For purposes of this chapter the following definitions shall apply:
(A) "Certificate to prescribe" means the certificate issued by the board that authorizes the holder of the certificate to prescribe drugs and therapeutic devices in collaboration with one or more physicians or podiatrists.
(B) "Collaboration or collaborating" means in the case of a certified nurse practitioner, a clinical nurse specialist or 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.
(C) "Consultation" means the discussion or communication between a nurse holding a current valid certificate to prescribe with a physician prior to initiating the prescription for a drug. The consultation relative to drug therapy shall be documented in the patient's record and shall include the consulting physician's name and the date the consultation took place.
(D) "Controlled substance" means a drug, compound, mixture, preparation, or substance included in schedule I, II, III, IV, or V pursuant to the provisions of Chapter 3719. of the Revised Code.
(E) "Contact hour" means a minimum of sixty minutes of continuing education. For credit hours earned on an academic quarter system, one credit hour is equivalent to ten contact hours. For credit hours earned on an academic trimester system, one credit hour is equivalent to twelve contact hours. For credit hours earned on an academic semester system, one credit hour is equivalent to fifteen contact hours.
(F) "Course of study" means an advanced level instructional program in pharmacology that is either:
(1) Offered by an accredited educational institution acceptable to the board. Accredited educational institutions acceptable to the board include programs that are required to obtain approval, authorization, or accreditation from one of the following:
(d) The higher learning commission of the north central association of colleges and schools;
(e) The accrediting council for independent colleges and schools; or
(f) Any other national or regional post-secondary education accreditation entity recognized by the board; or
(2) A continuing education course that meets the requirements of Chapter 4723-14 of the Administrative Code.
(G) "Externship" means the practice relationship, consistent with the standard care arrangement, between a nurse who holds a current, valid externship certificate to prescribe and one or more licensed physicians during which time the nurse's prescribing activities are reviewed and evaluated by a supervising professional for the purpose of ongoing improvement of the nurse's competence, knowledge, and skill in pharmacokinetic principles and the application of these principles to the nurse's area of practice.
(H) "Externship certificate to prescribe" means the certificate issued by the board that authorizes the holder of the certificate to prescribe drugs and therapeutic devices only when one or more supervising professionals are providing supervision in accordance with rule 4723-9-04 of the Administrative Code.
(I) "Jurisdiction" means any state, territory, or political subdivision of the United States in which a board or legal approving authority regulates nurse licensure and nursing practice and maintains membership in the national council of state boards of nursing.
(J) "Physician" means an individual who holds a current valid license to practice medicine and surgery, osteopathic medicine and surgery, or podiatric medicine and surgery issued by the Ohio state medical board, or, in the case of applicants who hold a current valid certificate of authority to prescribe drugs and therapeutic devices from another jurisdiction, or who have been employed by the United States government and authorized to prescribe in conjunction with that employment, the physician's license may be issued by another jurisdiction as defined in this chapter.
(K) "Successful completion of an externship" means the demonstration of the required hours of an externship experience and an attestation by a supervising physician to the competence of the nurse to hold a certificate to prescribe.
(L) "Supervising professional" means a physician or a nurse who is authorized by the board of nursing to prescribe and who has a standard care arrangement with the supervising physician. A holder of an externship certificate to prescribe shall not be a supervising professional.
(M) "Supervision" means the oversight of the prescribing practices of a nurse as a holder of an externship certificate to prescribe.
(1) "Direct supervision" means the supervising professional is available on site.
(2) "Indirect supervision" means the timely review by a physician of prescriptions written by and prescribing practices of a nurse holding an externship certificate to prescribe.
(N) "Types of drugs" means therapeutic drug class.
Five Year Review (FYR) Dates: 10/15/2015 and 10/15/2020
Promulgated Under: 119.03
Statutory Authority: 4723.50
Rule Amplifies: 4723.48, 4723.49, 4723.50
Prior Effective Dates: 10/01/2001, 02/01/2002, 02/01/2006, 02/01/2011, 11/05/2012