reglab/statecodes huggingface dataset:
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 3 - NURSE-MIDWIVES › Rule 2 - General Provisions › Section 2-2 - Fees for limited license

Current through July 10, 2024
Authority: IC 25-23-1-7
Affected: IC 25-23-1-1; IC 25-23-1-13.1
Sec. 2.
(a) Each
				applicant for a limited license in nurse-midwifery shall pay a fee as provided
				in
				848 IAC 1-1-14 in the form
				of a personal check, certified check, cashier's check, or money order payable
				to the health professions bureau. This fee is not refundable, but may be used
				up to and including one (1) year from the original submission of the
				application.
(b) The fee for any
				reapplication shall be the same as determined by the board for the original
				application and is payable in the form of a personal check, certified check,
				cashier's check, or money order payable to the health professions bureau.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 3 - NURSE-MIDWIVES › Rule 2 - General Provisions › Section 2-3 - Photograph submitted with application

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC
				  25-23-1-1;
				  IC
				  25-23-1-13.1
Sec. 3.
A recent passport type photograph of the applicant taken
				  within six (6) weeks prior to filing shall be submitted with each application.
				  The photograph shall be in color on semigloss paper, not less than three (3)
				  inches wide and four (4) inches high.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 3 - NURSE-MIDWIVES › Rule 2 - General Provisions › Section 2-4 - Temporary permit not issued

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC
				  25-23-1-1;
				  IC
				  25-23-1-13.1
Sec. 4.
No temporary permit will be issued under any circumstances.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 3 - NURSE-MIDWIVES › Rule 2 - General Provisions › Section 2-5 - Biennial renewal of limited license

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC
				  25-23-1-1;
				  IC
				  25-23-1-13.1
Sec. 5.
Every person with a limited license to practice
				  nurse-midwifery shall renew such limited license with the board on or before
				  October 31 of odd-numbered years.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 3 - NURSE-MIDWIVES › Rule 2 - General Provisions › Section 2-6 - Notice of renewal

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC
				  25-23-1-1;
				  IC
				  25-23-1-13.1
Sec. 6.
On or before August 31 of odd-numbered years, the health
				  professions bureau shall notify each nurse-midwife that he or she is required
				  to renew their limited license to practice nurse-midwifery. At the time of such
				  notice, the health professions bureau shall mail a form to each nurse-midwife
				  to the last known address of record.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 3 - NURSE-MIDWIVES › Rule 2 - General Provisions › Section 2-7 - Fee for renewal

Current through July 10, 2024
Authority: IC 25-23-1-7
Affected: IC 25-23-1-1; IC 25-23-1-13.1
Sec. 7.
At the time of submitting his or her limited license renewal
				  form to the board, each nurse-midwife shall submit a fee as provided in
				  848 IAC 1-1-14 and proof of
				  current licensure as a registered nurse. A personal check, certified check,
				  cashier's check, or money order shall be submitted to the health professions
				  bureau with the renewal form and shall be made payable to the health
				  professions bureau.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 3 - NURSE-MIDWIVES › Rule 2 - General Provisions › Section 2-8 - Delinquent fee

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC
				  25-23-1-1;
				  IC
				  25-23-1-13.1
Sec. 8.
In the event any nurse-midwife fails to complete the renewal
				  process on or before October 31 of odd-numbered years, he or she shall be
				  required to pay a delinquent fee to be determined by the board in addition to
				  the fees prescribed in section 7 of this rule for each year that the limited
				  license is delinquent.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 3 - NURSE-MIDWIVES › Rule 3 - Competent Practice of Nurse-Midwifery › Section 3-1 - Competent practice of nurse-midwives

Current through July 10, 2024
Authority: IC 25-23-1-7
Affected: IC 16-21; IC 25-23-1-1; IC 25-23-1-13.1
Sec. 1.
A nurse-midwife shall perform as an independent and
				  interdependent member of the health care team as defined in
				  848 IAC
				  2-1-3. The following are standards for each
				  nurse-midwife:
(1) Assess clients by
				using advanced knowledge and skills to:
(A)
				identify abnormal conditions;
(B)
				diagnose health problems;
(C)
				develop and implement nursing treatment plans; and
(D) evaluate patient outcomes.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 3 - NURSE-MIDWIVES › Rule 5 - Fees for Nurse-Midwives › Section 5-1 - Fees for nurse-midwives

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC
				  25-23-1-1;
				  IC
				  25-23-1-13.1
Sec. 1.
(a) The
				application fee for limited licensure as a nurse-midwife shall be fifty dollars
				($50).
(b) The fee for renewal of a
				nurse-midwife limited license shall be fifty dollars ($50).
(c) The penalty fee for late renewals is as
				established by the health professions bureau.
(d) The fee for a duplicate nurse-midwife
				wall certificate shall be ten dollars ($10).
(e) The fee for endorsement out of Indiana
				for a nurse-midwife shall be ten dollars ($10).
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 4 - ADVANCED PRACTICE NURSING AND PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSING › Rule 1 - Definitions › Section 1-1 - Applicability

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC 25-23-1
Sec. 1.
The definitions in this rule apply throughout this article
				  and 848 IAC 5.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 4 - ADVANCED PRACTICE NURSING AND PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSING › Rule 1 - Definitions › Section 1-2 - "Board" defined

