Ga. Comp. R. & Regs. R. 410-10-.04 - Use of Nurse Protocols Authorized by O.C.G.A Section 43-34-26.1 (Influenza Vaccine Protocol Agreements) by Registered Nurses in Specific Settings
(1) The general
purpose of this rule is to protect and safeguard the public by regulating the
practice of registered nurses ("RNs") who use protocols in specific settings as
authorized by O.C.G.A. §
43-34-26.1.
(2) A registered nurse who uses a nurse
protocol in specific settings as authorized by O.C.G.A. §
43-34-26.1shall:
(a) Hold a current license to practice
as a registered nurse in Georgia;
(b) Adhere to a nurse protocol which is a
written document mutually agreed upon and signed by the nurse and licensed
physician which delegates to the nurse the authority to perform specified
medical acts and provides for immediate consultation with the delegating
physician or a physician designated in the absence of the delegating
physician;
(c) Document preparation
and performance specific to each medical act authorized under O.C.G.A. §
43-34-26.1, including ordering dangerous drugs, medical treatments, or diagnostic studies
and the dispensing of dangerous drugs in accordance with dispensing procedure
and under the authority of a physician's order.
(3) The nurse protocol used by a RN pursuant
to the provisions of O.C.G.A. §
43-34-26.1shall comply with the following criteria:
(a)
Shall bear a current review date, be available upon request; and specify
parameters under which delegated medical acts may be performed;
(b) Shall include a schedule for periodic
review of patient records by the delegating physician;
(c) Shall be reviewed, revised or updated
annually;
(d) Shall include a
provision for immediate consultation with the delegating physician designated
in the absence of the delegating physician;
(e) Shall comply with provisions for ordering
or dispensing drugs under subsection (b) of Code Section
26-4-130 and the rules and regulations established pursuant thereto by the State Board
of Pharmacy and adhere to a written dispensing procedure when dispensing
dangerous drugs as required by O.C.G.A. §
43-34-26.1(a)(5).
(4) A registered nurse may
practice under protocol pursuant to the provisions of O.C.G.A. §
43-34-26.1as an agent or employee of the following:
(a)
The Georgia Department of Public Health;
(b) Any county board of health;
(c) Any organization:
1.Which is exempt from federal taxes pursuant
to Section 501(c) (3) of the Internal Revenue Code as defined in Code Section
48-1-2, other than an organization which is a hospital, preferred provider
organization, health maintenance organization, or similar organization;
or
2.Established under the
authority of or receiving funds pursuant to
42 U.S.C. Section 254 b or 254c of the United States Public
Health Service Act.
3.Which
organization provides that those medical services and dangerous drugs which are
ordered or dispensed by its nurses will be provided at no cost to patient or at
a cost based solely upon the patient's ability to pay.
(d) An outpatient clinic:
1.Which is owned or operated by a licensed
hospital;
2.Which provides such
drugs, treatments, or studies free or at a charge to the patient based solely
upon the patient's ability to pay; provided, however, such charge shall not
exceed the actual cost to the outpatient clinic; and
3.Whose services are primarily provided to
the medically disadvantaged.
Notes
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