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91_SB0241
LRB9101912ACdv
1 AN ACT concerning nursing.
2 Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
4 Section 5. The Ambulatory Surgical Treatment Center Act
5 is amended by changing Section 6.5 as follows:
6 (210 ILCS 5/6.5)
7 Sec. 6.5. Clinical privileges; advanced practice nurses.
8 All ambulatory surgical treatment centers (ASTC) licensed
9 under this Act shall comply with the following requirements:
10 (1) No ASTC policy, rule, regulation, or practice of an
11 ambulatory surgical treatment center licensed under this Act
12 shall be inconsistent with the provision of adequate
13 collaboration, including medical direction of licensed
14 advanced practice nurses, in accordance with Section 54.5 of
15 the Medical Practice Act of 1987.
16 (2) Operative surgical procedures shall be performed
17 only by a physician licensed to practice medicine in all its
18 branches under the Medical Practice Act of 1987, a dentist
19 licensed under the Illinois Dental Practice Act, or a
20 podiatrist licensed under the Podiatric Medical Practice Act
21 of 1987, with medical staff membership and surgical clinical
22 privileges granted by the consulting committee of the ASTC. A
23 licensed physician, dentist, or podiatrist may be assisted by
24 a physician licensed to practice medicine in all its
25 branches, dentist, dental assistant, podiatrist, licensed
26 advanced practice nurse, licensed physician assistant,
27 licensed registered nurse, licensed practical nurse, surgical
28 assistant, surgical technician, or other individuals granted
29 clinical privileges to assist in surgery by the consulting
30 committee of the ASTC.
31 (3) The anesthesia service shall be under the direction
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1 of a physician licensed to practice medicine in all its
2 branches who has had specialized preparation or experience in
3 the area or who has completed a residency in anesthesiology.
4 An anesthesiologist, Board certified or Board eligible, is
5 recommended. Anesthesia services may only be administered
6 pursuant to the order of a physician licensed to practice
7 medicine in all its branches, licensed dentist, or licensed
8 podiatrist.
9 (A) The individuals who, with clinical privileges
10 granted by the medical staff and ASTC, may administer
11 anesthesia services are limited to the following:
12 (i) an anesthesiologist; or
13 (ii) a physician licensed to practice medicine
14 in all its branches; or
15 (iii) a dentist with authority to administer
16 anesthesia under Section 8.1 of the Illinois Dental
17 Practice Act; or
18 (iv) a licensed certified registered nurse
19 anesthetist.
20 (B) For anesthesia services, an anesthesiologist
21 shall participate through discussion of and agreement
22 with the anesthesia plan and shall remain physically
23 present and be available on the premises during the
24 delivery of anesthesia services for diagnosis,
25 consultation, and treatment of emergency medical
26 conditions. In the absence of 24-hour availability of
27 anesthesiologists with clinical privileges, an alternate
28 policy (requiring participation, presence, and
29 availability of a physician licensed to practice medicine
30 in all its branches) shall be developed by the medical
31 staff consulting committee in consultation with the
32 anesthesia service and included in the medical staff
33 consulting committee policies.
34 (C) A certified registered nurse anesthetist is not
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1 required to possess prescriptive authority or a written
2 collaborative agreement meeting the requirements of
3 Section 15-15 of the Nursing and Advanced Practice
4 Nursing Act to provide anesthesia services ordered by a
5 licensed physician, dentist, or podiatrist. Licensed
6 certified registered nurse anesthetists are authorized to
7 select, order, and administer drugs and apply the
8 appropriate medical devices in the provision of
9 anesthesia services under the anesthesia plan agreed with
10 by the anesthesiologist or, in the absence of an
11 available anesthesiologist with clinical privileges,
12 agreed with by the operating physician, operating
13 dentist, or operating podiatrist in accordance with the
14 medical staff consulting committee policies of a licensed
15 ambulatory surgical treatment center.
16 (Source: P.A. 90-742, eff. 8-13-98.)
17 Section 10. The Hospital Licensing Act is amended by
18 changing Section 10.7 as follows:
19 (210 ILCS 85/10.7)
20 Sec. 10.7. Clinical privileges; advanced practice
21 registered nurses. All hospitals licensed under this Act
22 shall comply with the following requirements:
23 (1) No hospital policy, rule, regulation, or practice of
24 a hospital licensed under this Act shall be inconsistent with
25 the provision of adequate collaboration, including medical
26 direction of licensed advanced practice nurses, in accordance
27 with Section 54.5 of the Medical Practice Act of 1987.
