專科護理師於醫師監督下執行醫療業務辦法

The Regulations are established in accordance with Paragraph 4 of Article 24 of the Nursing Personnel Act (hereinafter referred to as the Act).

1The term “Medical Activities under the Supervision of a Physician” (hereinafter referred to as “medical activities”), as outlined in Paragraph 3 of Article 24 of the Act, refers to nurse practitioners or professional registered nurses who are receiving nurse practitioner training(nurse practitioners in training) and performing the medical activities listed in Article 6 under the supervision of a physician.

2The supervision referred to in the preceding paragraph refers to a physician’s instructions, guidance or supervision of nurse practitioners or nurse practitioners in training. During such supervision, a physician is not required to be personally present.

Nurse practitioners may only perform medical activities during the effective period of their nurse practitioner certificate and their training period at a training hospital.

1Medical institutions that employ nurse practitioners and nurse practitioners in training to carry out medical activities under supervision shall set up a Nurse Practitioner Medical Practice Committee (hereinafter referred to as the “Committee”).

2The Committee of a medical institution shall be composed of physicians, nurse practitioners and nursing department heads, with a deputy director or above serving as the convener.

3The Committee of a nursing institution shall be composed of physicians and nurse practitioners, with the head of the nursing institution serving as the convener.

1The Committee shall handle the following matters:

21. Establish the standard operating procedures for nurse practitioners and nurse practitioners in training when performing medical activities, including the supervising physician, medical orders, records and mechanisms for reporting patient conditions and treatment outcomes.

32. Determine the scope of medical activities that nurse practitioners and nurse practitioners in training may perform under Article 6 and their specific training.

43. Develop the pre-established specific medical procedures and standard operating procedures in paper or electronic form.

54. Regularly review the appropriateness and quality of medical activities performed by nurse practitioners and nurse practitioners in training.

6The medical institution or nursing institution shall approve the content and standard operating procedures for the pre-established specific medical procedures as stipulated in Sub-paragraph 3 of the preceding paragraph.

1The scope of medical activities performed by nurse practitioners and nurse practitioners in training is as follows:

21. Non-invasive medical treatments:

3(1) Issue the relevant medical order forms as the pre-established specific medical procedure stipulates.

4(2) Initial comprehensive judgment of examinations and tests.

5(3) Medical consultation.

6(4) Preparation of medical, surgical and anesthesia records.

7(5) Assistance with mental health treatment.

8(6) Application and removal of casts.

92. Invasive medical treatments: The types and items are as specified in Tables 1 and 2.

1The content of the pre-established specific medical procedure stipulated in Sub-paragraph 3 of Article 5 shall include the following items:

21. The scope of medical activities performed per the preceding article.

32. Patient symptoms, medical history, physical assessment and other relevant circumstances or diagnoses.

43. Relevant medical order forms that may be performed.

54. Medical treatments and measures to be performed.

65. Reporting the patient’s condition and treatment results to the supervising physician.

76. Recording the medical treatments.

87. The supervising physician’s supervision method.

98. Specific training standards, requirements and competency assessment methods that nurse practitioners and nurse practitioners in training must possess.

1After nurse practitioners and nurse practitioners in training have executed the pre-established specific medical procedure, the supervising physician shall complete the verification and signature within 24 hours. When performing other medical activities, the supervising physician shall complete the paper or electronic prescription record within 24 hours.

2A nursing institution may perform the verification, signature and record mentioned in the preceding paragraph via information and communication technology or facsimile.

When performing medical activities, nurse practitioners and nurses practitioners in training for specialization shall wear or display a badge to sufficiently identify their identity.

These Regulations shall come into force as of the date of promulgation.