(a)Health program. 21.827 (relating to continuing education course approval). 658 and 667.6); and section 2.1(k) of The Professional Nursing Law (63 P.S. 666). The Board will grant, deny or grant in part the request for waiver. The provisions of this 21.25 issued under section 506 of The Administrative Code of 1929 (71 P.S. 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. (b)Classified lists of approved schools of nursing and of exchange visitor programs are compiled and published annually and are made available for distribution. (5)Complete admission and discharge summaries. Advanced practice registered . The provisions of this 21.133 issued under sections 2.1(k) and 12.1 of The Professional Nursing Law (63 P.S. 24.159.1611 CRITERIA FOR DELEGATION OF NURSING TASKS (1) Delegation is a nursing act distinct from teaching, supervising, consulting, and advising. 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. (f)Counseling and guidance. 221(a)(3)) and 21.831(3) (relating to penalties for violations). 841; amended July 1, 1983, effective July 2, 1983, 13 Pa.B. 211(k) and 218.1(c)). (a)Collection of venous blood samples fall within the scope of Licensed Practical Nurse (LPN) practice under 21.145(a) (relating to functions of the LPN). If faculty are providing onsite preceptorship, the maximum ratio is two students per faculty member. This section cited in 49 Pa. Code 21.721 (relating to qualifications for licensure); and 49 Pa. Code 21.723 (relating to license renewal). (viii)Parenteral solutions and indications. (vi)Discussing information about ones sexual problems, preferences or fantasies. Comments may be sent to Michele Phinney, Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to mdh.regs@maryland.gov, or fax to 410-767-6483. (xiv)Administration, maintenance and monitoring of central and peripheral IV therapy. (2)Successfully completing a Board-approved reactivation program, which requires passage of a nursing achievement examination. 2677. Immediately preceding text appears at serial page (385246). Immediately preceding text appears at serial page (319603). Practical Nurses (Nurse Practice Act). 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. McCarl v. State Board of Nurse Examiners, 396 A.2d 866 (Pa. Cmwlth. Leukhardt v. State Board of Nurse Examiners, 403 A.2d 645 (Pa. Cmwlth. (a)An applicant for certification shall submit an application form provided by the Board to the Board for its review and approval. Nurse Practice Act "The Nurse Practice Act Page provides information on the RSA 326-B which is the legislative law that defines a number focuses that include but limited to nursing scope of practice, functions of the board of nursing and the executive director, licensing, nurse delegation, disciplinary processes and continuing competence. 2103. Continuing education hours may not be carried over from one biennial renewal period to the next. (3)Identifies goals and plans for nursing care. Board of Nurse Examiners need not prove specific intent to violate the statute or regulations in order to establish a willful violation. Laws & Rules. 1916. (13)Perform disability assessments for the program providing temporary assistance to needy families (TANF). Upon approval of the renewal application, the CNS will receive a certification for the current renewal period. (ii)Assess the programs effectiveness relative to current trends in education and health care. Approved programThose educational programs accredited by ACEND or the American Council on Education for dietetics-nutrition education. 7822. (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. Pharmacology content shall also be integrated into the other content areas identified in the advanced practice nursing core. (3)Electrocardiogram, blood pressure and oximetry equipment are used for both monitoring and emergency resuscitation purposes pursuant to written guidelines which are provided for minimum patient monitoring. Under 1 Pa. Code 31.1 (relating to scope of part) 1 Pa. Code Part II (relating to general rules of administrative practice and procedure) is applicable to the activities of the proceedings before the Board. (8)Statements of financial viability for 5 years. 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. 666). The provisions of this 21.365 adopted June 2, 2006, effective June 3, 2006, 36 Pa.B. Clinical hours must meet at least National certification requirements with a minimum of 500. 5329; amended June 8, 1990, effective June 9, 1990, 20 Pa.B. 186); and section 8 of the Practical Nurse Law (63 P.S. Immediately preceding text appears at serial pages (385122) and (396891). The provisions of this 21.508 added under section 2.1(k) of The Professional Nursing Law (63 P.S. (2)The Board may waive the requirements of continuing education in cases of illness or undue hardship. Certification and Staffing Policy Guidance (CSPG) #95, Dr. Debra L. Bogen, Acting Secretary of Health. The National Council of State Boards of Nursing (NCSBN) is a not-for-profit organization whose purpose is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing. The transcript must bear the impression of the school seal and signature of the nurse administrator or authorized representative. (5)Assist graduates of schools of nursing in this Commonwealth to qualify for licensure by endorsement in other jurisdictions. 