28 (2) Operative surgical procedures shall be performed
29 only by a physician licensed to practice medicine in all its
30 branches under the Medical Practice Act of 1987, a dentist
31 licensed under the Illinois Dental Practice Act, or a
32 podiatrist licensed under the Podiatric Medical Practice Act
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1 of 1987, with medical staff membership and surgical clinical
2 privileges granted at the hospital. A licensed physician,
3 dentist, or podiatrist may be assisted by a physician
4 licensed to practice medicine in all its branches, dentist,
5 dental assistant, podiatrist, licensed advanced practice
6 nurse, licensed physician assistant, licensed registered
7 nurse, licensed practical nurse, surgical assistant, surgical
8 technician, or other individuals granted clinical privileges
9 to assist in surgery at the hospital.
10 (3) The anesthesia service shall be under the direction
11 of a physician licensed to practice medicine in all its
12 branches who has had specialized preparation or experience in
13 the area or who has completed a residency in anesthesiology.
14 An anesthesiologist, Board certified or Board eligible, is
15 recommended. Anesthesia services may only be administered
16 pursuant to the order of a physician licensed to practice
17 medicine in all its branches, licensed dentist, or licensed
18 podiatrist.
19 (A) The individuals who, with clinical privileges
20 granted at the hospital, may administer anesthesia
21 services are limited to the following:
22 (i) an anesthesiologist; or
23 (ii) a physician licensed to practice medicine
24 in all its branches; or
25 (iii) a dentist with authority to administer
26 anesthesia under Section 8.1 of the Illinois Dental
27 Practice Act; or
28 (iv) a licensed certified registered nurse
29 anesthetist.
30 (B) For anesthesia services, an anesthesiologist
31 shall participate through discussion of and agreement
32 with the anesthesia plan and shall remain physically
33 present and be available on the premises during the
34 delivery of anesthesia services for diagnosis,
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1 consultation, and treatment of emergency medical
2 conditions. In the absence of 24-hour availability of
3 anesthesiologists with medical staff privileges, an
4 alternate policy (requiring participation, presence, and
5 availability of a physician licensed to practice medicine
6 in all its branches) shall be developed by the medical
7 staff and licensed hospital in consultation with the
8 anesthesia service.
9 (C) A certified registered nurse anesthetist is not
10 required to possess prescriptive authority or a written
11 collaborative agreement meeting the requirements of
12 Section 15-15 of the Nursing and Advanced Practice
13 Nursing Act to provide anesthesia services ordered by a
14 licensed physician, dentist, or podiatrist. Licensed
15 certified registered nurse anesthetists are authorized to
16 select, order, and administer drugs and apply the
17 appropriate medical devices in the provision of
18 anesthesia services under the anesthesia plan agreed with
19 by the anesthesiologist or, in the absence of an
20 available anesthesiologist with clinical privileges,
21 agreed with by the operating physician, operating
22 dentist, or operating podiatrist in accordance with the
23 hospital's alternative policy.
24 (Source: P.A. 90-742, eff. 8-13-98.)
25 Section 15. The Medical Practice Act of 1987 is amended
26 by changing Section 54.5 as follows:
27 (225 ILCS 60/54.5)
28 Sec. 54.5. Physician delegation of authority.
29 (a) Physicians licensed to practice medicine in all its
30 branches may delegate care and treatment responsibilities to
31 a physician assistant under guidelines in accordance with the
32 requirements of the Physician Assistant Practice Act of
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1 1987. A physician licensed to practice medicine in all its
2 branches may enter into supervising physician agreements with
3 no more than 2 physician assistants.
4 (b) A physician licensed to practice medicine in all its
5 branches in active clinical practice may collaborate with an
6 advanced practice nurse in accordance with the requirements
7 of Title 15 of the Nursing and Advanced Practice Nursing Act.
