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(c)The following nursing practices fall within the scope of registered nursing practice under 21.11 and 21.15 (relating to monitoring, defibrillating and resuscitating): (1)Measurement of a cardiac output by thermodilution method. No. 218.6(a)). (a)The following providers of continuing education and credentialing organizations have currently met the standards for approval for continuing education. How can we transform our States healthcare system? BoardThe State Board of Nursing of the Commonwealth. The standards of practice are defined and delineated by the nursing profession. Immediately preceding text appears at serial pages (385216) to (385217). Immediately preceding text appears at serial page (335546). South Dakota Board of Nursing. (9)A description of the clinical facilities. 212.1(k)); and section 17.6 of the Practical Nurse Law (63 P.S. 6196. 216(b)(2)) that are approved by ACEND or the ACN. 4730. Contact State Board of Nursing P.O. (5)Schedule of the activity, including, for activities with multiple presenters, the title of each subject, lecturer and time allotted. (2)Administers the act by providing rules and regulations relating to the issuance and renewal of CNS certification. (5)Document and maintain accurate records. 2063; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. The Pennsylvania Code website reflects the Pennsylvania Code For purposes of this subchapter, the term includes all Board-regulated practitioners. 658). (2)Insertion of angiocath into an A-V Fistula. The provisions of this 21.123 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 1984); reversed in part 499 A.2d 289 (Pa. 1995); on remand 505 A.2d 359 (Pa. Cmwlth. Immediately preceding text appears at serial pages (385168) to (385169). 6383(b)(2). (6)Order blood and blood components for patients. The provisions of this 21.181 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. (ii)Request certification of the applicants nursing education program from the licensing board or appropriate educational authorities. Policies concerning housing shall include the following: (2)Safe and adequately maintained facilities directly related to personal hygiene and personal security measures which include appropriate supervision of housing facilities and periodic inspection of safety devices, such as fire extinguishers, housing exits and fire drills. (5)Solicit, borrow or misappropriate money, materials or property from a patient. Patient (includes residents and clients)A person, other than a spouse or immediate family member, who receives professional services from a licensed practical nurse, regardless of whether or not the nurse receives remuneration for the services. The provisions of this 21.368 adopted June 2, 2006, effective June 3, 2006, 36 Pa.B. (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. 212.1(k)). (a)A record system essential to the operation of the program shall be maintained. If the program on provisional approval status is not in compliance within this designated time, the CRNP program will be removed from the approved list. CPEContinuing professional education, required by the act for biennial license renewal. The Board may place on provisional approval a nursing education program not meeting the standards of this subchapter. The transcript shall bear the impression of the school seal and signature of the nurse in charge of the program or authorized representative. 2829; amended July 11, 2008, effective July 12, 2008, 38 Pa.B. 2667. (3)Completion of a planned continuous preprofessional experience of at least 900 hours under appropriate supervision. (a)The Board administers the act by providing rules and regulations on standards for nursing schools and the conduct of the programs. The provisions of this Subchapter H adopted July 16, 2010, effective July 17, 2010, 40 Pa.B. The provisions of this 21.132 adopted July 11, 2008, effective July 12, 2008, 38 Pa.B. 212.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. 212.1(k) and 222(a)). Immediately preceding text appears at serial page (30279). The provisions of this 21.811 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. 667.6). 7508.2 (relating to operation of methamphetamine laboratory) is occurring, provided that the violation is being investigated by law enforcement. (a)The minimum faculty requirements submitted under 21.365(d)(3) (relating to establishment) for the program are: (1)Qualified faculty members teaching in their areas of specialized practice encompassed within the curriculum. 