reglab/statecodes huggingface dataset:
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 6 - Nursing Practice for Registered Nurses/licensed Practical Nurses › Rule 655-6.2 - Standards of Nursing Practice for Registered Nurses

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A registered nurse shall recognize and
			 understand the legal boundaries for practicing nursing within the scope of
			 nursing practice. The scope of practice of the registered nurse is determined
			 by the nurse's education, experience, and competency and the rules governing
			 nursing. The scope of practice of the registered nurse shall not include those
			 practices requiring the knowledge and education of an advanced registered nurse
			 practitioner
(2) The registered
			 nurse shall demonstrate professionalism and accountability by:
a. Demonstrating honesty and integrity in
			 nursing practice.
b. Basing nursing
			 decisions on nursing knowledge, judgment, skills, the needs of patients, and
			 evidence-based practices.
c.
			 Maintaining competence through ongoing learning, application of knowledge, and
			 applying evidence-based practices.
d. Reporting instances of unsafe nursing
			 practices by self or others to the appropriate supervisor
e. Being accountable for judgments,
			 individual nursing actions, competence, decisions, and behavior in the practice
			 of nursing.
f. Assuming
			 responsibility for the nurse's own decisions and actions.
g. Wearing identification which clearly
			 identifies the nurse as a registered nurse when providing direct patient care
			 unless wearing identification creates a safety or health risk for either the
			 nurse or the patient.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 6 - Nursing Practice for Registered Nurses/licensed Practical Nurses › Rule 655-6.3 - Standards of Nursing Practice for Licensed Practical Nurses

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The licensed practical nurse shall
			 recognize and understand the legal boundaries for practicing nursing within the
			 scope of nursing practice. The scope of practice of the licensed practical
			 nurse is determined by the nurse's education, experience, and competency and
			 the rules governing nursing.
(2)
			 The licensed practical nurse shall demonstrate professionalism and
			 accountability by:
a. Demonstrating honesty
			 and integrity in nursing practice.
b. Basing nursing decisions on nursing
			 knowledge and skills, the needs of patients, and licensed practical nursing
			 standards.
c. Maintaining
			 competence through ongoing learning and application of knowledge in practical
			 nursing practice.
d. Reporting
			 instances of unsafe nursing practices by self or others to the appropriate
			 supervisor.
e. Being accountable
			 for judgments, individual nursing actions, competence, decisions, and behavior
			 in the course of practical nursing practice.
f. Assuming responsibility for the nurse's
			 own decisions and actions.
g.
			 Wearing identification which clearly identifies the nurse as a licensed
			 practical nurse when providing direct patient care unless wearing
			 identification creates a safety or health risk for either the nurse or the
			 patient.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 6 - Nursing Practice for Registered Nurses/licensed Practical Nurses › Rule 655-6.4 - Telehealth

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Telehealth permitted.
A licensee may, in accordance with all
			 applicable laws and rules, provide health care services to a patient through
			 telehealth.
(2)
License
			 required.
A registered nurse or licensed practical nurse who provides
			 services through telehealth to a patient physically located in Iowa must hold
			 an active license issued by the board or have an active privilege to practice
			 in Iowa pursuant to the nurse licensure compact.
(3)
Standard of care.
A
			 licensee who provides services through telehealth shall be held to the same
			 standard of care as is applicable to in-person settings. A licensee shall not
			 perform any service via telehealth unless the same standard of care can be
			 achieved as if the service was performed in person.
(4)
Scope of practice.
A
			 licensee who provides services through telehealth shall ensure the services
			 provided are consistent with the licensee's scope of practice, education,
			 training, and experience.
(5)
Technology.
A licensee providing services through telehealth
			 shall utilize technology that is secure and compliant with the Health Insurance
			 Portability and Accountability Act (HIPAA). The technology must be of
			 sufficient quality, size, resolution, and clarity such that the licensee can
			 safely and effectively provide the telehealth services and abide by the
			 applicable standard of care.
(6)
Records.
A licensee who provides services through telehealth
			 shall maintain a record of the care provided to the patient. Such records shall
			 comply with all applicable laws, rules, and standards of care for
			 recordkeeping, confidentiality, and disclosure of a patient's medical
			 record.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 6 - Nursing Practice for Registered Nurses/licensed Practical Nurses › Rule 655-6.5 - Additional Acts Which May Be Performed by Licensed Practical Nurses

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A licensed
			 practical nurse shall be permitted to supervise unlicensed assistive personnel
			 under the provisions of Iowa Code section
			 152.1(5)
"b."
a. Supervision, among
			 other things, includes any or all of the following:
(1) Direct observation of a function or
			 activity.
(2) Delegation of nursing
			 tasks while retaining accountability.
(3) Determination that nursing care being
			 provided is adequate and delivered appropriately.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 6 - Nursing Practice for Registered Nurses/licensed Practical Nurses › Rule 655-6.7 - Specific Nursing Practice for Registered Nurses