212.1(k) and 221(c)), unless otherwise noted. (4)A list of faculty membership and verification that the instructors have knowledge and skill in the aspect of the content taught. (7)Conversion of a continuous infusion to an intermittent infusion. Sign up to receive text alerts and be the first to know when this legislation is moving. 6318 (relating to immunity from liability), a Board-regulated practitioner who participates in good faith in the making of a report of suspected child abuse, making a referral for general protective services, cooperating or consulting with an investigation including providing information to a child fatality or near fatality review team, testifying in a proceeding arising out of an instance of suspected child abuse or general protective services or engaging in any action authorized under 23 Pa.C.S. 658 and 667.6). A Board-regulated practitioner who willfully fails to comply with the reporting requirements in 25.50225.504 (relating to suspected child abusemandated reporting requirements; photographs, medical tests and X-rays of child subject to report; and suspected death as a result of child abusemandated reporting requirement) will be subject to disciplinary action under section 14 of the Professional Nursing Law (63 P.S. (iv)Causing sexual abuse or exploitation of a child through any act or failure to act. 1984); reversed in part 499 A.2d 289 (Pa. 1995); on remand 505 A.2d 359 (Pa. Cmwlth. 212.1(k)). The provisions of this 21.30a adopted June 18, 1993, effective June 19, 1993, 23 Pa.B. 2061. (4)Misappropriate equipment, materials, property, drugs or money from an employer or patient. Immediately preceding text appears at serial pages (214476) and (222949). (iii)Periodic evaluation of the program by faculty, students and graduates of the program. In the case of an emergency contact by a known patient, a prudent, short-term prescription for a controlled substance may be issued. 186); and section 1 of The Professional Nursing Law (63 P.S. (12)Make respiratory and occupational therapy referrals. (d)The Board may impose disciplinary sanctions and assess civil penalties for cause. Yes - NAC 632.222 Delegation and supervision of nursing care. (c)Upon approval of a course, the Board will assign a course number and determine the number of hours awarded. The provisons of this 21.30 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. A temporary practice permit granted under this section is valid for up to 1 year from the date of issuance, unless extended under paragraphs (3) and (4), and immediately expires if the applicant fails the licensing examination. (ix)Causing the death of the child through any act or failure to act. (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. (d)The objectives of the nursing program shall be consistent with the purposes of the educational unit. 7822; amended March 25, 2022, effective March 26, 2022, 52 Pa.B. (2)Beginning on October 1, 2009, a nursing education program shall achieve and maintain a minimum pass rate of 70% or more of its first-time examinees during an examination year. (b)Students admitted to CRNP programs shall meet the requirements for admission to the university or college for a masters degree in nursing program and additional requirements that may be established for the CRNP program. (E)An individual 14 years of age or older who resides in the same home as the child. 223(b)) upon a nurse found to have engaged in conduct constituting a sexual impropriety or sexual violation. (d)If a nursing education program is removed from the approved list, the program shall give students notice of the protection granted under section 6.2(a) of the act (63 P.S. The Board will make available a list of Board-approved English proficiency examinations on its web site. (b)An applicant for licensure by endorsement shall meet the requirements as stated in the act. IV therapyThe administration of fluids, electrolytes, nutrients or medications by the venous route. 212.1(k)). (3)Notwithstanding any civil penalty assessed under paragraph (1), failure to provide the Board with documentation demonstrating the completion of 30 hours of approved continuing education within 6 months after receiving notice of a deficiency will subject the registered nurse to discipline under section 14(a)(3) of the act. A college or university desiring to establish a program of nursing is required to: (1)Submit a proposal to the Board, at least 12 months prior to the first intended admission of students, which includes the following: (i)Sufficient statistical data to support the need for a CRNP program within the community and to assure availability of an adequate number of interested candidates. (4)Safeguard the patients dignity, the right to privacy and the confidentiality of patient information. 1916. The provisions of this 21.151 amended under sections 506 and 812.1 of The Administrative Code of 1929 (71 P.S. 