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC 25-23-1
Sec. 2.
"Board" means the Indiana state board of nursing.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 4 - ADVANCED PRACTICE NURSING AND PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSING › Rule 1 - Definitions › Section 1-3 - "Advanced practice nurse" defined

Current through July 10, 2024
Authority: IC 25-23-1-7
Affected: IC 16-21; IC 25-23-1-1
Sec. 3.
(a)
				"Advanced practice nurse" means a registered nurse holding a current license in
				Indiana who:
(1) has obtained additional
				knowledge and skill through a formal, organized program of study and clinical
				experience, or its equivalent, as determined by the board;
(2) functions in an expanded role of nursing
				at a specialized level through the application of advanced knowledge and skills
				to provide healthcare to individuals, families, or groups in a variety of
				settings, including, but not limited to:
(A)
				homes;
(B) institutions;
(C) offices;
(D) industries;
(E) schools;
(F) community agencies;
(G) private practice;
(H) hospital outpatient clinics;
				and
(I) health maintenance
				organizations; and
(3)
				makes independent decisions about the nursing needs of clients.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 4 - ADVANCED PRACTICE NURSING AND PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSING › Rule 1 - Definitions › Section 1-4 - "Nurse practitioner" defined

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC 25-23-1
Sec. 4.
(a) "Nurse
				practitioner" means an advanced practice nurse who provides advanced levels of
				nursing client care in a specialty role, who meets the requirements of an
				advanced practice nurse as outlined in section 3 of this rule, and who has
				completed any of the following:
(1) A graduate
				program offered by a college or university accredited by the Commission on
				Recognition of Postsecondary Accreditation which prepares the registered nurse
				to practice as a nurse practitioner and meets the requirements of section 6 of
				this rule.
(2) A certificate
				program offered by a college or university accredited by the Commission on
				Recognition of Postsecondary Accreditation which prepares the registered nurse
				to practice as a nurse practitioner and meets the requirements of section 6 of
				this rule. Nurse practitioners who complete a certificate program must be
				certified and maintain certification as a nurse practitioner by a national
				organization which requires a national certifying examination.
(3) Prior to the promulgation of this
				article, the following:
(A) A formal organized
				program of study and clinical experience which prepares the registered nurse to
				practice as a nurse practitioner.
(B) The required program of study at a time
				when there was no credentialing or certification process available in the
				specialty area of the program of study.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 4 - ADVANCED PRACTICE NURSING AND PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSING › Rule 1 - Definitions › Section 1-5 - "Clinical nurse specialist" defined

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC 25-23-1
Sec. 5.
(a)
				"Clinical nurse specialist" means an advanced practice nurse who does the
				following:
(1) Meets the requirements of an
				advanced practice nurse as outlined in section 3 of this rule.
(2) Has completed a graduate program offered
				by a college or university accredited by the Commission on Recognition of
				Postsecondary Accreditation designed to train clinical nurse specialists which
				grants, at a minimum, a master's degree and which meets the requirements of
				section 6 of this rule.
(3)
				Provides advanced levels of client care and assists other health professionals
				in establishing and meeting health goals. Clinical nurse specialists
				collaborate and consult with other health care providers who may need
				assistance in dealing with complex client problems.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 4 - ADVANCED PRACTICE NURSING AND PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSING › Rule 1 - Definitions › Section 1-6 - "Formal organized program of study and clinical experience or the equivalent as determined by the board" defined

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC
				  25-23-1-1
Sec. 6.
"Formal organized program of study and clinical experience
				  or the equivalent as determined by the board" means:
(1) a program offered by a college or
				university accredited by the Commission on Recognition of Postsecondary
				Accreditation that includes:
(A) instruction
				in the biological, behavioral, medical, and nursing sciences relevant to
				practice as an advanced practice nurse in a specified category;
(B) instruction in the legal, ethical, and
				professional responsibilities of advanced practice nursing; and
(C) supervised clinical practice of those
				skills used by the advanced practice nurse in a specialty role; or
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 4 - ADVANCED PRACTICE NURSING AND PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSING › Rule 2 - Competent Practice of Nurse Practitioners › Section 2-1 - Competent practice of nurse practitioners

Current through July 10, 2024
Authority: IC 25-23-1-7
Affected: IC 25-23-1-19.4
Sec. 1.
A nurse practitioner shall perform as an independent and
				  interdependent member of the health team as defined in
				  848 IAC
				  2-1-3. The following are standards for each nurse
				  practitioner:
(1) Assess clients by
				using advanced knowledge and skills to:
(A)
				identify abnormal conditions;
(B)
				diagnose health problems;
(C)
				develop and implement nursing treatment plans;
(D) evaluate patient outcomes; and
(E) collaborate with or refer to a
				practitioner, as defined in IC
				25-23-1-19.4,
				in managing the plan of care.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 4 - ADVANCED PRACTICE NURSING AND PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSING › Rule 3 - Competent Practice of Clinical Nurse Specialists › Section 3-1 - Competent practice of clinical nurse specialists

