7822. (iii)Oral to genital contact between a nurse and a patient during the professional relationship. 667.6), unless otherwise noted. Peripheral short catheterA venous access device less than 3 inches (7.5 cm) in length. 49 Pa. Code 21.18. Standards of nursing conduct. - Pennsylvania Bulletin (a)The certification of a CNS will expire at the same time as the CNSs professional nursing license as provided in 21.29 (relating to expiration and renewal of license). Registration Examination for Registered DietitiansA written academic examination developed, prepared, administered and scored by the CDR. The provisions of this 21.332 adopted December 3, 2004, effective December 4, 2004, 34 Pa.B. (x)Engaging a child in a severe form 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 30 day period for holding a hearing may be waived by consent of the parties. 212.1(k)). 2667. (5)Endotrachael intubation and extubation. The licensee will not be required to remit the biennial renewal fee during the period when the license is on inactive status. (13)Evaluation methods, including participant evaluation and activity evaluation. (c)Courses in areas related to the practice of professional nursing such as the following are acceptable: (3)Foreign language relevant to health care. (5)To stimulate and maintain continued growth and improvement of practical nursing education in this Commonwealth. 659 and 667.6). 244(a)(3)). The provisions of this 21.33 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 841; amended July 1, 1983, effective July 2, 1983, 13 Pa.B. 224). The provisions of this 21.332a issued under sections 2.1(k) and 8.1(c) of The Professional Nursing Law (63 P.S. The provisions of this 21.504 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. (i)The procedure for issuing interpretations will not prohibit the Board from answering specific inquiries involving individual factual situations, which answers will be limited in application to the individual factual situation involved in the inquiry. ANDAcademy of Nutrition and Dietetics. National certificationCertification by a Board-recognized National certification organization which required passing a nurse practitioner National certifying examination in a specialty. Nurse Practitioner Practice Authority: A State-by-State Guide (f)There shall be a planned and active faculty development program designed to meet the needs of the faculty. Sec. 3124.2 (relating to institutional sexual assault). The provisions of this 21.162a adopted April 24, 2009, effective April 25, 2009, 39 Pa.B. (2)Discriminate, while providing nursing services, on the basis of age, marital status, sex, sexual preference, race, religion, diagnosis, socioeconomic status or disability. (d)Students admitted to CRNP programs shall be currently licensed as a registered nurse (RN) or, if enrolled in an RN to Master of Science in Nursing (MSN) or RN to Nursing Doctorate (ND) program, shall complete all competencies for undergraduate requirements prior to taking graduate courses. 5345. A registered nurse may request a waiver of the continuing education requirement because of serious illness, military service or other demonstrated hardship. 216(b)(1)(4)), which include: (2)Receipt of a baccalaureate or higher degree from a Board-approved program or equivalent program as set forth in section 5(b) and (c) of the act (63 P.S. The bill provides for the licensure of growers, processors, and dispensers. (10)Administration of solutions to maintain patency of an IV access device via direct push or bolus route. The Board may grant the exemption if it finds that completion of the training or continuing education requirement is duplicative or unnecessary under the circumstances. Supervising staff. (v)Instruct the patient regarding the risk and complication of therapy. In other practice settings, certain information shall be recorded in the patients medical record on each occasion when a controlled substance is prescribed, administered or dispensed. The provisions of this 21.33a adopted under sections 2.1(k) and 6.1 of The Professional Nursing Law (63 P.S. (i)Shall be comprehensive and current, since it serves as a contract of agreement between the applicant or student and the school. A program shall provide additional notice to applicants and students at the direction of the Board. (d)Exemptions granted under subsection (c) are applicable only for the biennial renewal period for which the exemption is requested. 106386). PA Scope of Practice and delegation - General Nursing Talk - allnurses The curriculum must: (i)Assess the programs effectiveness relative to current standards of practice. The provisions of this 21.293 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. (b)The philosophy, purposes and objectives of the school shall be developed by the faculty and reviewed at stated intervals. (3)Employ the nurse administrator of the educational unit at least 12 months prior to the intended admission date of students. (iii)Submit an application for an education evaluation to a Board-approved foreign credentials evaluator if required under 21.23(b) and 21.28(c) (relating to qualifications of applicant for examination; and licensure by endorsement) and retain documentation of the application submitted to the evaluator to provide to the Board upon request. (b)A CRNP shall carry out the following minimum standards when prescribing, administering or dispensing controlled substances: (1)Initial evaluation. 