Rule 4723-8-05 | Quality assurance standards.
(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) 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.
(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 physician, podiatrist, , 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;
(2) An opportunity for the advanced practice registered nurse and the collaborating physician to discuss feedback or issues subsequent to the chart review; and
(3) A process for patient evaluation of care.
(D) Documentation of participation in an ongoing, systematic quality assurance process at an institution, organization, or agency shall satisfy the requirements of paragraph (C) of this rule, provided there is a plan to utilize the results of the quality assurance process to maintain or improve care delivery.
(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.
Supplemental Information