Current through July 10, 2024
Authority: IC 25-23-1-7
Affected: IC 16-21; IC 25-23-1-1; IC 25-23-1-33
Sec. 1.
A clinical nurse specialist shall perform as an independent
				  and interdependent member of the health care team as defined in
				  848 IAC
				  2-1-3. The following are standards for each clinical
				  nurse specialist:
(1) Assess clients
				by using advanced knowledge and skills to:
(A)
				identify abnormal conditions;
(B)
				diagnose health problems;
(C)
				develop and implement nursing treatment plans; and
(D) evaluate patient outcomes.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 5 - PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSING › Rule 1 - Prescriptive Authority › Section 1-3 - Renewal of authority to prescribe legend drugs

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC
				  25-23-1
Sec. 3.
(a)
				Prescriptive authority for the advanced practice nurse expires on October 31 in
				each odd-numbered year. Failure to renew the prescriptive authority on or
				before the expiration date will automatically render the authority invalid
				without any action by the board.
(b) A notice of expiration and instructions
				for renewal of the authority to prescribe legend drugs will be mailed in
				odd-numbered years with the renewal for registered nurse licensure.
(c) Applicants for renewal of the
				prescriptive authority shall pay a renewal fee in addition to the fee for
				renewal of the registered nurse license.
(d) The notice of expiration for renewal of
				the prescriptive authority shall be mailed to the last known address of the
				licensee. Failure to receive the application for renewal shall not relieve the
				licensee of the responsibility for renewing the registered nurse license and
				the authorization to prescribe by the renewal date.
(e) Applicants for renewal of prescriptive
				authority shall submit the following to the board along with the renewal form
				and fee:
(1) Proof of at least thirty (30)
				actual contact hours of continuing education during the two (2) years
				immediately preceding renewal, including at least eight (8) actual contact
				hours of pharmacology, approved by a nationally approved sponsor of continuing
				education for nurses.
(2) A current
				signed and dated written collaborative practice agreement that contains all of
				the information required under section 1 of this rule.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 5 - PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSING › Rule 2 - Limitations of Rules › Section 2-1 - Limitations of rules

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC
				  25-23-1
Sec. 1.
No written practice agreement shall be necessary unless the
				  advanced practice nurse seeks prescriptive authority.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 5 - PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSING › Rule 3 - Fees for Prescriptive Authority › Section 3-1 - Fees for prescriptive authority

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC
				  25-23-1
Sec. 1.
(a) The
				application fee for an advanced practice nurse to receive prescriptive
				authority shall be fifty dollars ($50). (b) The fee for renewal of advanced
				practice nurse prescriptive authority shall be ten dollars ($10).
(c) The penalty fee for late renewals is as
				established by the health professions bureau.
(d) The fee for a duplicate wall certificate
				for advanced practice nurse prescriptive authority shall be ten dollars
				($10).
(e) The fee for written
				verification of advanced practice nurse prescriptive authority shall be ten
				dollars ($10).
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 5 - PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSING › Rule 4 - Opioid Prescribing Requirements › Section 4-1 - Scope

Current through July 10, 2024
Authority: IC
				  25-22.5-13-3; IC
				  25-23-1-7
Affected: IC
				  25-1-9; IC 25-23
Sec. 1.
This rule establishes standards and protocols for advanced
				  practice nurses with prescriptive authority in the prescribing of opioid
				  controlled substances for pain management treatment.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 5 - PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSING › Rule 4 - Opioid Prescribing Requirements › Section 4-2 - Definitions

Current through July 10, 2024
Authority: IC
				  25-22.5-13-3; IC
				  25-23-1-7
Affected: IC
				  25-1-9; IC 25-23; IC
				  35-48-1-9
Sec. 2.
(a) The
				definitions in this section apply throughout this rule.
(b) "Abuse deterrent formulation" means an
				opioid formulation that has properties shown to meaningfully deter the
				intentional, nontherapeutic use, even once, to achieve a desirable
				psychological or physiological effect, even if such formulation does not fully
				prevent such intentional, nontherapeutic uses.
(c) "Chronic pain" means a state in which
				pain persists beyond the usual course of an acute disease or healing of an
				injury, or that may or may not be associated with an acute or chronic
				pathologic process that causes continuous or intermittent pain over months or
				years.
(d) "Controlled substances"
				has the meaning set forth in IC
				35-48-1-9.
(e) "Morphine equivalent dose" means a
				conversion of various opioids to a standardized dose of morphine by the use of
				accepted conversion tables.
(f)
				"Opioid" means any of various narcotics containing opium or one (1) or more of
				its natural or synthetic derivatives. However, if such a narcotic is not a
				controlled substance, it shall not be an opioid for the purposes of this
				rule.
(g) "Outset of an opioid
				treatment plan" means that a patient has been prescribed opioids as described
				in section 3(c) of this rule, and, therefore, the provisions stated in section
				3(a) of this rule become applicable to that patient.
(h) "Terminal" means a condition caused by
				injury, disease, or illness from which, to a reasonable degree of medical
				certainty:
(1) there can be no recovery;
				and
(2) progression to death can be
				anticipated as an eventual consequence of that condition.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 5 - PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSING › Rule 4 - Opioid Prescribing Requirements › Section 4-3 - Triggers for imposition of requirements; exemptions