2829; amended December 2, 2005, effective December 3, 2005, 35 Pa.B. (5)Mandatory training in child abuse recognition and reporting. Among the factors to be considered in determining the number and frequency of follow-up evaluations that should be recommended to the patient are the condition diagnosed, the controlled substance involved, expected results and possible side effects. (iii)Examining or touching genitals without the use of gloves when performing an otherwise appropriate examination. (b)A student who meets the description in subsection (a) and who also desires to practice as a registered nurse while participating in the training program shall submit an application for licensure by endorsement and obtain a temporary practice permit as provided by 21.28 (relating to licensure by endorsement). (g)Learning experiences shall be selected and arranged to provide opportunity for the student to learn how to function within the role of the LPN and for the personal growth of students. (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. 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. (3)Alternative education. 1984); reversed in part 499 A.2d 289 (Pa. 1995); on remand 505 A.2d 359 (Pa. Cmwlth. 2827; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. (b)A licensed registered nurse, responsible for administering a drug, may supervise a graduate nurse or a nursing student in an approved nursing education program in the administration of the drug. 1916. 222.1(k)); and 23 Pa.C.S. 5902 (relating to prostitution and related offenses). This section cited in 49 Pa. Code 21.28 (relating to licensure by endorsement); 49 Pa. Code 21.332a. If faculty are providing onsite preceptorship, the maximum ratio is two students per faculty member. (b)The following nursing practices fall within the scope of LPN practice under 21.145(b): (1)Changing cystostomy tubes after the stoma heals. 658); reserved under section 17.6 of the Practical Nurse Law (63 P.S. Immediately preceding text appears at serial pages (261719) to (261720). The Board may request information from the program or conduct an announced or unannounced site visit before notifying the program of the alleged deficiency. Registration Examination for Registered DietitiansA written academic examination developed, prepared, administered and scored by the CDR. Laws, c. 153 ; 64 Del. 212.1(k) and 222(a)). (1)An LPN may initiate and maintain IV therapy only under the direction and supervision of a licensed professional nurse or health care provider authorized to issue orders for medical therapeutic or corrective measures (such as a CRNP, physician, physician assistant, podiatrist or dentist). Acceptable documentation of hours obtained through 21.334(c) or (e) (relating to sources of continuing education) must be the Board approval letter sent to the applicant. 217; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. (h)Courses in general education shall be shared with students in other programs of the controlling institution. (iii)Outline medical principles governing the treatment of possible anaphylactic reactions. 212.1(k) and 222(a)). The Board will make available a list of Board-approved English proficiency examinations on its web site. (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 21.18 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. 6311.1 (relating to privileged communications), privileged communications between a mandated reporter and a patient do not apply to a situation involving child abuse and do not relieve the mandated reporter of the duty to make a report of suspected child abuse. The provisions of this 21.31 amended under sections 2.1(k) and 6.1 of The Professional Nursing Law (63 P.S. (b)A CRNP program must prepare the registered nurse (RN) to function as a nurse practitioner in an expanded role in a particular specialty. An LDN shall notify the Board within 14 days of a change of address. (iii)Letters of intent from the cooperating agencies indicating positive commitment to the nursing program and the availability of sufficient clinical resources to meet the educational requirements of the program. (1) An individual shall not engage in the practice of nursing or the practice of nursing as a A CRNP whose prescriptive authority approval has been revoked shall, in addition to meeting the requirements to reinstate the CRNP certification, meet the requirements in subsection (c), and any other requirements by Board order. Immediately preceding text appears at serial pages (396914) and (385263). (i)Dietitian-nutritionists may use the title Licensed Dietitian-Nutritionist or abbreviation LDN only when they hold a current license issued by the Board. The survey report is presented to the Board and a written report of recommendations or requirements, or both, is sent to the school, college or university. 