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. (a)There shall be written objectives and policies for the health program. This section cited in 49 Pa. Code 21.51 (relating to establishment). 667.6); and 23 Pa.C.S. Unless the patient is in an inpatient care setting, the patient shall be specifically counseled about dosage levels, instructions for use, frequency and duration of use and possible side effects. (7)Knowingly abandon a patient in need of nursing care. (iii)For the purposes of subparagraph (i), the term does not include consensual activities between a child who is 14 years of age or older and another person who is 14 years of age or older and whose age is within 4 years of the childs age. (2)Full. (e)The faculty shall formulate policies that relate to the operation of the school. (6)Internal fetal monitoring including the application of leads. The provisions of this 21.162 amended under section 506 of The Administrative Code of 1929 (71 P.S. 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. (5)Verify compliance with section 8.7 of the act (63 P.S. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. (3)Provision for ongoing student evaluative process that assesses the students progress toward and ultimate achievement of program objectives. (9)A description of the clinical facilities. Delegation is the act of transferring responsibility and accountability to another person to carry out a task while maintaining accountability for the action and the outcome. 224.1). In accordance with section 6(c) of the Volunteer Health Services Act (35 P.S. If a CRNP specifically indicates that the name of the drug may not appear on the label, the recognized National drug code number shall be placed on the label if the number is available for the product. Each state has its own act, which lays out its rules of professional and ethical conduct that nurses must adhere to. The provisions of this 21.144 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. The provisions of this 21.311 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. (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. 6994. 1916. (c)Graduates of practical nursing education programs outside of this Commonwealth shall file an official transcript validating program completion with the application. 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. (h)Following the review of the program and before final Board action is taken to grant permission to recruit students, an initial faculty and nursing education program survey will be made by a nursing educational advisor of the Board. 2063; amended October 18, 1985, effective October 19, 1985, 15 Pa.B. (c)Appropriate cumulative student health records shall be maintained throughout the enrollment of the student. (ii)Include clearly defined refund policies governing all fees and tuition paid by the students. (a)The following application fees are charged by the Board: Restoration of certificate after suspension or revocation $60, Reactivation of inactive or lapsed certificate (5 years or longer) $50, Approval of each hour of CNS continuing education activity by sources not listed in 21.825(a) (relating to sources of continuing education) $115, Renewal of approval of CNS continuing education activity by sources not listed in 21.825(a) $35. 2667. Policies and procedures relating to scholarships, loans and grants shall be developed within the framework of the philosophy of the controlling institution and defined in writing. The countersignature of the ordering practitioner shall be obtained in accordance with applicable regulations of the Department of Health governing the licensed facility. (3)The fact that the educational needs of the students are being met. (7)The Boards written decision is a final decision of a governmental agency subject to review under 2 Pa.C.S. -Since the mandatory NPA was passed in N. Carolina in 1903, nursing has been legislated, directed, and controlled to some extent. If faculty are providing onsite preceptorship, the maximum ratio is two students per faculty member. Article 2. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. (iii)The listing, identification, description and explanation of principles, including technical and clinical indications, necessary for the identification and treatment of possible adverse reactions. (a)There shall be a nursing faculty organization appropriate to the size of the group. The provisions of this 21.28 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. Contact State Board of Nursing P.O. 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. (10)Disinfectants for agents used on objects other than skin. IV therapyThe administration of fluids, electrolytes, nutrients or medications by the venous route. South Dakota Board of Nursing. 667.6), unless otherwise noted. (b)The Board provides for licensure of graduate practical nurses from approved programs by examination, by endorsement and by programs renewal of licenses. 186); and sections 8 and 17.6 of the Practical Nurse Law (63 P.S. (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. The provisions of this Subchapter F adopted November 28, 1997, effective November 29, 1997, 27 Pa.B. (5)National nursing specialty organizations and programs accredited by National nursing accrediting associations. (C)Actual or simulated sexual activity or nudity for the purpose of sexual stimulation or gratification of any individual. 2061; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. The role of an RN (registered nurse) in an assisted living facility may vary. ActsThe Professional Nursing Law (63 P.S. Immediately preceding text appears at serial pages (319602) to (319603). 2103; amended August 24, 2012, effective August 25, 2012, 42 Pa.B. 7822. The provisions of this 21.334 issued under sections 2.1(k) and 8.1(c) of The Professional Nursing Law (63 P.S. (8)Copies of written agreements with cooperating agencies and facilities to be used in the program. (iii)Current record of continuing education activities. (a)The faculty shall be employed by and responsible to the controlling institution. Initial certificationThe first certification or licensure as a nurse practitioner that an individual receives in any jurisdiction. 