Current through July 10, 2024
Authority: IC
				  25-22.5-13-3; IC 25-23
Affected: IC 16-21; IC 16-25; IC 16-28; IC
				  25-1-9; IC 25-23
Sec. 3.
(a) This
				section and sections 4 through 9 of this rule establish requirements concerning
				the use of opioids for chronic pain management for patients.
(b) Notwithstanding subsection (a), this
				section and sections 4 through 9 of this rule shall not apply to the use of
				opioids for chronic pain management for the following:
(1) Patients with a terminal
				condition.
(2) Residents of a
				health facility licensed under IC 16-28.
(3) Patients enrolled in a hospice program
				licensed under IC 16-25.
(4)
				Patients enrolled in an inpatient or outpatient palliative care program of a
				hospital licensed under IC 16-21 or a hospice licensed under IC 16-25.
However, a period of time that a patient who was, but is no
				  longer, a resident or patient as described in subdivisions (2) through (4)
				  shall be included in the calculations under subsection (c).
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 5 - PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSING › Rule 4 - Opioid Prescribing Requirements › Section 4-4 - Evaluation and risk stratification by advanced practice nurses with prescriptive authority

Current through July 10, 2024
Authority: IC
				  25-22.5-13-3; IC
				  25-23-1-7
Affected: IC
				  25-1-9; IC 25-23
Sec. 4.
(a) The
				advanced practice nurse with prescriptive authority shall do his or her own
				evaluation and risk stratification of the patient by doing the following in the
				initial evaluation of the patient:
(1)
				Performing an appropriately focused history and physical exam and obtain or
				order appropriate tests, as indicated.
(2) Making a diligent effort to obtain and
				review records from previous health care providers to supplement the advanced
				practice nurse with prescriptive authority's understanding of the patient's
				chronic pain problem, including past treatments, and documenting this
				effort.
(3) Asking the patient to
				complete an objective pain assessment tool to document and better understand
				the patient's specific pain concerns.
(4) Assessing both the patient's mental
				health status and risk for substance abuse using available validated screening
				tools.
(5) After completing the
				initial evaluation, establishing a working diagnosis and tailoring a treatment
				plan to meaningful and functional goals, with the patient reviewing them from
				time to time.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 5 - PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSING › Rule 4 - Opioid Prescribing Requirements › Section 4-6 - Patient visits to advanced practice nurse with prescriptive authority

Current through July 10, 2024
Authority: IC
				  25-22.5-13-3; IC
				  25-23-1-7
Affected: IC
				  25-1-9; IC 25-23
Sec. 6.
(a) Advanced
				practice nurses with prescriptive authority shall not prescribe opioids for
				patients without periodic scheduled visits. Visits for patients with a stable
				medication regimen and treatment plan shall occur face-to-face at least once
				every four (4) months. More frequent visits may be appropriate for patients
				working with the advanced practice nurse with prescriptive authority to achieve
				optimal management. For patients requiring changes to the medication and
				treatment plan, if changes are prescribed by the advanced practice nurse with
				prescriptive authority, the visits required by this subsection shall be
				scheduled at least once every two (2) months until the medication and treatment
				has been stabilized.
(b) During the
				visits required by subsection (a), the advanced practice nurse with
				prescriptive authority shall evaluate patient progress and compliance with the
				patient's treatment plan regularly and set clear expectations along the way,
				such as attending physical therapy, counseling, or other treatment options.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 5 - PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSING › Rule 4 - Opioid Prescribing Requirements › Section 4-7 - INSPECT report

Current through July 10, 2024
Authority: IC
				  25-22.5-13-3; IC
				  25-23-1-7
Affected: IC
				  25-1-9; IC 25-23; IC
				  25-26-24-19
Sec. 7.
At the outset of an opioid treatment plan, and at least
				  annually thereafter, an advanced practice nurse with prescriptive authority
				  prescribing opioids for a patient shall run an INSPECT report on that patient
				  under IC 35-48-7-11.1(d)(4)
[IC
				  35-48-7 was repealed by
				  P.L.
				  51-2019,
				  SECTION
				  21, effective April 18, 2019. See IC
				  25-26-24-19.]
and
				  document in the patient's chart whether the INSPECT report is consistent with
				  the advanced practice nurse with prescriptive authority's knowledge of the
				  patient's controlled substance use history.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 5 - PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSING › Rule 4 - Opioid Prescribing Requirements › Section 4-9 - Morphine equivalent doses above 60; revising of assessments and treatment plans

Current through July 10, 2024
Authority: IC
				  25-22.5-13-3; IC
				  25-23-1-7
Affected: IC
				  25-1-9; IC 25-23
Sec. 9.
When a patient's opioid dose reaches a morphine equivalent
				  dose of more than sixty (60) milligrams per day, a face-to-face review of the
				  treatment plan and patient evaluation must be scheduled, including
				  consideration of referral to a specialist. If the advanced practice nurse with
				  prescriptive authority elects to continue providing opioid therapy at a
				  morphine equivalent dose of more than sixty (60) milligrams per day, the
				  advanced practice nurse with prescriptive authority must develop a revised
				  assessment and treatment plan for ongoing treatment. The revised assessment and
				  treatment plan must be documented in the patient's chart, including an
				  assessment of increased risk for adverse outcomes, including death, if the
				  advanced practice nurse with prescriptive authority elects to provide ongoing
				  opioid treatment.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 7 - INDIANA STATE NURSES ASSISTANCE PROGRAM › Rule 1 - General Provisions › Section 1-1 - Definitions