Current through Register Vol. 47, No. 3, July 24, 2024
A registered nurse, while circulating in the operating room,
				shall provide supervision only to persons in the same operating room. This rule
				is intended to implement Iowa Code section
				152.1.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 7 - Advanced Registered Nurse Practitioners › Rule 655-7.2 - Requirements for Licensure as an Arnp

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Qualifications.
An
			 applicant for an ARNP license shall meet the following qualifications:
a. Hold an active unrestricted license as a
			 registered nurse in accordance with 655-Chapter 3.
b. Graduation from an accredited graduate or
			 postgraduate advanced practice educational program in one of the following
			 roles, except as provided by subrule 7.2(2):
(1) Certified nurse-midwife.
(2) Certified registered nurse
			 anesthetist.
(3) Certified nurse
			 practitioner.
(4) Clinical nurse
			 specialist.
c. Current
			 certification issued by a national professional certification organization as a
			 certified nurse-midwife or certified registered nurse anesthetist, or as a
			 certified nurse practitioner or clinical nurse specialist in at least one of
			 the following population foci:
(1) Women's
			 health/gender-related.
(2) Family
			 (individual across the life span).
(3) Psychiatric mental health.
(4) Adult/gerontology.
(5) Pediatrics.
(6) Neonatal.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 7 - Advanced Registered Nurse Practitioners › Rule 655-7.3 - Application Process

Current through Register Vol. 47, No. 3, July 24, 2024
(1) An
			 applicant who wishes to be licensed as an ARNP shall submit the following to
			 the board:
a. An ARNP application for each
			 population focus.
b. A dated copy
			 of the applicant's current advanced level certification issued by the
			 appropriate national professional certification organization.
c. If the applicant is not licensed as a
			 registered nurse in Iowa, verification of an active registered nurse license in
			 another state recognized for licensure in this state pursuant to the nurse
			 licensure compact contained in Iowa Code chapter 152E.
d. A nonrefundable license fee of
			 $81.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 7 - Advanced Registered Nurse Practitioners › Rule 655-7.4 - Advanced Nursing Practice

Current through Register Vol. 47, No. 3, July 24, 2024
(1) An
			 ARNP shall practice within the ARNP's respective population foci. An ARNP shall
			 practice in accordance with the applicable standard of care as described in
			 guidelines published by national professional associations or other reputable
			 sources.
(2) An ARNP must maintain
			 current certification with a national professional certification organization
			 at all times while the ARNP license is active.
(3) An ARNP licensed by the board may
			 prescribe, administer, or dispense prescription drugs or devices, including
			 controlled substances, within the ARNP's role and population foci and
			 consistent with applicable state and federal laws.
(4) An ARNP shall have the authority to
			 practice to the full extent of the ARNP's license, education, and experience in
			 the ARNP's respective population foci. An ARNP may:
a. Assess health status;
b. Obtain a relevant health and medical
			 history;
c. Perform physical
			 examinations;
d. Order preventive
			 and diagnostic procedures;
e.
			 Formulate a differential diagnosis;
f Develop a treatment plan;
g. Develop a patient education
			 plan;
h. Receive third-party
			 reimbursement;
i. Maintain hospital
			 privileges; and
j. Promote health
			 maintenance.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 7 - Advanced Registered Nurse Practitioners › Rule 655-7.5 - Standards of Practice for Treating Patients

Current through Register Vol. 47, No. 3, July 24, 2024
An ARNP shall follow the standards of practice for the ARNP's
				respective population foci. Prior to treating a patient, an ARNP shall:
(1) Establish a patient-provider
			 relationship.
(2) Perform and
			 document the following, or have access to the patient's health records where
			 all of the following have been documented by other providers in the care team:
a. Chief complaint;
b. Pertinent health history;
c. A focused assessment;
d. Diagnosis; and
e. Plan of treatment.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 7 - Advanced Registered Nurse Practitioners › Rule 655-7.6 - Standards of Practice for Controlled Substances

Current through Register Vol. 47, No. 3, July 24, 2024
In addition to following the standards of practice for treating
				a patient described in rule 655-7.5 (17A, 147, 152), an ARNP who prescribes or
				administers a controlled substance shall practice in accordance with the
				following:
(1) The health history
			 shall include a personal and family substance abuse risk assessment, or the
			 documented rationale for not performing the assessment.
(2) The health record must include
			 documentation of the presence of one or more recognized indications for the use
			 of a controlled substance.
(3) An
			 ARNP is encouraged to utilize a treatment agreement if continuously prescribing
			 one or more controlled substances.
(4) Throughout the course of the patient's
			 treatment, the ARNP shall provide ongoing education that includes, but is not
			 limited to, the risks of using a controlled substance, and information
			 regarding addiction, physical dependence, substance abuse, and tolerance, or
			 document the rationale for not providing the education.
(5) An ARNP shall maintain an active Drug
			 Enforcement Administration (DEA) registration and an active controlled
			 substances Act (CSA) registration to dispense, prescribe, or administer
			 controlled substances, when required by the DEA and the board of
			 pharmacy.
(6) An ARNP shall not
			 prescribe a controlled substance to the ARNP's self or to a family member
			 unless the prescribing occurs in a clinical setting when an emergency situation
			 arises and when there is no other qualified practitioner available to the
			 patient.
(7) The board may
			 discipline an ARNP for prescribing opioids in dosage amounts that exceed what
			 would be prescribed by a reasonably prudent ARNP in a similar
			 practice.
(8) An ARNP who has
			 prescribed opioids to a patient during the renewal cycle is required to
			 complete a minimum of two contact hours of continuing education regarding the
			 U.S. Centers for Disease Control and Prevention guideline for prescribing
			 opioids for chronic pain, including recommendations on limitations on dosages
			 and the length of prescriptions, risk factors for abuse, and nonopioid and
			 nonpharmacologic therapy options, as a condition of license renewal every three
			 years. These hours may count towards the 36 contact hours required for license
			 renewal. The ARNP shall maintain documentation of these hours, which may be
			 subject to audit.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 7 - Advanced Registered Nurse Practitioners › Rule 655-7.7 - Use of the Prescription Monitoring Program

