LAW
Writer®
Ohio Laws and Rules
As used in this chapter:
(A) “Advanced practice nurse” means a certified registered nurse anesthetist, clinical nurse specialist, certified nurse-midwife, or certified nurse practitioner as provided in division (O) of section 4723.01 of the Revised Code.
(B) “Certificate of authority” means the certificate issued by the board and held by an advanced practice nurse who has fulfilled all requirements of the board set forth in section 4723.41 of the Revised Code and this chapter.
(C) “Certified registered nurse anesthetist” means a registered nurse who has met the requirements of section 4723.41 of the Revised Code, and who holds a current valid certificate of authority issued by the board under section 4723.42 of the Revised Code.
(D) “Client” means the recipient of nursing care, which may include an individual, a group, or a community.
(E) “Clinical nurse specialist” means a registered nurse who has met the requirements of section 4723.41 of the Revised Code, and who holds a current valid certificate of authority issued by the board under section 4723.42 of the Revised Code.
(F) “Certified nurse-midwife” means a registered nurse who has met the requirements of section 4723.41 of the Revised Code, and who holds a current valid certificate of authority issued by the board under section 4723.42 of the Revised Code.
(G) “Certified nurse practitioner” means a registered nurse who has met the requirements of section 4723.41 of the Revised Code, and who holds a current valid certificate of authority issued by the board under section 4723.42 of the Revised Code.
(H) “Collaboration” or “collaborating” means:
(1) In the case of a certified nurse practitioner or a clinical nurse specialist, except as provided in paragraph (H)(2) of this rule, that a podiatrist or physician has entered into a standard care arrangement with the nurse and is continuously available to communicate with the clinical nurse specialist or certified nurse practitioner either in person, or by radio, telephone, or other form of telecommunication;
(2) In the case of a clinical nurse specialist whose nursing specialty is mental health or psychiatric mental health, that a physician is continuously available to communicate with the nurse either in person, or by radio, telephone, or other form of telecommunication; or
(3) In the case of a certified nurse-midwife, that a physician has entered into a standard care arrangement with the nurse and is continuously available to communicate with the nurse either in person, or by radio, telephone, or other form of telecommunication.
(I) “Dentist” means an individual holding a license issued under Chapter 4715. of the Revised Code to practice dentistry, and who is practicing in Ohio.
(J) “Physician” means an individual holding a certificate issued under Chapter 4731. of the Revised Code authorizing the practice of medicine and surgery or osteopathic medicine and surgery, and who is practicing in Ohio.
(K) “Podiatrist” means an individual holding a certificate issued under Chapter 4731. of the Revised Code authorizing the practice of podiatry, and who is practicing in Ohio.
(L) “Standard care arrangement” means a written, formal guide for planning and evaluating a client’s health care that is developed by a collaborating physician or podiatrist and a certified nurse-midwife, certified nurse practitioner, or clinical nurse specialist, and that meets the requirements of section 4723.431 of the Revised Code and this chapter.
(M) “Supervision” means that a certified registered nurse anesthetist is under the direction of a podiatrist, a dentist, or a physician, and, when administering anesthesia, the certified registered nurse anesthetist is in the immediate presence of the podiatrist, dentist, or physician.
Effective: 04/01/2006
R.C. 119.032 review dates: 10/14/2005 and 10/01/2010
Promulgated Under: 119.03
Statutory Authority: 4723.07
Rule Amplifies: 4723.01, 4723.43
Prior Effective Dates: 4/1/97, 2/1/2002
(A) An advanced practice nurse shall provide to clients nursing care that requires knowledge and skill obtained from advanced formal education, including a clinical practicum, as specified in section 4723.41 of the Revised Code and this chapter.
(B) Except as otherwise precluded by law or rule, each advanced practice nurse shall practice in accordance with the following:
(1) The advanced practice nurse’s education;
(2) The advanced practice nurse’s national certification as provided in section 4723.41 of the Revised Code; and
(3) Chapter 4723. of the Revised Code and rules adopted under that chapter.
(C) Only a certified nurse-midwife, certified nurse practitioner, or clinical nurse specialist authorized under section 4723.48 of the Revised Code may prescribe drugs.
(D) Each certified nurse-midwife, certified nurse practitioner, and clinical nurse specialist shall utilize and incorporate into the nurse’s practice, knowledge of Chapter 4731. of the Revised Code and rules adopted under that chapter that govern the practice of the nurse’s collaborating physician or podiatrist. Each certified registered nurse anesthetist shall utilize and incorporate into the nurse’s practice, knowledge of Chapters 4715. and 4731. of the Revised Code and rules adopted under these chapters that govern the practice of the nurse’s supervising podiatrist, dentist, or physician.
