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Coding: Words which are struck through are deletions from existing law;
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Regular Session, 2014
SENATE BILL NO. 499
BY SENATOR HEITMEIER
HEALTH SERVICES. Provides for authorized procedures provided by direct service
workers. (gov sig)
AN ACT1
To amend and reenact R.S. 37:1032, relative to authorized procedures of direct service2
workers; to provide for the administration of insulin; to provide for an effective date;3
and to provide for related matters.4
Be it enacted by the Legislature of Louisiana:5
Section 1. R.S. 37:1032 is hereby amended and reenacted to read as follows:6
ยง1032. Authorized procedures7
A. Direct service workers may perform any or all of the following tasks for8
an individual who is in stable condition only when the task may be performed9
according to exact directions and there is no need to alter the standard procedure and10
the results are predictable:11
(1) Administration of oral and topical medication, ointments, suppositories,12
or a pre-measured dosage unit provided by the manufacturer of an oral inhalant13
aerosol as ordered by an authorized prescriber. Any medication administered by a14
direct service worker under this Part shall be in a container which meets acceptable15
pharmaceutical standards and is marked with clear instructions, the prescriber's16
name, the prescription number, if any, and the name of medication, dosage, and17 SB NO. 499
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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
route. Under no condition shall a direct service worker administer medications not1
in compliance with the provisions of this Section.2
(2) Provision of routine hydration, nutrition, or medication by way of an3
established gastro-tube.4
(3) Other non-complex tasks which may be delegated by the registered nurse5
to the direct service worker pursuant to rules promulgated pursuant to this Part.6
B. Direct service workers may administer insulin subcutaneously,7
nasally, or via insulin pump for individuals subject to criteria to be developed,8
and rules and regulations promulgated by the Department of Health and9
Hospitals, in conjunction with the Louisiana State Board of Nursing, consistent10
with this Part.11
Section 2. This Act shall become effective upon signature by the governor or, if not12
signed by the governor, upon expiration of the time for bills to become law without signature13
by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If14
vetoed by the governor and subsequently approved by the legislature, this Act shall become15
effective on the day following such approval.16
The original instrument and the following digest, which constitutes no part
of the legislative instrument, were prepared by Christopher D. Adams.
DIGEST
Heitmeier (SB 499)
Present law provides a direct service worker may perform the following tasks for an
individual:
(1)Administration of oral and topical medication, ointments, suppositories, or a pre-
measured dosage unit provided by the manufacturer of an oral inhalant aerosol as
ordered by an authorized prescriber. Any medication administered by a direct service
worker under present law shall be in a container that meets acceptable
pharmaceutical standards and is marked with clear instructions, the prescriber's
name, the prescription number, if any, and the name of medication, dosage, and
route. Under no condition shall a direct service worker administer medications not
in compliance with the provisions of present law.
(2)Provision of routine hydration, nutrition, or medication by way of an established
gastro-tube.
(3)Other non-complex tasks which may be delegated by the registered nurse to the
direct service worker pursuant to rules promulgated pursuant to present law.
Proposed law provides direct service workers may administer insulin subcutaneously, SB NO. 499
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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
nasally, or via insulin pump for individuals subject to criteria to be developed, and rules and
regulations promulgated by the Department of Health and Hospitals, in conjunction with the
Louisiana State Board of Nursing, consistent with present law.
Effective upon signature of the governor or lapse of time for gubernatorial action.
(Amends R.S. 37:1032)
Summary of Amendments Adopted by Senate
Committee Amendments Proposed by Senate Committee on Health and Welfare to
the original bill
1. Provides for the administering of insulin by direct service workers subject to
the rules and regulations promulgated by the Department of Health and
Hospitals, in conjunction with the Louisiana State Board of Nursing.