SENATE AMENDMENT
    Bill No. CS for CS for SB 2170
    Amendment No. ___   Barcode 300276
                            CHAMBER ACTION
              Senate                               House
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       04/23/2004 04:36 PM         .                    
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11  Senator Saunders moved the following amendment:
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13         Senate Amendment (with title amendment) 
14         On page 134, between lines 17 and 18,
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16  insert:  
17         Section 101.  Paragraph (c) of subsection (10) and
18  paragraph (a) of subsection (17) of section 400.506, Florida
19  Statutes, are amended to read:
20         400.506  Licensure of nurse registries; requirements;
21  penalties.--
22         (10)
23         (c)  A nurse registry shall, at the time of contracting
24  for services through the nurse registry, advise the patient,
25  the patient's family, or a person acting on behalf of the
26  patient of the availability of registered nurses to make
27  visits to the patient's home at an additional cost. A
28  registered nurse shall make monthly visits to the patient's
29  home to assess the patient's condition and quality of care
30  being provided by the certified nursing assistant or home
31  health aide.  Any condition that which in the professional
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    9:00 AM   04/23/04                              s2170c2c-37c2r

SENATE AMENDMENT Bill No. CS for CS for SB 2170 Amendment No. ___ Barcode 300276 1 judgment of the nurse requires further medical attention shall 2 be reported to the attending physician and the nurse registry. 3 The assessment shall become a part of the patient's file with 4 the nurse registry and may be reviewed by the agency during 5 their survey procedure. 6 (17) All persons referred for contract in private 7 residences by a nurse registry must comply with the following 8 requirements for a plan of treatment: 9 (a) When, in accordance with the privileges and 10 restrictions imposed upon a nurse under part I of chapter 464, 11 the delivery of care to a patient is under the direction or 12 supervision of a physician or when a physician is responsible 13 for the medical care of the patient, a medical plan of 14 treatment must be established for each patient receiving care 15 or treatment provided by a licensed nurse in the home. The 16 original medical plan of treatment must be timely signed by 17 the physician, physician's assistant, or advanced registered 18 nurse practitioner, acting within his or her respective scope 19 of practice, and reviewed by him or her in consultation with 20 the licensed nurse at least every 2 months. Any additional 21 order or change in orders must be obtained from the physician, 22 physician's assistant, or advanced registered nurse 23 practitioner and reduced to writing and timely signed by the 24 physician, physician's assistant, or advanced registered nurse 25 practitioner. The delivery of care under a medical plan of 26 treatment must be substantiated by the appropriate nursing 27 notes or documentation made by the nurse in compliance with 28 nursing practices established under part I of chapter 464. 29 30 (Redesignate subsequent sections.) 31 2 9:00 AM 04/23/04 s2170c2c-37c2r
SENATE AMENDMENT Bill No. CS for CS for SB 2170 Amendment No. ___ Barcode 300276 1 ================ T I T L E A M E N D M E N T =============== 2 And the title is amended as follows: 3 On page 10, line 20, following the semicolon 4 5 insert: 6 amending s. 400.506, F.S.; revising duties of 7 nurse registries with respect to advising 8 patients and their families or representatives 9 with respect to home visits; revising 10 requirements for plans of treatment; 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 3 9:00 AM 04/23/04 s2170c2c-37c2r