(E) Nothing in this rule precludes an advanced practice nurse from practicing in accordance with section 4723.01 of the Revised Code and the rules of the board.
Effective: 04/01/2006
R.C. 119.032 review dates: 10/14/2005 and 10/01/2010
Promulgated Under: 119.03
Statutory Authority: 4723.07
Rule Amplifies: 4723.01, 4723.43
Prior Effective Dates: 4/1/97, 4/1/98, 2/1/03, 2/1/04
(A) Only a person who holds a current valid certificate of authority issued in accordance with section 4723.41 of the Revised Code and this chapter may use the following titles or initials:
(1) Certified nurse-midwife, C.N.M., certified registered nurse-midwife, or C.R.N.M., if the individual is authorized to practice in accordance with division (A) of section 4723.43 of the Revised Code;
(2) Clinical nurse specialist, C.N.S., clinical registered nurse specialist, or C.R.N.S., if the individual is authorized to practice in accordance with division (D) of section 4723.43 of the Revised Code;
(3) Certified nurse practitioner, C.N.P., certified registered nurse practitioner, or C.R.N.P., if the individual is authorized to practice under division (C) of section 4723.43 of the Revised Code;
(4) Certified registered nurse anesthetist or C.R.N.A., if the individual is authorized to practice in accordance with division (B) of section 4723.43 of the Revised Code; or
(5) Advanced practice nurse or A.P.N. if the individual is authorized to practice under division (A) to division (D) of section 4723.43 of the Revised Code.
(B) Only a person who holds a current valid certificate of authority issued in accordance with section 4723.41 of the Revised Code and this chapter to practice as a certified nurse-midwife, certified nurse practitioner, certified registered nurse anesthetist, or clinical nurse specialist shall:
(1) Practice in accordance with section 4723.43 of the Revised Code and this chapter as a certified nurse-midwife, certified nurse practitioner, certified registered nurse anesthetist, or clinical nurse specialist;
(2) Hold themselves out as being a certified nurse-midwife, certified nurse practitioner, certified registered nurse anesthetist, clinical nurse specialist, or advanced practice nurse;
(3) Use any title or initials implying that the person is a certified nurse-midwife, certified nurse practitioner, certified registered nurse anesthetist, clinical nurse specialist, or advanced practice nurse authorized to practice in accordance with section 4723.03 of the Revised Code and paragraph (A) of this rule.
C) At all times when an advanced practice nurse is providing direct care to a client within the nurse’s respective scope of practice, each certified nurse-midwife, certified nurse practitioner, certified registered nurse anesthetist, or clinical nurse specialist shall display and identify the applicable title as set forth in this rule.
Effective: 02/01/2006
R.C. 119.032 review dates: 10/14/2005 and 10/01/2010
Promulgated Under: 119.03
Statutory Authority: 4723.07
Rule Amplifies: 4723.44
Prior Effective Dates: 4/1/97, 2/1/2004
(A) Prior to engaging in practice, a standard care arrangement shall be entered into with each physician or podiatrist with whom the certified nurse-midwife, certified nurse practitioner, or clinical nurse specialist collaborates.
(1) The standard care arrangement shall be revised to reflect the addition or deletion of a physician or podiatrist with whom the nurse collaborates within that employment setting. Under these circumstances, a new standard care arrangement is not necessary.
(2) A new standard care arrangement shall be executed when the nurse is employed at a different setting and engages in practice with a different collaborating physician or podiatrist.
(B) A certified nurse-midwife, certified nurse practitioner, or clinical nurse specialist engaged in the practice of the nurse’s specialty, shall enter into a written standard care arrangement with one or more collaborating physicians or podiatrists whose practice is the same or similar to the nurse’s practice. In accordance with division (D) of section 4723.431 of the Revised Code, a A clinical nurse specialist without a certificate to prescribe whose nursing specialty is mental health or psychiatric mental health is not required to enter into a standard care arrangement.