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. The provisions of this 21.118 adopted March 22, 1991, effective March 23, 1991, 21 Pa.B. (c)The curriculum must provide for both clinical and theoretical experiences. Both are completely searchable. (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. In accordance with section 6(c) of the Volunteer Health Services Act (35 P.S. (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. (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. Supervision means that a licensed registered nurse is physically present in the area or unit where the graduate practical nurse is practicing. The provisions of this 21.88 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. The provisions of this 21.23 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. The following words and terms, when used in this subchapter, have the following meanings, unless the context clearly indicates otherwise: 667.6); amended under sections 2.1(k), 11(b), 11.2 and 12.1 of The Professional Nursing Law (63 P.S. (a)A clear statement of philosophy and purposes of the associate degree program in nursing, consistent with the philosophy and purposes of associate degree education and with the controlling institution, shall be formulated and adopted. (a)An applicant for a volunteer license shall complete an application obtained from the Board. This section cited in 49 Pa. Code 21.4a (relating to procedural matters); 49 Pa. Code 21.288 (relating to CRNP standards of conduct); 49 Pa. Code 21.369 (relating to general curriculum requirements); 49 Pa. Code 21.803 (relating to applicability of rules relating to professional nurses); and 49 Pa. Code 21.821 (relating to CNS standards of conduct). 212.1(k) and 222); amended under sections 2.1(k) and 12.1(a) of The Professional Nursing Law (63 P.S. (b)The Board recommends that only one class be admitted per year. 2817. 7822. State Board of Medicine. A registered nurse shall retain documentation of the registered nurses completion of continuing education for at least 5 years. 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. The provisions of this 21.156b issued under section 17.6 of the Practical Nurse Law (63 P.S. There shall be written specific policies pertaining to students rights and grievances, with procedures for implementation. The provisions of this 21.131 adopted July 11, 2008, effective July 12, 2008, 38 Pa.B. Sexual violationThe term includes the following offenses: (i)Engaging in sexual intercourse, indecent contact or deviate sexual intercourse with a patient during the professional relationship. (g)If a nurse executes a practice which the Board has interpreted to be within the scope of nursing practice, the nurse shall only undertake the practice if the nurse has the necessary preparation, experience and knowledge to properly execute the practice. Immediately preceding text appears at serial page (9691). Immediately preceding text appears at serial page (26494). (c)This section establishes minimum standards for the prescription, administration and dispensation of controlled substances by a CRNP. (c)To obtain licensure, an applicant shall complete at least 3 hours of training in child abuse recognition and reporting in accordance with 21.508(a) (relating to child abuse recognition and reportingmandatory training requirement). These laws define important terms for nurses, e.g., "nurse practitioner.". (e)An applicant who graduated from a practical nursing education program outside of the United States or Canada shall have the applicants education evaluated by a Board-approved foreign credentials evaluator to determine whether the education obtained is equivalent to the program of study required in this Commonwealth at the time the program was completed. 2667. 804; amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 1916. (5)National nursing specialty organizations and programs accredited by National nursing accrediting associations. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. (1)In addition to lecture-based CPE courses, LDNs may apply to the Board for approval of CPE credit and the Board may, upon review by the LDN Committee, grant credit for the following: (i)Case presentations, such as grand rounds or patient case studies. 3281; amended August 24, 2012, effective August 25, 2012, 42 Pa.B. (7)Administer medications requiring titration. The provisions of this 21.132 issued under sections 2.1(k) and 12.1 of The Professional Nursing Law (63 P.S. 658). (6)Leave an assignment prior to the proper reporting and notification to the appropriate department head or personnel. A mandated reporter shall make a report of suspected child abuse in accordance with this section if the mandated reporter has reasonable cause to suspect that a child is a victim of child abuse under any of the following circumstances: (i)The mandated reporter comes into contact with the child in the course of employment, occupation and practice of the profession or through a regularly scheduled program, activity or service. Pennsylvania is one of 28 states that has not expanded the scope of practice in its licensure laws for certified registered nurse practitioners (NPs), who must maintain formal collaborative agreements with physicians to practice. 5952; amended December 9, 2005, effective December 10, 2005, 35 Pa.B. (iii)The listing, identification, description and explanation of principles, including technical and clinical indications, necessary for the identification and treatment of possible adverse reactions. (10)Other information which the Department of Human Services may require by regulation. 6383(b)(2). 186); and section 8 of the Practical Nurse Law (63 P.S. (b)A CRNP shall carry out the following minimum standards when prescribing, administering or dispensing controlled substances: (1)Initial evaluation. The provisions of this 21.603 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. This section cited in 49 Pa.B. The certification of nursing education shall be submitted to the Board in English directly from the appropriate educational authorities. For a nurse practitioner whose certification is from a state that does not designate a specialty, the specialty designation shall be demonstrated by the nurse practitioners educational program. (5)Emergency prescriptions. No. 6383(b)(2). (b)Policies and rules of procedure governing the faculty organization shall be in written form and periodically reviewed by the faculty. 