iii) registered nurse or R.N.;
             407          (iv) registered nurse practitioner, N.P., or R.N.P.;
             408          (v) registered nurse specialist, N.S., or R.N.S.;
             409          (vi) registered psychiatric mental health nurse specialist;
             410          (vii) advanced practice registered nurse;
             411          (viii) nurse anesthetist, certified nurse anesthetist, certified registered nurse anesthetist,
             412      or C.R.N.A.; or
             413          (ix) other generally recognized names or titles used in the profession of nursing;
             414          (b) using any other name, title, or initials that would cause a reasonable person to
             415      believe the user is licensed under this chapter if the user is not properly licensed under this
             416      chapter; and
             417          (c) conducting a nursing education program in the state for the purpose of qualifying
             418      individuals to meet requirements for licensure under this chapter without the program having
             419      been approved under Section 58-31b-601 .
             420          (2) (a) An individual registered as a health care assistant under this chapter may use
             421      any title in his practice as a health care assistant, and an employer may assign a title to health
             422      care assistants it employs, if the title does not cause a reasonable person to believe the
             423      registrant is a licensee in any other license classification under this chapter and Title 58,
             424      Occupations and Professions.
             425          (b) If any issue is raised regarding a title under this section, the division shall determine
             426      if the title may be used for health care assistants.
             427          [(3) An individual licensed as a practical nurse who is certified as a geriatric care
             428      manager under this chapter, may use the title "licensed practical nurse - geriatric care manager"
             429      or the initials "LPN-GCM" to designate the additional training and certification.]
             430          Section 8. Section 58-31b-502 is amended to read:


             431           58-31b-502. Unprofessional conduct.
             432          "Unprofessional conduct" includes:
             433          (1) failure to safeguard a patient's right to privacy as to the patient's person, condition,
             434      diagnosis, personal effects, or any other matter about which the licensee is privileged to know
             435      because of the licensee's position or practice as a nurse;
             436          (2) failure to provide nursing service in a manner that demonstrates respect for the
             437      patient's human dignity and unique personal character and needs without regard to the patient's
             438      race, religion, ethnic background, socioeconomic status, age, sex, or the nature of the patient's
             439      health problem;
             440          (3) engaging in sexual relations with a patient during any:
             441          (a) period when a generally recognized professional relationship exists between the
             442      nurse and patient; or
             443          (b) extended period when a patient has reasonable cause to believe a professional
             444      relationship exists between the nurse and patient;
             445          (4) (a) as a result of any circumstance under Subsection (3), exploiting or using
             446      information about a patient or exploiting the licensee's professional relationship between the
             447      licensee and the patient; or
             448          (b) exploiting the patient by use of the licensee's knowledge of the patient obtained
             449      while acting as a nurse;
             450          (5) unlawfully obtaining, possessing, or using any prescription drug or illicit drug;
             451          (6) unauthorized taking or personal use of nursing supplies from an employer;
             452          (7) unauthorized taking or personal use of a patient's personal property;
             453          (8) knowingly entering into any medical record any false or misleading information or
             454      altering a medical record in any way for the purpose of concealing an act, omission, or record
             455      of events, medical condition, or any other circumstance related to the patient and the medical or
             456      nursing care provided;
             457          (9) unlawful or inappropriate delegation of nursing care;
             458          (10) failure to exercise appropriate supervision of persons providing patient care
             459      services under supervision of the licensed nurse;
             460          (11) employing or aiding and abetting the employment of an unqualified or unlicensed
             461      person to practice as a nurse;


             462          (12) failure to file or record any medical report as required by law, impeding or
             463      obstructing the filing or recording of such a report, or inducing another to fail to file or record
             464      such a report;
             465          (13) breach of a statutory, common law, regulatory, or ethical requirement of
             466      confidentiality with respect to a person who is a patient, unless ordered by a court;
             467          (14) failure to pay a penalty imposed by the division;
             468          (15) prescribing a schedule II-III controlled substance without a consulting physician or
             469      outside of a consultation and referral plan; and
             470          (16) violating Section 58-31b-801 [; and].
             471          [(17) practicing as a licensed practical nurse - geriatric care manager in a setting other
             472      than a long-term care facility.]
             473          Section 9. Section 58-31b-601 is amended to read:
             474           58-31b-601. Minimum standards for nursing programs.
             475          (1) A nursing education program shall be affiliated with an accredited institution of
             476      higher education in order to be approved by the division.
             477          (2) The minimum standards a nursing program shall meet to qualify graduates for
             478      licensure under this chapter shall be defined by division rule.
             479          [(3) In accordance with Title 63, Chapter 46a, Utah Administrative Rulemaking Act,
             480      the division shall make rules defining the minimum standards a licensed practical nurse -
             481      geriatric care manager training program must meet to qualify a person for certification under
             482      this chapter as a licensed practical nurse - geriatric care manager.]
             483          Section 10. Section 58-31d-103 is amended to read:
             484           58-31d-103. Rulemaking authority -- Enabling provisions.
             485          (1) The division may adopt rules necessary to implement Section 58-31d-102 .
             486          (2) As used in Article VIII (1) of the Advanced Practice Registered Nurse Compact,
             487      "head of the licensing board" means the executive administrator of the Utah Board of Nursing.
             488          (3) For purposes of the Advanced Practice Registered Nurse Compact, "APRN" as
             489      defined in Article II (1) of the compact includes an individual who is licensed to practice under
             490      Subsection 58-31b-302 [(2)](3)(d) as an advanced practice registered nurse.
             491          (4) An APRN practicing in this state under a multistate licensure privilege may only be
             492      granted prescriptive authority if that individual can document completion of graduate level


             493      course work in the following areas:
             494          (a) advanced health assessment;
             495          (b) pharmacotherapeutics; and
             496          (c) diagnosis and treatment.
             497          (5) (a) An APRN practicing in this state under a multistate privilege who seeks to
             498      obtain prescriptive authority must:
             499          (i) meet all the requirements of Subsection (4) and this Subsection (5); and
             500          (ii) be placed on a registry with the division.
             501          (b) To be placed on a registry under Subsection (5)(a)(ii), an APRN must:
             502          (i) submit a form prescribed by the division;
             503          (ii) pay a fee; and
             504          (iii) if prescribing a controlled substance:
             505          (A) obtain a controlled substance license as required under Section 58-37-6 ; and
             506          (B) if prescribing a Schedule II or III controlled substance, have a consultation and
             507      referral plan with a physician licensed in Utah as required under Subsection 58-31b-102 [(16)]
             508      (17)(c)(iii).
             509          Section 11. Section 63-55b-158 is amended to read:
             510           63-55b-158. Repeal dates -- Title 58.
             511          Section 58-31b-301.5 , Geriatric Care Manager Pilot Program, is repealed [July 1, 2007]
             512      May 2, 2005.




Legislative Review Note
    as of 1-27-05 4:16 PM


Based on a limited legal review, this legislation has not been determined to have a high
probability of being held unconstitutional.

Office of Legislative Research and General Counsel


[Bill Documents][Bills Directory]