8 Collaboration is for the purpose of providing medical
9 direction, and no employment relationship is required. A
10 written collaborative agreement shall conform to the
11 requirements of Sections 15-15 and 15-20 of the Nursing and
12 Advanced Practice Nursing Act. The written collaborative
13 agreement shall be for services the collaborating physician
14 generally provides to his or her patients in the normal
15 course of clinical medical practice. Physician medical
16 direction shall be adequate with respect to collaboration
17 with certified nurse practitioners, certified nurse midwives,
18 and clinical nurse specialists if a collaborating physician:
19 (1) participates in the joint formulation and joint
20 approval of orders or guidelines with the advanced
21 practice nurse and periodically reviews such orders and
22 the services provided patients under such orders in
23 accordance with accepted standards of medical practice
24 and advanced practice nursing practice;
25 (2) is on site at least once a month to provide
26 medical direction and consultation; and
27 (3) is available through telecommunications for
28 consultation on medical problems, complications, or
29 emergencies or patient referral.
30 (b-5) An anesthesiologist or physician licensed to
31 practice medicine in all its branches may collaborate with a
32 certified registered nurse anesthetist in accordance with
33 Section 15-25 of the Nursing and Advanced Practice Nursing
34 Act. Medical direction for a certified registered nurse
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1 anesthetist shall be adequate if:
2 (1) an anesthesiologist or a physician participates
3 in the joint formulation and joint approval of orders or
4 guidelines and periodically reviews such orders and the
5 services provided patients under such orders; and
6 (2) for anesthesia services, the anesthesiologist
7 or physician participates through discussion of and
8 agreement with the anesthesia plan and is physically
9 present and available on the premises during the delivery
10 of anesthesia services for diagnosis, consultation, and
11 treatment of emergency medical conditions. Anesthesia
12 services in a hospital shall be conducted in accordance
13 with Section 10.7 of the Hospital Licensing Act and in an
14 ambulatory surgical treatment center in accordance with
15 Section 6.5 of the Ambulatory Surgical Treatment Center
16 Act.
17 (b-10) The anesthesiologist or operating physician must
18 agree with the anesthesia plan prior to the delivery of
19 services.
20 (c) The supervising physician shall have access to the
21 medical records of all patients attended by a physician
22 assistant. The collaborating physician shall have access to
23 the medical records of all patients attended to by an
24 advanced practice nurse.
25 (d) Nothing in this Act shall be construed to limit the
26 delegation of tasks or duties by a physician licensed to
27 practice medicine in all its branches to a licensed practical
28 nurse, a registered professional nurse, or other personnel.
29 (e) A physician shall not be liable for the acts or
30 omissions of a physician assistant or advanced practice nurse
31 solely on the basis of having signed a supervision agreement
32 or guidelines or a collaborative agreement, an order, a
33 standing medical order, a standing delegation order, or other
34 order or guideline authorizing a physician assistant or
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1 advanced practice nurse to perform acts, unless the physician
2 has reason to believe the physician assistant or advanced
3 practice nurse lacked the competency to perform the act or
4 acts or commits willful and wanton misconduct.
5 (Source: P.A. 90-742, eff. 8-13-98.)
6 Section 20. The Nursing and Advanced Practice Nursing
7 Act is amended by changing Sections 10-25, 15-5, 15-10,
8 15-15, 15-30, and 15-35 and by adding 15-25 as follows:
9 (225 ILCS 65/10-25)
10 Sec. 10-25. Board.
11 (a) The Director shall appoint the Board of Nursing
12 which, beginning January 1, 2000, shall be composed of 7 9
13 registered professional nurses, 2 licensed practical nurses
14 and one public member who shall also be a voting member and
15 who is not a licensed health care provider. Two registered
16 nurses shall hold at least a master's degree in nursing and
17 be educators in professional nursing programs, one
18 representing baccalaureate nursing education, one
19 representing associate degree nursing education; one
20 registered nurse shall hold at least a bachelor's degree with
21 a major in nursing and be an educator in a licensed practical
22 nursing program; one registered nurse shall hold a master's
23 degree in nursing and shall represent nursing service
24 administration; 2 registered nurses shall represent clinical
25 nursing practice, one of whom shall have at least a master's
26 degree in nursing; and, until January 1, 2000, 2 registered
27 nurses shall represent advanced specialty practice. Each of
28 the 11 nurses shall have had a minimum of 5 years experience
29 in nursing, 3 of which shall be in the area they represent on
30 the Board and be actively engaged in the area of nursing they
31 represent at the time of appointment and during their tenure
32 on the Board. Members shall be appointed for a term of 3
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1 years. No member shall be eligible for appointment to more
2 than 2 consecutive terms and any appointment to fill a
3 vacancy shall be for the unexpired portion of the term. In
4 making Board appointments, the Director shall give
5 consideration to recommendations submitted by nursing
6 organizations. Consideration shall be given to equal
7 geographic representation. The Board shall receive actual
8 and necessary expenses incurred in the performance of their
9 duties.
