Relating to the authority of an advanced practice registered nurse or physician assistant to sign a death certificate in limited situations.
Impact
The enactment of SB919 will notably affect state laws governing medical certification for death. By permitting APRNs and PAs to certify deaths under certain conditions, the bill alleviates the administrative burden on attending physicians. This change not only fosters a more collaborative practice among healthcare professionals but may also lead to more timely and efficient completion of necessary documentation in sensitive and critical circumstances.
Summary
SB919 is a legislative bill aimed at expanding the authority of advanced practice registered nurses (APRNs) and physician assistants (PAs) in Texas. Specifically, it allows these healthcare providers to sign death certificates in limited circumstances, particularly when a patient has opted for hospice care or is receiving palliative care. By modifying specific sections of the Health and Safety Code, the bill seeks to streamline the process of death certification, providing greater flexibility for healthcare professionals involved in end-of-life care.
Sentiment
The sentiment surrounding SB919 appears largely positive among healthcare professionals and advocates for expanded nurse autonomy. Supporters argue that it enhances patient care by recognizing the critical roles played by APRNs and PAs in managing end-of-life issues and could ultimately improve access to necessary services. However, there are concerns regarding the potential for overreach and accountability, with some emphasizing the need for stringent guidelines to ensure proper training and oversight.
Contention
While the bill received significant bipartisan support, notable points of contention were raised during discussions. Critics questioned whether the bill adequately addressed safety concerns and the qualifications necessary for APRNs and PAs to perform such certifications. Additionally, some stakeholders expressed worry about the adequacy of training for these providers in handling the complex emotional and ethical implications involved in end-of-life situations. Nevertheless, SB919 was overwhelmingly passed with a voting summary of 144 yeas to 2 nays, reflecting a strong consensus on its intended benefits.
Identical
Relating to the authority of an advanced practice registered nurse or physician assistant to sign a death certificate or out-of-hospital do-not-resuscitate order.
Relating to the authority of a physician to supervise or delegate the prescribing or ordering of a drug or device to a physician assistant or advanced practice registered nurse.
Relating to the authority of a physician to supervise or delegate the prescribing or ordering of a drug or device to a physician assistant or advanced practice registered nurse.
Relating to the authority of a physician to supervise or delegate the prescribing or ordering of a drug or device to a physician assistant or advanced practice registered nurse.
Relating to the prescribing or ordering of a controlled substance or dangerous drug or device by an advanced practice registered nurse or physician assistant under a prescriptive authority agreement.