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Prior to the prescribing or dispensing of
			 an opioid by an ARNP, the ARNP or the ARNP's authorized delegate shall query
			 the PMP database and the ARNP shall review the patient's information contained
			 in the PMP database.
(2) This rule
			 does not apply to an ARNP when treating a patient who is receiving inpatient
			 hospice care or long-term residential facility care.
(3) This rule does not apply to an ARNP who
			 issues a medication order for an opioid to be administered to a patient at a
			 hospital or clinic, because the ARNP is neither prescribing nor dispensing in
			 this scenario.
(4) An ARNP is
			 responsible for understanding the board of pharmacy's rules governing use of
			 the prescription monitoring program in 657-Chapter 37.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 7 - Advanced Registered Nurse Practitioners › Rule 655-7.8 - Prescribing Epinephrine Auto-injectors, Bronchodilator Canisters, Bronchodilator Canisters and Spacers, or Opioid Antagonists in the Name of a Facility or School

Current through Register Vol. 47, No. 3, July 24, 2024
(1) An ARNP may
			 issue a prescription for one or more epinephrine auto-injectors in the name of
			 a facility as defined in Iowa Code section
			 135.185(1), a
			 school district, or an accredited nonpublic school.
(2) An ARNP may issue a prescription for one
			 or more bronchodilator canisters or bronchodilator canisters and spacers in the
			 name of a school district or an accredited nonpublic school.
(3) An ARNP may issue a prescription for one
			 or more opioid antagonists in the name of a school district.
(4) An ARNP who prescribes epinephrine
			 auto-injectors, bronchodilator canisters, bronchodilator canisters and spacers,
			 or opioid antagonists in the name of an authorized facility as defined in Iowa
			 Code section 135.185(1), a
			 school district, or an accredited nonpublic school, to be maintained for use
			 pursuant to Iowa Code sections
			 135.185,
			 135.190, 280.16, and
			 280.16 A, provided the ARNP has
			 acted reasonably and in good faith, shall not be liable for any injury arising
			 from the provision, administration, or assistance in the administration of an
			 epinephrine auto-injector, bronchodilator canister, bronchodilator canister and
			 spacer, or opioid antagonist.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 7 - Advanced Registered Nurse Practitioners › Rule 655-7.9 - Standards of Practice for Telehealth

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Telehealth permitted.
A
			 licensee may, in accordance with all applicable laws and rules, provide health
			 care services to a patient through telehealth.
(2)
License required.
An
			 advanced registered nurse practitioner who provides services through telehealth
			 to a patient physically located in Iowa must be licensed by the board. A
			 licensee who provides services through telehealth to a patient physically
			 located in another state shall be subject to the laws and jurisdiction of the
			 state where the patient is physically located.
(3)
Standard of care.
a. A licensee who provides services through
			 telehealth shall be held to the same standard of care as is applicable to
			 in-person settings. A licensee shall not perform any service via telehealth
			 unless the same standard of care can be achieved as if the service was
			 performed in person.
b. Prior to
			 initiating contact with a patient for the purpose of providing services to the
			 patient using telehealth, a licensee shall:
(1) Review the patient's history and all
			 relevant medical records; and
(2)
			 Determine as to each unique patient encounter whether the licensee will be able
			 to provide the same standard of care using telehealth as would be provided if
			 the services were provided in person.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 8 - Petitions for Rule Making › Rule 655-8.3 - Inquiries

Current through Register Vol. 47, No. 3, July 24, 2024
In lieu of the words "(designate official by full title and
				address)", insert "the Executive Director, Board of Nursing, RiverPoint
				Business Park, 400 S.W. Eighth Street, Suite B, Des Moines, Iowa
				50309-4685".
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 9 - Declaratory Orders › Rule 655-9.1 - Petition for Declaratory Order