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC
				  25-23-1-1.1; IC
				  25-23-1-1.2; IC
				  25-23-1-31
Sec. 1.
The following definitions apply throughout this
				  article:
(1) "Board" means the Indiana
				state board of nursing.
(2)
				"Indiana State Nurses Assistance Program" or "ISNAP" means a program for the
				rehabilitation and monitoring of:
(A) impaired
				registered nurses; or
(B) licensed
				practical nurses; that have been affected by the personal use or abuse of
				alcohol or other drugs.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 7 - INDIANA STATE NURSES ASSISTANCE PROGRAM › Rule 1 - General Provisions › Section 1-2 - Eligibility

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC
				  25-23-1-31
Sec. 2.
(a) A nurse
				who has been affected by the personal use or abuse of alcohol or other drugs is
				eligible for participation in ISNAP if the nurse:
(1) is licensed by the board;
(2) has:
(A) applied for:
(i) licensure by examination;
(ii) licensure by endorsement; or
(iii) reinstatement of a lapsed license;
				or
(B) submitted a
				renewal application.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 7 - INDIANA STATE NURSES ASSISTANCE PROGRAM › Rule 1 - General Provisions › Section 1-3 - Recovery monitoring agreement requirements for participants

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC
				  25-23-1-31
Sec. 3.
(a) A nurse
				participating in ISNAP must execute and abide by the terms of an RMA. The RMA
				shall identify the requirements and responsibilities of the parties to the
				agreement.
(b) The RMA shall
				include, but is not limited to, the following:
(1) The length of time the nurse shall
				participate in ISNAP.
(2) The
				treatment plan to be followed by the nurse.
(3) The consequences of failure to comply
				with the treatment plan or other terms of the RMA.
(4) The restrictions placed on the nurse's
				activities regarding the practice of nursing and the duration of such
				restrictions.
(5) The requirements
				for monitoring and supervision that must be met by the nurse.
(6) A statement that will allow the IPLA and
				the board to do the following:
(A) Review the
				nurse's file for compliance with the RMA.
(B) Audit the services provided by
				ISNAP.
(7) The releases
				for seeking information or records related to the nurse's impairment from the
				following:
(A) Family.
(B) Peers.
(C) Medical personnel.
(D) Employers.
(E) Treatment providers.
(8) A statement that costs accruing to the
				nurse, including, but not limited to, treatment and body fluid screens, shall:
(A) be the responsibility of the nurse;
				and
(B) not be the responsibility
				of ISNAP.
(9) The fee to
				be assessed to the nurse for participation in the program, including the
				following:
(A) The fee assessed for all
				participants, if any.
(B) An
				additional fee that may be assessed if the nurse is terminated or otherwise
				released from the program and then readmitted.
(C) An additional fee that may be assessed if
				the length of the nurse's RMA is extended.
(10) Any other information related to the
				rehabilitation and monitoring of the nurse.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 7 - INDIANA STATE NURSES ASSISTANCE PROGRAM › Rule 1 - General Provisions › Section 1-4 - Recovery monitoring agreement requirements; length of agreement

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC
				  25-23-1-31
Sec. 4.
(a) The RMA
				will last a minimum of three (3) years, except as provided in subsections (b)
				and (c). The requirements for monitoring will be:
(1) more stringent in the first two (2)
				years; and
(2) eased in the third
				year if the nurse's recovery is progressing well.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 7 - INDIANA STATE NURSES ASSISTANCE PROGRAM › Rule 1 - General Provisions › Section 1-5 - Recovery monitoring agreement requirements; voluntary and involuntary referrals

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC
				  25-23-1-31
Sec. 5.
(a) An
				impaired nurse may enter the rehabilitation and monitoring program either by
				voluntary referral or by involuntary referral.
(b) If the nurse contacts ISNAP voluntarily:
(1) the rehabilitation monitoring program
				shall be explained by ISNAP; and
(2) an appointment shall be scheduled for an
				initial screening.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 7 - INDIANA STATE NURSES ASSISTANCE PROGRAM › Rule 1 - General Provisions › Section 1-6 - Recovery monitoring agreement requirements; additional program requirements

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC 16-39; IC
				  25-23-1-31
Sec. 6.
(a) ISNAP
				shall monitor each nurse's participation in the rehabilitation monitoring
				program for compliance with the program.
(b) The treatment plan referenced in the RMA
				must be evidence based.
(c)
				Monitoring shall include the following, as each applies to the individual
				nurse's treatment plan:
(1) Treatment and
				therapy:
(A) recommendations; and
(B) participation; including aftercare.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 7 - INDIANA STATE NURSES ASSISTANCE PROGRAM › Rule 1 - General Provisions › Section 1-7 - Violations

Current through July 10, 2024
Authority: IC
				  25-23-1-7
Affected: IC 25-1-9; IC
				  25-23-1-31
Sec. 7.
A nurse's failure to:
(1) comply with the program requirements that
				result in the termination of that nurse's participation in ISNAP; or
(2) sign an RMA; will subject the nurse to
				discipline under IC 25-1-9.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 8 - CONVICTIONS OF CONCERN › Rule 1 - Convictions of Concern › Section 1-1 - Scope

