2023 -- H 5868

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LC002178

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2023

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A N   A C T

RELATING TO BUSINESSES AND PROFESSIONS -- NURSES

     

     Introduced By: Representatives Felix, Bennett, Cruz, and Spears

     Date Introduced: March 01, 2023

     Referred To: House Health & Human Services

     It is enacted by the General Assembly as follows:

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     SECTION 1. Chapter 5-34 of the General Laws entitled "Nurses" is hereby amended by

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adding thereto the following section:

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     5-34-50. Performance of cosmetic/aesthetic dermatological procedures..

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     (a) The board of nursing shall promulgate rules and regulations for the performance of

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cosmetic/aesthetic dermatological procedures. As used in this section, "cosmetic/aesthetic

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dermatological procedures" means a broad range of procedures including, but not limited to, the

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following:

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     (1) Chemical peels - Micro-dermabrasion;

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     (2) Sclerotherapy - Laser for aesthetics, hair removal;

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     (3) Micropigmentation;

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     (4) Light treatments;

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     (5) Platelet rich plasma;

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     (6) Neuromodulator and dermal filler injections (e.g., Botox, Restalyne, Collagen,

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Kybella); and

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     (7) Non-ablative, non-vaporizing laser or light-based devices used for hair removal,

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photorejuvenation, acne, spider veins, vascular and pigmented lesions, and tattoo removal.

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     (b) Registered nurses shall be allowed to perform cosmetic/aesthetic dermatological

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procedures pursuant to the orders of a duly authorized prescriber in accordance with the rules and

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regulations promulgated by the board of nursing.

 

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     (c) In promulgating rules and regulations, the board of nursing shall address, but not be

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limited to, the following:

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     (1) The orders from a duly authorized prescriber to include the patient's name, valid order

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date, medication or substance name, dosage, route, anatomical site for administration, specific

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administration directions and prescriber signature;

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     (2) The documented knowledge, skill and competency necessary to carry out the

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cosmetic/aesthetic dermatological procedure in a safe manner;

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     (3) The employing agency's cosmetic/aesthetic dermatological and emergency policies and

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procedures available in the facility;

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     (4) The required education to include a supervised practicum resulting in a competency

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evaluation commensurate with the procedure. Components of the education include, as appropriate

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to the specific procedure, but are not limited to:

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     (i) Anatomy and physiology;

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     (ii) Pathophysiology of the integumentary system and supporting structures;

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     (iii) Cosmological and dermatologic conditions;

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     (iv) Wound healing principles;

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     (v) Safe use of product/device/equipment;

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     (vi) Side effects and management;

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     (vii) Management of emergencies; and

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     (viii) Patient and environmental safety.

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     (5) When the procedure includes the use of non-ablative, non-vaporizing laser or light-

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based devices, the requirement that the nurse have evidence of successful completion of a laser

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physics and safety course that includes relative content from the Occupational Safety and Health

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Administration (OSHA) and American National Standards for the Safe Use and Handling of Lasers

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in Health Care Facilities (ANSI) that includes both a didactic portion and practicum;

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     (6) Documentation criteria including the following:

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     (i) Review and verification of informed consent that clearly informs the patient of the

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operator's qualifications, licensure, and expected outcomes of the procedure;

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     (ii) Assessment data inclusive of past medical, surgical, allergy and medication histories;

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     (ii) Skin typing/classification;

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     (iv) Sun exposure history;

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     (v) Current cosmetic/dermatologic product usage;

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     (vi) Exclusion from treatment criteria;

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     (vii) Identification of and evaluation of test site as indicated;

 

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     (viii) Specifics of the procedure performed and patient response to the procedure;

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     (ix) Directions for referral back to or consultation with the duly authorized prescriber of

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the procedure; and

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     (x) Provision to the patient of written pre- and post-procedure education which includes,

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but is not limited to, self-care instructions and follow-up recommendations inclusive of continued

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and emergent care needs.

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     SECTION 2. This act shall take effect upon passage.

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO BUSINESSES AND PROFESSIONS -- NURSES

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     This act would allow registered nurses to perform cosmetic/aesthetic dermatological

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procedures as prescribed or ordered by a licensed health care practitioner in accordance with rules

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and regulations promulgated by the board of nursing.

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     This act would take effect upon passage.

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