1984); reversed in part 499 A.2d 289 (Pa. 1995); on remand 505 A.2d 359 (Pa. Cmwlth. (8)Technical and clinical aspects of immunization, skin testing, the performance of venipuncture and the administration and withdrawal of intravenous fluids to the extent each function is an authorized function of an LPN under this chapter. Immediately preceding text appears at serial page (9715). 186); and section 8 of the Practical Nurse Law (63 P.S. 2667. Phone - (717) 783-1400. The following words and terms, when used in this subchapter, have the following meanings, unless the content clearly indicates otherwise: (c)Remuneration for employment shall be within the range of the salary scale for the position. (2)October 31 in the even-numbered years. (b)A CRNP who places his prescriptive authority approval on inactive status for less than 3 years is not required to meet the continuing education requirements in 21.332(b)(2) (relating to requirement of continuing education) during the period the prescriptive authority approval is on inactive status. 215(b) and (c)). 186); and sections 8 and 17.6 of the Practical Nurse Law (63 P.S. The provisions of this 21.231 issued under section 506 of The Administrative Code of 1929 (71 P.S. This section cited in 49 Pa.B. (7)Record system in operation which will assist in the evaluation of the educational program. When defining additional clinical hours, the complexity of the specialty content, as well as the need for clinical experience to enhance retention and skills, shall be considered. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. The provisions of this 21.368 adopted June 2, 2006, effective June 3, 2006, 36 Pa.B. (a)An applicant for a volunteer license shall complete an application obtained from the Board. (2)Administrative structure and functions of the nursing school. The provisions of this 21.149 issued under sections 3.1 and 17.6 of the Practical Nurse Law (63 P.S. BureauBureau of Professional and Occupational Affairs within the Department of State of the Commonwealth. The provisions of this 21.152 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. Abandonment is defined as the intentional deserting of a patient for whom the nurse is responsible. 186); and section 8 of the Practical Nurse Law (63 P.S. (2)Drugs that, at the time of their dispensing, have full potency for less than 1 year, as determined by the expiration date placed on the original label by the manufacturer, may only be dispensed with a label that indicates the expiration date. Strong leadership including that of the registered nurse. 6383(b)(2). 186); and section 8 of the Practical Nurse Law (63 P.S. (c)A CRNP program must prepare the registered nurse to perform acts of medical diagnosis and prescription of medical, therapeutic or corrective measures in collaboration with a physician licensed to practice medicine in this Commonwealth. (n)Course syllabi that identify all aspects of each course shall be developed and readily available. The provisions of this 21.509 added under section 2.1(k) of The Professional Nursing Law (63 P.S. No. The provisions of this 21.252 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. (c)Upon approval of a course, the Board will assign a course number and determine the number of hours awarded. The provisions of this 21.805 amended under section 11.2(a) and (b) of The Professional Nursing Law (63 P.S. (b)The licensed dietitian-nutritionist may not: (2)Discriminate, while providing dietitian-nutritionist services, on the basis of age, marital status, gender, sexual preferences, race, ethnicity, religion, diagnosis, socioeconomic status or disability. The provisions of this 21.157 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. (vi)Statement affirming the participant attended the entire course. (2)Applicants shall have completed work equal to a standard high school course as evaluated by the Credentials Evaluation Division of the Pennsylvania Department of Education. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. 667.6); and 23 Pa.C.S. 212.1); amended under section 2.1(k) of The Professional Nursing Law (63 P.S. (c)Educational programs that prepare nurses to practice as CNSs created after March 20, 2008, shall submit evidence that the program meets the criteria in section 6.2(c)(1) of the act to the Board for inclusion on the list of approved programs. 186); and section 8 of the Practical Nurse Law (63 P.S. Immediately preceding text appears at serial page (9696). If the applicant, due to extenuating circumstances, cannot take the first scheduled examination following completion of the program, the applicant shall appeal to the Board for authority to continue practicing. The provisions of this 21.30a amended under section 2.1(k) of The Professional Nursing Law (63 P.S. An applicant for certification shall hold a current, unrestricted license as a professional nurse in this Commonwealth. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. (2) Respect and consider, while providing nursing care, the individual's right to freedom from psychological and physical abuse. For purposes of 21.704 (relating to matters related to allegations of sexual impropriety or violation), any conduct prohibited with a patient is also prohibited with an immediate family member or spouse of a patient. 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. An applicant for initial certification by endorsement shall have completed 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). 7822. It depends upon the care needs of the client, as assessed by the advanced practice registered nurse or (f)An LPN may perform only the IV therapy functions for which the LPN possesses the knowledge, skill and ability to perform in a safe manner, except as limited under 21.145a (relating to prohibited acts), and only under supervision as required under paragraph (1). (e)A dietitian-nutritionist 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. (e)The nurse administrator and nursing faculty shall be afforded the time and opportunity to engage in leadership activities within their profession commensurate with their responsibilities. The provisions of this 21.113 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. Program bulletins shall: (i)Be comprehensive and current since they serve as contracts of agreement between the applicant or student and the program. 