Ohio Code 4723.36 – Determination of death by certified nurse practitioner or clinical nurse specialist
(A) A certified nurse practitioner or clinical nurse specialist may determine and pronounce an individual’s death, but only if the individual’s respiratory and circulatory functions are not being artificially sustained and, at the time the determination and pronouncement of death is made, either or both of the following apply:
Terms Used In Ohio Code 4723.36
- Certified nurse practitioner: means an advanced practice registered nurse who holds a current, valid license issued under this chapter and is designated as a certified nurse practitioner in accordance with section 4723. See Ohio Code 4723.01
- Physician: means an individual authorized under Chapter 4731 of the Revised Code to practice medicine and surgery or osteopathic medicine and surgery. See Ohio Code 4723.01
- Registered nurse: means an individual who holds a current, valid license issued under this chapter that authorizes the practice of nursing as a registered nurse. See Ohio Code 4723.01
(1) The individual was receiving care in one of the following:
(a) A nursing home licensed under section 3721.02 of the Revised Code or by a political subdivision under section 3721.09 of the Revised Code;
(b) A residential care facility or home for the aging licensed under Chapter 3721 of the Revised Code;
(c) A county home or district home operated pursuant to Chapter 5155 of the Revised Code;
(d) A residential facility licensed under section 5123.19 of the Revised Code.
(2) The certified nurse practitioner or clinical nurse specialist is providing or supervising the individual’s care through a hospice care program licensed under Chapter 3712. of the Revised Code or any other entity that provides palliative care.
(B) A registered nurse may determine and pronounce an individual’s death, but only if the individual’s respiratory and circulatory functions are not being artificially sustained and, at the time the determination and pronouncement of death is made, the registered nurse is providing or supervising the individual’s care through a hospice care program licensed under Chapter 3712. of the Revised Code or any other entity that provides palliative care.
(C) If a certified nurse practitioner, clinical nurse specialist, or registered nurse determines and pronounces an individual’s death, the nurse shall comply with both of the following:
(1) The nurse shall not complete any portion of the individual’s death certificate.
(2) The nurse shall notify the individual’s attending physician of the determination and pronouncement of death in order for the physician to fulfill the physician’s duties under section 3705.16 of the Revised Code. The nurse shall provide the notification within a period of time that is reasonable but not later than twenty-four hours following the determination and pronouncement of the individual’s death.