APRN Rules - 2nd Posting
Friday, April 19, 2019
Posted by: Susan Swart
We are almost there.
Per the Flynn Report - the APRN Rules were moved to Second Notice this week, commencing the JCAR review period. These rulemakings will be considered at the May 14, 2019 JCAR meeting. ANA-Illinois & ISAPN received a copy of the proposed changes to the first posting rules.
After careful review by Sue Clark and myself, I am very pleased to report that nearly all of our comments and revisions were excepted and those that were not are a benefit to us because IDFPR's interpretation of the law was broader than we anticipated. Also, remember that many of our comments were technical in nature (meaning typos, etc).
HIGHLIGHTS OF POSTING -
· Reinstated language in rules regarding APRNs grandfathered due to education - thus allowing them to continue to practice without national certification as long as they have maintained their license since 2001
· CEs required for relicensure
o 30 hrs. can be for precepting
o 60 hrs. can be for recertification exam
· Added National Board of Certification and Recertification for Nurse Anesthetists as an Approved CE Sponsors and Programs
· Updated Certification Entity for CRNAs
· Clarified language for APRNs who work with podiatrist
· Update language for Written Collaborative Agreements - Prescriptive Authority
o Only Schedule II CS prescriptions limited to 30 day supply
o Discussion with delegating physician only for patients who are prescribed Schedule II Controlled Substances monthly
o May only prescribe or dispense Schedule II controlled substances that the collaborating physician prescribes.
o Collaborating Physician's name is NOT required on an APRN's prescription.
o Medication orders to be reviewed periodically by collaborating physician.
· In hospitals, hospitals, hospital affiliates, or ambulatory surgical treatment centers
o APRNs who meet the requirements of section 65-43 (Full Practice Authority) may write discharge prescriptions in their name only.
o APRNs who meet the requirements of section 65-43 (Full Practice Authority) and are privileged in a hospital affiliate to prescribe controlled substance must obtain a controlled substance license.
o Orders for controlled substances to be reviewed periodically by physician committee or physician designee.
o Notarized attestation of 4000 hrs. for APRNs working in hospitals may be completed by medical staff committee or designee.
· 250 hrs. of education/training - rules do not impose any restrictions on where these can come from, they simply must be from approved sources already noted in the CE rules for relicensure.
· Our sample WCA has been accepted
Next steps, after the rules are adopted IDFPR will need to release the attestation form and determine the date on which the new license will be available.
We are in communication with IDPFR to seek clarification of their timeline. Stay tuned…We are ONE STEP CLOSER to this becoming a reality.