10 In making the initial appointments, the Director shall
11 appoint all new members for terms of 2, 3, and 4 years and
12 such terms shall be staggered as follows: 3 shall be
13 appointed for terms of 2 years; 3 shall be appointed for
14 terms of 3 years; and 3 shall be appointed for terms of 4
15 years.
16 The Director may remove any member of the Board for
17 misconduct, incapacity, or neglect of duty. The Director
18 shall reduce to writing any causes for removal.
19 The Board shall meet annually to elect a chairperson and
20 vice chairperson. The Board may hold such other meetings
21 during the year as may be necessary to conduct its business.
22 Six voting members of the Board shall constitute a quorum at
23 any meeting. Any action taken by the Board must be on the
24 affirmative vote of 6 members. Voting by proxy shall not be
25 permitted.
26 The Board shall submit an annual report to the Director.
27 The members of the Board shall be immune from suit in any
28 action based upon any disciplinary proceedings or other acts
29 performed in good faith as members of the Board.
30 (b) The Board is authorized to:
31 (1) recommend the adoption and, from time to time,
32 the revision of such rules that may be necessary to carry
33 out the provisions of this Act;
34 (2) conduct hearings and disciplinary conferences
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1 upon charges calling for discipline of a licensee as
2 provided in Section 10-45;
3 (3) report to the Department, upon completion of a
4 hearing, the disciplinary actions recommended to be taken
5 against persons violating this Act;
6 (4) recommend the approval, denial of approval,
7 withdrawal of approval, or discipline of nursing
8 education programs;
9 (5) participate in a national organization of state
10 boards of nursing; and
11 (6) recommend a list of the registered nurses to
12 serve as Nursing Act Coordinator and Assistant Nursing
13 Act Coordinator, respectively.
14 (Source: P.A. 90-61, eff. 12-30-97; 90-742, eff. 8-13-98.)
15 (225 ILCS 65/15-5)
16 Sec. 15-5. Definitions. As used in this Title:
17 "APN Board" means the Advanced Practice Nursing Board.
18 "Advanced practice nurse" or "APN" means a person who:
19 (1) is licensed as a registered professional nurse under
20 this Act; (2) meets the requirements for licensure as an
21 advanced practice nurse under Section 15-10; (3) except as
22 provided in Section 15-25, has a written collaborative
23 agreement with a collaborating physician in the diagnosis of
24 illness and management of wellness and other conditions as
25 appropriate to the level and area of his or her practice in
26 accordance with Section 15-15; and (4) cares for patients
27 (A) by using advanced diagnostic skills, the results of
28 diagnostic tests and procedures ordered by the advanced
29 practice nurse, a physician assistant, a dentist, a
30 podiatrist, or a physician, and professional judgment to
31 initiate and coordinate the care of patients; (B) by ordering
32 diagnostic tests, prescribing medications and drugs in
33 accordance with Section 15-20, and administering medications
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1 and drugs; and (C) by using medical, therapeutic, and
2 corrective measures to treat illness and improve health
3 status. Categories include certified nurse midwife (CNM),
4 certified nurse practitioner (CNP), certified registered
5 nurse anesthetist (CRNA), or certified clinical nurse
6 specialist (CNS).
7 "Collaborating physician" means a physician who works
8 with an advanced practice nurse and provides medical
9 direction as documented in a written collaborative agreement
10 required under Section 15-15.
11 "Licensed hospital" means a hospital licensed under the
12 Hospital Licensing Act or organized under the University of
13 Illinois Hospital Act.
14 "Physician" means a person licensed to practice medicine
15 in all its branches under the Medical Practice Act of 1987.