Current through July 10, 2024
Authority: IC 25-1-1.1-6; IC 25-20.2-3-8
Affected: IC 25-1-1.1-6; IC 25-23; IC 25-42
Sec. 1.
This rule implements IC 25-1-1.1-6 regarding convictions of
				  concern, which may disqualify an individual for licensure by the Indiana state
				  board of nursing, and includes in section 4 of this rule an explicit list of
				  crimes that may disqualify an individual from receiving a license.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 8 - CONVICTIONS OF CONCERN › Rule 1 - Convictions of Concern › Section 1-2 - Issuance of license

Current through July 10, 2024
Authority: IC 25-1-1.1-6; IC 25-20.2-3-8
Affected: IC 25-1-1.1-6; IC 25-23; IC 25-42
Sec. 2.
An applicant for licensure who has a conviction of concern
				  may still be granted a license based on the criteria stated in IC
				  25-1-1.1-6(h).
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 8 - CONVICTIONS OF CONCERN › Rule 1 - Convictions of Concern › Section 1-3 - Authority to issue license on probation

Current through July 10, 2024
Authority: IC 25-1-1.1-6; IC 25-20.2-3-8
Affected: IC 25-1-1.1-6; IC 25-1-9-16; IC 25-23; IC
				  25-42
Sec. 3.
This rule and IC 25-1-1.1-6 do not limit the authority of the
				  Indiana state board of nursing to issue a license on probation if appropriate
				  under IC 25-1-9-16 or any other applicable statute.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 8 - CONVICTIONS OF CONCERN › Rule 1 - Convictions of Concern › Section 1-4 - Convictions of concern

Current through July 10, 2024
Authority: IC 25-1-1.1-6; IC 25-20.2-3-8
Affected: IC 6-3-6-11; IC 7.1-5-7-8; IC 9-26-1-1.1; IC
				  9-30-5-4; IC 9-30-5-5; IC 11-8-8-17; IC 11-8-8-18; IC 12-24-17-3; IC
				  12-24-17-7; IC 16-36-5-27; IC 16-36-5-28; IC 16-42-19; IC 25; IC 31-33-22; IC
				  31-34-2.3-7; IC 31-34-2.3-8; IC 35
Sec. 4.
The following are convictions of concern:
(1) Crimes involving sexual acts that can be
				considered without respect to age of conviction as follows:
(A) Child molesting (IC 35-42-4-3).
(B) Child seduction (IC 35-42-4-7).
(C) Criminal deviate conduct (IC 35-42-4-2)
				(before its repeal).
(D) Incest (IC
				35-46-1-3).
(E) Making an unlawful
				proposition (IC 35-45-4-3).
(F)
				Prostitution (IC 35-45-4-2).
(G)
				Rape (IC 35-42-4-1).
(H) Sexual
				misconduct with a minor (IC 35-42-4-9(a)).
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 8 - CONVICTIONS OF CONCERN › Rule 1 - Convictions of Concern › Section 1-5 - Convictions in another jurisdiction

Current through July 10, 2024
Authority: IC 25-1-1.1-6; IC 25-20.2-3-8
Affected: IC 25-23; IC 25-42
Sec. 5.
A crime in any other jurisdiction for which the elements of
				  the crime for which conviction was entered are substantially similar to the
				  elements of a crime included on the list in section 4 of this rule shall also
				  be a crime that may disqualify an individual from receiving a license and
				  therefore included on the list.
Indiana Administrative Code › Title 848 - INDIANA STATE BOARD OF NURSING › Article 8 - CONVICTIONS OF CONCERN › Rule 1 - Convictions of Concern › Section 1-6 - Prelicensure determinations; fee

Current through July 10, 2024
Authority: IC 25-1-1.1-6
Affected: IC 25-1-1.1-6; IC 25-23; IC 25-42
Sec. 6.
The fee for a petition under IC 25-1-1.1-6(g) for a
				  determination as to whether an individual's misdemeanor or felony conviction
				  may disqualify the individual from receiving a license or certification is
				  twenty-five dollars ($25).
Indiana Administrative Code › Title 852 - INDIANA OPTOMETRY BOARD › Article 1 - GENERAL PROVISIONS › Rule 1.1 - Qualifications of Applicants for an Optometry License and Certificate for an Indiana Optometric Legend Drug Certificate › Section 1.1-2.5 - Applicability

Current through July 10, 2024
Authority: IC
				  25-24-1-1; IC
				  25-24-3-10
Affected: IC
				  25-24-1-3; IC
				  25-24-3
Sec. 2.5.
This rule establishes the requirements concerning the
				  applications and fees for issuance or renewal of the following:
(1) Licenses for optometrists.
(2) Certificates for optometrists to
				administer, dispense, and prescribe legend drugs as provided for under IC
				25-24-3.
Indiana Administrative Code › Title 852 - INDIANA OPTOMETRY BOARD › Article 1 - GENERAL PROVISIONS › Rule 1.1 - Qualifications of Applicants for an Optometry License and Certificate for an Indiana Optometric Legend Drug Certificate › Section 1.1-3 - Application form

