CR 16-020 Rule Text

Effect on small business:

These proposed rules do not have an economic impact on small businesses, as defined in s. 227.114 (1), Stats. The Department’s Regulatory Review Coordinator may be contacted by email at [e-mail], or by calling [phone].

Agency contact person:

Sharon Henes, Administrative Rules Coordinator, Department of Safety and Professional Services, Division of Board Services, 1400 East Washington Avenue, Room 151, P.O. Box 8366, Madison, Wisconsin 53708; telephone [phone]; email at [e-mail].

Place where comments are to be submitted and deadline for submission:

Comments may be submitted to Sharon Henes, Administrative Rules Coordinator, Department of Safety and Professional Services, Division of Board Services, 1400 East Washington Avenue, Room 151, P.O. Box 8366, Madison, WI 53708-8366, or by email to [e-mail]. Comments must be received at or before the public hearing to be held on March 10, 2016 to be included in the record of rule-making proceedings.

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TEXT OF RULE

Section 1. N 8.02 (c) is amended to read:

N 8.02 (c) For applicants who receive national certification as a nurse practitioner, certified nurse-midwife, certified registered nurse anesthetist or clinical nurse specialist after July 1, 1998, the registered nurse holds a master’s or doctoral degree in nursing or a related health field granted by a college or university accredited by a regional accrediting agency approved by the board of education in the state in which the college or university is located.

Section 2. N 8.02 (4) is amended to read:

N 8.02 (4) “Clinical pharmacology or therapeutics” means the identification of individual and classes of drugs, their indications and contraindications, their likelihood of success efficacy, their side-effects and their interactions, as well as, clinical judgment skills and decision-making, based on thorough interviewing, history-taking, physical assessment, test selection and interpretation, pathophysiology, epidemiology, diagnostic reasoning, differentiation of conditions, treatment decisions, case evaluation and non-pharmacologic interventions.

Section 3. N 8.03 (intro) is amended to read:

N 8.03 Qualifications for certification Certification as an advanced practice nurse prescriber. An applicant for initial certification to issue prescription orders as an advanced practice nurse prescriber shall be granted a certificate by the board if the applicant complies with all of the following:

Section 4. N 8.03 (1) is renumberd to N 8.03 (1m) and amended to read:

N 8.03 (1) Has Provides evidence of holding a current license to practice as a professional nurse in this state or has a current license to practice professional nursing in another state which has adopted the nurse licensure compact.

Section 5. N 8.03 (1) is created to read:

N 8.03 (1) Submits an application form and the fee under s. 440.05(1), Stats.

Section 6. N 8.03 (2), (3), (4), and (5) are amended to read:

N 8.03 (2) Is currently certified Provides evidence of current certification by a national certifying body approved by the board as a nurse practitioner, certified nurse-midwife, certified registered nurse anesthetist or clinical nurse specialist.

(3) For applicants who receive national certification as a nurse practitioner, certified nurse-midwife, certified registered nurse anesthetist or clinical nurse specialist after July 1, 1998, holds Provides evidence of a master’s or doctoral degree in nursing or a related health field granted by a college or university accredited by a regional accrediting agency organization approved by the state board of education in the state in which the college or university is located Council for Higher Education Accreditation. This subs. does not apply to those who received national certification as a nurse practitioner, certified nurse-midwife, certified registered nurse anesthetist or clinical nurse specialist before July 1, 1998.

(4) Has completed at least Provides evidence of completion of 45 contact hours in clinical pharmacology/ or therapeutics within 3 5 years preceding the application for a certificate to issue prescription orders.

(5) Has passed Evidence of passing a jurisprudence examination for advanced practice nurse prescribers.

Section 7. N 8.04 is repealed.

Section 8. N 8.045 is created to read:

N 8.045 Renewal. A person holding an advanced practice nurse prescriber may renew the certificate by doing all of the following:

(1) Pay the renewal fee as determined by the department under s. 440.03(9)(a), Stats., the workforce survey fee and any applicable late renewal fee.

(2) Complete the nursing workforce survey to the satisfaction of the board.

(3) Certify completion of the continuing education required under N 8.05.

(4) Provide evidence of current certification by a national certifying body approved by the board as a nurse practitioner, certified nurse-midwife, certified registered nurse anesthetist or clinical nurse specialist.

Section 9. N 8.05 (1) is amended to read:

N 8.05 Continuing education. (1) Every advanced practice nurse prescriber shall submit to the board evidence of having completed an average of at least 8 complete 16 contact hours per year biennium in clinical pharmacology/ or therapeutics relevant to the advanced practice nurse prescriber’s area of practice, including at least 2 contact hours in responsible prescribing of controlled substances.

section 10. N 8.05 (2) is repealed.

Section 11. N 8.06 (3) (c) is amended to read:

N 8.06 (3) (c) Treatment of hyperkinesis, including attention deficient hyperactivity disorder.

Section 12. N 8.06 (5) is amended to read:

N 8.06 (5) Shall, in prescribing or ordering a drug for administration by a registered nurse or licensed practical nurse under s. 441.16 (3) (cm), Stats. upon request, present evidence to the nurse and or to the administration of the facility where the prescription or order is to be carried out that the advanced practice nurse prescriber is properly certified to issue prescription orders.

Section 13. N 8.07 (2) is amended to read:

N 8.07 (2) Prescription orders issued by advanced practice nurse prescribers for a controlled substance shall be written in ink or indelible pencil or shall be typewritten submitted electronically as permitted by state and federal law, and shall contain the practitioner’s controlled substances drug enforcement agency number.

Section 14. N 8.09 (2) is amended to read:

N 8.09 (2) An advanced practice nurse prescriber may dispense drugs to a patient if at the treatment facility at which the patient is treated is located at least 30 miles from the nearest pharmacy.

Section 15. N 8.10 (title) is amended to read:

N 8.10 Case Care management and collaboration with other health care professionals.

Section 16. N 8.10 (4), (5), (6) and (7) are amended to read:

N 8.10 (4) Advanced practice nurse prescribers shall provide a summary of a patient’s health care records, including diagnosis, surgeries, allergies and urrent medications to other health care providers as a means of facilitating case care management and improved collaboration.

(5) The board shall promote communication and collaboration among advanced practice nurses nurse prescribers, physicians and other health care professionals, including notification to advanced practice nurses of mutual educational opportunities and available communication networks.

(6) To promote case management, the The advanced practice nurse prescriber may order treatment, therapeutics, laboratoryand testing, radiographs or electrocardiograms appropriate to his or her area of competence as established by his or her education, training, or experience to provide care management.

(7) Advanced practice nurse prescribers shall work in a collaborative relationship with a physician. The collaborative relationship is a process in which an advanced practice nurse prescriber is working with a physician, in each other’s presence when necessary, to deliver health care services within the scope of the practitioner’s professional expertise training, education and experience. The advanced practice nurse prescriber and the physician must shall document this relationship.

Section 17. EFFECTIVE DATE. The rules adopted in this order shall take effect on the first day of the month following publication in the Wisconsin administrative register, pursuant to s. 227.22 (2) (intro.), Stats.