Health Care Availability and Access Committee
Filed: 1/31/2006
 
 

 




 

 		












09400HB4370ham001

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AMENDMENT TO HOUSE BILL 4370




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    AMENDMENT NO. ______. Amend House Bill 4370 by replacing 
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everything after the enacting clause with the following:
 
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    "Section 5. The Ambulatory Surgical Treatment Center Act is 
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amended  by adding Section 6.7 as follows:
 
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    (210 ILCS 5/6.7 new)

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    Sec. 6.7. Registered nurse administration of limited 
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levels of sedation or analgesia.

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    (a) Nothing in this Act precludes a registered nurse from 
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administering medications for the delivery of local or minimal 
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sedation ordered by a physician licensed to practice medicine 
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in all its branches,  podiatrist, or dentist.
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    (b) If the ASTC policy allows the registered nurse to 
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deliver moderate sedation ordered by a physician licensed to 
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practice medicine in all its branches, podiatrist, or dentist, 
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the following are required:
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        (1)  The registered nurse must be under the supervision 
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    of a physician licensed to practice medicine in all its 
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    branches, podiatrist, or dentist during the delivery or 
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    monitoring  of moderate sedation and have no other 
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    responsibilities during the procedure.

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        (2)  The registered nurse must maintain current 
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    Advanced Cardiac Life Support certification or Pediatric 
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    Advanced Life Support certification as appropriate to the 
 


 






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    age of the patient.

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        (3)  The supervising physician licensed to practice 
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    medicine in all its branches, podiatrist, or dentist must 
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    have training and experience in delivering and monitoring 
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    moderate sedation and  possess clinical privileges at the 
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    ASTC to administer moderate sedation or analgesia.

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        (4) The supervising physician licensed to practice 
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    medicine in all its branches, podiatrist, or dentist must 
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    remain physically present and available on the premises 
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    during the delivery of moderate sedation for diagnosis, 
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    consultation,  and treatment of emergency medical 
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    conditions.

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        (5) The supervising physician licensed to practice 
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    medicine in all its branches, podiatrist, or dentist must 
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    maintain current Advanced Cardiac Life Support 
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    certification or Pediatric Advanced Life Support 
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    certification as appropriate to the age of the patient.

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    (c) Local, minimal, and moderate sedation shall be defined 
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by the Division of Professional Regulation of the Department of 
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Financial and Professional Regulation. Registered nurses shall 
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be limited to administering medications for moderate sedation 
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at doses rapidly reversible pharmacologically as determined by 
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rule by the Division of Professional Regulation of the 
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Department of Financial and Professional Regulation.

 
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    Section 10. The Medical Practice Act of 1987  is amended  by 
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adding Section 54.6 as follows:
 
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    (225 ILCS 60/54.6 new)

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    Sec. 54.6. Registered nurse administration of limited 
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levels of anesthesia. Nothing in this Act precludes a 
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registered nurse from administering local anesthesia or 
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minimal sedation or moderate sedation, as defined by rule, 
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ordered by a physician licensed to practice medicine in all its 
 


 






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branches. The Department shall define the levels of anesthesia 
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by rule. The Department shall list the medications for moderate 
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sedation that are permitted under subsection (c) of Section 6.7 
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of the Ambulatory Surgical Treatment Act as rapidly reversible 
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pharmacologically.
 

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    Section 99. Effective date. This Act takes effect upon 
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becoming law.".