Illinois Administrative Code › Title 68 - PROFESSIONS AND OCCUPATIONS › Part 1300 - NURSE PRACTICE ACT › Subpart D - ADVANCED PRACTICE REGISTERED NURSE › Section 1300.460 - Advanced Practice Registered Nursing in Hospitals or Ambulatory Surgical Treatment Centers

Current through Register Vol. 48, No. 28, July 12, 2024
a) An
				advanced practice registered nurse may provide services in a licensed hospital
				or hospital affiliate as defined in the Hospital Licensing Act or the
				University of Illinois Hospital Act [ 110 ILCS 330 ], or a licensed ambulatory
				surgical treatment center without prescriptive authority or a written
				collaborative agreement pursuant to Section 65-35 of the Act. An APRN must
				possess clinical privileges recommended by the hospital medical staff and
				granted by the hospital or the consulting medical staff committee and
				ambulatory surgical treatment center in order to provide services. The medical
				staff or consulting medical staff committee shall periodically review the
				services of all APRNs granted clinical privileges. Authority may also be
				granted to individual APRNs to select, order and administer medications,
				including controlled substances as permitted under the Act and this Part, to
				provide delineated care. The attending physician shall determine an APRN's role
				in providing care for his or her patients, except as otherwise provided in the
				medical staff bylaws or consulting committee policies.
b) An APRN who does not meet the requirements
				of Section 65-43 of the Act and who is privileged to order medications,
				including controlled substances, may complete discharge prescriptions provided
				the prescription is in the name of the APRN and the attending or discharging
				physician.
c) An APRN granted full
				practice authority by Section 65-43 of the Act may be privileged to complete
				discharge orders and prescriptions under the APRN's name.
d) An APRN granted full practice authority by
				Section 65-43 of the Act practicing in a hospital affiliate may be, but is not
				required to be, privileged to prescribe Schedule II through V controlled
				substances when that authority is recommended by the appropriate physician
				committee of the hospital affiliate and granted by the hospital affiliate. To
				prescribe controlled substances in a hospital affiliate, the APRN must obtain a
				controlled substances license. Medication orders for controlled substances
				shall be reviewed periodically by the appropriate hospital affiliate physicians
				committee or its physician designee.
e) The hospital affiliate shall file with the
				Department notice of a grant of prescriptive authority and termination of the
				grant of authority for all APRNs who do not meet the requirements of Section
				65-43 of the Act.
f) For anesthesia
				services provided by a certified registered nurse anesthetist, an
				anesthesiologist, physician, dentist, or podiatric physician shall participate
				through discussion of and agreement with the anesthesia plan and shall remain
				physically present and be available on the premises during the delivery of
				anesthesia services for diagnosis, consultation and treatment of emergency
				medical conditions, unless hospital policy adopted pursuant to Section
				10.7(4)(B) of the Hospital Licensing Act or ambulatory surgical treatment
				center policy adopted pursuant to Section 6.5(4)(B) of the Ambulatory Surgical
				Treatment Center Act provides otherwise. A CRNA may select, order and
				administer medication for anesthesia services under the anesthesia plan agreed
				to by the anesthesiologist, physician, podiatric physician or dentist, in
				accordance with hospital alternative policy or the medical staff consulting
				committee policies of a licensed ambulatory surgical treatment
				center.
g) An advanced practice
				registered nurse who provides services in a hospital shall do so in accordance
				with Section 10.7 of the Hospital Licensing Act and the University of Illinois
				Hospital Act, and in an ambulatory surgical treatment center, in accordance
				with Section 6.5 of the Ambulatory Surgical Treatment Center Act.
h) Nothing in this Section shall be construed
				to require an APRN to have a collaborative agreement to practice in a hospital,
				hospital affiliate or ambulatory surgical treatment center.