6383(b)(2). (4)Clinical experience, as provided in paragraph (3), in the care of men, women and children in a variety of age groups with health problems characteristic of the age group involved. (2)An adequate physical facility and appropriate instructional materials to carry out the continuing education course. (6)The request for temporary practice permit extension shall be submitted to the Board no less than 60 days prior to the expiration date of the temporary practice permit. The provisions of this 21.157 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. (7)Conversion of a continuous infusion to an intermittent infusion. 3891. This section cited in 49 Pa. Code 21.723a (relating to reporting of crimes and disciplinary action). 667.6). 5634; amended June 16, 2000, effective June 17, 2000, 30 Pa.B. (2)Insertion of angiocath into an A-V Fistula. IV access deviceA centrally or peripherally inserted catheter used for the purpose of intravenous infusion therapy, including peripheral short catheters, peripheral midline catheters, peripherally inserted central catheters and central catheters, including tunneled, nontunneled catheters and implanted ports. The scope of the counseling program shall be clearly defined in accordance with the objectives of the program. (I)Incest as defined in 18 Pa.C.S. This section cited in 49 Pa. Code 21.29 (relating to expiration and renewal of license); and 49 Pa. Code 21.134 (relating to continuing education sources). 3796; amended October 16, 2015, effective October 17, 2015, 45 Pa.B. (2)The registered nurse who performs venipunctures has had instruction and supervised practice in performing venipunctures. (g)Waiver. (b)An applicant for licensure by endorsement shall meet the requirements regarding age, good moral character, preliminary education and practical nursing education as outlined in the act. (ii)The care of patients with short-term nursing needs. (11)The instruction and evaluation methods. (2)Reevaluations. A CNS who places the CNSs certification on inactive status is not required to meet the continuing education requirements in section 8.5(c)(2) of the act (63 P.S. The applicant shall retain documentation of submission of the request to submit to the Board upon request. (2)Documentation of the university or colleges pursuit of regional accreditation. (e)Course outlines that identify all aspects of each course shall be developed and readily available. (9)Umbilical vessel catheterization in infant intensive care units. 186); and section 8 of the Practical Nurse Law (63 P.S. 667.6); and 23 Pa.C.S. 2061. PDF The General Assembly of Pennsylvania Senate Bill 853 42.21c); and sections 810(a)(3) and (7) and 812.1(a) of The Administrative Code of 1929 (71 P.S. The provisions of this 21.3 reserved under section 2.1(k) of The Professional Nursing Law (63 P.S. (a)The curriculum shall be based upon the philosophy and objectives of the program and shall be developed, implemented and evaluated by the faculty. Graduate registered nurseAn individual who has graduated from an approved program of professional nursing in this Commonwealth or a comparable program in another state. (f)Compliance with regulations relating to prescribing, administering, dispensing, packaging and labeling of drugs. The provisions of this 21.291 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. 5952; amended June 2, 2006, effective June 3, 2006, 36 Pa.B. (4)Removal of sutures of a simple and uncomplicated nature. 1916. (c)Students admitted to CRNP programs shall have successfully completed the equivalent of a baccalaureate degree in nursing from an accredited institution of higher learning in a nursing program. Practice of professional nursing. Nursing Practice | Iowa Board of Nursing Nursing schools in this Commonwealth are approved to effectuate the following: (1)Safeguard the preparation of nurses and assure safe standards of nursing practice in this Commonwealth. Student employment shall be on a voluntary basis and not a requirement of the institution. (4)For a patient whose condition is determined by the LPNs supervisor to be stable and predictable, and rapid change is not anticipated, the supervisor may supervise the LPNs provision of IV therapy by physical presence or electronic communication. 658 and 667.6). (iii)The course work shall have been completed within 5 years immediately preceding the date the applicant applies for initial prescriptive authority approval. (b)Programs planning to discontinue must follow the procedures in 21.41 (relating to notification; completion of program; records). (C)A paramour or former paramour of the childs parent. The Pennsylvania State Nurses Association supports legislation and registered nurse delegation that will place specific language into the Nurse Practice Act that will clarify the practice of delegation for the Commonwealth's RNs. Upon application for reactivation of certification, the CRNP shall show proof of meeting the continuing education requirements for the biennial period immediately preceding the request for reactivation, and, if the certification has been lapsed or on inactive status for 5 years or longer, the CRNP must have a current, active professional nurse license, reactivated in accordance with the continued competency requirements in 21.30a (related to continued competency), and at least one of the following: (1)Proof of current National certification in the specialty in which the nurse is seeking reactivation, if the CRNP is subject to section 8.1(b) of the act. (e)Group or individual research, as the principal or co-principal investigator, if approved by the institutional review board of the sponsoring institution, is acceptable and will be credited in the year completed as 15 hours of continuing education. 