6383(b)(2). ActThe Professional Nursing Law (63 P.S. Two years will be the maximum time allowed for the correction of the deficiencies that resulted in the program being placed on provisional approval status. Medicare and Medicaid reimbursement policies often pay less than MDs get for the same service (85 percent for Medicare and 75 to 100 percent for Medicaid, depending on the state). An individual or entity shall not mandate that a registered professional nurse delegate nursing interventions if the registered professional nurse determines it is inappropriate to do so. (b)Staff members of public or private agencies, institutions and facilities. A volunteer license holder shall be subject to the disciplinary provisions of the act and this chapter. The standards of practice are defined and delineated by the nursing profession. The provisions of this 21.822 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. 186); and section 8 of the Practical Nurse Law (63 P.S. (3)Additional instructors consistent with the size and needs of the programs. 212.1); reserved under section 2.1(k) of The Professional Nursing Law (63 P.S. Step-by-step explanation. 2677; reserved July 11, 2008, effective July 12, 2008, 38 Pa.B. (c)The curriculum shall be planned in a sequence so that each course utilizes and strengthens the preceding and concurrent courses. 663.1 and 667.5); sections 11(b) and 11.2 of The Professional Nursing Law (63 P.S. (a)Education. (6)Activities sponsored by National nursing, medical, osteopathic and other health care professional organizations and their state and regional affiliates. (ii)Clearly defined refund policies governing fees and tuition paid by the students. 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. (7)Content, as required in paragraph (3), drawn from information about ethical, moral and legal responsibilities of the practical nurse, current trends in nursing and health delivery systems and vocational development. Immediately preceding text appears at serial page (209965). The provisions of this 21.114 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. Immediately preceding text appears at serial page (335545). The Board may extend the temporary practice permit period in cases of illness or extreme hardship as set forth in paragraph (5). (4)Disclose any discipline imposed by a state licensing board on any nursing or allied health profession license or certificate in the previous biennial period and any criminal charges pending or criminal conviction, plea of guilty or nolo contendere, or admission into a probation without verdict or accelerated rehabilitative disposition during the previous biennial period unless prior notification has been made under 21.29a (relating to reporting of crimes and disciplinary action). The provisions of this 21.32 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 1027; amended April 29, 1983, effective April 30, 1983, 13 Pa.B. Contact our Communications Department at 717-798-8942 or email to receive the kit. There shall be written specific policies pertaining to students rights and grievances, with procedures for implementation. (b)Faculty qualifications for clinical courses in the CRNP program are as follows: (1)Faculty members shall provide evidence of expertise in their subject areas, and when appropriate, be currently licensed and certified in this Commonwealth and hold and maintain National certification. 218.6(a)). Minnesota Board of Nursing 1210 Northland Drive Suite 120 Mendota Heights, MN 55120 Phone: 612-317-3000 Fax: 651-688-1841 Email: Nursing.Board@state.mn.us 658). (5)Document and maintain accurate records. 4236; amended September 20, 1985, effective September 21, 1985, 15 Pa.B. The provisions of this 21.63 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. Texas Board of Nursing - Practice - Delegation Resource Packet The provisions of this 21.284b adopted December 11, 2009, effective December 12, 2009, 39 Pa.B. (2)Candidates who apply for re-examination 2 years or more after initial examination shall satisfy the administrative and education requirements prevailing at the time of reapplication. 211(k) and 218.1(c)). (iv)The regulations governing the facility permit an LPN to accept an oral order. The Board will place those nursing education programs on full approval status which attain and maintain the standards of this subchapter. (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. (iii)Letters of intent from the cooperating agencies indicating positive commitment to the nursing education program and the availability of sufficient clinical resources to meet the educational requirements of the program. (a)An individual may apply for licensure as a dietitian-nutritionist by submitting a written application on forms provided by the Board and remitting the application fee set forth in 21.705 (relating to fees). Immediately preceding text appears at serial pages (30257) to (30258). 667.6); and 23 Pa.C.S. 212.1(k)). policies shall be in existence for the replacement of equipment, furnishings, and supplies. Immediately preceding text appears at serial pages (50846) to (50847). (h)Courses in general education shall be shared with students in other programs of the controlling institution. 449.46(c)), a volunteer license holder shall comply with the applicable continuing education requirements imposed by the Board, including at least 2 hours of training in approved child abuse recognition and reporting in accordance with 21.508(b) (relating to child abuse recognition and reportingmandatory training requirement). An applicant for certification shall have completed an accredited, Board-approved masters or postmasters nurse practitioner program or other Board-approved program that awarded an advanced degree or a course of study considered by the Board to be equivalent to that required for certification in this Commonwealth at the time the course was completed. (11)Evaluation used to assess participants satisfaction with the training. According to the New Mexico Nurse Practice Act, the definition of Board approval for nursing programs is an official or formal consent, confirmation or sanction . An Agency Data form, provided by the Board, shall be submitted for each new clinical agency. In a health care facility regulated by the Department of Health, the Department of Public Welfare or the Federal government, an initial medical history shall be taken and an initial physical examination shall be conducted to the extent required by the Department of Health in 28 Pa. Code (relating to health and safety) or Department of Public Welfare in 55 Pa. Code (relating to public welfare) or the Federal government in appropriate Federal regulations, whichever is applicable, and bylaws of the health care facility and its medical staff. If supporting material is not provided within 12 months of the date of application, the applicant will be required to file a new application and remit the certification fee. 218.5(c)(2)), unless the requirement is waived by the Board under 21.823(b) (relating to CNS-level continuing education; waiver; sanctions) or the CNSs certification is on inactive status. 