AB50,1348,2017(f) Nothing in this section prohibits an entity employing or with a relationship 18with an advanced practice registered nurse from establishing additional 19requirements for an advanced practice registered nurse as a condition of 20employment or relationship. AB50,1349,221(g) An advanced practice registered nurse shall adhere to professional 22standards when managing situations that are beyond the advanced practice 23registered nurse’s expertise. If a particular patient’s needs are beyond the 24advanced practice registered nurse’s expertise, the advanced practice registered
1nurse shall, as warranted by the patient’s needs, consult or collaborate with or refer 2the patient to at least one of the following: AB50,1349,331. A physician licensed under ch. 448. AB50,1349,642. Another health care provider for whom the advanced practice registered 5nurse has reasonable evidence of having a scope of practice that includes the 6authorization to address the patient’s needs. AB50,1349,137(h) An advanced practice registered nurse licensed under this section may 8delegate a task or order to another clinically trained health care worker if the task 9or order is within the scope of the advanced practice registered nurse’s practice, the 10advanced practice registered nurse is competent to perform the task or issue the 11order, and the advanced practice registered nurse has reasonable evidence that the 12health care worker is minimally competent to perform the task or issue the order 13under the circumstances. AB50,1349,2314(i) An advanced practice registered nurse with a certified nurse-midwife 15specialty designation may not offer to deliver babies outside of a hospital setting 16unless the advanced practice registered nurse files with the board, and the board 17approves, a proactive plan for ensuring appropriate care or care transitions 18conforming with professional standards for patients with higher acuity or 19emergency care needs that exceed the advanced practice registered nurse’s scope of 20practice. An advanced practice registered nurse who offers to deliver babies outside 21of a hospital setting shall file a plan under this paragraph when applying for an 22initial license under this section or a renewal of a license under this section, shall 23keep the plan current with the board, and shall follow the plan. AB50,1350,5
1(4) Continuing education. Every advanced practice registered nurse shall 2submit to the board evidence of having completed at least 16 contact hours per 3biennium in clinical pharmacology or therapeutics relevant to the advanced 4practice registered nurse’s area of practice. The board may promulgate rules 5regarding the continuing education requirements under this subsection. AB50,1350,146(5) Malpractice liability insurance. Except for a person whose employer 7has in effect malpractice liability insurance that provides coverage for the person in 8the amounts specified under s. 655.23 (4), no person may practice advanced practice 9registered nursing unless he or she at all times has in effect malpractice liability 10insurance coverage that provides coverage of not less than the amounts established 11under s. 655.23 (4). An advanced practice registered nurse shall submit evidence of 12that coverage to the board when applying for an initial license under this section or 13a renewal of a license under this section. An advanced practice registered nurse 14shall also submit such evidence to the board upon request of the board. AB50,1350,1615(6) Rules. (a) The board shall promulgate rules necessary to administer this 16section, including rules for all of the following: AB50,1350,21171. Further defining the scope of practice of an advanced practice registered 18nurse, practice of a certified nurse-midwife, practice of a certified registered nurse 19anesthetist, practice of a nurse practitioner, and practice of a clinical nurse 20specialist and defining the scope of practice within which an advanced practice 21registered nurse may issue prescription orders under sub. (2). AB50,1350,23222. Determining acceptable national certification for purposes of sub. (1) (a) 2. 23a. AB50,1351,4
13. Establishing the appropriate education, training, or experience 2requirements that a registered nurse must satisfy in order to be an advanced 3practice registered nurse and to obtain each specialty designation corresponding to 4the recognized roles. AB50,1351,654. Specifying the classes of drugs, individual drugs, or devices that may not be 6prescribed by an advanced practice registered nurse under sub. (2). AB50,1351,775. Specifying the conditions to be met for registered nurses to do the following: AB50,1351,88a. Administer a drug prescribed by an advanced practice registered nurse. AB50,1351,99b. Administer a drug at the direction of an advanced practice registered nurse. AB50,1351,11107. Establishing standards of professional conduct for advanced practice 11registered nurses generally and for practicing in each recognized role. AB50,1351,1312(am) Notwithstanding par. (a), the board may promulgate rules to implement 13sub. (3m) (b). AB50,1351,1614(b) The board may not promulgate rules that expand the scope of practice of 15an advanced practice registered nurse beyond the practices within advanced 16practice registered nursing. AB50,274317Section 2743. 441.092 of the statutes is created to read: AB50,1351,1818441.092 Expedited partner therapy. (1) In this section: AB50,1351,1919(b) “Antimicrobial drug” has the meaning given in s. 448.035 (1) (b). AB50,1351,2020(c) “Expedited partner therapy” has the meaning given in s. 448.035 (1) (c). AB50,1352,921(2) Notwithstanding the requirements of s. 448.9785, an advanced practice 22registered nurse who may issue prescription orders under s. 441.09 (2) may provide 23expedited partner therapy if a patient is diagnosed as infected with a chlamydial
1infection, gonorrhea, or trichomoniasis and the patient has had sexual contact with 2a sexual partner during which the chlamydial infection, gonorrhea, or 3trichomoniasis may have been transmitted to or from the sexual partner. The 4advanced practice registered nurse shall attempt to obtain the name of the patient’s 5sexual partner. A prescription order for an antimicrobial drug prepared under this 6subsection shall include the name and address of the patient’s sexual partner, if 7known. If the advanced practice registered nurse is unable to obtain the name of 8the patient’s sexual partner, the prescription order shall include, in ordinary, bold-9faced capital letters, the words, “expedited partner therapy” or the letters “EPT.” AB50,1352,1310(3) The advanced practice registered nurse shall provide the patient with a 11copy of the information sheet prepared by the department of health services under 12s. 46.03 (44) and shall request that the patient give the information sheet to the 13person with whom the patient had sexual contact. AB50,1352,1814(4) (a) Except as provided in par. (b), an advanced practice registered nurse is 15immune from civil liability for injury to or the death of a person who takes any 16antimicrobial drug if the antimicrobial drug is prescribed, dispensed, or furnished 17under this section and if expedited partner therapy is provided as specified under 18this section. AB50,1352,2219(b) The immunity under par. (a) does not extend to the donation, distribution, 20furnishing, or dispensing of an antimicrobial drug by an advanced practice 21registered nurse whose act or omission involves reckless, wanton, or intentional 22misconduct. AB50,274423Section 2744. 441.10 (6) of the statutes is amended to read: AB50,1353,9
1441.10 (6) On or before the applicable renewal date specified determined by 2the department under s. 440.08 (2) (a), a licensed practical nurse practicing for 3compensation shall submit to the board, on forms furnished by the department, an 4application for license renewal, together with a statement giving name, residence, 5nature and extent of practice as a licensed practical nurse during the prior year and 6prior unreported years, the nursing workforce survey and fee required under s. 7441.01 (7), and other facts bearing upon current competency that the board 8requires, accompanied by the applicable license renewal fee determined by the 9department under s. 440.03 (9) (a).