Full Text of SB0309 100th General Assembly
SB0309enr 100TH GENERAL ASSEMBLY |
| | SB0309 Enrolled | | LRB100 05111 SMS 15121 b |
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| 1 | | AN ACT concerning regulation.
| 2 | | Be it enacted by the People of the State of Illinois, | 3 | | represented in the General Assembly:
| 4 | | Section 5. The Nurse Practice Act is amended by changing | 5 | | Section 50-75 as follows: | 6 | | (225 ILCS 65/50-75) | 7 | | (Section scheduled to be repealed on January 1, 2028)
| 8 | | Sec. 50-75. Nursing delegation by a registered | 9 | | professional nurse. | 10 | | (a) For the purposes of this Section: | 11 | | "Delegation" means transferring to a specific individual | 12 | | the authority to perform a specific nursing intervention in a | 13 | | specific situation. | 14 | | "Predictability of outcomes" means that a registered | 15 | | professional nurse or advanced practice registered nurse has | 16 | | determined that the patient's or individual's clinical status | 17 | | is stable and expected to improve or the patient's or | 18 | | individual's deteriorating condition is expected to follow a | 19 | | known or expected course. | 20 | | "Stability" means a registered professional nurse or | 21 | | advanced practice registered nurse has determined that the | 22 | | individual's clinical status and nursing care needs are | 23 | | consistent. |
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| 1 | | (b) This Section authorizes a registered professional | 2 | | nurse or advanced practice registered nurse to: | 3 | | (1) delegate nursing interventions to other registered | 4 | | professional nurses, licensed practical nurses, and other | 5 | | unlicensed personnel based on the comprehensive nursing | 6 | | assessment that includes, but is not limited to: | 7 | | (A) the stability and condition of the patient; | 8 | | (B) the potential for harm; | 9 | | (C) the complexity of the nursing intervention to | 10 | | be delegated; | 11 | | (D) the predictability of outcomes; and | 12 | | (E) competency of the individual to whom the | 13 | | nursing intervention is delegated; | 14 | | (2) delegate medication administration to other | 15 | | licensed nurses; | 16 | | (3) in community-based or in-home care settings, | 17 | | delegate the administration of medication (limited to oral | 18 | | or subcutaneous dosage and topical or transdermal | 19 | | application) to unlicensed personnel, if all the | 20 | | conditions for delegation set forth in this Section are | 21 | | met; | 22 | | (4) refuse to delegate, stop, or rescind a previously | 23 | | authorized delegation; or | 24 | | (5) in community-based or in-home care settings, | 25 | | delegate, guide, and evaluate the implementation of | 26 | | nursing interventions as a component of patient care |
| | | SB0309 Enrolled | - 3 - | LRB100 05111 SMS 15121 b |
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| 1 | | coordination after completion of the comprehensive patient | 2 | | assessment based on analysis of the comprehensive nursing | 3 | | assessment data; care coordination in in-home care and | 4 | | school settings may occur in person, by telecommunication, | 5 | | or by electronic communication. | 6 | | (c) This Section prohibits the following: | 7 | | (1) An individual or entity from mandating that a | 8 | | registered professional nurse delegate nursing | 9 | | interventions if the registered professional nurse | 10 | | determines it is inappropriate to do so. Nurses shall not | 11 | | be subject to disciplinary or any other adverse action for | 12 | | refusing to delegate a nursing intervention based on | 13 | | patient safety. | 14 | | (2) The delegation of medication administration to | 15 | | unlicensed personnel in any institutional or long-term | 16 | | facility, including, but not limited to, those facilities | 17 | | licensed by the Hospital Licensing Act, the University of | 18 | | Illinois Hospital Act, State-operated mental health | 19 | | hospitals, or State-operated developmental centers, except | 20 | | as authorized under Article 80 of this Act or otherwise | 21 | | specifically authorized by law. | 22 | | (3) A registered professional nurse from delegating | 23 | | nursing judgment, the comprehensive patient assessment, | 24 | | the development of a plan of care, and the evaluation of | 25 | | care to licensed or unlicensed personnel. | 26 | | (4) A licensed practical nurse or unlicensed personnel |
| | | SB0309 Enrolled | - 4 - | LRB100 05111 SMS 15121 b |
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| 1 | | who has been delegated a nursing intervention from | 2 | | re-delegating a nursing intervention.
| 3 | | (Source: P.A. 100-513, eff. 1-1-18 .)
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