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The practice of nursing by a registered nurse is defined as the process of diagnosing human responses to actual or potential health problems providing supportive and restorative care health counseling and teaching case finding and referral collaborating the implementation of the total health care regimen and executing the medical regimen under the direction of a licensed physician or dentist Advanced nursing practice is defined as the performance of advanced level nursing practice activities which by virtue of post-basic education and experience are appropriate to and may be performed by an advanced practice registered nurse The advanced practice registered nurse performs acts of diagnosis and treatment of alterations in health status as described in subsection of this section The advanced practice registered nurse may under the direction of a physician licensed to practice medicine in this state and in accordance with written prescriptions and if practicing in an institution licensed pursuant to subsection as a hospital home for the aged health care facility for the handicapped nursing home rest home mental health facility the maintained by any state agency and providing services for the prevention diagnosis and treatment or care of human health conditions or an industrial health facility licensed pursuant to subsection which serves at least two thousand employees or a clinic operated by a state agency municipality or private nonprofit corporation or clinic operated by any educational institution prescribed by regulations prescribe dispense and administer medical therapeutics and corrective measures except that an advanced practice registered nurse licensed pursuant to maintaining current certification from the American Association of Nurse Anesthetists who is prescribing and administering medical therapeutics during surgery may only do so if the physician who is medically directing the prescriptive activity is physically present in the institution clinic or other setting where such surgery is being performed In all other settings the advanced practice registered nurse may under the direction of a physician licensed to practice medicine in the state and in
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