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Code · Ohio · Title 47 Occupations-Professions · Chapter 4723 Nurses

Section 4723.436 — Authority to sign psychiatric inpatient documents.

334 words·~2 min read·/oh/title-47-occupations-professions/chapter-4723-nurses/4723-436·

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(A)Subject to division
(B)of this section, a certified nurse-midwife, clinical nurse specialist, or certified nurse practitioner may sign one or more documents relating to any of the following:
(1)The admission of a patient to a facility for the purpose of receiving psychiatric or other behavioral health care services on an inpatient basis;
(2)The discharge of a patient from a facility after receiving inpatient psychiatric or other behavioral health care services;
(3)The treatment a patient receives while at a facility on an inpatient basis for psychiatric or other behavioral health care services.
The documents may include a treatment plan or any medication order that is part of the treatment plan.
(B)To be eligible to sign documents described in this section, all of the following must be satisfied:
(1)The nurse is employed by the facility in which a patient is receiving psychiatric or other behavioral health care services on an inpatient basis or the nurse has been granted appropriate credentials by the facility;
(2)The nurse's collaborating physician is employed by the facility in which a patient is receiving psychiatric or other behavioral health care services on an inpatient basis or the physician is a member of the facility's medical staff.
(3)The nurse's collaborating physician has authorized the nurse to sign documents described in this section for the physician's patients.
(4)The standard care arrangement entered into pursuant to section 4723.431 of the Revised Code specifies in writing that the nurse is authorized to sign documents described in this section for the collaborating physician's patients.
(C)A collaborating physician who authorizes a nurse to sign one or more documents as described in this section is not liable for damages in a civil action for injury, death, or loss to person or property for an act or omission that arises from the nurse signing the document, and is not subject to administrative action or criminal prosecution for an act or omission that arises from the nurse signing the document.
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