(6) Educating patients and their families concerning the patient’s health care problems, including post discharge care. (7) Moderate complexity laboratory tests. (b) This section shall not preclude any person from performing any act or function that he or she is authorized to perform pursuant to Division 2 (commencing with Section 500) or pursuant to existing statute or regulation as of July 1, 1999. (Added by Stats. 1999, Ch. 945, Sec. 2. Effective January 1, 2000.) 2725.4. Notwithstanding any other provision of this chapter, the following shall apply: (a) In order to perform an abortion by aspiration techniques pursuant to Section 2253, a person with a license or certificate to practice as a nurse practitioner or a certified nurse-midwife shall complete training recognized by the Board of Registered Nursing. Beginning January 1, 2014, and until January 1, 2016, the competency-based training protocols established by Health Workforce Pilot Project (HWPP) No. 171 through the Office of Statewide Health Planning and Development shall be used. (b) In order to perform an abortion by aspiration techniques pursuant to Section 2253, a person with a license or certificate to practice as a nurse practitioner or a certified nurse-midwife shall adhere to standardized procedures developed in compliance with subdivision (c) of Section 2725 that specify all of the following: (1) The extent of supervision by a physician and surgeon with relevant training and expertise. (2) Procedures for transferring patients to the care of the physician and surgeon or a hospital. (3) Procedures for obtaining assistance and consultation from a physician and surgeon. (4) Procedures for providing emergency care until physician assistance and consultation are available. (5) The method of periodic review of the provisions of the standardized procedures. (c) A nurse practitioner or certified nurse-midwife who has completed training and achieved clinical competency through HWPP No. 171 shall be authorized to perform abortions by aspiration techniques pursuant to Section 2253, in adherence to standardized procedures described in subdivision (b). (d) It is unprofessional conduct for any nurse practitioner or certified nurse-midwife to perform an abortion by aspiration techniques pursuant to Section 2253 without prior completion of training and validation of clinical competency. (Added by Stats. 2013, Ch. 662, Sec. 2. (AB 154) Effective January 1, 2014.) 2725.5. This chapter does not prohibit: (a) Gratuitous nursing of the sick by friends or members of the family. (b) Incidental care of the sick by domestic workers or by persons primarily employed as housekeepers as long as they do not practice nursing within the meaning of this chapter. (c) Domestic administration of family remedies by any person. (d) Nursing services in case of an emergency. “Emergency,” as used in this subdivision includes an epidemic, pandemic, or other public disaster. (e) The performance by a person of the duties required in the physical care of a patient or carrying out medical orders prescribed by a licensed physician, provided the person shall not in any way assume to practice as a professional, registered, graduate, or trained nurse. (Amended by Stats. 2021, Ch. 628, Sec. 5. (AB 1532) Effective January 1, 2022.)
(1) Which nurse, based on successful completion of training and competency assessment, may dispense or administer the hormonal contraceptives. (2) Minimum training requirements regarding educating patients on medical standards for ongoing women’s preventive health, contraception options education and counseling, properly eliciting, documenting, and assessing patient and family health history, and utilization of the United States Medical Eligibility Criteria for Contraceptive Use. (3) Demonstration of competency in providing the appropriate prior examination comprised of checking blood pressure, weight, and patient and family health history, including medications taken by the patient. (4) Which hormonal contraceptives may be dispensed or administered under specified circumstances, utilizing the most recent version of the United States Medical Eligibility Criteria for Contraceptive Use. (5) Criteria and procedure for identification, documentation, and referral of patients with contraindications for hormonal contraceptives and patients in need of a follow-up visit to a physician and surgeon, nurse practitioner, certified nurse-midwife, or physician assistant. (6) The extent of physician and surgeon supervision required. (7) The method of periodic review of the nurse’s competence. (8) The method of periodic review of the standardized procedure, including, but not limited to, the required frequency of review and the person conducting that review. (9) Adherence to subdivision (a) of Section 2242 in a manner developed through collaboration with health care providers, including physicians and surgeons, certified nurse-midwives, nurse practitioners, physician assistants, and registered nurses. The appropriate prior examination shall be consistent with the evidence-based practice guidelines adopted by the federal Centers for Disease Control and Prevention in conjunction with the United States Medical Eligibility Criteria for Contraceptive Use. (10) If a patient has been seen exclusively by a registered nurse for three consecutive years, the patient shall be evaluated by a physician and surgeon, nurse practitioner, certified nurse-midwife, or physician assistant prior to continuing the dispensation or administration of hormonal contraceptives. (c) Nothing in this section shall be construed to affect the sites or types of health care facilities at which drugs or devices are authorized to be dispensed pursuant to Chapter 9 (commencing with Section 4000). (Added by Stats. 2012, Ch. 460, Sec. 2. (AB 2348) Effective January 1, 2013.) 2725.3. (a) A health facility licensed pursuant to subdivision (a), (b), or (f), of Section 1250 of the Health and Safety Code shall not assign unlicensed personnel to perform nursing functions in lieu of a registered nurse and may not allow unlicensed personnel to perform functions under the direct clinical supervision of a registered nurse that require a substantial amount of scientific knowledge and technical skills, including, but not limited to, any of the following: (1) Administration of medication. (2) Venipuncture or intravenous therapy. (3) Parenteral or tube feedings. (4) Invasive procedures including inserting nasogastric tubes, inserting catheters, or tracheal suctioning. (5) Assessment of patient condition.
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