Current through July 10, 2024
Authority: IC
				  25-24-1-1
Affected: IC
				  25-24-1-3
Sec. 3.
The application shall be completed on a form furnished by
				  the board and filed with the board.
Indiana Administrative Code › Title 852 - INDIANA OPTOMETRY BOARD › Article 1 - GENERAL PROVISIONS › Rule 1.1 - Qualifications of Applicants for an Optometry License and Certificate for an Indiana Optometric Legend Drug Certificate › Section 1.1-4 - Applicant fees, transcripts, examination scores, and photographs for an optometry license

Current through July 10, 2024
Authority: IC 25-24-1-1
Affected: IC 25-24-1-3
Sec. 4.
(a) Each
				applicant for an optometry license shall submit the following:
(1) The application fee required by
				852 IAC 1-10-1.
(2) Official transcripts, certified by the
				school, recording courses, grades, certificates, and degrees earned in an
				accredited optometry school.
(3)
				The official score report from the National Board of Examiners in Optometry
				with passing scores in all parts, including the treatment and management of
				ocular disease examination.
(4) One
				(1) passport-quality photograph taken not earlier than one (1) year prior to
				the date of application, dated and signed on the back in the applicant's
				handwriting, "I certify that this is a true photograph of me.".
(5) Proof of current certification in basic
				life support (BLS) or cardiopulmonary resuscitation (CPR) given by the American
				Heart Association, American Red Cross, or a provider approved by the
				board.
Indiana Administrative Code › Title 852 - INDIANA OPTOMETRY BOARD › Article 1 - GENERAL PROVISIONS › Rule 1.1 - Qualifications of Applicants for an Optometry License and Certificate for an Indiana Optometric Legend Drug Certificate › Section 1.1-5 - Information not received; effect

Current through July 10, 2024
Authority: IC
				  25-24-1-1
Affected: IC
				  25-24-1-3
Sec. 5.
(a) An
				application for an optometry license may be denied or deferred if any of the
				required information has not been received.
(b) An applicant who applies for licensure
				under IC 25-24-1-3 bears the burden of
				proving that the requirements of the state in which the applicant currently is
				licensed are equivalent to those requirements set forth in section 4 of this
				rule. The applicant shall submit documentation required by section 4 of this
				rule, as well as any other documentation required by the board, to make a
				determination as to whether the requirements of the other state are equivalent
				to those set forth in section 4 of this rule.
(c) If an applicant holds a current
				certificate issued by the Association of Regulatory Boards (ARBO), Council on
				Endorsed Licensure Mobility for Optometrists (CELMO), applicants will not be
				required to submit proof of education. The applicant will be required to submit
				verification of the certificate from ARBO.
(d) An application is abandoned without an
				action of the board, if the applicant does not complete the application within
				one (1) year after the date on which the application was filed. However, the
				board may, for good cause shown, extend the validity of the application for
				additional thirty (30) day periods. An application submitted after the
				abandonment of an application is considered a new application.
Indiana Administrative Code › Title 852 - INDIANA OPTOMETRY BOARD › Article 1 - GENERAL PROVISIONS › Rule 2.1 - Reciprocity › Section 2.1-2 - Application file; contents

Current through July 10, 2024
Authority: IC 25-24-1-1
Affected: IC 25-24-1-3
Sec. 2.
An applicant for an optometry license by endorsement shall
				  submit the following:
(1) The
				application fee required by
				852 IAC
				1-10-1(a)(1).
(2) Official transcripts, certified by the
				school, recording courses, grades, certificates, and degrees earned in an
				optometry school accredited by the Accreditation Council on Optometric
				Education.
(3) The official score
				report from the National Board of Examiners in Optometry with passing scores in
				all parts, including the treatment and management of ocular disease
				examination.
(4) One (1)
				passport-quality photograph taken not earlier than one (1) year prior to the
				date of application, dated and signed on the back in the applicant's
				handwriting, "I certify that this is a true photograph of me.".
(5) A statement from the appropriate agency
				in each state where the applicant has been licensed, certifying whether or not
				disciplinary proceedings have ever been initiated or are presently pending
				against the applicant.
(6) A
				statement from the appropriate agency in each state where the applicant has
				been licensed by examination, holds an active license, and from which the
				applicant is endorsing, certifying areas of examination, type of examination,
				pass-fail criteria, and the applicant's score in each area of
				examination.
(7) Proof of current
				certification in basic life support (BLS) or cardiopulmonary resuscitation
				(CPR) given by the American Heart Association, American Red Cross, or a
				provider approved by the board.
Indiana Administrative Code › Title 852 - INDIANA OPTOMETRY BOARD › Article 1 - GENERAL PROVISIONS › Rule 2.1 - Reciprocity › Section 2.1-4 - Jurisprudence examination

Current through July 10, 2024
Authority: IC
				  25-24-1-1
Affected: IC
				  25-24-1-3
Sec. 4.
An applicant for an optometry license by examination or
				  endorsement must pass an examination covering Indiana law relating to the
				  practice of optometry. A score of seventy-five (75) or above is
				  passing.
Indiana Administrative Code › Title 852 - INDIANA OPTOMETRY BOARD › Article 1 - GENERAL PROVISIONS › Rule 2.1 - Reciprocity › Section 2.1-6 - Requirements for an Indiana optometric legend drug certificate