16 (Source: P.A. 90-742, eff. 8-13-98.)
17 (225 ILCS 65/15-10)
18 Sec. 15-10. Advanced practice nurse; qualifications;
19 roster.
20 (a) A person shall be qualified for licensure as an
21 advanced practice nurse if that person:
22 (1) has applied in writing in form and substance
23 satisfactory to the Department and has not violated a
24 provision of this Act or the rules adopted under this
25 Act. The Department may take into consideration any
26 felony conviction of the applicant but a conviction shall
27 not operate as an absolute bar to licensure;
28 (2) holds a current license to practice as a
29 registered nurse in Illinois;
30 (3) has successfully completed requirements to
31 practice as, and holds a current, national certification
32 as, a nurse midwife, clinical nurse specialist, or nurse
33 practitioner, or certified registered nurse anesthetist
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1 from the appropriate national certifying body as
2 determined by rule of the Department;
3 (4) has paid the required fees as set by rule; and
4 (5) has successfully completed a post-basic
5 advanced practice formal education program in the area of
6 his or her nursing specialty.
7 (b) In addition to meeting the requirements of
8 subsection (a), except item (5) of that subsection, beginning
9 July 1, 2001 or 12 months after the adoption of final rules
10 to implement this Section, whichever is sooner, applicants
11 for initial licensure shall have a graduate degree
12 appropriate for national certification in a clinical advanced
13 practice nursing specialty.
14 (c) The Department shall provide by rule for APN
15 licensure of registered professional nurses who (1) apply for
16 licensure before July 1, 2001 and (2) submit evidence of
17 completion of a program described in item (5) of subsection
18 (a) or in subsection (b) and evidence of practice for at
19 least 10 years as a nurse practitioner.
20 (d) The Department shall maintain a separate roster of
21 advanced practice nurses licensed under this Title and their
22 licenses shall indicate "Registered Nurse/Advanced Practice
23 Nurse".
24 (Source: P.A. 90-742, eff. 8-13-98.)
25 (225 ILCS 65/15-15)
26 Sec. 15-15. Written collaborative agreements.
27 (a) Except as provided in Section 15-25, no person shall
28 engage in the practice of advanced practice nursing except
29 when licensed under this Title and pursuant to a written
30 collaborative agreement with a collaborating physician.
31 (b) A written collaborative agreement shall describe the
32 working relationship of the advanced practice nurse with the
33 collaborating physician and shall authorize the categories of
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1 care, treatment, or procedures to be performed by the
2 advanced practice nurse. Collaboration does not require an
3 employment relationship between the collaborating physician
4 and advanced practice nurse. Collaboration means the
5 relationship under which an advanced practice nurse works
6 with a collaborating physician in an active clinical practice
7 to deliver health care services in accordance with (i) the
8 advanced practice nurse's training, education, and experience
9 and (ii) medical direction as documented in a jointly
10 developed written collaborative agreement.
11 The agreement shall be defined to promote the exercise of
12 professional judgment by the advanced practice nurse
13 commensurate with his or her education and experience. The
14 services to be provided by the advanced practice nurse shall
15 be services that the collaborating physician generally
16 provides to his or her patients in the normal course of his
17 or her clinical medical practice. The agreement need not
18 describe the exact steps that an advanced practice nurse must
19 take with respect to each specific condition, disease, or
20 symptom but must specify which authorized procedures require
21 a physician's presence as the procedures are being performed.
22 The collaborative relationship under an agreement shall not
23 be construed to require the personal presence of a physician
24 at all times at the place where services are rendered.
25 Methods of communication shall be available for consultation
26 with the collaborating physician in person or by
27 telecommunications in accordance with established written
28 guidelines as set forth in the written agreement.
29 (c) Physician medical direction under an agreement shall
30 be adequate if a collaborating physician:
31 (1) participates in the joint formulation and joint
32 approval of orders or guidelines with the APN and he or
33 she periodically reviews such orders and the services
34 provided patients under such orders in accordance with
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1 accepted standards of medical practice and advanced
2 practice nursing practice;
3 (2) is on site at least once a month to provide
4 medical direction and consultation; and
5 (3) is available through telecommunications for
6 consultation on medical problems, complications, or
7 emergencies or patient referral.
