LRBs0375/1
MDK&JEO:kmg:hmh
1997 - 1998 LEGISLATURE
ASSEMBLY SUBSTITUTE AMENDMENT 1,
TO 1997 SENATE BILL 331
January 6, 1998 - Offered by Committee on Health.
SB331-ASA1,1,3 1An Act to amend 441.11 (3) and 441.11 (4); and to repeal and recreate 441.11
2(3) and 441.11 (4) of the statutes; relating to: defining the practice of nursing
3to include acting under the direction of optometrists.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
SB331-ASA1, s. 1 4Section 1. 441.11 (3) of the statutes is amended to read:
SB331-ASA1,2,65 441.11 (3) Practice of practical nursing. The practice of practical nursing
6under this chapter means the performance for compensation of any simple acts in the
7care of convalescent, subacutely or chronically ill, injured or infirm persons, or of any
8act or procedure in the care of the more acutely ill, injured or infirm under the specific
9direction of a nurse, physician, podiatrist licensed under ch. 448 or, dentist licensed
10under ch. 447 or optometrist licensed under ch. 449, or under an order of a person
11who is licensed to practice medicine, podiatry or dentistry in another state if that

1person prepared the order after examining the patient in that other state and directs
2that the order be carried out in this state. A simple act is one which does not require
3any substantial nursing skill, knowledge or training, or the application of nursing
4principles based on biological, physical or social sciences, or the understanding of
5cause and effect in such acts and is one which is of a nature of those approved by the
6board for the curriculum of schools for licensed practical nurses.
SB331-ASA1, s. 2 7Section 2. 441.11 (3) of the statutes, as affected by 1997 Wisconsin Act .... (this
8act), is repealed and recreated to read:
SB331-ASA1,2,219 441.11 (3) Practice of practical nursing. The practice of practical nursing
10under this chapter means the performance for compensation of any simple acts in the
11care of convalescent, subacutely or chronically ill, injured or infirm persons, or of any
12act or procedure in the care of the more acutely ill, injured or infirm under the specific
13direction of a nurse, physician, podiatrist licensed under ch. 448, dentist licensed
14under ch. 447 or optometrist licensed under ch. 449, or under an order of a person
15who is licensed to practice medicine, podiatry, dentistry or optometry in another state
16if that person prepared the order after examining the patient in that other state and
17directs that the order be carried out in this state. A simple act is one which does not
18require any substantial nursing skill, knowledge or training, or the application of
19nursing principles based on biological, physical or social sciences, or the
20understanding of cause and effect in such acts and is one which is of a nature of those
21approved by the board for the curriculum of schools for licensed practical nurses.
SB331-ASA1, s. 3 22Section 3. 441.11 (4) of the statutes is amended to read:
SB331-ASA1,3,1323 441.11 (4) Practice of professional nursing. The practice of professional
24nursing within the terms of this chapter means the performance for compensation
25of any act in the observation or care of the ill, injured or infirm, or for the maintenance

1of health or prevention of illness of others, which act requires substantial nursing
2skill, knowledge or training, or application of nursing principles based on biological,
3physical and social sciences, such as the observation and recording of symptoms and
4reactions, the execution of procedures and techniques in the treatment of the sick
5under the general or special supervision or direction of a physician, podiatrist
6licensed under ch. 448 or, dentist licensed under ch. 447 or optometrist licensed
7under ch. 449
, or under an order of a person who is licensed to practice medicine,
8podiatry or dentistry in another state if that person prepared the order after
9examining the patient in that other state and directs that the order be carried out
10in this state, and the execution of general nursing procedures and techniques.
11Except as provided in s. 50.04 (2) (b), the practice of professional nursing includes the
12supervision of a patient and the supervision and direction of licensed practical
13nurses and less skilled assistants.
SB331-ASA1, s. 4 14Section 4. 441.11 (4) of the statutes, as affected by 1997 Wisconsin Act .... (this
15act), is repealed and recreated to read:
SB331-ASA1,4,616 441.11 (4) Practice of professional nursing. The practice of professional
17nursing within the terms of this chapter means the performance for compensation
18of any act in the observation or care of the ill, injured or infirm, or for the maintenance
19of health or prevention of illness of others, which act requires substantial nursing
20skill, knowledge or training, or application of nursing principles based on biological,
21physical and social sciences, such as the observation and recording of symptoms and
22reactions, the execution of procedures and techniques in the treatment of the sick
23under the general or special supervision or direction of a physician, podiatrist
24licensed under ch. 448, dentist licensed under ch. 447 or optometrist licensed under
25ch. 449, or under an order of a person who is licensed to practice medicine, podiatry,

1dentistry or optometry in another state if that person prepared the order after
2examining the patient in that other state and directs that the order be carried out
3in this state, and the execution of general nursing procedures and techniques.
4Except as provided in s. 50.04 (2) (b), the practice of professional nursing includes the
5supervision of a patient and the supervision and direction of licensed practical
6nurses and less skilled assistants.
SB331-ASA1, s. 5 7Section 5. Effective dates This act takes effect on the day after publication,
8except as follows:
SB331-ASA1,4,109 (1) The repeal and recreation of section 441.11 (3) and (4) of the statutes takes
10effect on the first day of the 25th month beginning after publication.
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