(C) The standard care arrangement shall include at least:
(1) The signatures of each nurse and each collaborating physician or podiatrist with whom the certified nurse-midwife, certified nurse practitioner, or clinical nurse specialist primarily collaborates indicating review of and agreement to abide by the terms of the standard care arrangement; the date when the arrangement is initially executed; and the date of the most recent review of the arrangement;
(2) The complete name, specialty and practice area, business address, and business phone number or number at which the individual can be reached at any time for:
(a) Each collaborating physician or podiatrist with whom the certified nurse-midwife, certified nurse practitioner, or clinical nurse specialist primarily collaborates and who is a party to the standard care arrangement; and
(b) Each certified nurse-midwife, certified nurse practitioner, or clinical nurse specialist who is a party to the standard care arrangement;
(3) A statement of services offered by the certified nurse-midwife, certified nurse practitioner, or clinical nurse specialist consistent with section 4723.43 of the Revised Code and this chapter. For holders of a certificate to prescribe, there shall also be a description of the scope of prescriptive practice.
(4) A plan for incorporation of new technology or procedures consistent with the applicable scope of practice as set forth in section 4723.43 of the Revised Code and this chapter;
(5) Quality assurance provisions, including at least:
(a) A schedule for periodic review and reapproval of the standard care arrangement. The standard care arrangement shall be reviewed at least annually. Each nurse who is a party to the arrangement and at least one collaborating physician or podiatrist shall sign and date the annual review of the standard care arrangement;
(b) Criteria for referral of a client by the certified nurse-midwife, certified nurse practitioner, or clinical nurse specialist to a collaborating physician or podiatrist, including, for the certified nurse-midwife, a plan for referral of breech or face presentation or any other abnormal condition identified as such in the standard care arrangement;
(c) A process for the certified nurse-midwife, certified nurse practitioner, or clinical nurse specialist to obtain consultation from the physician or podiatrist;
(d) A procedure for regular review of referrals made by the certified nurse-midwife, certified nurse practitioner, or clinical nurse specialist to other health care professionals, and the care outcomes for a representative sample of all clients seen by the nurse; and
(e) A process for chart review in accordance with rule 4723-8-05 of the Administrative Code if the nurse’s practice includes any direct client care, education, or management;
(6) A policy for care of infants up to age one and recommendations for collaborating physician visits for children from birth to age three, if the nurse is providing services to infants;
(7) A plan for coverage of clients in instances of emergency or planned absences of either the certified nurse-midwife, certified nurse practitioner, or clinical nurse specialist, or the collaborating physician or podiatrist;
(8) A process for resolution of disagreements regarding matters of patient management; and
(9) An arrangement regarding reimbursement under the medical assistance program as set forth in division (C) of section 5111.02 of the Revised Code and in accordance with any rules adopted under division (B) of section 5111.02 of the Revised Code.
(10) For nurses with a current valid certificate to prescribe, the following quality assurance provisions shall include at least:
(a) Provisions to ensure timely direct, personal evaluation of the client with a collaborating physician or the physician’s designee when indicated;
(b) Additional prescribing parameters for those drugs or therapeutic devices established in the formulary, including:
(i) Provisions for use of drugs with non-food and drug administration (FDA) approved indications;
(ii) Provisions for use of drugs approved by the FDA and reviewed by the committee on prescriptive governance subsequent to the date of the standard care arrangement; and
(iii) Provisions for use of drugs previously reviewed by the committee on prescriptive governance but approved by the FDA for new indications subsequent to the date of the standard care arrangement.
(c) A procedure for the nurse and the collaborating physician to conduct a periodic review, at least semiannually, of a representative sample of prescriptions written by the nurse; and
(d) Provisions as set forth in rule 4723-8-05 of the Administrative Code.
(D) The most current copy of the standard care arrangement shall be retained and be available upon request at each site where practice of the certified nurse-midwife, certified nurse practitioner, or clinical nurse specialist occurs. Upon request of the board, the certified nurse-midwife, certified nurse practitioner, or clinical nurse specialist shall immediately provide a copy of the standard care arrangement to the board.
(E) When a hospital negotiates a standard care arrangement in accordance with division (E) of section 4723.431 of the Revised Code and this chapter, the standard care arrangement shall be developed in accordance with paragraph (C) of this rule. Review and approval of the standard care arrangement shall be in accordance with the policies and procedures of the hospital governing body and the bylaws, policies, and procedures of the hospital medical staff.
(F) A certified nurse-midwife, certified nurse practitioner, or clinical nurse specialist shall notify the board of the identity of a collaborating physician or podiatrist not later than thirty days after engaging in practice.