Current through Register Vol. 47, No. 3, July 24, 2024
In lieu of the words "(designate agency)", insert "board of
				nursing".
In lieu of the words "(designate office)", insert "Iowa Board
				of Nursing, RiverPoint Business Park, 400 S.W. Eighth Street, Suite B, Des
				Moines, Iowa 50309-4685".
In lieu of the words "(AGENCY NAME)", insert "BOARD OF
				NURSING".
Delete the following: "(An agency may wish to describe here a
				simplified alternative petition form that would be more appropriate for some
				members of its clientele in light of their particular
				circumstances.)".
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 9 - Declaratory Orders › Rule 655-9.3 - Intervention

Current through Register Vol. 47, No. 3, July 24, 2024
(1) In lieu of the
			 underline, insert "15".
(2) In lieu
			 of the words "(designate agency)", insert "board of nursing".
(3) In lieu of the words "(designate
			 office)", insert "the board of nursing".
In lieu of the words "(designate agency)", insert "board of
				nursing".
In lieu of the words "(AGENCY NAME)", insert "BOARD OF
				NURSING".
Delete the words "(An agency may wish to describe here a
				simplified alternative petition for intervention form that would be more
				appropriate for some members of its clientele in light of their particular
				circumstances.)".
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 9 - Declaratory Orders › Rule 655-9.5 - Inquiries

Current through Register Vol. 47, No. 3, July 24, 2024
In lieu of the words "(designate official by full title and
				address)", insert "the Executive Director, Iowa Board of Nursing, RiverPoint
				Business Park, 400 S.W. Eighth Street, Suite B, Des Moines, Iowa
				50309-4685".
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 9 - Declaratory Orders › Rule 655-9.6 - Service and Filing of Petitions and Other Papers

Current through Register Vol. 47, No. 3, July 24, 2024
(2) In lieu of the words "(specify office and
			 address)", insert "Iowa Board of Nursing, River Point Business Park, 400 S.W.
			 Eighth Street, Suite B, Des Moines, Iowa 50309-4685".
In lieu of the words "(agency name)", insert "board of
				nursing".
(3) In lieu of the
			 words "(uniform rule on contested cases X.12(17A))", insert "655 IAC
			 20.17(17A)".
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 9 - Declaratory Orders › Rule 655-9.8 - Action on Petition

Current through Register Vol. 47, No. 3, July 24, 2024
(1) In
			 lieu of the words "(designate agency head)", insert "board of
			 nursing".
(2) In lieu of the words
			 "as defined in (contested case uniform rule X.2(17A))", insert "the date of
			 mailing of a decision or order, or date of delivery if service is by other
			 means, unless another date is specified".
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 9 - Declaratory Orders › Rule 655-9.9 - Refusal to Issue Order

Current through Register Vol. 47, No. 3, July 24, 2024
(1) In lieu of
			 the words "(designate agency)", insert "board of nursing".
2. In lieu of the words "(designate agency)",
			 insert "board of nursing".
3. In
			 lieu of the words "(designate agency)", insert "board of nursing".
10. In lieu of the words "(designate
			 agency)", insert "board of nursing".
Delete the words "(Where the agency's experience enables it to
				define in advance other specific reasons for refusing to issue a declaratory
				ruling, it should include them here.)".
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 10 - Agency Procedure for Rule Making › Rule 655-10.5 - Public Participation

Current through Register Vol. 47, No. 3, July 24, 2024
(1) In
			 lieu of the words "(identify office and address)", insert "Iowa Board of
			 Nursing, RiverPoint Business Park, 400 S.W. Eighth Street, Suite B, Des Moines,
			 Iowa 50309-4685".
(5) In lieu of
			 the words "(designate office and telephone number)", insert "the board of
			 nursing at (515) 281-3255".
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 10 - Agency Procedure for Rule Making › Rule 655-10.10 - Exemptions From Public Rule-making Procedures

Current through Register Vol. 47, No. 3, July 24, 2024
(2) In lieu of the words "(List here narrowly
			 drawn classes of rules where such an exemption is justified and a brief
			 statement of the reasons for exempting each of them.)", insert the following:
"a. The rule confers a benefit or removes a
			 restriction on the public or some segment thereof.
"b. The effective date is necessary because
			 of imminent peril to the public health, safety or welfare."
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 10 - Agency Procedure for Rule Making › Rule 655-10.11 - Concise Statement of Reasons

