1916. The provisions of this 21.5 adopted December 25, 1987, effective December 26, 1987, 17 Pa.B. (11)Accept a client or patient for treatment or continue treatment unnecessarily, if benefit cannot reasonably be expected to accrue. A program on initial approval status that fails to achieve an acceptable rate of passing the National licensure examination upon graduation of its first class will be placed on provisional approval status. The provisions of this 21.31 amended under sections 2.1(k) and 6.1 of The Professional Nursing Law (63 P.S. Unrestricted licenseA license which is not restricted or limited by order of the Board under its disciplinary power. (5)An individual who enhances faculty-directed clinical learning experiences by guiding selected clinical activities shall be designated as a clinical preceptor. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. 658 and 667.6). (a)Continuing education activities must address the CRNPs specialty. An applicant for initial certification who completed an educational program in a related discipline previously recognized for National certification as a CNS may be granted certification from the Board in the area of the applicants current National certification from the American Nurses Association or the American Nurses Credentialing Center. Medical summaries or reports of the photographs, X-rays and relevant medical tests taken shall be sent to the county children and youth social service agency at the time the written report is sent, or within 48 hours after an electronic report is made under 21.502(c)(2) (relating to suspected child abusemandated reporting requirements), or as soon thereafter as possible. The provisions of this 21.3 reserved under section 2.1(k) of The Professional Nursing Law (63 P.S. Focused assessmentAppraisal of an individuals current status and situation, which contributes to comprehensive assessment by the licensed professional nurse and supports ongoing data collection. (b)The function of this committee is to act in an advisory capacity to the faculty and as a liaison group between the faculty, the agency and the community. 2667. The provisions of this 21.72 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 2103. 212.1(k) and 222); amended under sections 2.1(k) and 12.1(a) of The Professional Nursing Law (63 P.S. (b)Providers of stand-alone courses shall apply for approval from the Board before offering an IV therapy course. Faculty or instructors with less academic preparation may be employed if qualified personnel is not available provided that less qualified faculty and instructors shall function under the direct guidance of a fully qualified faculty member and shall give evidence of continuing their academic preparation. Application shall be made prior to the service or within 90 days of the publication to assure that the Board will approve the service or publication and to allow the Board to determine the number of contact hours that will be granted. Failure of the licensee to comply with the Volunteer Health Services Act (35 P.S. 4086; amended November 29, 1991, effective November 30, 1991, 21 Pa.B. (3)Knowingly permit another individual to use his license or temporary permit for any purpose or knowingly permit the unlicensed person under the licensed practical nurses jurisdiction or supervision to misrepresent that the individual is a licensed nurse. School administrators do not have the authority to delegate nursing functions, such as medication administration. Following task completion, Mark is responsible for evaluating the outcome of the task with the patient. 6196. 4996; amended December 15, 1989, effective February 14, 1990, 19 Pa.B. (4)Removal of sutures of a simple and uncomplicated nature. 1984); reversed in part 499 A.2d 289 (Pa. 1995); on remand 505 A.2d 359 (Pa. Cmwlth. An applicant for licensure by examination shall comply with the requirements of 21.23 (relating to application for examination), pass the examination and complete at least 3 hours of approved training in child abuse recognition and reporting in accordance with 21.508(a) (relating to child abuse recognition and reportingmandatory training requirement). (e)The planned educational program must include: (1)Organization and administrative policies of the controlling institution. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. Immediately preceding text appears at serial page (396910). The provisions of this 21.4a adopted September 8, 2000, effective September 9, 2000, 30 Pa.B. Immediately preceding text appears at serial page (26495). The provisions of this 21.148a issued under section 17.6 of the Practical Nurse Law (63 P.S. The Board may consider sexual relationships between the nurse and the patient occurring prior to the professional relationship. (d)An applicant for licensure by endorsement whose license in the other jurisdiction is not current for 5 years or longer shall, prior to receiving a license in this Commonwealth, satisfy the requirements of 21.30a(a)(1) or (2) (relating to continued competency). Immediately preceding text appears at serial page (9690). Immediately preceding text appears at serial pages (385176) and (396897). An advanced practice registered nurse shall hold a doctorate, a post-nursing master's certificate, or a minimum of a master's degree that includes advanced education composed of didactic and supervised clinical practice in a specific area of advanced practice registered nursing. (2)Education. A minimum of 60 days from publication in the Pennsylvania Bulletin of notice of intention to adopt shall be provided for public comment. (a)The Board will accept hours of continuing education as designated by an approved provider, so long as each hour is at least 50 minutes of activity and each 1/2 hour is at least 30 minutes of activity. (3)Demonstrate current National certification, if the CRNP was certified by the Board after February 7, 2005. (C)Actual or simulated sexual activity or nudity for the purpose of sexual stimulation or gratification of any individual. (b)The philosophy, purposes and objectives of the CRNP program shall be developed and clearly stated by the faculty and be reviewed and revised at stated time intervals by this group. 2677. 222) and this subchapter. (12)The instruction and evaluation methods. The provisions of this 21.32 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (4)The Board will not grant an extension to an individual who fails to meet the requirements of paragraphs (2) and (3). (5)Solicit, borrow or misappropriate money, materials or property from a patient. The provisions of this 21.150 added under section 2.1(k) of The Professional Nursing Law (63 P.S. The Board will base educational equivalency upon an evaluation administered by a Board-approved foreign credentials evaluator. (3)The techniques for administering the therapy have been established by a committee of licensed physicians and registered nurses within the employing agency. (3)Additional instructors consistent with the size and needs of the programs. For a program in transition, the nurse administrator may serve as administrator of both the degree-granting and diploma nursing education program during the transition period. 667.6), unless otherwise noted. (a)The Board may, upon request of a licensed nurse, nursing association, health care facility or licensed health care professional, or upon its own motion, issue interpretations of this chapter as they apply to the question of whether the execution of specific practices are within the scope of professional or practical nursing. 667.6); and 23 Pa.C.S. (b)The Board recommends that only one class be admitted per year. (a)The certification, and prescriptive authority approval, if applicable, of a CRNP will expire at the same time as the CRNPs registered nurse license as provided in 21.29 (relating to expiration and renewal of license). The provisions of this 21.371 adopted June 2, 2006, effective June 3, 2006, 36 Pa.B. (a)Students shall have access to personal records as provided by Federal and State legislation.
What ED nursing functions can be assigned and/or delegated to In a health care facility regulated by the Department of Health, the Department of Public Welfare or the Federal government, information pertaining to the prescription, administration or dispensation of a controlled substance shall be entered in the medical records of the patient and the health care facility under 28 Pa. Code or 55 Pa. Code or appropriate Federal regulations, whichever is applicable, and bylaws of the health care facility and its medical staff. This section cited in 49 Pa.B. (a)A CRNP who places his certification on inactive status is not required to meet the continuing education requirements in section 8.1(c) of the act (63 P.S. 6196. Supervision and direction of certified and non-certified staff persons required for school operation exclusive of directing health services controlled by the Nurse Practice Act. (G)Indecent assault as defined in 18 Pa.C.S. 1916. 6383(b)(2). (c)Only an individual who holds current active certification may practice or offer to practice as a CRNP in this Commonwealth. This section cited in 49 Pa. Code 21.811 (relating to qualifications for initial certification); 49 Pa. Code 21.813 (relating to application for certification); 49 Pa. Code 21.822 (relating to biennial renewal of certification); 49 Pa. Code 21.825 (relating to sources of continuing education); and 49 Pa. Code 21.827 (relating to continuing education course approval). This section cited in 49 Pa. Code 21.147 (relating to fees). 