8 (d) A copy of the signed, written collaborative
9 agreement must be available to the Department upon request
10 from both the advanced practice nurse and the collaborating
11 physician and shall be annually updated. An advanced
12 practice nurse shall inform each collaborating physician of
13 all collaborative agreements he or she has signed and provide
14 a copy of these to any collaborating physician, upon request.
15 (Source: P.A. 90-742, eff. 8-13-98.)
16 (225 ILCS 65/15-25 new)
17 Sec. 15-25. Certified registered nurse anesthetists.
18 (a) A licensed certified registered nurse anesthetist
19 may provide anesthesia services pursuant to the order of a
20 licensed physician, licensed dentist, or licensed podiatrist
21 in a licensed hospital, a licensed ambulatory surgical
22 treatment center, or the office of a licensed physician, the
23 office of a licensed dentist, or the office of a licensed
24 podiatrist. For anesthesia services, an anesthesiologist,
25 physician, dentist, or podiatrist shall participate through
26 discussion of and agreement with the anesthesia plan and
27 shall remain physically present and be available on the
28 premises during the delivery of anesthesia services for
29 diagnosis, consultation, and treatment of emergency medical
30 conditions, unless hospital policy adopted pursuant to clause
31 (B) of subdivision (3) of Section 10.7 of the Hospital
32 Licensing Act or ambulatory surgical treatment center policy
33 adopted pursuant to clause (B) of subdivision (3) of Section
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1 6.5 of the Ambulatory Surgical Treatment Center Act provides
2 otherwise.
3 (b) A certified registered nurse anesthetist who
4 provides anesthesia services in a hospital shall do so in
5 accordance with Section 10.7 of the Hospital Licensing Act
6 and, in an ambulatory surgical treatment center, in
7 accordance with Section 6.5 of the Ambulatory Surgical
8 Treatment Center Act.
9 (c) A certified registered nurse anesthetist who
10 provides anesthesia services in a physician office, dental
11 office, or podiatric office shall enter into a written
12 practice agreement with an anesthesiologist or the physician
13 licensed to practice medicine in all its branches, the
14 dentist, or the podiatrist performing the procedure. The
15 agreement shall describe the working relationship of the
16 certified registered nurse anesthetist and anesthesiologist,
17 physician, dentist, or podiatrist and shall authorize the
18 categories of care, treatment, or procedures to be performed
19 by the certified registered nurse anesthetist. In a
20 dentist's office, the certified registered nurse anesthetist
21 may only provide those services the dentist is authorized to
22 provide pursuant to the Illinois Dental Practice Act and
23 rules. In a podiatrist's office, the certified registered
24 nurse anesthetist may only provide those services the
25 podiatrist is authorized to provide pursuant to the Podiatric
26 Medical Practice Act of 1987 and rules. For anesthesia
27 services, an anesthesiologist, physician, dentist, or
28 podiatrist shall participate through discussion of and
29 agreement with the anesthesia plan and shall remain
30 physically present and be available on the premises during
31 the delivery of anesthesia services for diagnosis,
32 consultation, and treatment of emergency medical conditions.
33 (d) A certified registered nurse anesthetist is not
34 required to possess prescriptive authority or a written
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1 collaborative agreement meeting the requirements of Section
2 15-15 to provide anesthesia services ordered by a licensed
3 physician, dentist, or podiatrist. Certified registered
4 nurse anesthetists are authorized to select, order, and
5 administer drugs and apply the appropriate medical devices in
6 the provision of anesthesia services under the anesthesia
7 plan agreed with by the anesthesiologist or the physician in
8 accordance with hospital alternative policy or the medical
9 staff consulting committee policies of a licensed ambulatory
10 surgical treatment center. In a physician's office,
11 dentist's office, or podiatrist's office, the
12 anesthesiologist, operating physician, operating dentist, or
13 operating podiatrist shall agree with the anesthesia plan, in
14 accordance with the written practice agreement.
15 (e) A certified registered nurse anesthetist may be
16 delegated limited prescriptive authority under Section 15-20
17 in a written collaborative agreement meeting the requirements
18 of Section 15-15.