Current through Register Vol. 47, No. 3, July 24, 2024
(1) In lieu of the words "(specify the office
			 and address)", insert "Iowa Board of Nursing, RiverPoint Business Park, 400
			 S.W. Eighth Street, Suite B, Des Moines, Iowa 50309-4685".
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 11 - Examination of Public Records › Rule 655-11.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
"Access to records"
means the general right of
				the public to examine and copy records. In subrule 11.2(9), it also means the
				right of the subject of a confidential record to authorize its release, in
				writing, to a named third party.
"Confidential record"
means a record which is
				not available to members of the public except as specified in Iowa Code section
				22.7 or other law
				forbidding disclosure. Nothing in this definition shall be construed to deny
				access to the public portions of a record which contains a mixture of public
				and confidential information, or to broaden the definition of confidential
				information to include an entire document.
"Custodian of records"
means the executive
				director of the board or that official's designee.
"Disclosure "
means the availability or
				release of a record.
"Individual"
means a living person. It does
				not include persons such as sole proprietorships, partnerships, corporations,
				or educational institutions. A business firm which is identified by the name of
				one or more persons is not an individual within the meaning of this
				part.
"Open records "
are those records which are
				not authorized or required to be kept confidential under Iowa Code section
				22.7 or any other
				provision of the law.
"Personally identifiable information "
means
				information about or pertaining to an individual in a record which identifies
				the person by personal identifier such as the name of the individual, number,
				symbol or other unique retriever assigned to the individual and which is
				contained in a system of records as defined in this subrule.
"Record, "
when used in these rules means
				"public record," includes all records, documents, tapes or other information
				stored or preserved in any medium of or belonging to the board.
"Release of information"
means granting access
				to examine records and providing copies as requested.
"Subject of a record"
means an individual
				under whose name or other personal identifier a record is kept in a system of
				records.
"System of records "
means any group of
				records under the control of the board from which a record is retrieved by
				personal identifier and all records or group of records that are not
				retrievable by personal identifier. Papers maintained by individual employees
				of the board which are prepared, maintained, or discarded at the discretion of
				the employee are not part of the system of records; provided, that the personal
				papers are not used by the employee or the board to determine any rights,
				benefits, or privileges of the individuals.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 11 - Examination of Public Records › Rule 655-11.2 - Public Information and Inspection of Records

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Public information.
Any
			 interested person may examine public records of the board by making a written
			 request. This request may be mailed or presented in person to the executive
			 director or the designee at the office of the board. Records shall only be
			 examined at the board office during the board's regular business hours, Monday
			 through Friday from 8 a.m. to 4:30 p.m., excluding legal holidays. Unless
			 otherwise provided by law, all records other than confidential records,
			 maintained by the board shall be made available for public
			 inspection.
(2)
Inspection
			 of records.
Procedures governing requests for the inspection of
			 records are set out in subrule 11.2(1).
(3)
Board records routinely available
			 for public inspection.
The board collects and maintains the following
			 records that are routinely available for public inspection:
a. Board calendars, agenda, newsletter, news
			 releases and other information intended for the public.
b. Board decisions, orders, opinions and
			 other statements of law or policy issued by the board in the performance of its
			 function.
c. The records of
			 rule-making proceedings.
d. Annual
			 reports of the board.
e. Reports
			 and materials filed with the board by nursing education programs and continuing
			 education providers.
f. Board
			 minutes except those resulting from meetings in closed sessions in accordance
			 with Iowa Code section
			 21.5.
g. Rulings on requests for waivers of board
			 rules.
h. Information about
			 licensees (rosters and mailing lists).
i. All of the records that are not
			 specifically exempted from disclosure from subrule 11.2(4).
The board files of public records listed above may contain
				confidential records. Any request to review confidential records must be made
				in accordance with subrule 11.2(4). In addition, the board records listed
				in
"a, " "b, " "d, " "f " "g, " "h, "
and
"i"
of this subrule may contain personally identifiable information.
Various legal and technical publications relating to nursing
				are also available for inspection by the public in the board office.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 11 - Examination of Public Records › Rule 655-11.5 - Rosters

Current through Register Vol. 47, No. 3, July 24, 2024
Rosters of licensees shall be made available to the public in
				accordance with Iowa Code chapter 22 and sections
				147.8 and
				147.43.
(1) Rosters may be accessed via the board' s
			 W eb site under IBON Online Services and Purchase a Roster .
(2) A fee of $40 per data set shall be char
			 ged for a roster .
(3) The
			 executive director may authorize the release of a roster of Iowa licensees
			 without cost in the case of any emer gency whereby the interest of the public
			 warrants immediate access to health care personnel.
(4) State agencies will be provided an
			 electronic file of the roster at no cost.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 12 - Registered Nurse Certifying Organizations/ Utilization and Cost Control Review › Rule 655-12.1 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
The following chapter is promulgated for the purpose of
				administering the provisions of Iowa Code sections
				509.3,
				514.7,
				514B.1
				and
				514F.1.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 12 - Registered Nurse Certifying Organizations/ Utilization and Cost Control Review › Rule 655-12.2 - Definition

Current through Register Vol. 47, No. 3, July 24, 2024
A "certified registered nurse" is a registered nurse with an
				active license in Iowa or who is currently licensed in another state and
				recognized for licensure in Iowa, pursuant to the nurse licensure compact
				contained in Iowa Code chapter 152E, and who possesses evidence of
				certification by a national certification organization or successor agency as
				recognized by the board in
				655-12.3
				(509,514,514B).
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 12 - Registered Nurse Certifying Organizations/ Utilization and Cost Control Review › Rule 655-12.3 - National Certifying Organizations