4755; amended July 26, 2019, effective July 27, 2019, 49 Pa.B. (7)Be reviewed and updated by the parties at least once every 2 years or whenever the agreement is changed. Facilities and resources of the program shall include the following: (1)Administrative and instructional and office personnel shall be provided with the appropriate and adequate space and equipment essential for attainment of the objectives of the program. (c)The following nursing practices fall within the scope of LPN practice under 21.145(a) and (b): (2)Changing outer tracheostomy tube after stoma is healed. 212.1(k)). The provisions of this 21.371 issued under sections 6.1 and 8.1 of The Professional Nursing Law (63 P.S. 216.2(a)). (b)The Board recommends that only one class be admitted per year. Discussion of a patients sexual practices and preferences shall be fully documented in the patients chart. 4730. CertificationCertification as a CNS issued by the Board. (b)Criminal penalties. (4)The concept of preparing a practitioner who shares in the giving of direct care to patients and who functions within the accepted roles of the L.P.N. 279.1(a)(3) and (7) and 279.3a(a)). The provisions of this 21.162b adopted April 24, 2009, effective April 25, 2009, 39 Pa.B. (ii)Student evaluation of teaching and program effectiveness. 6994. A volunteer license authorizes the holder to practice only in an organized community-based clinic without remuneration. Supervision means that a licensed registered nurse is physically present in the area or unit where the graduate registered nurse is practicing. 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. PSNA Supported: Passed 200-0 and Enacted: This resolution establishes a task force on opioid prescription drug proliferation, creates an advisory committee and studies its impact on heroin use in the Commonwealth. 49 Pa. Code 21.18. 215(e)) or under this subchapter will be valid from the date of issuance through September 30, 2006, following the issuance of the license. (2)Respect and consider, while providing nursing care, the individuals right to freedom from psychological and physical abuse. 811; amended June 21, 1991, effective June 22, 1991, 21 Pa.B. Nurse practitioners applying for certification from a jurisdiction that does not designate the nurse practitioners specialty will be required to present evidence satisfactory to the Board to demonstrate the nurse practitioners specialty. The Board will place on full approval a nursing education program which attains and maintains the standards of this subchapter. 212(1)). (3)Verify that the registered nurse has complied with the continuing education requirements mandated by section 12.1 of the act (63 P.S. Immediately preceding text appears at serial page (396910). (4)Pay the required biennial renewal fee set forth in 21.253 (relating to fees). 7822; amended March 25, 2022, effective March 26, 2022, 52 Pa.B. Remuneration for employment shall be within the range of the salary scale for the position. Upon receipt of the request, the Board will require information to be submitted on an Agency Data form and returned for review and action. (c)Adequate funds shall be allocated and properly budgeted for the sound and effective operation of the program. The provisions of this 21.156b adopted October 16, 2015, effective October 17, 2015, 45 Pa.B. A CRNP shall undertake a specific practice or procedure only if the CRNP has the necessary knowledge, preparation, experience and competency to properly execute the practice or procedure and the practice is within the scope of the CRNPs specialty and consistent with the CRNPs collaborative agreement. The provisions of this 21.18 adopted April 30, 1993, effective May 1, 1993, 23 Pa.B. (b)The Board will place a CRNP program on provisional approval status if, as evidenced by the compliance review or other information, the program is not in compliance with the Boards regulations. (D)Forcefully slapping or otherwise striking a child under 1 year of age. The provisions of this 21.401 adopted February 20, 1987, effective February 21, 1987, 17 Pa.B. (5)The intravenous fluid or medication to be administered is the fluid or medication specified in the written order. 2827; amended November 28, 1997, effective November 29, 1997, 27 Pa.B. Many nurses would like a yes or no answer to questions about the delegation of nursing practice, however, in most cases it is not that simple. (2)Nothing in this subsection shall require a child to come before the mandated reporter to make a report of suspected child abuse. (d)Selected courses shall be included in the humanities and social and behavioral sciences that support the philosophy, purposes, educational concepts and terminal objectives of the program. 