SECTION 8. Article 1, Chapter 47, Title 40 of the 1976 Code is amended by adding: “Section 4047370. The provisions of this article do not apply to a person employed as an APRN by the United States government where such services are provided solely under the direction and control of the United States government.” SECTION 9. Section 403320 of the 1976 Code is amended to read: “Section 403320. In addition to the definitions provided in Section 40120, for purposes of this chapter: (1) ‘Accreditation’ means official authorization or status granted by an agency other than a state board of nursing. (2) ‘Active license’ means the status of a license that has been renewed for the current period and authorizes the licensee to practice nursing in this State. (3) ‘Additional acts for RNs and LPNs’ means activities performed by a nurse that expand the scope of practice, as established in law. The following must be submitted in writing to the board for approval before a nurse implements additional acts: (a) additional activity being requested; (b) statement with rationale as to how the activity will improve client outcomes; (c) documentation based on the literature review to support the nurse’s performing the additional activity; (d) qualification requirements, including educational background and experience needed; (e) special training required, including theory and clinical practice. A nurse must successfully complete a course of ‘special education and training’ acceptable to the board to perform additional acts; (f) evaluation and followup procedures. Additional acts that constitute delegated medical acts must be agreed to jointly by both the Board of Nursing and the Board of Medical Examiners and must be promulgated by the Board of Nursing in regulation. (4) ‘Additional acts for APRNs means acts performed by an APRN that are beyond the initial APRN (NP, CNS) education preparation, for which training is verified by continuing or formal education, subject to random audit by the Board of Nursing. (5) ‘Administration of medications’ means the acts of preparing and giving drugs in accordance with the orders of a licensed,
(9) ‘Approved written guidelines’ means specific statements developed by a certified registered nurse anesthetist and a supervising licensed physician or dentist or by the medical staff within the facility where practice privileges have been granted. (10) ‘Approved written protocols’ means specific statements developed collaboratively by a physician or the medical staff and a NP, CNM, or CNS that establishes physician delegation for medical aspects of care, including the prescription of medications. (1110) ‘Attendant care services’ means those basic and ancillary services that enable an individual in need of inhome care to live in the individual’s home and community rather than in an institution and to carry out functions of daily living, selfcare, and mobility. (1211) ‘Authorized licensed provider’ means a provider of health care services who is authorized to practice by a licensing board in this State where the scope of practice includes authority to order and prescribe drugs in treating patients. (1312) ‘Basic services’ includes: (a) getting in and out of a bed, wheelchair, motor vehicle, or other device; (b) assistance with routine bodily functions including health maintenance activities, bathing and personal hygiene, dressing and grooming, and feeding, including preparation and cleanup. (1413) ‘Board’ means the State Board of Nursing for South Carolina. (1514) ‘Boardapproved credentialing organization’ means an organization that offers a certification examination in a specialty area of nursing practice, establishes scope and standards of practice statements, and provides a mechanism for evaluating continuing competency in a specialized area of nursing practice which has been approved by the board. (1615) ‘Business days’ means every day except Saturdays, Sundays, and legal holidays. (1716) ‘Cancellation’ means the withdrawal or invalidation of an authorization to practice that was issued to an ineligible person either in error or based upon a false, fraudulent, or deceptive representation in the application process. (1817) ‘Certification’ of a registered nurse means approval by an established body, other than the board, but recognized by the board, that recognizes the unique, minimal requirements of specialized areas of nursing practice. Certification requires completion of a recognized formal program of study and specialty board examination, if the specialty board exists, and certification of competence in nursing practice by the certifying agency.
intends to monitor the practitioner, and prior board approval must be received for this practice; and (4) number of other practitioners the physician supervises. Reference must be given to the number of supervised practitioners, as prescribed by law. When the supervising physician assumes responsibility for more than the number of practitioners prescribed by law, special consideration must be given to the manner in which the physician intends to monitor, and prior board approval must be received for this practice.” SECTION 13. This act takes effect upon approval by the Governor. XX