Current through Register Vol. 47, No. 3, July 24, 2024
Eligibility requirements for certification are established by
				the individual national certifying organization. The national certifying
				organizations identified by the board pursuant to Iowa Code sections
				509.3,
				514.7,
				514B. 1, and 514F. 1 are as follows:
Addictions Nursing Certification Board
American Academy of Nurse Practitioners
American Association of Critical Care Nurses Certification
				Corporation
American Association for Marriage and Family Therapy
American Board of Medical Genetics
American Board of Neuroscience Nursing
American Board for Occupational Health Nurses, Inc.
American Board of Post Anesthesia Nursing Certification, Inc.
American Board of Urologic Allied Health Professionals, Inc.
American College of Nurse-Midwives, ACNM Certification Council
American Holistic Nurses' Certification Corporation
American Nurses' Credentialing Center
American Society of Plastic and Reconstructive Surgical Nurses,
				Inc.
Association of Operating Room Nurses
Association for Practitioners in Infection Control
Association of Rehabilitation Nursing, Certification
				Board
Board of Certification for Emergency Nursing
Board of Nephrology Examiners, Nursing and Technology
Certification Board of Perioperative Nursing
Certifying Council for Gastroenterology Clinicians, Inc.
Clinical Nutrition Certification Board
Council on Certification of Nurse Anesthetists
Council on Recertification of Nurse Anesthetists
Dermatology Nurses Association
Enterostomal Therapy Nursing Certification Board
HIV/AIDS Nursing Certification Board
International Association of Infant Massage Instructors
International Board of Lactation Consultant Examiners
International Nurses Society on Addictions
Intravenous Nurses Society Certification Corporation
Lamaze International
National Board for Certification of School Nurses
National Certification Board of Diabetes Educators
National Certification Board of Pediatric Nurse Practitioners
				and Nurses
National Certification Corporation for the Obstetric,
				Gynecologic and Neonatal Nursing Specialties
National Certifying Board for Ophthalmic Registered
				Nurses
National Consortium of Chemical Dependency Nurses
Oncology Nursing Certification Corporation
Orthopaedic Nurses Certification Board
Plastic Surgical Nursing Certification Board
Radiological Nursing Certification Board
Society of Gastroenterology Nurses and Associates
Society of Otorhinolaryngology and Head-Neck Nurses
Society of Urological Nurses and Associates
Society of Vascular Nursing
Wound, Ostomy and Continence Nurses Society
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 12 - Registered Nurse Certifying Organizations/ Utilization and Cost Control Review › Rule 655-12.4 - Utilization and Cost Control Review (U.C.C.R.) Committee

Current through Register Vol. 47, No. 3, July 24, 2024
The board shall establish a U.C.C.R. committee for the purpose
				of providing a mechanism for review of questions related to:
1. Appropriateness of levels of nursing
			 care.
2. Documentation of the
			 credentials of the nurse(s) offering the service(s).
3. Documentation of the care
			 provided.
4. Documentation of the
			 costs of nursing services provided by certified registered nurses as requested
			 by users and payers of such services.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 12 - Registered Nurse Certifying Organizations/ Utilization and Cost Control Review › Rule 655-12.5 - Selection and Composition of the U.c.c.r. Committee

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The U.C.C.R. committee shall consist of
			 five licensed registered nurses, three of whom shall be certified registered
			 nurses. A quorum of the U.C.C.R. committee is three members. When a quorum is
			 present, a position is carried by a majority of the committee
			 members.
(2) The chairperson of the
			 board of nursing, upon receipt of a request for review, shall appoint committee
			 members and designate a chairperson and a secretary.
(3) Members of the U.C.C.R. committee shall:
a. Have been actively practicing nursing in
			 Iowa for a period of five years immediately prior to their
			 appointment.
b. Hold an active Iowa
			 registered nurse license or hold a current license in another state and be
			 recognized for licensure in Iowa pursuant to the nurse licensure compact
			 contained in Iowa Code chapter 152E.
c. Be actively involved in nursing practice
			 during the term of appointment.
d.
			 Not be exempt from mandatory disclosure requirements of Iowa Code section
			 272C.9.
e. Not be civilly liable when functioning in
			 their capacity of committee members in compliance with Iowa Code section
			 272C.8.
f. Observe the requirements of
			 confidentiality imposed by Iowa Code subsection
			 272C.6(4).
			 For the purposes of this subsection, all information requested by or provided
			 to the U.C.C.R. committee under this chapter shall be considered privileged and
			 confidential complaint or investigative information. However, the final
			 decision of the U.C.C.R. committee shall not be considered
			 confidential.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 12 - Registered Nurse Certifying Organizations/ Utilization and Cost Control Review › Rule 655-12.6 - Scope of Review

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Factors to
			 determine appropriateness of nursing care deemed medically necessary shall
			 include, but not be limited to, the following:
a. Utilization of the nursing process in
			 establishing a nursing diagnosis.
b. Development of a nursing care plan based
			 on documentation of client needs and standards of care for that particular
			 clinical specialty.
c. Adequate
			 completion of recommended nursing care plan.
d. Quality of care as measured by
			 outcome.
e. Proper referral to
			 specialists/physicians when conditions indicate.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 12 - Registered Nurse Certifying Organizations/ Utilization and Cost Control Review › Rule 655-12.7 - Procedures for Utilization and Cost Control Review

