94TH GENERAL ASSEMBLY
State of Illinois
2005 and 2006
HB4370


 
Introduced 1/4/2006, by Rep. Rich Brauer - Daniel J. Burke
 
SYNOPSIS AS INTRODUCED:
 		













210 ILCS 5/6.7 new











    Amends the Ambulatory Surgical Treatment Center Act. Provides that a registered nurse may administer conscious sedation  when ordered by a physician licensed to practice medicine in all its branches and when the registered nurse and physician meet specified conditions. Provides a definition of "conscious sedation". Effective immediately.
















LRB094 16485 LJB 51745 b

















 


 


A BILL FOR









 











HB4370

LRB094 16485 LJB 51745 b






1
    AN ACT concerning regulation.

 
2
    Be it enacted by the People of the State of Illinois,
 
3
represented in the General Assembly:

 
4
    Section 5. The Ambulatory Surgical Treatment Center Act is 
5
amended  by adding Section 6.7 as follows:
 
6
    (210 ILCS 5/6.7 new)

7
    Sec. 6.7. Registered nurse administration of conscious 
8
sedation.

9
    (a) Nothing in this Act precludes a registered nurse from 
10
administering medications for the delivery of conscious 
11
sedation ordered by a physician licensed to practice medicine 
12
in all its branches when the ASTC policy allows the registered 
13
nurse to deliver conscious sedation and under the following 
14
conditions:
15
        (1)  The ASTC policy requires the documentation of 
16
    clinical competency in the delivery of conscious sedation 
17
    every 2 years for registered nurses delivering conscious 
18
    sedation.

19
        (2)  The registered nurse is under the direct 
20
    supervision of the operating physician during the delivery 
21
    of conscious sedation and has no other responsibilities 
22
    during the procedure.

23
        (3)  The registered nurse maintains current Advanced 
24
    Cardiac Life Support certification or Pediatric Advanced 
25
    Life Support certification as appropriate to the age of the 
26
    patient.

27
        (4)  The operating physician either (A) possesses 
28
    clinical privileges at the ASTC to administer anesthesia or 
29
    (B) documents clinical competency in the delivery of 
30
    conscious sedation each licensure cycle.

31
        (5) The operating physician remains with the patient 
32
    during the delivery of conscious sedation for diagnosis and 
 


 






HB4370
- 2 -
LRB094 16485 LJB 51745 b




1
    treatment of emergency medical conditions.

2
        (6) The operating physician maintains current Advanced 
3
    Cardiac Life Support certification or Pediatric Advanced 
4
    Life Support Certification as appropriate to the age of the 
5
    patient. The operating physician's clinical competency in 
6
    the delivery of conscious sedation and maintenance of 
7
    current advanced cardiac life support certification as 
8
    appropriate to the age of the patient must be documented in 
9
    the operating physician's ASTC clinical privileges file.

10
    (b) As used in this Section, "conscious sedation" means a  
11
pharmacologically induced state of anxiolysis or analgesia 
12
causing depressed consciousness  that allows the  patient to 
13
maintain protective reflexes and the ability to independently 
14
maintain the airway and respond purposefully to verbal commands 
15
or tactile stimulation while maintaining cardiovascular 
16
function. Drugs typically used for conscious sedation are in 
17
the classes of benzodiazepines and opioids.

 

18
    Section 99. Effective date. This Act takes effect upon 
19
becoming law.