5521. Immediately preceding text appears at serial page (238278). The provisions of this 21.364 issued under sections 6.1 and 8.1 of The Professional Nursing Law (63 P.S. (g)The ratio of students to faculty must insure optimal learning opportunities in clinical laboratory sessions, be consistent with the objectives of the CRNP courses, and comply with 21.373(c)(3)(ii) (relating to facility and resource requirements). (e)The Board will regulate the practice of practical nursing. 2061. (i)The CRNP has practiced, for at least 1 of the last 3 years, as a CRNP with prescriptive authority in another jurisdiction. (3)Changing a subclavian catheter over guidewire after it had been placed by a physician. (2)For academic courses taken from an accredited college or university, the registered nurse shall retain the transcript issued by the educational institution. 1986). A professional nurse may not practice or offer to practice as a CRNP in this Commonwealth if the professional nurses certification or RN license is revoked or suspended. (3)A CRNP who requests a waiver may not prescribe or dispense drugs after the expiration of his current prescriptive authority until the Board grants the waiver request or the prescriptive authority approval has been renewed. 421.3 and 421.16) (Repealed), unless otherwise noted. (2)Be subject to a site review by the Boards education advisor after the first class has been awarded degrees and the results of the licensing examination taken by the first class are available. Serious mental injuryA psychological condition, as diagnosed by a physician or licensed psychologist, including the refusal of appropriate treatment, that does one or more of the following: (i)Renders a child chronically and severely anxious, agitated, depressed, socially withdrawn, psychotic or in reasonable fear that the childs life or safety is threatened. 201; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. The Board will not issue a license or certificate unless the Bureau has received an electronic report from an approved course provider documenting the attendance/participation by the applicant or the applicant has obtained an exemption under subsection (c). (4)Administer medications or fluids via arterial lines. (a)A graduate registered nurse may only practice professional nursing under supervision and if the graduate registered nurse holds a current temporary practice permit. (iii)Examining or touching genitals without the use of gloves when performing an otherwise appropriate examination. (a)There shall be a nursing faculty organization appropriate to its size and in harmony with other educational units within the controlling institution. National guidelines for nursing delegation.Journal of Nursing Regulation, 7(1). (c)Members of the faculty shall participate in the activities of the faculty organization. Immediately preceding text appears at serial page (101303). The provisions of this 21.145b issued under section 17.6 of the Practical Nurse Law (63 P.S. 2063; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. (ii)The purpose of this content is to provide the graduate with the knowledge and skills to assess, diagnose and manage (including the prescription of pharmacologic agents) a patients common health problems in a safe, high quality, manner. (b)An applicant for a volunteer license 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) as a condition of issuance of a volunteer license. These written policies and procedures shall be available to the nurse. (ii)The mandated reporter is directly responsible for the care, supervision, guidance or training of the child, or is affiliated with an agency, institution, organization, school, regularly established church or religious organization or other entity that is directly responsible for the care, supervision, guidance or training of the child. Immediately preceding text appears at serial pages (385175) to (385176). An applicant for initial certification shall meet the following requirements: (1)Registered nurse license. The policies and procedures shall provide for: (i)Identification of the immunizing and skin testing agents which the LPN may administer. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. The provisions of this 21.337 issued under sections 2.1(k) and 8.1(c) of The Professional Nursing Law (63 P.S. (c)The philosophy of the school shall express beliefs about education, nursing and the responsibility of the school to the student. (3)Faculty to provide adequate supervision and evaluation. The provisions of this 21.30 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (4)An individual who has been granted a temporary practice permit for a currently-licensed registered nurse shall ensure that all documentation in support of the application for licensure is received by the Board no later than 90 days prior to the expiration date of the temporary practice permit. 7822. Five Rights of Nursing Delegation - StatPearls - NCBI Bookshelf (c)Board audits; proof of completion. Scope of practice varies by state. 217; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. Immediately preceding text appears at serial pages (335546) and (319599). (g)An applicant shall submit additional information as identified on the application or as requested in writing by the Board. (iv)Periodic evaluation of the programs human and fiscal resources, program policies, facilities and services. (3)Administrative records, including the following: (i)Affiliation agreements with cooperating agencies. The provisions of this 21.148 adopted April 30, 1993, effective May 1, 1993, 23 Pa.B. When prescribing or dispensing a drug, the CRNP shall document in the patients medical record the name, amount and dosage of the drug, instructions for taking the drug, the number of refills, the date and the CRNPs name. Assisted Living: Registered Nurse Medication Delegation Pharmacology content shall also be integrated into the other content areas identified in the advanced practice nursing core. Board-regulated practitionerA registered nurse (RN), licensed practical nurse (LPN), certified registered nurse practitioner (CRNP), clinical nurse specialist (CNS) or licensed dietitian-nutritionist (LDN). (5)Be kept at the primary practice location of the CRNP and a copy filed with the Bureau of Professional and Occupational Affairs. (i)Nursing courses shall be organized to use and reinforce relevant learnings from preceding and concurrent courses. (c)A nurse who attempts to raise as a defense an argument that conduct prohibited as a sexual violation or sexual impropriety was necessary or appropriate to the treatment of a patient shall be required to demonstrate competency in practice which relates directly to the treatment of sexual function or dysfunction. The provisions of this Subchapter C issued under section 506 of The Administrative Code of 1929 (71 P.S. (iv)Discussing or commenting on a patients potential sexual performance or requesting details of a patients sexual history or preferences during an examination or consultation, except when the examination or consultation is pertinent to the issue of sexual function or dysfunction or reproductive health care. This information shall be submitted with the Applicant Data Sheet of the application for licensure. (c)A registered nurse who fails to comply with an obligation or prohibition under this section is subject to disciplinary and corrective measures under section 14 of the act (63 P.S. 216.1 and 218.1). The provisions of this 21.30a amended under section 2.1(k) of The Professional Nursing Law (63 P.S. 2402; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. 5329. The provisions of this Subchapter B adopted January 20, 1967; amended March 26, 1976, effective March 27, 1976, 6 Pa.B. 5484. Each nursing faculty shall select record forms specifically for the nursing program and shall include the following: (1)Student records, including the following: (i)Permanent record, including both clinical and theoretical experience and achievement, shall be kept ad infinitum. The provisions of this 21.146 issued under section 506 of The Administrative Code of 1929 (71 P.S. (b)Following skin testing, the size of the induration or its absence may be observed and recorded by the properly instructed registered nurse. The number of candidates for each class shall be determined by the educational and clinical resources which the school can provide. The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 52 Pa.B. Laws, c. 153 ; 64 Del. 6383(b)(2). Learning experiences during evening and night hours shall be planned only after the termination of the first 4 months of the program. Program bulletins shall: (i)Be comprehensive and current since they serve as contracts of agreement between the applicant or student and the program. (b)Each nursing faculty shall select record forms specifically for the CRNP program that include the following: (1)Student records, including the permanent record, containing both clinical and theoretical experience and achievement, shall be kept for 50 years. (i)If the standards of this subchapter are not met within the designated time, the nursing education program will be removed from the approved list as provided in 21.34 (relating to removal from approved list). 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. 6994. This section cited in 49 Pa. Code 21.5 (relating to fees); and 49 Pa. Code 21.29 (relating to expiration and renewal of license). 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. (b)A CRNP program must prepare the registered nurse (RN) to function as a nurse practitioner in an expanded role in a particular specialty. (d)Policies in effect for faculty members of the educational unit in nursing shall be those in effect for faculty members throughout the controlling institution, except where specified otherwise in this chapter. (11)Make physical therapy and dietitian referrals. 21.824 (relating to inactive status and reactivation); and 49 Pa.B. (ii)Identify allergies, fluid and medication compatibilities. Nineteen chapters within the Ohio Administrative Code (OAC) fill out the ORC with additional rules regarding nursing practice. This section cited in 49 Pa. Code 21.273 (relating to application for certification); 49 Pa. Code 21.283 (relating to authority and qualifications for prescribing, dispensing and ordering drugs); 49 Pa. Code 21.285 (relating to prescriptive authority collaborative agreements); 49 Pa. Code 21.331 (relating to biennial renewal of certification); and 49 Pa. Code 21.336 (relating to continuing education course approval); and 49 Pa. Code 21.605 (relating to biennial renewal). (6)Learning experiences, as required in paragraph (3), providing opportunities for the student to: (i)Develop an awareness of the needs of patients. The provisions of this 21.13 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (b)A CRNP with current prescriptive authority approval from the Board may prescribe, dispense and administer drugs and therapeutic or corrective measures consistent with the prescriptive authority collaborative agreement and relevant to the CRNPs specialty from the following categories: (3)Antineoplastic agents, unclassified therapeutic agents, devices and pharmaceutical aids. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. Delaware Code Online A registered nurse seeking to reinstate a suspended license shall submit, or cause to be submitted, documentation to demonstrate that the registered nurse completed 30 hours of continuing education, including at least 2 hours in approved child abuse recognition and reporting in accordance with 21.508(b), within the biennial period immediately preceding application for reinstatement. One hour of CPE credit will be given for each 50-minute clock hour of CPE activity. 