216.1 and 218.1). (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. ), appeal denied, 664 A.2d 978 (Pa. 1995). Sexual violationThe term includes the following offenses: (i)Sexual intercourse between a registered nurse and a patient during the professional relationship. The Board may grant a temporary practice permit to a graduate practical nurse as follows: (1)An individual who wishes to practice as a graduate practical nurse during the period from the date of completion of the Board-approved educational program to the notification of the results of the licensing examination shall submit an application for temporary practice permit for a graduate practical nurse on a form provided by the Board and remit the fee specified in 21.147 (relating to fees). This section cited in 49 Pa. Code 21.20 (relating to licensure by examination); 49 Pa. Code 21.28 (relating to licensure by endorsement); 49 Pa. Code 21.29 (relating to expiration and renewal of license); 49 Pa. Code 21.131 (relating to continuing education); 49 Pa. Code 21.150 (relating to licensure by examination); 49 Pa. Code 21.155 (relating to licensure by endorsement); 49 Pa. Code 21.156 (relating to renewal of license); 49 Pa. Code 21.271 (relating to certification requirements); 49 Pa. Code 21.331 (relating to biennial renewal of certification); 49 Pa. Code 21.603 (relating to applications); 49 Pa. Code 21.605 (relating to biennial renewal); 49 Pa. Code 21.721 (relating to qualifications for licensure); 49 Pa. Code 21.723 (relating to license renewal); 49 Pa. Code 21.724 (relating to continuing education); 49 Pa. Code 21.811 (relating to qualifications for initial certification); 49 Pa. Code 21.812 (relating to qualifications for certification by endorsement; additional certification); and 49 Pa. Code 21.822 (relating to biennial renewal of certification). (c)Committee reports and faculty actions shall be recorded, filed systematically and kept available for reference. 3124.1 (relating to sexual assault). No part of the information on this site may be reproduced for profit or sold for profit. (i)This term includes only the following: (B)A spouse or former spouse of the childs parent. The provisions of this 21.21 issued under section 506 of The Administrative Code of 1929 (71 P.S. Immediately preceding text appears at serial pages (335510) to (335513). (v)Statements conveying the impression that the LDN could influence improperly any public body, official, corporation or person on behalf of the patient. 4755; amended July 26, 2019, effective July 27, 2019, 49 Pa.B. (4)Develop and implement treatment plans, including issuing orders to implement treatment plans. State Board of Medicine. Select a jurisdiction from the drop-down list below to obtain a specific jurisdictions nurse practice act and rules. (a)Immunization and skin testing is a proper function of a registered nurse and is a function regulated by this section, and the function may not be performed unless all of the following conditions are met: (1)A written order has been issued by a licensed physician. The provisions of this 21.805 amended under section 11.2(a) and (b) of The Professional Nursing Law (63 P.S. CDRCommission on Dietetic RegistrationThe credentialing agency for the AND. 663.1 and 667.5); section 22.1 of the Podiatry Practice Act (63 P.S. (b)An LDN shall notify the Board of a criminal conviction, plea of guilty or nolo contendere, or admission into a probation without verdict or accelerated rehabilitative disposition program within 30 days of the disposition or on the biennial renewal application under 21.723, whichever is sooner. The agreement must: (1)Be in writing, identify the parties, including the collaborating physician, the CRNP, and at least one substitute physician who will provide collaboration if the collaborating physician is unavailable, include the signature of the CRNP and the collaborating physician, and contain the date that the agreement is signed and the date that the agreement is effective. (4)Faculty members shall meet specialty requirements for continuing competency in accordance with their educational program responsibilities. A program may petition the Board for extension of the maximum period and the Board may, by majority vote, extend the period for good cause demonstrated by the program. 2020 Pennsylvania State Nurses Association, all rights reserved. 186); and section 8 of the Practical Nurse Law (63 P.S. (c)If a nursing education program is removed from the approved list, the controlling institution shall make provision for permanent retention of student and graduate records in conformance with 21.123 and 21.125 (relating to access and use of records; and custody of records). Immediately preceding text appears at serial pages (385107) to (385108). (iv)An individual 14 years of age or older makes a specific disclosure to the mandated reporter that the individual has committed child abuse. 