(G) A certified nurse-midwife, certified nurse practitioner, or clinical nurse specialist shall notify the board of any change in the identity of a collaborating physician or podiatrist not later than thirty days after the change takes effect.
(H) A clinical nurse specialist who does not hold a certificate to prescribe and whose nursing specialty is mental health or psychiatric mental health is exempt from the requirement of executing a standard care arrangement in accordance with division (D)(1) of section 4723.431 of the Revised Code. The clinical nurse specialist who does not hold a certificate to prescribe and whose nursing specialty is mental health or psychiatric mental health shall identify one or more physicians with whom the nurse collaborates in accordance with division (D)(1) of section 4723.431 of the Revised Code.
(I) A clinical nurse specialist who holds a certificate to prescribe and whose nursing specialty is mental health or psychiatric mental health shall enter into a standard care arrangement in accordance with division (D)(2) of section 4723.431 of the Revised Code.
Effective: 02/01/2006
R.C. 119.032 review dates: 10/14/2005 and 10/01/2010
Promulgated Under: 119.03
Statutory Authority: 4723.07
Rule Amplifies: 4723.431
Prior Effective Dates: 4/1/97, 2/1/2002, 2/1/03
(A) A holder of a current valid certificate of authority shall continue to meet all continuing education requirements 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, and shall notify the board of renewal of national certification.
(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 a year. 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) Each certified nurse-midwife, certified nurse practitioner, and clinical nurse specialist who is a party to a standard care arrangement shall adhere to 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 shall subject a certified nurse-midwife, certified nurse practitioner, or clinical nurse specialist to an adjudication conducted by the board under Chapter 119. of the Revised Code.
(D) Each practicing advanced practice nurse 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 at least annually by a collaborating or supervising physician, podiatrist, dentist, or a designated member of a quality assurance committee of the institution, organization, or agency where the nurse has practiced during the period covered by the review, Where applicable, a procedure for periodic review, at least semi-annually, of prescriptions written and prescribing patterns for the holder of a certificate to prescribe;
(2) Subsequent 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 nurse. Such conference shall include, but not be limited to, a discussion of the results of the chart review and identification of client care issues, and, where applicable, whether past plans for improving care delivery have been effectively implemented. The results of the chart review and conference shall be used to maintain or improve care delivery;
(3) A plan whereby results of the chart review and conference are to be used to maintain or improve care delivery; and
(4) A process for client evaluation of care.
(E) Documentation of participation in an ongoing, systematic quality assurance process at an institution, organization, or agency shall satisfy the requirements of paragraph (D) of this rule, provided there is a plan to utilize the results of the quality assurance process to maintain or improve care delivery.
(F) Annually, each certified nurse-midwife, certified nurse practitioner, and clinical nurse specialist shall verify the licensure and, if applicable, certification status of each collaborating physician or podiatrist with whom the nurse has an effective standard care arrangement. Verification of physician or podiatrist licensure and certification status may be provided by an employing institution, organization, medical group practice, or agency. When verification is provided in accordance with this paragraph, the certified nurse-midwife, certified nurse practitioner, or clinical nurse specialist shall document such verification at the request of the board.
(G) Upon receiving a complaint related to the practice of an advanced practice nurse, or at the discretion of the board, the board may review adherence to the quality assurance standards set forth in this rule.
Effective: 04/01/2006
R.C. 119.032 review dates: 10/14/2005 and 10/01/2010
Promulgated Under: 119.03
Statutory Authority: 4723.07
Rule Amplifies: 4723.41, 4723.431
Prior Effective Dates: 4/1/97, 2/1/2002
(A) To be approved by the board, a national certifying organization shall meet all of the requirements set forth in division (A) of section 4723.46 of the Revised Code.
(B) Annually at a time specified by the board, the board shall provide to each national nursing certifying organization approved by the board for the prior year a form on which the organization shall indicate compliance with the criteria contained in section 4723.46 of the Revised Code. The board shall verify compliance of each national nursing certifying organization with the criteria contained in section 4723.46 of the Revised Code . No later than January thirtieth of each year, the board shall make available a list of approved national certifying organizations that meet these requirements. The board may recognize additional national nursing certifying organizations or discontinue recognition of a national nursing certifying organization based on criteria in section 4723.46 of the Revised Code. At the discretion of the board, it may discontinue recognition of a national certifying organization for failure of that national certifying organization to return to the board the form indicating compliance with the required criteria. An updated list of national certifying organizations shall be maintained by the board.