212.1(k)). The term includes a State health center, nonprofit community-based clinic and Federally qualified health center, as designated by Federal rulemaking or as approved by the Department of Health or the Department of Public Welfare. Licensed Practical Nurses, Registered Nurses, and Advanced Registered Nurse Practitioners are responsible to understand the rules and regulations embedded in the Iowa Administrative Code, Chapters 6 and 7 and to practice nursing following the appropriate scope of practice and evolving standards of care. Faculty assistants shall be currently licensed as professional nurses in this Commonwealth. 667.6); amended under sections 2.1(k), 11(b), 11.2 and 12.1 of The Professional Nursing Law (63 P.S. The provisions of this 21.337 adopted December 3, 2004, effective December 4, 2004, 34 Pa.B. 667.6); and 23 Pa.C.S. Immediately preceding text appears at serial pages (351278) and (335539). return to top. 1916. 5486. Opportunities shall be provided for the student to participate in case findings, health teaching and health counseling for patients and their families. Nurse Practice Act | ksbn.kansas.gov 811. The states duty to protect those who receive nursing care is the basis for a nursing license. 6212, unless otherwise noted. Certification as a CRNP may be suspended, revoked or otherwise restricted or subjected to remedial measures when, after notice and opportunity to be heard, the Board finds that: (1)The CRNP has engaged in the performance of medical functions and tasks beyond the scope of practice permitted for a CRNP, beyond the scope of the CRNPs specialty, or in violation of the CRNPs collaborative agreement, as provided in the act and this subchapter. The standard of nursing conduct promulgated by these regulations provides a definite warning to a licensee, in addition to the provisions of the law as interpreted by the Board of Nursing, of what may constitute unprofessional conduct by setting forth an ascertainable standard against which conduct can be measured. (b)An applicant for initial certification shall include documentation satisfactory to the Board of the following: (1)Proof of completion of a Board-approved education program or proof of completion and official transcript from another course of study that meets the requirements of 21.271(a)(2) (relating to certification requirements). 12-1205.6). 658 and 667.6). 215(b) and (c)). It recognizes the Inspector General as an appropriate authority, and stipulates an appropriate authority may not disclose the identity of a whistleblower without the whistleblowers consent unless disclosure is unavoidable in the investigation of the alleged violation. (a)Licenses for practical nurses expire on June 30 of each biennium in the even-numbered years. Immediately preceding text appears at serial pages (319602) to (319603). As RNs, advanced practice registered nurses may only delegate tasks to unlicensed staff or assistive personnel utilizing the applicable RN Delegation Rules 224 or 225 as appropriate and in compliance with Rule 217.11(3)(B). 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. Immediately preceding text appears at serial page (209965). (c)A registered nurse shall notify the Board of disciplinary action in the nature of a final order taken against the registered nurse by the licensing authority of another state, territory or country within 90 days of receiving notice of the disciplinary action, or on the biennial renewal application under 21.29(c)(4), whichever is sooner. National Council of State Boards of Nursing, Inc. All Rights Reserved. 6994. 7822. 211(k) and 218.1(c)). No part of the information on this site may be reproduced for profit or sold for profit. 2677; amended May 22, 1981, effective May 23, 1981, 11 Pa.B. Immediately preceding text appears at serial pages (34224) and (50845). (iv)Legal implications for IV therapy. Nursing Practice Act | North Carolina Board of Nursing (v)Encouraging a patient to masturbate in the presence of the nurse or masturbating while a patient is present. (a)A candidate for the licensing examination may submit an application together with the required fee no sooner than 90 days prior to completing a practical nursing education program. (2)Submit 18 copies of the feasibility study to the Board for approval. (4)Statement of the philosophy, purposes and objectives of the program. 4086; amended November 29, 1991, effective November 30, 1991, 21 Pa.B. (iii)Providing or offering to provide drugs, herbs, nutritional supplements or treatment in exchange for indecent contact, sexual intercourse or deviate sexual intercourse. 218.5(c)(2)). (2)A written order has been issued by a licensed physician pertaining to an individual patient or group of patients. The provisions of this 21.6 adopted November 29, 1991, effective November 30, 1991, 21 Pa.B. PICCPeripherally inserted central catheterAn IV catheter, the tip of which terminates in the superior vena cava and is confirmed by chest x-ray. (b)In addition to the application fee prescribed in subsection (a), which is payable directly to the Board, a candidate for National certification will also pay an additional fee to the certifying organization. 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. This section cited in 49 Pa. Code 21.332 (relating to requirement of continuing education); and 49 Pa. Code 21.336 (relating to continuing education course approval).
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