Association of periOperative Registered Nurses

Iowa  Government Affairs

State Coordinator

Rhonda Price
(319) 530-4178

Regional Coordinator

Teresa Nosek
317.326.1252

RN Circulator Laws and Language

Hospital: IOWA ADMINISTRATIVE CODE NURSING BOARD[655] CHAPTER 6: NURSING PRACTICE FOR REGISTERED NURSES/LICENSED PRACTICAL NURSES 655-6.3(152) Minimum standards of practice for licensed practical nurses d. Operating rooms. (A licensed practical nurse may assist with circulating duties when supervised by a registered nurse circulating in the same room.) 655-6.7(152) Specific nursing practice for registered nurses. A registered nurse, while circulating in the operating room, shall provide supervision only to persons in the same operating room.
ASC: None

Registered Nurse First Assistants (RNFAs)

Reimbursement:  None
Definition:  None
Scope:  Iowa Board of Nursing Position Statement, Registered Nurse First Assistants, Last Revised 2006 RN first assistant behaviors in the perioperative arena may include: * preoperative patient management with other health care providers, including but not limited to, - performing preoperative evaluation focused nursing assessment, - communicating/collaborating with other health care providers regarding the patient plan of care, and - writing preoperative orders according to established protocols of the physician and/or facility * intraoperative surgical first-assisting, including but not limited to, - using instruments/medical devices, - providing exposure, - handling and/or cutting tissue, - suturing; and - harvesting veins * postoperative patient management with other health care providers in the immediate postoperative period and beyond, including but not limited to, - writing postoperative orders/operative notes according to established protocols of the physician and/or facility, - participating in postoperative rounds, and - assisting with discharge planning and identifying appropriate community resources as needed.

Legislative Tracking

HF 31 — 2013 Patient Safety Through Nurse Staffing
Relates to patient safety through nurse staffing; establishes nurse staffing plans, collaborative nurse staffing committees, and patient safety plans; prohibits retaliatory action against nurses; requires a hospital to approve, implement and comply with a nurse staffing plan developed by the hospital's collaborative nurse staffing committee; provides that the nurse staffing plan must provide for adequate, appropriate, and quality service delivery.
Comments
http://coolice.legis.iowa.gov/Cool-ICE/default.asp?Category=billinfo&Service=Billbook&menu=false&hbill=HF31 
Sponsor(s):
Hunter 
General Topic:
Nurse Staffing 
Status:
Failed -Adjourned  
IA H 2168 — 2014 Nurse-to-Patient Ratios for Hospitals
Would establish minimum nurse-to-patient ratios for hospitals
Comments
http://coolice.legis.iowa.gov/Cool-ICE/default.asp?Category=billinfo&Service=Billbook&menu=false&ga=85&hbill=HF2168 
Sponsor(s):
Mascher 
General Topic:
Nurse Staffing 
Status:
Failed -Adjourned  

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