summary
Introduced
01/29/2025
01/29/2025
In Committee
03/21/2025
03/21/2025
Crossed Over
Passed
Dead
Introduced Session
104th General Assembly
Bill Summary
Amends the Nurse Practice Act. Provides that registered professional nursing practice is a scientific process founded on a professional body of knowledge. It is a learned profession based on the understanding of the human condition across the life span and environment, includes all nursing specialties, and means the performance of any nursing act based upon professional knowledge, judgment, and skills acquired by means of completion of an approved professional nursing education program. Provides that registered professional nurses may delegate nursing interventions and tasks (rather than nursing interventions) to other registered professional nurses and licensed practical nurses based on a comprehensive nursing assessment. Provides that registered professional nurses may delegate tasks to unlicensed personnel based on a comprehensive nursing assessment. Provides that a registered professional nurse is prohibited from delegating work requiring nursing knowledge, assessment, judgment, inference, decision making (including medication administration), the development of a plan of care, and the evaluation of a plan of care to unlicensed non-nurse personnel. Removes provisions concerning delegation of nursing interventions and administration of medications in community-based or in-home care settings. Makes other changes. Effective August 1, 2025.
AI Summary
This bill amends the Nurse Practice Act to clarify and expand the definition and practice scope of registered professional nurses. The bill redefines registered professional nursing practice as a scientific, learned profession based on understanding human conditions across the life span, and explicitly outlines the comprehensive range of nursing activities. It provides more detailed guidance on nursing delegation, allowing registered professional nurses to delegate nursing interventions and tasks to other registered nurses, licensed practical nurses, and unlicensed personnel, but with important restrictions. Specifically, nurses cannot be forced to delegate tasks they deem unsafe, and they are prohibited from delegating work that requires nursing knowledge, assessment, judgment, decision-making, care plan development, and medication administration to unlicensed personnel. The bill also removes previous provisions about medication delegation in community-based or in-home care settings and adds more specific criteria for assessing whether a nursing intervention or task can be delegated, including patient stability, potential for harm, complexity of the task, predictability of outcomes, and the competency of the individual receiving the delegation. These changes aim to enhance patient safety, clarify nurses' professional responsibilities, and provide more structured guidance for nursing practice and delegation. The bill is set to become effective on August 1, 2025.
Committee Categories
Health and Social Services
Sponsors (1)
Last Action
Rule 19(a) / Re-referred to Rules Committee (on 03/21/2025)
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.ilga.gov/legislation/BillStatus.asp?DocNum=1887&GAID=18&DocTypeID=HB&SessionID=114&GA=104 |
| BillText | https://www.ilga.gov/legislation/104/HB/10400HB1887.htm |
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