SB0309 EnrolledLRB100 05111 SMS 15121 b



1    AN ACT concerning regulation.

 
2    Be it enacted by the People of the State of Illinois, 
3represented in the General Assembly: 



 
 
4    Section 5. The Nurse Practice Act is amended  by changing 
5Section 50-75 as follows:
 
6    (225 ILCS 65/50-75)
7    (Section scheduled to be repealed on January 1, 2028)

8    Sec. 50-75. Nursing delegation by a registered 
9professional nurse.
10    (a)  For the purposes of this Section:
11    "Delegation" means transferring to a specific individual 
12the authority to perform a specific nursing intervention in a 
13specific situation.
14    "Predictability of outcomes" means that a registered 
15professional nurse or advanced practice registered nurse has 
16determined that the patient's or individual's clinical status 
17is stable and expected to improve or the patient's or 
18individual's deteriorating condition is expected to follow a 
19known or expected course. 
20    "Stability" means a registered professional nurse or 
21advanced practice registered nurse has determined that the 
22individual's clinical status and nursing care needs are 
23consistent. 
 
 
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1    (b) This Section authorizes a registered professional 
2nurse or advanced practice registered nurse to:
3        (1) delegate nursing interventions to other registered 
4    professional nurses, licensed practical nurses, and other 
5    unlicensed personnel based on the comprehensive nursing 
6    assessment that includes, but is not limited to:
7            (A) the stability and condition of the patient;
8            (B) the potential for harm;
9            (C) the complexity of the nursing intervention to 
10        be delegated;
11            (D) the predictability of outcomes; and
12            (E) competency of the individual to whom the 
13        nursing intervention is delegated;
14        (2) delegate medication administration to other 
15    licensed nurses;
16        (3) in community-based or in-home care settings, 
17    delegate the administration of medication (limited to oral 
18    or subcutaneous dosage and topical or transdermal 
19    application) to unlicensed personnel, if all the 
20    conditions for delegation set forth in this Section are 
21    met; 
22        (4) refuse to delegate, stop, or rescind a previously 
23    authorized delegation; or
24        (5) in community-based or in-home care settings, 
25    delegate, guide, and evaluate the implementation of 
26    nursing interventions as a component of patient care 
 
 
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1    coordination after completion of the comprehensive patient 
2    assessment based on analysis of the comprehensive nursing 
3    assessment data; care coordination in in-home care and 
4    school settings may occur in person, by telecommunication, 
5    or by electronic communication. 
6    (c)  This Section prohibits the following:
7        (1) An individual or entity from mandating that a 
8    registered professional nurse delegate nursing 
9    interventions if the registered professional nurse 
10    determines it is inappropriate to do so.  Nurses shall not 
11    be subject to disciplinary or any other adverse action for 
12    refusing to delegate a nursing intervention based on 
13    patient safety.
14        (2) The delegation of medication administration to 
15    unlicensed personnel in any institutional or long-term 
16    facility,  including, but not limited to, those facilities 
17    licensed by the Hospital Licensing Act, the University of 
18    Illinois Hospital Act, State-operated mental health 
19    hospitals, or State-operated developmental centers, except 
20    as  authorized under Article 80 of this Act or otherwise 
21    specifically authorized by law.
22        (3) A registered professional nurse from delegating 
23    nursing judgment, the comprehensive patient assessment, 
24    the development of a plan of care, and the evaluation of 
25    care to licensed or unlicensed personnel.
26        (4) A licensed practical nurse or unlicensed personnel 
 
 
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1    who has been delegated a nursing intervention from 
2    re-delegating a nursing intervention.

3(Source: P.A. 100-513, eff. 1-1-18.)