667.6). 3123 (relating to involuntary deviate sexual intercourse). Immediately preceding text appears at serial page (9690). PSNA was unsuccessful in having RNs included in the language to oversee dispensing of cannabis. 6409; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. This section cited in 49 Pa. Code 21.505 (relating to immunity from liability); 49 Pa. Code 21.506 (relating to confidentialitywaived); and 49 Pa. Code 21.507 (relating to noncompliance). (i)Diagnosing and treating human responses to actual or potential health problems through such services as case findings, health teaching, health counseling, provision of care supportive to or restorative of life and well-being, and executing medical regimens as prescribed by a licensed physician or dentist. 6527. (2)Use of lidocaine as an analgesic prior to venipuncture. 4730. Immediately preceding text appears at serial page (9716). 663.1(b)), may reactivate the license by doing one of the following: (1)Successfully completing the initial licensing examination approved by the Board and submitting the examination fee in 21.147 (relating to fees). (a)An annual report of the school of nursing shall be sent to the Board using the form supplied by the Board. (a)The registered nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. 212.1(k) and 222(a)). (ii)Educational facilities shall be provided with the equipment and supplies necessary to meet the teaching and learning requirements of both students and teachers. The transcription shall include the prescribers name, the date, the time of acceptance of the oral order and the full signature of the LPN accepting the oral order. Nothing in this subchapter is to be deemed to limit or prohibit a professional nurse from engaging in those activities which constitute the practice of professional nursing as defined in section 2 of the act (63 P.S. 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. 21.828 (relating to CNS responsibilities). Proudly founded in 1681 as a place of tolerance and freedom. The provisions of this 21.27 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. The Board may certify an applicant who has a current, unrestricted license to practice professional nursing in this Commonwealth. The main purpose of nursing practice acts is to protect the public from unsafe practitioners . (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. The provisions of this 21.23 issued under section 506 of The Administrative Code of 1929 (71 P.S. 7822. (3)The age and sex of each subject of the report. (a)Survey visits are made of basic nursing programs conducted in hospitals, colleges or universities of exchange visitor programs and of cooperating agencies. The provisions of this 21.182 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. 659 and 667.6). (a)A CRNP shall comply with this section and 21.332a21.337. Practice of practical nursingThe performance of selected nursing acts in the care of the ill, injured or infirm under the direction of a licensed professional nurse, a licensed physician or a licensed dentist which do not require the specialized skill, judgment and knowledge required in professional nursing. (a)The curriculum shall be developed, implemented and evaluated by the faculty and shall implement the philosophy and objectives of the school. 2063; reserved December 25, 1987, effective December 26, 1987, 17 Pa.B. 667.6); and 23 Pa.C.S. This 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. 2677. 215(e)) or under this subchapter will be valid from the date of issuance through September 30, 2006, following the issuance of the license. (5)Monitoring and administering medications by epidural catheter or other pain relief devices to be used as analgesia for pain control. (e)Student housing. (7)The Boards written decision is a final decision of a governmental agency subject to review under 2 Pa.C.S. 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. (5)Opinions of graduates regarding the adequacy of their nursing program. This section cited in 49 Pa. Code 21.284a (relating to prescribing and dispensing drugs). The provisions of this 21.336 issued under sections 2.1(k) and 8.1(c) of The Professional Nursing Law (63 P.S. (d)Evidence of specific instances with individuals other than the licensee, opinion evidence or reputation evidence of a patients past sexual conduct is not admissible in proceedings brought under 21.711 (relating to professional conduct). (11)Make physical therapy and dietitian referrals. (a)The practical nursing program shall be established as an educational unit of the controlling agency. 6994. (b)The listing of a CRNP in an advertisement or publicly displayed sign shall identify CRNPs who use the designation Dr. as CRNPs by using the title CRNP following the individuals name. 4086; amended November 29, 1991, effective November 30, 1991, 21 Pa.B. (4)A list of medications which may be administered by the registered nurse is established and maintained by a committee of physicians, pharmacists and nurses from the employing agency or the agency within whose jurisdiction the procedure is being performed if no employing agency is involved.