3125 (relating to aggravated indecent assault). This bill authorized Pennsylvania to join the Nurse Licensure Compact (NLC). Immediately preceding text appears at serial page (378866). (2)Successfully completing a Board-approved reactivation program which requires passage of a nursing achievement examination. An educator holding a valid Pennsylvania certificate as a PK-12 Principal is qualified to perform the following: Instructional leadership focusing on teaching and learning. (b)Submissions must include all of the following: (1)Contact information (mailing address, e-mail address and telephone number) for the agency/course administrator. (10)Printed materials used to market the training. 6196. Mandated reporterA person who is required under 23 Pa.C.S. (a)A CRNP shall comply with this section and 21.332a21.337. (3)Changing a subclavian catheter over guidewire after it had been placed by a physician. (d)Adequate funds shall be allocated and properly budgeted for sound and effective operation of the program. Supervision means that a licensed registered nurse is physically present in the area or unit where the graduate registered nurse is practicing. Immediately preceding text appears at serial pages (385152) to (385153). (k)The ratio of credits in nursing to general education and elective credits shall be consistent with other associate degree programs in the college. Assessing residents. (3)Identifies goals and plans for nursing care. (v)Residency and Fellowship programs which are at the post baccalaureate level, and are sponsored by a United States regionally accredited college or university, or an institution accredited/approved by the Joint Committee on Accreditation of Healthcare Organizations or the National Committee for Quality Assurance. (6)Leave a nursing assignment prior to the proper reporting and notification to the appropriate department head or personnel of such an action. Failure to hold a hearing within 30 days will not be cause to withdraw the notice of intent to remove. The provisions of this 21.102 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 5952; amended June 2, 2006, effective June 3, 2006, 36 Pa.B. 212(1)). 3796; amended October 16, 2015, effective October 17, 2015, 45 Pa.B. (d)The objectives of the nursing program shall be consistent with the purposes of the educational unit. 1916. Immediately preceding text appears at serial pages (385107) to (385108). The notice shall also indicate the date and place for the conduct of hearings proposed regarding the interpretations. Prescriptive authority collaborative agreementThe written and signed agreement between a CRNP with prescriptive authority and a collaborating physician in which they agree to the details of their collaboration. Board approval of the nurse administrators credentials shall be obtained prior to the appointment. (ii)Records of preparation and experience, including official college transcripts. 7822.
PDF Criteria for Determining Scope of Practice for Licensed Nurses and It depends upon the care needs of the client, as assessed by the advanced practice registered nurse or The provisions of this 21.603 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. (4)Facilities for obtaining adequate, well-balanced meals. A registered nurse whose license is not renewed by the expiration of the biennial period may not engage in the practice of professional nursing until the continuing education requirements are satisfied and the license has been renewed, reinstated or reactivated. (3)The LPN shall question any order which is perceived as unsafe or contraindicated for the patient or which is not clear and shall raise the issue with the ordering practitioner. The provisions of this 21.162a adopted April 24, 2009, effective April 25, 2009, 39 Pa.B. Article 9. 3656; amended August 20, 2010, effective August 21, 2010, 40 Pa.B. Immediately preceding text appears at serial pages (385245) to (385246). (a)Survey visits will be made of basic practical nursing programs conducted in hospitals, community colleges, universities and public school districts and vocational education programs under the Department of Education. 7822. (2)Changing gastrostomy tube when stoma is healed. (13)Collection of blood specimens from an IV access device. The provisions of this 21.134 adopted July 11, 2008, effective July 12, 2008, 38 Pa.B. (iii)The amount of training received equals or exceeds the amount of training or continuing education required under subsection (a) or (b), as applicable. (a)An applicant for certification shall submit an application form provided by the Board to the Board for its review and approval. Each subsequent license renewal will be valid for 2 years from October 1 through September 30. 