Effective: 02/01/2006
R.C. 119.032 review dates: 10/14/2005 and 10/01/2010
Promulgated Under: 119.03
Statutory Authority: 4723.07
Rule Amplifies: 4723.46
Prior Effective Dates: 4/1/97, 4/1/98, 4/1/99
(A) To obtain a certificate of authority to practice as a certified nurse-midwife, certified nurse practitioner, certified registered nurse anesthetist, or clinical nurse specialist, an applicant who meets the qualifications set forth in section 4723.41 of the Revised Code and this chapter shall:
(1) Submit a completed application on a form specified by the board that includes the requirements set forth in section 4723.41 of the Revised Code; and
(2) Submit an application fee of one hundred dollars. If through no fault of the board, an applicant for a certificate of authority is not determined eligible for a certificate of authority within one year from receipt of the application, the application shall be considered void and the fee forfeited. The application shall state the circumstances under which this forfeiture may occur.
(B) An initial certificate of authority is considered current and valid until the next scheduled renewal period for registered nurse licensure. However, when a certificate of authority is issued by the board on or after the first of April of an odd numbered year, that certificate of authority shall be current and valid through the thirty-first of August of the next odd numbered year.
(C) A certificate of authority is current and valid only if the holder meets all requirements of the board, including, but not limited to, maintaining certification or recertification by the applicable national certifying organization, as set forth in division (A)(3) of section 4723.41 of the Revised Code throughout the time period which the certificate of authority is issued.
(D) Within thirty days of recertification by the applicable national certifying organization the nurse shall provide satisfactory documentation of recertification to the board.
(E) A certificate of authority for an advanced practice nurse shall be automatically suspended in accordance with section 4723.47 of the Revised Code when a license to practice as a registered nurse is inactive or lapsed. The certificate of authority shall remain suspended until the license to practice as a registered nurse is reactivated or reinstated.
(F) If the national certification of a clinical nurse specialist who holds a certificate of authority pursuant to division (C) of section 4723.41 of the Revised Code expires, the certificate of authority shall only remain current and valid if the clinical nurse specialist completes the continuing nursing education required by division (B) of section 4723.42 of the Revised Code and rule 4723-8-10 of the Administrative Code.
(G) At the discretion of the board, a restriction placed on a license to practice as a registered nurse may affect the status of a certificate of authority.
(H) If a license to practice as a registered nurse is revoked under section 4723.28 or 4723.281 of the Revised Code, the nurse’s certificate of authority shall be simultaneously revoked. If a license to practice as a registered nurse is suspended under section 4723.28 or 4723.281 of the Revised Code, the nurse’s certificate of authority shall be simultaneously suspended.
(I) The holder of an inactive, lapsed, revoked, or suspended certificate of authority shall immediately return the certificate to the board.
(J) A holder of a current valid certificate of authority who does not intend to practice as a certified nurse-midwife, certified nurse practitioner, certified registered nurse anesthetist, or clinical nurse specialist in Ohio may request that the certificate of authority be placed on inactive status:
(1) At time of renewal, by checking the appropriate box on the certificate of authority renewal application that indicates the holder wishes to be placed on inactive status; or
(2) At any other time, by submitting to the board a written statement requesting inactive status and the holder’s current certificate of authority.
(K) While on inactive status a nurse shall not represent or imply to the public that the nurse is authorized to practice as a certified nurse-midwife, certified nurse practitioner, certified registered nurse anesthetist, or clinical nurse specialist or use the titles established by section 4723.03 of the Revised Code and rule 4723-8-03 of the Administrative Code.
(L) An inactive or lapsed certificate of authority for an advanced practice nurse may be reactivated or reinstated pursuant to a written request which shall be accompanied by:
(1) A completed certificate of authority renewal application on a form specified by the board, including documentation of continued applicable national certification status throughout the period during which the certificate of authority was inactive or lapsed. In the case of a certified registered nurse anesthetist, to reactivate or reinstate a certificate of authority, the nurse shall maintain initial national certification as a nurse anesthetist and provide proof that the nurse has met the criteria of the national certifying organization to become an active recertified member; and
(2) Payment of the applicable renewal fee.
(M) An inactive or lapsed certificate of authority for a clinical nurse specialist who obtains an original certificate of authority prior to December 31, 2000 in accordance with division (C) of section 4723.41 of the Revised Code may be reactivated or reinstated pursuant to a written request which shall be accompanied by:
(1) A completed certificate of authority renewal application on a form specified by the board, including documentation satisfactory to the board of completion of continuing nursing education hours in accordance with section 4723.24 of the Revised Code and paragraph (B) of rule 4723-8-10 of the Administrative Code; and
(2) Payment of the applicable renewal fee.
