Rhode Island 2023 Regular Session

Rhode Island House Bill H5868 Compare Versions

Only one version of the bill is available at this time.

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5	5	2023 -- H 5868
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7	7	LC002178
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9	9	S TATE OF RHODE IS LAND
10	10	IN GENERAL ASSEMBLY
11	11	JANUARY SESSION, A.D. 2023
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14	14	A N A C T
15	15	RELATING TO BUSINESSES AND PROFESSIONS -- NURSES
16	16	Introduced By: Representatives Felix, Bennett, Cruz, and Spears
17	17	Date Introduced: March 01, 2023
18	18	Referred To: House Health & Human Services
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21	21	It is enacted by the General Assembly as follows:
22	22	SECTION 1. Chapter 5-34 of the General Laws entitled "Nurses" is hereby amended by 1
23	23	adding thereto the following section: 2
24	24	5-34-50. Performance of cosmetic/aesthetic dermatological procedures.. 3
25	25	(a) The board of nursing shall promulgate rules and regulations for the performance of 4
26	26	cosmetic/aesthetic dermatological procedures. As used in this section, "cosmetic/aesthetic 5
27	27	dermatological procedures" means a broad range of procedures including, but not limited to, the 6
28	28	following: 7
29	29	(1) Chemical peels - Micro-dermabrasion; 8
30	30	(2) Sclerotherapy - Laser for aesthetics, hair removal; 9
31	31	(3) Micropigmentation; 10
32	32	(4) Light treatments; 11
33	33	(5) Platelet rich plasma; 12
34	34	(6) Neuromodulator and dermal filler injections (e.g., Botox, Restalyne, Collagen, 13
35	35	Kybella); and 14
36	36	(7) Non-ablative, non-vaporizing laser or light-based devices used for hair removal, 15
37	37	photorejuvenation, acne, spider veins, vascular and pigmented lesions, and tattoo removal. 16
38	38	(b) Registered nurses shall be allowed to perform cosmetic/aesthetic dermatological 17
39	39	procedures pursuant to the orders of a duly authorized prescriber in accordance with the rules and 18
40	40	regulations promulgated by the board of nursing. 19
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43	43	LC002178 - Page 2 of 4
44	44	(c) In promulgating rules and regulations, the board of nursing shall address, but not be 1
45	45	limited to, the following: 2
46	46	(1) The orders from a duly authorized prescriber to include the patient's name, valid order 3
47	47	date, medication or substance name, dosage, route, anatomical site for administration, specific 4
48	48	administration directions and prescriber signature; 5
49	49	(2) The documented knowledge, skill and competency necessary to carry out the 6
50	50	cosmetic/aesthetic dermatological procedure in a safe manner; 7
51	51	(3) The employing agency's cosmetic/aesthetic dermatological and emergency policies and 8
52	52	procedures available in the facility; 9
53	53	(4) The required education to include a supervised practicum resulting in a competency 10
54	54	evaluation commensurate with the procedure. Components of the education include, as appropriate 11
55	55	to the specific procedure, but are not limited to: 12
56	56	(i) Anatomy and physiology; 13
57	57	(ii) Pathophysiology of the integumentary system and supporting structures; 14
58	58	(iii) Cosmological and dermatologic conditions; 15
59	59	(iv) Wound healing principles; 16
60	60	(v) Safe use of product/device/equipment; 17
61	61	(vi) Side effects and management; 18
62	62	(vii) Management of emergencies; and 19
63	63	(viii) Patient and environmental safety. 20
64	64	(5) When the procedure includes the use of non-ablative, non-vaporizing laser or light-21
65	65	based devices, the requirement that the nurse have evidence of successful completion of a laser 22
66	66	physics and safety course that includes relative content from the Occupational Safety and Health 23
67	67	Administration (OSHA) and American National Standards for the Safe Use and Handling of Lasers 24
68	68	in Health Care Facilities (ANSI) that includes both a didactic portion and practicum; 25
69	69	(6) Documentation criteria including the following: 26
70	70	(i) Review and verification of informed consent that clearly informs the patient of the 27
71	71	operator's qualifications, licensure, and expected outcomes of the procedure; 28
72	72	(ii) Assessment data inclusive of past medical, surgical, allergy and medication histories; 29
73	73	(ii) Skin typing/classification; 30
74	74	(iv) Sun exposure history; 31
75	75	(v) Current cosmetic/dermatologic product usage; 32
76	76	(vi) Exclusion from treatment criteria; 33
77	77	(vii) Identification of and evaluation of test site as indicated; 34
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80	80	LC002178 - Page 3 of 4
81	81	(viii) Specifics of the procedure performed and patient response to the procedure; 1
82	82	(ix) Directions for referral back to or consultation with the duly authorized prescriber of 2
83	83	the procedure; and 3
84	84	(x) Provision to the patient of written pre- and post-procedure education which includes, 4
85	85	but is not limited to, self-care instructions and follow-up recommendations inclusive of continued 5
86	86	and emergent care needs. 6
87	87	SECTION 2. This act shall take effect upon passage. 7
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89	89	LC002178
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93	93	LC002178 - Page 4 of 4
94	94	EXPLANATION
95	95	BY THE LEGISLATIVE COUNCIL
96	96	OF
97	97	A N A C T
98	98	RELATING TO BUSINESSES AND PROFESSIONS -- NURSES
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100	100	This act would allow registered nurses to perform cosmetic/aesthetic dermatological 1
101	101	procedures as prescribed or ordered by a licensed health care practitioner in accordance with rules 2
102	102	and regulations promulgated by the board of nursing. 3
103	103	This act would take effect upon passage. 4
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105	105	LC002178
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