19 (225 ILCS 65/15-30)
20 Sec. 15-30. Title.
21 (a) No person shall use any words, abbreviations,
22 figures, letters, title, sign, card, or device tending to
23 imply that he or she is an advanced practice nurse, including
24 but not limited to using the titles or initials "Advanced
25 Practice Nurse", "Certified Nurse Midwife", "Certified Nurse
26 Practitioner", "Certified Registered Nurse Anesthetist",
27 "Clinical Nurse Specialist", "A.P.N.", "C.N.M.", "C.N.P.",
28 "C.R.N.A.", "C.N.S.", or similar titles or initials, with the
29 intention of indicating practice as an advanced practice
30 nurse without meeting the requirements of this Act. No
31 advanced practice nurse shall use the title of doctor or
32 associate with his or her name or any other term to indicate
33 to other persons that he or she is qualified to engage in the
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1 general practice of medicine.
2 (b) An advanced practice nurse shall verbally identify
3 himself or herself as an advanced practice nurse including
4 specialty certification to each patient.
5 (c) Nothing in this Act shall be construed to relieve a
6 physician of professional or legal responsibility for the
7 care and treatment of persons attended by him or her or to
8 relieve an advanced practice nurse of the professional or
9 legal responsibility for the care and treatment of persons
10 attended by him or her.
11 (Source: P.A. 90-742, eff. 8-13-98.)
12 (225 ILCS 65/15-35)
13 Sec. 15-35. Advanced Practice Nursing Board.
14 (a) There is hereby established an Advanced Practice
15 Nursing Board, hereinafter referred to as the "APN Board".
16 The APN Board shall review and make recommendations to the
17 Department regarding matters relating to licensure and
18 discipline of advanced practice nurses. The APN Board shall
19 be composed of 9 members to be appointed by the Governor, 4
20 of whom shall be advanced practice nurses and 3 of whom shall
21 be collaborating physicians licensed to practice medicine in
22 all its branches. The 4 advanced practice nurses shall have
23 collaborative agreements, except that any certified
24 registered nurse anesthetist is not required to have a
25 collaborative agreement. The 3 physicians shall have
26 collaborative agreements, except that an anesthesiologist is
27 not required to have a collaborative agreement. In making
28 appointments to the APN Board, the Governor shall give due
29 consideration to recommendations by statewide professional
30 associations or societies representing nurses and physicians
31 in Illinois. Two members, not employed or having any
32 material interest in any health care field, shall represent
33 the public. The chairperson of the APN Board shall be a
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1 member elected by a majority vote of the APN Board. The APN
2 Board shall meet and report to the Department quarterly and
3 as advanced practice nurse issues arise.
4 Initial appointments to the APN Board shall be made
5 within 90 days after the effective date of this amendatory
6 Act of 1998. The terms of office of each of the original
7 members shall be at staggered intervals. One physician and
8 one advanced practice nurse shall serve one-year terms. One
9 physician and one advanced practice nurse shall serve 2-year
10 terms. One physician and one advanced practice nurse shall
11 serve 3-year terms. One advanced practice nurse and the
12 public members shall serve 4-year terms. Upon the expiration
13 of the term of an initial member, his or her successor shall
14 be appointed for a term of 4 years. No member shall serve
15 more than 2 consecutive terms, excluding initial appointment
16 terms. An appointment to fill a vacancy shall be for the
17 unexpired portion of the term. Members of the APN Board
18 shall be reimbursed for all authorized legitimate and
19 necessary expenses incurred in attending the meetings of the
20 APN Board. A majority of the APN Board members appointed
21 shall constitute a quorum. A vacancy in the membership of
22 the APN Board shall not impair the right of a quorum to
23 perform all of the duties of the APN Board. A member of the
24 APN Board shall have no liability in an action based upon a
25 disciplinary proceeding or other activity performed in good
26 faith as a member of the APN Board.
27 (b) Complaints received concerning advanced practice
28 nurses shall be reviewed by the APN Board. Complaints
29 received concerning collaborating physicians shall be
30 reviewed by the Medical Disciplinary Board.
31 (Source: P.A. 90-742, eff. 8-13-98.)
32 (225 ILCS 65/15-100 rep.)
33 Section 25. The Nursing and Advanced Practice Nursing
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1 Act is amended by repealing Section 15-100.
2 Section 99. Effective date. This Act takes effect upon
3 becoming law.