(N) A certificate of authority shall not be reproduced, duplicated, or imaged onto paper or any electronic media except in accordance with rule 4723-01-03 of the Administrative Code.
Effective: 02/01/2008
R.C. 119.032 review dates: 10/01/2010
Promulgated Under: 119.03
Statutory Authority: 4723.07
Rule Amplifies: 4723.41, 4723.42
Prior Effective Dates: 4/1/97, 4/1/98, 2/1/00, 2/1/06
(A) To renew a certificate of authority to practice as a certified nurse-midwife, certified nurse practitioner, clinical nurse specialist, or certified registered nurse anesthetist, a holder of a current valid certificate of authority who meets the qualifications set forth in section 4723.41 of the Revised Code and this chapter shall:
(1) Submit a completed renewal application on a form specified by the board that includes the requirements of division (B) of section 4723.42 of the Revised Code;
(2) Submit all applicable fees; and
(3) A clinical nurse specialist approved in accordance with division (C) of section 4723.41 of the Revised Code shall document compliance with paragraph (B) of rule 4723-8-10 of the Administrative Code.
(B) A renewed certificate of authority shall be valid until the next scheduled renewal period for registered nurse licensure. However, when a certificate of authority is issued by the board on or after the first of April of an odd numbered year, that certificate of authority shall be current through the thirty-first of August of the next odd numbered year.
(C) The board shall provide to each holder of a current valid certificate of authority an application for renewal of a certificate of authority. Failure of the holder to receive an application for renewal from the board does not excuse the holder from the requirements of section 4723.42 of the Revised Code and this chapter.
Effective: 02/01/2006
R.C. 119.032 review dates: 10/14/2005 and 10/01/2010
Promulgated Under: 119.03
Statutory Authority: 4723.07
Rule Amplifies: 4723.42
Prior Effective Dates: 4/1/97, 4/1/98, 4/1/99
A certified nurse-midwife, certified nurse practitioner, certified registered nurse anesthetist, or clinical nurse specialist who is practicing in another jurisdiction may apply for a certificate of authority to practice in Ohio if the nurse meets the requirements for approval for a certificate of authority set forth in section 4723.41 of the Revised Code and this chapter. An applicant from another jurisdiction shall:
(A) Submit a completed application on a form specified by the board that includes the requirements of section 4723.41 of the Revised Code; and
(B) Submit the applicable fee.
Effective: 02/01/2006
R.C. 119.032 review dates: 10/14/2005 and 10/01/2010
Promulgated Under: 119.03
Statutory Authority: 4723.07
Rule Amplifies: 4723.41
Prior Effective Dates: 4/1/97
(A) Each advanced practice nurse who obtains continuing nursing education in their the nurse’s area of practice for the purpose of obtaining or maintaining a national certification may use those continuing education hours to satisfy the continuing education requirements set forth in section 4723.24 of the Revised Code and Chapter 4723-14 of the Administrative Code. Such continuing nursing education shall be accrued in the twenty-four months immediately preceding the renewal of the license to practice nursing as a registered nurse.
(B) Each clinical nurse specialist who is not certified by a national nursing certifying organization approved by the board shall obtain twelve contact hours of continuing nursing education in addition to the twenty-four hours every two years required for renewal of a license to practice nursing as a registered nurse. The additional hours shall be in programs which are targeted to advanced practice nurses in the nurse’s area of practice or in relevant programs from other health care disciplines.
(C) To satisfy the requirements of this rule, a continuing education activity shall be approved in accordance with Chapter 4723-14 of the Administrative Code.
(D) A clinical nurse specialist who is not certified by a national certifying organization may not request the waiver option contained in rule 4723-14-03 of the Administrative Code for the additional twelve contact hours of continuing nursing education required in paragraph (B) of this rule.
(E) Monitoring of compliance with the continuing nursing education requirement for each advanced practice nurse shall be in accordance with Chapter 4723-14 of the Administrative Code.
Effective: 02/01/2006
R.C. 119.032 review dates: 10/14/2005 and 10/01/2010
Promulgated Under: 119.03
Statutory Authority: 4723.07
Rule Amplifies: 4723.24, 4723.41, 4723.42
Prior Effective Dates: 4/1/97, 4/1/98, 4/1/99