Florida Senate - 2015 COMMITTEE AMENDMENT Bill No. SB 476 Ì535926AÎ535926 LEGISLATIVE ACTION Senate . House Comm: RCS . 03/23/2015 . . . . ————————————————————————————————————————————————————————————————— ————————————————————————————————————————————————————————————————— The Committee on Health Policy (Grimsley) recommended the following: 1 Senate Amendment (with title amendment) 2 3 Delete everything after the enacting clause 4 and insert: 5 Section 1. Subsection (23) of section 394.455, Florida 6 Statutes, is amended to read: 7 394.455 Definitions.—As used in this part, unless the 8 context clearly requires otherwise, the term: 9 (23) “Psychiatric nurse” means an advanced
aregistered 10 nurse practitioner certified under s. 464.012 who has a master’s 11 or doctoral degree in psychiatric nursing and holds a national 12 advanced practice certification as a psychiatric-mental health 13 advanced practice nurse licensed under part I of chapter 464 who14 has a master’s degree or a doctorate in psychiatric nursingand 15 2 years of post-master’s clinical experience under the 16 supervision of a physician. 17 Section 2. Paragraph (f) of subsection (2) of section 18 394.463, Florida Statutes, is amended to read: 19 394.463 Involuntary examination.— 20 (2) INVOLUNTARY EXAMINATION.— 21 (f) A patient shall be examined by a physician, a or22 clinical psychologist, or a psychiatric nurse performing within 23 the framework of an established protocol with a psychiatrist at 24 a receiving facility without unnecessary delay and may, upon the 25 order of a physician, be given emergency treatment if it is 26 determined that such treatment is necessary for the safety of 27 the patient or others. The patient may not be released by the 28 receiving facility or its contractor without the documented 29 approval of a psychiatrist, a clinical psychologist, or, if the 30 receiving facility is owned or operated by a hospital or health 31 system, the release may also be approved by a psychiatric nurse 32 performing within the framework of an established protocol with 33 a psychiatrist or an attending emergency department physician 34 with experience in the diagnosis and treatment of mental and 35 nervous disorders and after completion of an involuntary 36 examination pursuant to this subsection. A psychiatric nurse may 37 not approve the release of a patient when the involuntary 38 examination has been initiated by a psychiatrist unless the 39 release is approved by the initiating psychiatrist. However, a 40 patient may not be held in a receiving facility for involuntary 41 examination longer than 72 hours. 42 Section 3. This act shall take effect July 1, 2015. 43 ================= T I T L E A M E N D M E N T ================ 44 And the title is amended as follows: 45 Delete everything before the enacting clause 46 and insert: 47 A bill to be entitled 48 An act relating to mental health; amending s. 394.455, 49 F.S.; redefining the term “psychiatric nurse”; 50 amending s. 394.463, F.S.; adding a psychiatric nurse 51 as a person at a receiving facility authorized to 52 perform a required examination of certain patients; 53 prohibiting the release of a patient from a receiving 54 facility that is owned or operated by a hospital or 55 health system without specified approvals; authorizing 56 the release of a patient by a psychiatric nurse under 57 certain circumstances; prohibiting a psychiatric nurse 58 from releasing a patient if the involuntary 59 examination was initiated by a psychiatrist without 60 the psychiatrist’s approval; providing an effective 61 date.