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A request for review may be made to the
			 board by a patient, a licensee or any third party payer of health care
			 benefits.
(2) The fee for a
			 utilization and cost control review will be $50 per individual patient review,
			 made payable to the secretary of the U.C.C.R. committee at the time of the
			 request. Such funds are to be used to pay expenses as deemed appropriate by the
			 U.C.C.R. committee.
(3) A request
			 for review shall be submitted to the board by addressing the request to the
			 Iowa Board of Nursing, RiverPoint Business Park, 400 S.W. Eighth Street, Suite
			 B, Des Moines, Iowa 50309-4685. All requests shall be made on the approved
			 forms. Forms will be made available upon request from the office of the board
			 of nursing. All references to identification and location of the licensee shall
			 be deleted prior to submission to the U.C.C.R. committee.
(4) The office of the board of nursing shall
			 provide administrative services to the U.C.C.R. committee. The U.C.C.R.
			 committee shall present its findings and recommendations in writing to the
			 chairperson of the board within 90 days of the committee appointment. The
			 executive director of the board of nursing shall notify the parties of the
			 committee findings.
(5) If the
			 U.C.C.R. committee, by way of its review of the matter, determines that the
			 matter constitutes possible violation of the Iowa practice of nursing Act (Iowa
			 Code chapter 152), the chairperson of the committee shall immediately notify
			 the board of nursing and submit a copy of the review findings. The board has
			 authority to further investigate and pursue disciplinary action based on any
			 information submitted pursuant to these rules.
(6) Action of the U.C.C.R. committee does not
			 constitute an action of the board.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 13 - Disciplinary Hearing Costs › Rule 655-13.1 - Disciplinary Hearings-fees and Costs

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Definitions. As used in this chapter in
			 relation to a formal disciplinary action filed by the board against a
			 licensee:
"Deposition "
means the testimony of a person
				pursuant to subpoena or at the request of the state of Iowa taken in a setting
				other than a hearing.
"Expenses "
means costs incurred by persons
				appearing pursuant to subpoena or at the request of the state of Iowa for
				purposes of providing testimony on the part of the state of Iowa in a hearing
				or other official proceeding and shall include mileage reimbursement at the
				rate specified in Iowa Code section
				70A.9
				or, if commercial air or ground transportation is used, the actual cost of
				transportation to and from the proceeding. Also included are actual costs
				incurred for meals and necessary lodging.
"Medical examination fees "
means actual costs
				incurred by the board in a physical, mental chemical abuse, or other
				impairment-related examination or evaluation of a licensee when the examination
				or evaluation is conducted pursuant to an order of the board.
"Transcript"
means a printed verbatim
				reproduction of everything said on the record during a hearing or other
				official proceeding.
"Witness fees "
means compensation paid by the
				board to persons appearing pursuant to subpoena or at the request of the state
				of Iowa, for purposes of providing testimony on the part of the state of Iowa.
				For the purposes of this rule, compensation shall be the same as outlined in
				Iowa Code section
				622.69 or
				622.72 as
				the case may be.
(2) The board may
			 charge a fee not to exceed $75 for conducting a disciplinary hearing which
			 results in disciplinary action taken against the licensee by the board. In
			 addition to the fee, the board may recover from the licensee costs for the
			 following procedures and personnel:
a.
			 Transcript.
b. Witness fees and
			 expenses.
c. Depositions.
d. Medical examination fees incurred relating
			 to a person licensed under Iowa Code chapter 147.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 14 - Fair Information Practices › Rule 655-14.3 - Requests for Access to Records

Current through Register Vol. 47, No. 3, July 24, 2024
(1) In lieu of the words "(insert agency
			 head)", insert "Executive Director".
In lieu of the words "(insert agency name and address)", insert
				"Iowa Board of Nursing, RiverPoint Business Park, 400 S.W. Eighth Street, Suite
				B, Des Moines, Iowa 50309-4685".
(2)
Office hours.
In lieu of
			 the words "(insert customary office hours and, if agency does not have
			 customary office hours of at least thirty hours per week, insert hours
			 specified in Iowa Code section
			 22.4) ",
			 insert "Monday through Friday from 8 a.m. to 4:30 p.m., excluding legal
			 holidays".
(7)
Fees.
c. In lieu of the
			 words "(specify time period)", insert "one hour".
Delete the words "(An agency wishing to deal with search fees
				authorized by law should do so here.)".
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 14 - Fair Information Practices › Rule 655-14.7 - Consent to Disclosure by the Subject of a Confidential Record

Current through Register Vol. 47, No. 3, July 24, 2024
Delete the words "(and, where applicable, the time period
				during which the record may be disclosed)" and "(Additional requirements may be
				necessary for special classes of records.)".
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 15 - Waiver Rules › Rule 655-15.1 - Definition

Current through Register Vol. 47, No. 3, July 24, 2024
For purposes of this chapter, a "waiver" means action by a
				division board which suspends in whole or in part the requirements or
				provisions of a rule as applied to an identified person on the basis of the
				particular circumstances of that person.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 15 - Waiver Rules › Rule 655-15.2 - Scope of Chapter

