The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Christine Arbo Peck. DIGEST SB 300 Original 2018 Regular Session Hewitt Present law provides for exceptions to the nurse practice act. Proposed law adds nursing services performed by a direct service worker as an enumerated exception. Present law establishes services that may be performed by a direct service worker under certain oversight and training by a registered nurse. Proposed law repeals present law and provides that a direct service worker may perform health related tasks that the attending physician has determined could be done by the individual if they were capable or by a caretaker of a minor child or an incompetent adult. Proposed law enumerates health care tasks that a direct service worker may perform if the physician determines that the individual receiving the service is stable, the results of the tasks are predictable, and the individual has been trained by the physician or his designee and is available to answer questions regarding the task. Present law provides for direct service worker required training for direct services workers who work for a provider agency and for those who work in a LDH self-direction program. Proposed law retains present law for direct service workers employed by a provider agency. Proposed law establishes separate training requirements for direct service workers who work in a LDH self-direction program. Proposed law establishes training by the attending physician or the individual receiving the service or the caretaker of a minor child or incompetent adult receiving the service. Effective August 1, 2018. (Amends R.S. 37:1032 and 1033(A), (B), (C) and (D)(1); adds R.S. 37:292(11))