delegation, medication administration, On the Job, SB 110, Scope of Practice

Further Information on SB 110

Information regarding Senate Bill (SB) 110 continues to emerge. Please see the following missive from the Ohio Board of Nursing:

SB 110, passed by the 131st General Assembly, authorizes CTP [Certificate to Prescribe] holders to delegate non-controlled drug administration under specified circumstances to unlicensed persons. Please click on the links below to access the statute and the Legislative Services Commission (LSC) Analysis for further details.

Effective October 15, 2015, APRNs [Advanced Practice Registered Nurses] holding prescriptive authority are authorized to delegate medication administration as specified in Sections 4723.48(C) and 4723.489, Ohio Revised Code (ORC). In doing so, APRNs must comply with standards of safe practice, including delegation, set forth in the law and rules, including Chapter 4723-13, Ohio Administrative Code (OAC). Please be aware that the new authorization in ORC Section 4723.48(C) supersedes rule language currently found in Chapter 4723-13, OAC, with respect to APRN prescribers, which previously limited the types of medication that could be delegated to an unlicensed person.

SB 110 authorizes the Board to adopt rules establishing standards and procedures for APRN delegation. The Board will convene a Board Committee on Practice meeting on January 20, 2016 at noon at the Board office to gather public input regarding the need for administrative rules.

If you have questions, please email To access the Ohio Revised Code and the Ohio Administrative Code, go to the Board website at

Scope of Practice

Right-to-practice Issues in Nevada

Hello again! Right-to-practice issues continue to unfold in Nevada. Here is a brief rundown of what has transpired recently in the Silver State:

The Nevada Society of Medical Assistants and the AAMA presented written and oral testimony March 31 to the Nevada Senate Committee on Commerce and Energy. Three bills that would clarify the right of physicians to delegate administration of medication to medical assistants were heard by the committee. I assisted Nevada Society of Medical Assistants President Carol Cohen, CMA (AAMA), in writing the written testimony. I watched the hearing on the Internet, and sent a text message to Carol during the hearing with a suggestion about strategy.

On April 11 another meeting of the Senate Committee was held, and a bill was referred to the Nevada Senate.  It is favorable for medical assistants, and stands a good chance of enactment.

A medication aide bill was also before the committee. I had sent a letter to the sponsor suggesting that the bill should employ the phrase “medication aide-certified” instead of “certified medication aide.” As a result of my letter and the in-person efforts of Carol, the bill was amended and now reads “medication aide-certified.”

Many thanks to NSMA President Cohen for all her excellent work in this ongoing issue!