(A) An advanced practice registered nurse
shall comply with all continuing education requirements for registered nurse
license renewal and advanced practice registered nurse license renewal set
forth in division (C) of section
4723.24 of the Revised Code and
national certification requirements set forth in sections
4723.41 and
4723.42 of the Revised Code and
this chapter.
(B) The certified nurse-midwife,
certified nurse practitioner, or clinical nurse specialist and the
collaborating physician or podiatrist shall jointly review each effective
standard care arrangement at least once every two years. Such review shall be
documented with the date and signature of each nurse who is party to the
arrangement and at least one collaborating physician or
podiatrist.
(C)(B) Each certified
nurse-midwife, certified nurse practitioner, and clinical nurse specialist who
is a party to a standard care arrangement shall comply with all quality
assurance provisions of the standard care arrangement in accordance with this
chapter. Failure to provide, enter into, or to practice in accordance with a
standard care arrangement may result in disciplinary action in accordance with
section 4723.28 of the Revised
Code.
(D)(C) Each practicing
certified nurse-midwife, certified nurse practitioner, and clinical nurse
specialist who is a party to a standard care arrangement shall participate in a
quality assurance process and shall immediately provide documentation
satisfactory to the board of such participation upon request of the board. The
quality assurance process shall include at a minimum:
(1) Periodic random chart review
which includes prescribing patterns and schedule II
prescribing, if indicated, at least annually by a collaborating
or supervising physician, podiatrist,
dentist, or a designated member of a
quality assurance committee, composed of at least one physician, of the
institution, organization, or agency where the nurse has practiced
during the period covered by the review, including a
procedure for periodic review, at least semi-annually, of prescriptions written
and prescribing patterns for the advanced practice registered nurse;
(2)
An
opportunity for the advanced practice registered nurse and the collaborating
physician to discuss feedback or issues subsequent to the chart
reviewSubsequent to each chart review, a
conference shall be held between a collaborating or supervising physician,
podiatrist, dentist, or a designated member of a quality assurance committee of
the institution, organization, or agency and the advanced practice registered
nurse; and
(3) A process
for patient evaluation of care.
(E)(D) Documentation of
participation in an ongoing, systematic quality assurance process at an
institution, organization, or agency shall satisfy the requirements of
paragraph
(D)
(C) of this rule, provided there is a plan to utilize
the results of the quality assurance process to maintain or improve care
delivery.
(F) Every two years, each certified
nurse-midwife, certified nurse practitioner, and clinical nurse specialist
shall verify the licensure status of each collaborating physician or podiatrist
with whom the nurse has an effective standard care arrangement. Verification of
licensure status may be obtained online from the Ohio e-license center. The
nurse shall document that such verification was
obtained.
(G)(E) The board may
audit, review or investigate, at any time, whether an advanced practice
registered nurse has complied with the quality assurance standards set forth in
this rule.
Notes
Ohio Admin. Code
4723-8-05
Effective:
2/1/2021
Five Year Review (FYR) Dates:
10/15/2020 and
10/15/2025
Promulgated
Under: 119.03
Statutory
Authority: 4723.07
Rule
Amplifies: 4723.41,
4723.431
Prior
Effective Dates: 04/01/1997, 02/01/2002, 04/01/2006, 02/01/2011, 11/05/2012,
02/01/2014, 02/01/2016, 01/01/2018