3891. (3)Identifies goals and plans for nursing care. (f)Compliance with regulations relating to prescribing, administering, dispensing, packaging and labeling of drugs. (c)The registered nurse may not engage in areas of highly specialized practice without adequate knowledge of and skills in the practice areas involved. 2677. (2)The registered nurse is certified as a Registered Nurse Anesthetist by the Council on Certification or on Recertification of Nurse Anesthetists of the American Association of Nurse Anesthetists. Contact. (e)Following the review of the CRNP program proposal and before final Board action is taken to grant permission to recruit students, an initial facility survey may be made by the designee of the Board. (b)Facilities and resources of the school shall include the following: (1)Offices and administrative and instructional personnel provided with appropriate and adequate space and equipment essential for attainment of the objectives of the program. 24 Del. 7822. Failure of the licensee to comply with the Volunteer Health Services Act (35 P.S. Clinical hours must meet at least National certification requirements with a minimum of 500. 212.1(k)). Additional emergency resuscitation equipment is immediately available. 6994. (vii)Causing serious physical neglect of a child. (a)A graduate registered nurse may only practice professional nursing under supervision and if the graduate registered nurse holds a current temporary practice permit. (iv)Records of National certification, if applicable. Effective in 60 days. (d)Courses will be approved only in the instructors demonstrated areas of expertise. The provisions of this 21.292 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. The provider shall place the course number on the certificate of attendance and shall provide CRNPs who successfully complete a course with a certificate of attendance. Student records shall conform with the following: (i)Permanent record, on students admitted, including both clinical and theoretical experience and achievement shall be kept ad infinitum. (4)The nature and extent of the suspected child abuse, including any evidence of prior abuse to the child or any sibling of the child. (6)Administer fibrinolytic or thrombolytic agents to declot any IV access device. 6196. 667.5); and section 810(a)(3) and (7) of The Administrative Code of 1929 (71 P.S. Board approval of the nurse administrators credentials shall be obtained prior to the appointment. AUTHORITY: Implementing the Nurse Practice Act [225 ILCS 65] and authorized by Section 2105-15(7) of the Civil Administrative Code of Illinois [20 ILCS 2105]. 212.1(k)). External cardiac resuscitation and artificial respiration, mouth-to-mouth, are procedures regulated by this section, and these functions may not be performed unless both of the following provisions are met: (1)External cardiac resuscitation and artificial respiration, mouth-to-mouth, shall only be performed by a nurse on an individual when respiration or pulse, or both, cease unexpectedly. (10)Activities approved by a Board in another jurisdiction. (h)The curriculum for CRNP programs must give evidence of providing learning experiences which will prepare graduates for CRNP practice. (3)Employ the nurse administrator of the educational unit at least 12 months prior to the intended admission date of students. 2829; reserved April 24, 2009, effective April 25, 2009, 39 Pa.B. The provisions of this 21.182 amended under section 506 of The Administrative Code of 1929 (71 P.S. (f)Content related to history, trends and professional responsibilities of nursing may be integrated, combined or taught as separate courses. The provisions of this 21.367 adopted June 2, 2006, effective June 3, 2006, 36 Pa.B. Practical nurse programs require approval for the following reasons: (1)To safeguard the preparation of practical nurses, and to assure safe standards of nursing practice in this Commonwealth. PSNA is part of this task force. Nurse Practice Acts are laws in each state that determine the legal duties and responsibilities of a nurse to patients, other nurses, and the community. If the practical nursing program is in the public school system, the proposal shall be submitted to the Board through the Department of Education, Bureau of Vocational Education. (b)Approval of the cooperating agency shall be secured prior to the placement of students within the agency. The Board may grant initial approval to a new nursing education program, with evidence that the standards of this subchapter are being met, for a period of time necessary to evaluate the results of the licensing examination by the first cohort of graduates. Professional relationshipThe relationship through which a licensed dietitian-nutritionist provides professional food and nutrition services to a patient. (6)Internal fetal monitoring including the application of leads. ApprovedApproved by the Board. Immediately preceding text appears at serial pages (352041) to (352042). (a)An LPN shall notify the Board of pending criminal charges within 30 days of the filing of the criminal charges or on the biennial renewal application under 21.156 (relating to renewal of license), whichever is sooner. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. 212.1(k) and 216.1); and sections 9 and 17.6 of the Practical Nurse Law (63 P.S. (b)The Board will maintain a list of approved educational programs on its web site as set forth in section 6.2(c)(2) of the act. Policies concerning student housing provided by the institution shall include the following: (1)Adequate space, equipment and furnishings for each student, such as desk, chairs, proper lighting, ventilation and closet space. (e)The curriculum shall provide concurrent theory and clinical experience in the care of men, women and children in age groups and with the health problems characteristic of each group. (E)Interfering with the breathing of a child. (2)Discriminate, while providing nursing services, on the basis of age, marital status, sex, sexual preference, race, religion, diagnosis, socioeconomic status or disability. Immediately preceding text appears at serial pages (319601) to (319602). (c)An individual failing to meet the continuing education requirements for a biennial period will be sanctioned in accordance with 43b.18a (related to schedule of civil penalties for nurses). The candidate for licensure shall pass the licensure examination approved by the Board. (a)The following application fees are charged by the Board for services to licensees and applicants: Licensure by examinationBoard-approved nursing education program graduates $95, Extension of temporary practice permit $85, Fee for review and challenge of PN exam $435, Restoration after suspension or revocation $60. Practical Nurses (Nurse Practice Act). Appropriate counseling shall be given to the patient regarding the condition diagnosed and the controlled substance prescribed, administered or dispensed. 4730; amended December 19, 2003, effective December 20, 2003, 33 Pa.B. This section cited in 49 Pa. Code 21.412 (relating to interpretations regarding venipuncture, intravenous fluids, resuscitation and respirationstatement of policy); 49 Pa. Code 21.413 (relating to interpretations regarding the administration of drugsstatement of policy); and 49 Pa. Code 21.803 (relating to applicability of rules relating to professional nurses). National Council of State Boards of Nursing, Inc. All Rights Reserved. 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. The State Board of Medical Cannabis Licensing is established in the Department of State to regulate and oversee the industry. 5943; amended December 29, 2000, effective November 18, 2000, 30 Pa.B. If requesting an extension due to illness, the applicant shall provide certification of the illness from the applicants treating physician. Curriculum changes that require Board approval include changes in: (1)Program objectives, course content or instruction that affect the integration of material into the total curriculum. 2677. When applying for licensure renewal, a registered nurse shall: (1)Complete and submit the renewal application, including disclosing any license to practice nursing or any allied health profession in any other state, territory, possession or country. (10)Disinfectants for agents used on objects other than skin. 2103. 1979). The provisions of this 21.231 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. The provisions of this Subchapter E issued under the Child Protective Services Law, 23 Pa.C.S. Supervising staff. 6994. 2061. The provisions of this 21.171 reserved July 1, 1983, effective July 2, 1983, 13 Pa.B. 6994. 186); and sections 8 and 17.6 of the Practical Nurse Law (63 P.S. A clinical preceptor shall hold a current license to practice professional nursing in the state of the clinical experience. (f)A candidate shall take the examination for the first time within 1 year of completing the practical nursing education program unless prevented by emergency, illness, military service or other good cause shown, or the candidate holds a license to practice nursing in another state or country. 7822. (d)The curriculum shall be flexible enough to permit adaptations according to individual student needs as well as to changing concepts relative to emerging roles. (d)The objective of the nursing program shall be consistent with the purposes of the educational unit. 667.6); and 23 Pa.C.S. 2677. (4)Experience and skill in the practice of nursing. (3)The registered nurse who administers parenteral fluids, drugs or blood has had instruction and supervised practice in administering parenteral fluids, blood or medications into the vein.