Current through July 10, 2024
Authority: IC 25-24-3-10
Affected: IC 25-24-3
Sec. 6.
To obtain an Indiana optometric legend drug certificate, an
				  optometrist shall submit the following:
(1) Submit the application fee required by
				852 IAC
				1-10-1(a)(8).
(2) Complete an Indiana optometric legend
				drug certificate application.
(3)
				Provide a score report certifying successful completion of the Treatment and
				Management of Ocular Disease (TMOD) examination administered by the National
				Board of Examiners in Optometry (NBEO).
Indiana Administrative Code › Title 852 - INDIANA OPTOMETRY BOARD › Article 1 - GENERAL PROVISIONS › Rule 3 - Rules of Practice › Section 3-1 - Optometric procedures; patient records

Current through July 10, 2024
Authority: IC
				  25-24-1-1
Affected: IC
				  25-24-1-15.1
Sec. 1.
(a) An
				optometrist will utilize the usual and normal clinical optometric procedures
				taught in the accredited schools and colleges of optometry approved by the
				board and the clinical optometric procedures in which he or she demonstrated
				proficiency and mastery in order to obtain a certificate and license to
				practice optometry in the state of Indiana.
(b) An optometrist will maintain adequate and
				detailed patient records to describe and document his or her procedures,
				observations, and the disposition of the case.
Indiana Administrative Code › Title 852 - INDIANA OPTOMETRY BOARD › Article 1 - GENERAL PROVISIONS › Rule 5.1 - Duty Concerning Prescriptions in Optometric Practice › Section 5.1-1 - General responsibilities

Current through July 10, 2024
Authority: IC
				  25-24-1-1
Affected: IC
				  16-39-1-1; IC 25-24-1-1; IC
				  25-24-1-4
Sec. 1.
(a) In the
				practice of optometry as defined by IC 25-24-1-4, an optometrist has a
				responsibility to do the following:
(1)
				Properly examine the patient to determine the patient's ophthalmic
				needs.
(2) Prepare a proper
				prescription when indicated to adequately fulfill the patient's
				needs.
(3) Determine the expiration
				of the prescription. The date of expiration of the prescription for a contact
				lens prescription shall not exceed one (1) year from the date of issuance by
				the prescribing optometrist.
(4)
				Verify the optical materials resulting from the prescription in order to
				determine whether or not the optical materials meet the needs of the
				patient.
(5) Verify that any
				optical materials that have been dispensed as a result of the prescription meet
				the needs of the patient.
Indiana Administrative Code › Title 852 - INDIANA OPTOMETRY BOARD › Article 1 - GENERAL PROVISIONS › Rule 6 - Professional Identification › Section 6-1 - Misleading identification as to license status

Current through July 10, 2024
Authority: IC
				  25-24-1-1
Affected: IC
				  25-24-1-15.1
Sec. 1.
With the exception of a not for profit corporation approved
				  by the Board and/or optometric clinic operated in conjunction with and by an
				  accredited optometry school approved by the Board, no optometrist shall
				  practice in any office, location or place of practice where any name, names or
				  professional identification on or about the door, window, wall, directory, or
				  any sign or listing whatsoever, or in any manner used in connection therewith,
				  shall indicate or tend to indicate by location or otherwise or give the
				  impression to the public that an optometrist is directly or indirectly employed
				  by or connected with or indicates that such office, location, or place of
				  practice is owned, operated, supervised, staffed, directed or attended by any
				  firm, person or corporation not certified and licensed to practice optometry in
				  the State of Indiana.
Indiana Administrative Code › Title 852 - INDIANA OPTOMETRY BOARD › Article 1 - GENERAL PROVISIONS › Rule 8 - Board Examination › Section 8-1 - Definitions

Current through July 10, 2024
Authority: IC
				  25-24-1-1
Affected: IC
				  25-24-1-3
Sec. 1.
(a) The
				definitions in this section apply throughout this title.
(b) "Agency" means the Indiana professional
				licensing agency.
(c) "Board" means
				the Indiana optometry board.
(d)
				"COPE" means the Council on Optometric Practitioner Education.
(e) "Examination" means the examination for
				licensure required by the board.
Indiana Administrative Code › Title 852 - INDIANA OPTOMETRY BOARD › Article 1 - GENERAL PROVISIONS › Rule 10 - Fees and Renewal Requirements › Section 10-1 - Fees

Current through July 10, 2024
Authority: IC
				  25-24-1-1
Affected: IC
				  25-24-1-3; IC
				  25-24-2-3
Sec. 1.
(a) The
				board shall charge the following fees related to the practice of optometry:
(1) Application for licensure: $200
(2) License renewal: $100
				biennially
(3) Inactive license
				renewal: $50 biennially
(4)
				University support fee: $34 biennially
(5) Verification of licensure: $10
(6) Reinstatement of inactive license:
				$50
(7) Application for an
				optometric legend drug certificate: $20
(8) Optometric legend drug certificate
				renewal: $20
Indiana Administrative Code › Title 852 - INDIANA OPTOMETRY BOARD › Article 1 - GENERAL PROVISIONS › Rule 10 - Fees and Renewal Requirements › Section 10-2 - Fees for university support

Current through July 10, 2024
Authority: IC
				  25-24-1-1
Affected: IC
				  25-24-1-3; IC
				  25-24-2-3
Sec. 2.
The university support fee in section 1 of this rule shall
				  be submitted by the agency to the Indiana University School of Optometry as
				  provided by IC
				  25-24-2-3.