186); and section 8 of the Practical Nurse Law (63 P.S. The provisions of this 21.88 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (c)Library facilities and resources, which are planned and maintained to meet the specific needs of the student and the faculty shall be as follows. (c)A notarized list of nurses employed in the program shall be submitted by January 15 of each year. The provisions of this 21.23 issued under section 506 of The Administrative Code of 1929 (71 P.S. 449.41449.50) and provides for the issuance of a volunteer license to a qualified registered nurse, a certified registered nurse practitioner and a licensed practical nurse who retires from active practice and seeks to provide professional services as a volunteer. (2)Cooperating agencies or services selected by the school shall be approved by the appropriate State and National bodies, if such exist. The provisions of this 21.503 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. The policies of the baccalaureate and associate degree programs shall be consistent with those of the controlling institution. Challenges with understaffing existed before the pandemic due to cost-cutting measures, disease complexity, and an aging population. (ii)The LPN has received instruction and training in accepting an oral order in an approved nursing education program or has received instruction and training in accepting an oral order in accordance with the established policies and protocols of the facility. 702 (relating to appeals). Signed into law May 8, 2012: The title nurse may not be used by a person who has not been licensed under the Nurse law.
Nurse Practice Act - Indiana Association of School Nurses (b)The following nursing practices fall within the scope of registered nursing practice under 21.11 and 21.14: (1)The addition of medications to peritoneal dialysate. Two things limit the independent scope of nursing practice: Task/practice must be within the field of nursing, and; RN must possess the specialized knowledge, judgment, and skill required to complete the job/task undertaken. (c)Committee reports and faculty actions shall be recorded, filed systematically and kept available for reference. (a)The educational policies of the educational unit in nursing shall be consistent with those of the controlling institution. An official website of the State of Maryland. This section cited in 49 Pa. Code 21.51 (relating to establishment). (a)A graduate registered nurse may only practice professional nursing under supervision and if the graduate registered nurse holds a current temporary practice permit. 667.6); amended under sections 8.1 and 11.2 of The Professional Nursing Law (63 P.S. The most restrictive states require collaborative agreements with MDs, and NPs often have to pay for theman average of $5,000 to $10,000 a year. The penalty for violation is increased to $10,000 and a maximum seven years suspension from public service. (3)An LPN shall follow the written, established policies and procedures of the facility that are consistent with the act. 106386). (iv)One copy of the annual report form required by the Board, completed by the cooperating agency. 212.1(k) and 222(a)); section 17.6 of the Practical Nurse Law (63 P.S. 42.21c). One hour of CPE credit will be given for each 50-minute clock hour of CPE activity. In Pennsylvania, the School Code mandates a ratio of 1 certified school nurse to 1,500 students, which may mean that 1 school nurse is covering 3-5 buildings. (4)Statement of the philosophy, purposes and objectives of the program. The provisions of this 21.25 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (ii)Types of vascular access delivery devices. (3)Knowingly permit another individual to use his license or temporary permit for any purpose or knowingly permit the unlicensed person under the registered nurses jurisdiction or supervision to misrepresent that the individual is a licensed nurse. (ii)Shall include clearly defined refund policies governing fees and tuition paid by the students. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. (3)Alternative education. 3806. 663.1 and 667.5); section 22.1 of the Podiatry Practice Act (63 P.S. (3)Knowingly permit another individual to use his license for any purpose. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. (e)The Board will not adopt statements of policy until the time for public comment has elapsed. (ii)Request certification of the applicants nursing education program from the licensing board or appropriate educational authorities. (2)Cooperating agencies on the approved list shall submit changes on curriculum content to the Board for approval before schools are notified of the changes. Immediately preceding text appears at serial page (26492). The provisions of this 21.166 adopted April 24, 2009, effective April 25, 2009, 39 Pa.B. The provisions of this 21.363 issued under sections 6.1 and 8.1 of The Professional Nursing Law (63 P.S. The provisions of this 21.26 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. A volunteer license shall be renewed biennially on forms provided by the Board. (d)Any written communication with the Board must be typed or printed and include the CRNPs full name, including former names, the current address and certification number. 