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| 1 | AN ACT concerning regulation.
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| 2 | Be it enacted by the People of the State of Illinois,
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| 3 | represented in the General Assembly:
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| 4 | Section 5. The Ambulatory Surgical Treatment Center Act is | ||||||
| 5 | amended by adding Section 6.7 as follows: | ||||||
| 6 | (210 ILCS 5/6.7 new)
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| 7 | Sec. 6.7. Registered nurse administration of limited | ||||||
| 8 | levels of sedation or analgesia.
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| 9 | (a) Nothing in this Act precludes a registered nurse from | ||||||
| 10 | administering medications for the delivery of local or minimal | ||||||
| 11 | sedation ordered by a physician licensed to practice medicine | ||||||
| 12 | in all its branches, podiatrist, or dentist. | ||||||
| 13 | (b) If the ASTC policy allows the registered nurse to | ||||||
| 14 | deliver moderate sedation ordered by a physician licensed to | ||||||
| 15 | practice medicine in all its branches, podiatrist, or dentist, | ||||||
| 16 | the following are required: | ||||||
| 17 | (1) The registered nurse must be under the supervision | ||||||
| 18 | of a physician licensed to practice medicine in all its | ||||||
| 19 | branches, podiatrist, or dentist during the delivery or | ||||||
| 20 | monitoring of moderate sedation and have no other | ||||||
| 21 | responsibilities during the procedure.
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| 22 | (2) The registered nurse must maintain current | ||||||
| 23 | Advanced Cardiac Life Support certification or Pediatric | ||||||
| 24 | Advanced Life Support certification as appropriate to the | ||||||
| 25 | age of the patient.
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| 26 | (3) The supervising physician licensed to practice | ||||||
| 27 | medicine in all its branches, podiatrist, or dentist must | ||||||
| 28 | have training and experience in delivering and monitoring | ||||||
| 29 | moderate sedation and possess clinical privileges at the | ||||||
| 30 | ASTC to administer moderate sedation or analgesia.
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| 31 | (4) The supervising physician licensed to practice | ||||||
| 32 | medicine in all its branches, podiatrist, or dentist must | ||||||
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| 1 | remain physically present and available on the premises | ||||||
| 2 | during the delivery of moderate sedation for diagnosis, | ||||||
| 3 | consultation, and treatment of emergency medical | ||||||
| 4 | conditions.
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| 5 | (5) The supervising physician licensed to practice | ||||||
| 6 | medicine in all its branches, podiatrist, or dentist must | ||||||
| 7 | maintain current Advanced Cardiac Life Support | ||||||
| 8 | certification or Pediatric Advanced Life Support | ||||||
| 9 | certification as appropriate to the age of the patient.
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| 10 | (c) Local, minimal, and moderate sedation shall be defined | ||||||
| 11 | by the Division of Professional Regulation of the Department of | ||||||
| 12 | Financial and Professional Regulation. Registered nurses shall | ||||||
| 13 | be limited to administering medications for moderate sedation | ||||||
| 14 | at doses rapidly reversible pharmacologically as determined by | ||||||
| 15 | rule by the Division of Professional Regulation of the | ||||||
| 16 | Department of Financial and Professional Regulation.
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| 17 | Section 10. The Medical Practice Act of 1987 is amended by | ||||||
| 18 | adding Section 54.6 as follows: | ||||||
| 19 | (225 ILCS 60/54.6 new)
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| 20 | Sec. 54.6. Registered nurse administration of limited | ||||||
| 21 | levels of anesthesia. Nothing in this Act precludes a | ||||||
| 22 | registered nurse from administering local anesthesia or | ||||||
| 23 | minimal sedation or moderate sedation, as defined by rule, | ||||||
| 24 | ordered by a physician licensed to practice medicine in all its | ||||||
| 25 | branches. The Department shall define the levels of anesthesia | ||||||
| 26 | by rule. The Department shall list the medications for moderate | ||||||
| 27 | sedation that are permitted under subsection (c) of Section 6.7 | ||||||
| 28 | of the Ambulatory Surgical Treatment Act as rapidly reversible | ||||||
| 29 | pharmacologically.
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| 30 | Section 99. Effective date. This Act takes effect upon | ||||||
| 31 | becoming law.
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