Current through Register Vol. 47, No. 3, July 24, 2024
This chapter outlines generally applicable standards and a
				uniform process for the granting of individual waivers from rules adopted by
				division boards in situations where no other more specifically applicable law
				provides for waivers. To the extent another more specific provision of law
				governs the issuance of a waiver from a particular rule, the more specific
				provision shall supersede this chapter with respect to any waiver from that
				rule.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 15 - Waiver Rules › Rule 655-15.3 - Applicability of Chapter

Current through Register Vol. 47, No. 3, July 24, 2024
A division board may only grant a waiver from a rule if the
				board has jurisdiction over the rule and the requested waiver is consistent
				with applicable statutes, constitutional provisions, or other provisions of
				law. A division board may not waive requirements created or duties imposed by
				statute.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 15 - Waiver Rules › Rule 655-15.4 - Criteria for Waiver

Current through Register Vol. 47, No. 3, July 24, 2024
In response to a petition completed pursuant to rule
				655-15.6(147,ExecOrd8,78GA,ch1176), a division board may in its sole discretion
				issue an order waiving in whole or in part the requirements of a rule if the
				board finds, based on clear and convincing evidence, all of the
				following:
1. The application of the
			 rule would impose an undue hardship on the person for whom the waiver is
			 requested;
2. The waiver from the
			 requirements of the rule in the specific case would not prejudice the
			 substantial legal rights of any person;
3. The provisions of the rule subject to the
			 petition for waiver are not specifically mandated by statute or another
			 provision of law; and
4.
			 Substantially equal protection of public health, safety, and welfare will be
			 afforded by a means other than that prescribed in the particular rule for which
			 the waiver is requested.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 15 - Waiver Rules › Rule 655-15.5 - Filing of Petition

Current through Register Vol. 47, No. 3, July 24, 2024
A petition for a waiver must be submitted in writing to the
				board, as follows:
(1)
License
			 application.
If the petition relates to a license application, the
			 petition shall be made in accordance with the filing requirements for the
			 license in question.
(2)
Contested cases.
If the petition relates to a pending
			 contested case, the petition shall be filed in the contested case proceeding,
			 using the caption of the contested case.
(3)
Other.
If the petition
			 does not relate to a license application or a pending contested case, the
			 petition may be submitted to the board's executive secretary.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 15 - Waiver Rules › Rule 655-15.6 - Content of Petition

Current through Register Vol. 47, No. 3, July 24, 2024
A petition for waiver shall include the following information
				where applicable and known to the requester:
1. The name, address, and telephone number of
			 the person or entity for whom a waiver is requested, and the case number of any
			 related contested case.
2. A
			 description and citation of the specific rule from which a waiver is
			 requested.
3. The specific waiver
			 requested, including the precise scope and duration.
4. The relevant facts that the petitioner
			 believes would justify a waiver under each of the four criteria described in
			 rule 655-15.4
			 (147,ExecOrd8,78GA,ch1176). This statement shall include a signed statement
			 from the petitioner attesting to the accuracy of the facts provided in the
			 petition, and a statement of reasons that the petitioner believes will justify
			 a waiver.
5. A history of any prior
			 contacts between the board and the petitioner relating to the regulated
			 activity or license affected by the proposed waiver, including a description of
			 each affected license held by the requester, any notices of violation,
			 contested case hearings, or investigative reports relating to the regulated
			 activity or license within the last five years.
6. Any information known to the requester
			 regarding the board's treatment of similar cases.
7. The name, address, and telephone number of
			 any public agency or political subdivision which also regulates the activity in
			 question, or which might be affected by the grant of a waiver.
8. The name, address, and telephone number of
			 any person or entity who would be adversely affected by the grant of a
			 waiver.
9. The name, address, and
			 telephone number of any person with knowledge of the relevant facts relating to
			 the proposed waiver.
10. Signed
			 releases of information authorizing persons with knowledge regarding the
			 request to furnish the board with information relevant to the waiver.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 15 - Waiver Rules › Rule 655-15.7 - Additional Information

Current through Register Vol. 47, No. 3, July 24, 2024
Prior to issuing an order granting or denying a waiver, the
				board may request additional information from the petitioner relative to the
				petition and surrounding circumstances. If the petition was not filed in a
				contested case, the board may, on its own motion or at the petitioner's
				request, schedule a telephonic or in-person meeting between the petitioner and
				the board's executive secretary, a committee of the board, or a quorum of the
				board.
Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 15 - Waiver Rules › Rule 655-15.8 - Notice

Current through Register Vol. 47, No. 3, July 24, 2024
The board shall acknowledge a petition upon receipt. The board
				shall ensure that notice of the pendency of the petition and a concise summary
				of its contents have been provided to all persons to whom notice is required by
				any provision of law within 30 days of the receipt of the petition. In
				addition, the board may give notice to other persons. To accomplish this notice
				provision, the board may require the petitioner to serve the notice on all
				persons to whom notice is required by any provision of law, and provide a
				written statement to the board attesting that notice has been
				provided.