212.1(k)). The provisions of this 21.14 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. Immediately preceding text appears at serial page (9696). 2667. (1)Under 23 Pa.C.S. Statements which qualify as false or misleading include the following: (i)Statements containing a misrepresentation of facts. (f)An applicant for licensure by endorsement shall complete at least 3 hours of approved training in child abuse recognition and reporting in accordance with 21.508(a) (relating to child abuse recognition and reportingmandatory training requirement). A nurse violated subsection (a)(4) by leaving patient experiencing rare premature ventricular contractions failing to call code team when so instructed and failing to attach cardiac monitor strip to patients chart, but such actions did not constitute violations of 49 Pa. Code 21.13 which merely establishes limitations on who may perform resuscitation and respiration and circumstances under which those procedures may be performed. (15)Direct access of implantable devices. (d)The rationale for the allocation of credit for nursing courses shall be consistent with the practice of the institution. An NP's scope of practice can include assessing a patient's condition, ordering tests, interpreting results and making diagnoses, prescribing medication, and ordering treatments. Immediately preceding text appears at serial page (396909). (10)Issue oral orders to the extent permitted by the health care facilities by-laws, rules, regulations or administrative policies and guidelines. (G)An individual 18 years of age or older who engages a child in severe forms of trafficking in persons or sex trafficking, as those terms are defined under section 103 of the Trafficking Victims Protection Act of 2000 (Division A of Pub.L. The provisions of this 21.20 added March 25, 2022, effective March 26, 2022, 52 Pa.B. (b)The Board may grant a temporary practice permit to an individual who holds a current practical nurse license issued by another state, territory or possession of the United States or Canada (a currently-licensed practical nurse). (iv)Touching breasts, genitals or any other body part for any purpose other than appropriate examination or treatment, or using prolonged or improper examination techniques, or after the patient has refused or withdrawn consent. (1)An LPN shall communicate with a licensed professional nurse and the patients health care team members to seek guidance when: (i)The patients care needs exceed the licensed practical nursing scope of practice. (a)Prior to renewal. The provisions of this 21.147 issued under section 17.6 of the Practical Nurse Law (63 P.S. (9)Copies of written agreements with cooperating agencies and facilities to be used in the program. This list shall include the full name including maiden name, current address, license number and date of original employment in this Commonwealth. (7)Knowingly abandon a patient in need of nursing care. 2827; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. 2976; amended June 16, 2000, effective June 17, 2000, 30 Pa.B. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. 186); and section 8 of the Practical Nurse Law (63 P.S. (ii)Unnecessarily exposing a patients body or watching a patient dress or undress, unless for therapeutic purposes or the patient specifically requests assistance. This section cited in 49 Pa. Code 21.414 (relating to interpretations regarding the functions of Licensed Practical Nurses (LPN)statement of policy). This section cited in 49 Pa. Code 21.364 (relating to removal from approved list; discontinuance of CRNP program). A nursing faculty shall select record forms specifically for the practical nursing program which shall include the following: (1)Student records. (4)Library facilities and resources, which are planned and maintained to meet the specific needs of the student and the faculty, as follows: (i)The physical equipment of the library shall include adequate lighting and ventilation, sufficient tables and comfortable chairs, space for proper display of library holdings and exhibits and appropriate work space for the librarian. (h)Interpretations of the Board will not be deemed to impose requirements upon educational institutions to include the teaching of practices within their curricula. Effective in 60 days. (vii)Using or causing the use of anesthesia or any other drug affecting consciousness for the purpose of engaging in any conduct that would constitute a sexual impropriety or sexual violation. 8372 (December 31, 2022). 3101. (e)The resources, facilities and services of the college or university must be available to and used by the CRNP program and be adequate to meet the needs of the faculty and students.