6383(b)(2). State Practice Acts - AHNA Advanced practice registered nurses are regulated solely by the Texas Board of Nursing. A clinical agency is one in which clinical experience can be obtained. (5)The registered nurse involved in direct patient care is certified in advanced cardiac life support (ACLS). Immediately preceding text appears at serial page (26485). This section cited in 49 Pa. Code 21.150 (relating to licensure by examination). 7822. (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. The provisions of this 21.27 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (j)Preparation insuring associate degree nursing competencies shall be provided through selected and supervised learning experiences. 3806. 5943; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. (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. 1916. 2976; amended June 18, 1993, effective June 19, 1993, 23 Pa.B. (2)Sufficient number and size of accessible classrooms, conference rooms and laboratories to meet the needs of the program, as follows: (i)Such facilities shall be attractive, with effective lighting, adequate heating and ventilation. 21.824 (relating to inactive status and reactivation); and 49 Pa.B. 212.1(k)). (c)An LPN shall notify the Board of disciplinary action in the nature of a final order taken against the LPN 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 21.156, whichever is sooner. (emphasis added) The Department of Education, CSPG #101, Utilization of Paraprofessional Staff states: "Paraprofessionals serving as health room aides or other non-professional school district employees shall not be directed to engage in health-related activities reserved exclusively for licensed professionals and controlled by the Nurse Practice Act or other medically related laws.". The nurse administrator shall have experience in nursing practice, nursing education and administration. 667.6); and amended under sections 2.1(k) and 6.1 of The Professional Nursing Law (63 P.S. (iii)A person makes a specific disclosure to the mandated reporter that an identifiable child is the victim of child abuse. (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. Immediately preceding text appears at serial pages (26492) and (26493). (3)Administrative records. (iii)The course work shall have been completed within 5 years immediately preceding the date the applicant applies for initial prescriptive authority approval. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. The Board may grant a temporary practice permit to a graduate registered nurse as follows: (1)A graduate registered nurse who wishes to practice professional nursing shall submit an application for a temporary practice permit for a graduate registered nurse on a form provided by the Board and remit the fee specified in 21.5 (relating to fees). Budgetary funds shall be allocated by the controlling agency to administer the program effectively. The provisions of this 21.812 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. (e)The educational unit in nursing shall have administrative authority and responsibility consonant with the general policies of the controlling institution. (vii)Infusion equipment used in IV therapy. Clinical experiences must be consistent with the scope of practice. (10)Administrative structure and functions of the practical nursing program. (c)The Board will notify a program on provisional approval status, in writing, of the deficiencies and the amount of time that will be allowed for correction of the deficiencies that resulted in the programs placement on provisional approval status. (3)The techniques for administering the therapy have been established by a committee of licensed physicians and registered nurses within the employing agency. (iv)Causing sexual abuse or exploitation of a child through any act or failure to act. Immediately preceding text appears at serial page (9705). The provisions of this 21.115 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (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). Immediately preceding text appears at serial page (363485). (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. (2)Nothing in this subsection shall require a child to come before the mandated reporter to make a report of suspected child abuse. (ii)Genital to genital contact between a nurse and a patient during the professional relationship. This section cited in 49 Pa. Code 21.363 (relating to approval process); and 49 Pa. Code 21.365 (relating to establishment). (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. The provisions of this 21.82 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. The provisions of this 21.204 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. (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. Graduate practical nurseAn individual who has graduated from an approved program of practical nursing in this Commonwealth or a comparable program in another state. PatientA person upon whom or with whom an LDN is practicing dietetics-nutrition, including a client. Once fully implemented, the compact will allow RNs and LPNs to have one multi-state license, with the ability to practice in Pennsylvania and 36 other compact states. 6911; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. (2)Observation and reporting of subjective and objective signs of adverse reactions to any IV administration and initiation of appropriate interventions.
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