(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. (3)The certified nurse anesthetist is authorized to administer anesthesia in cooperation with a surgeon or dentist. (a)A registered nurse currently licensed in another jurisdiction of the United States or Canada who has graduated from an approved program of nursing and who is enrolled in an accredited graduate nursing program, a bachelor of science nursing program, or a refresher course in nursing may practice nursing in a clinical setting as required by the educational program of studies without obtaining a Pennsylvania license so long as the student does not receive compensation except in the form of stipends, scholarships and other awards related to the training program. CPEContinuing professional education, required by the act for biennial license renewal. A registered nurse whose license had lapsed or had been placed on inactive status shall comply with 21.30a or 21.156a (relating to continued competency). Immediately preceding text appears at serial page (209967). (c)The following fees are charged by the Board for services to nursing education programs: (d)The following fee is charged for evaluations of curricula and programs requiring Board approval under 21.145b(b) and 21.156a(2) (relating to IV therapy curriculum requirements; and continued competency) $285. Sexual improprietyThe term includes the following offenses: (i)Sexual intercourse between an LPN and a patient during the professional relationship. Chapter 97, Subchapter H (relating to registration of sexual offenders), where the victim of the sexual offense was under 18 years of age when the crime was committed; (II)has been determined to be a sexually violent predator under 42 Pa.C.S. 5952; amended June 2, 2006, effective June 3, 2006, 36 Pa.B. (8)Activities approved by National nursing, risk management, health care quality and patient safety organizations. (7)The method of certifying and assuring attendance, and draft of certificate of attendance to be provided to course participants. The following shall accompany the letter of intent: (i)A copy of the master curriculum plan of the school indicating the placement of the proposed program. 7822. A registered nurse shall notify the Board within 14 days of a change of address. (9)Anticipated credentials or experience of the presenter, or biography of presenter, if known. The CBEN is responsible for determining which professional nursing functions can be delegated to the LPN and what other nursing functions can be delegated to unlicensed assistive personnel (UAP). (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 page (366681). 186); and section 8 of the Practical Nurse Law (63 P.S. 2677; amended June 12, 1980, effective June 14, 1980, 10 Pa.B. (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. (11)Maintenance and discontinuance of IV medications and fluids given via a patient-controlled administration system. Immediately preceding text appears at serial page (378858). The applicant shall retain documentation of submission of the request to submit to the Board upon request. CDRCommission on Dietetic RegistrationThe credentialing agency for the AND. 3895. (c)The philosophy and purposes of the CRNP program must be consistent with currently accepted social, educational and CRNP standards. 221.2); amended under section 11.2(a) and (b) of The Professional Nursing Law (63 P.S. The provisions of this 21.271 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. (E)Institutional sexual assault as defined in 18 Pa.C.S. 6409. To be granted certification in an additional specialty, the CRNP shall meet the educational and National certification requirements for the specialty in which the CRNP is applying for certification. A continuing education provider or CNS may obtain Board approval of continuing education by submitting an application for approval, the fee in 21.805 (relating to fees) and the supporting documentation in 21.827(b) at least 90 days prior to the course. (e)Student housing. The Board may perform audits on registered nurses to determine compliance with the continuing education requirements. 704; amended March 25, 1977, effective March 26, 1977, 7 Pa.B. Immediately preceding text appears at serial pages (30259) to (30260). 6196; amended March 25, 2022, effective March 26, 2022, 52 Pa.B. The provisions of this 21.121 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (11)Administer fluids or medications via an epidural, intrathecal, intraosseous or umbilical route, or via a ventricular reservoir. 2827; amended November 26, 1993, effective November 27, 1993, 23 Pa.B. 5902 (relating to prostitution and related offenses). Division 47 - Standards for Community-Based Care RN Delegation Division 48 - Standards for Provision of Nursing Care by a Designated Caregiver Division 49 - Standards for Licensed Nurse Protocol Development and Utilization, Communicating a Prescriber's Re-Authorization of a Prescription and RN Dispensing 1916. 212.1(k)). Signed into law October 27, 2014: provides for prescription drug monitoring; establishes a program to be administered by the Prescription Drug Monitoring Board in the Department of Health. 212.1(k)). 1916. 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. (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. (h)Interpretations of the Board will not be deemed to impose requirements upon educational institutions to include the teaching of practices within their curricula. 186); sections 8 and 17.6 of the Practical Nurse Law (63 P.S. Immediately preceding text appears at serial pages (385264) and (396915). (b)No information may be released from a students record without written permission of the student. The provisions of this 21.723 amended October 16, 2015, effective October 17, 2015, 45 Pa.B. (5)Endotrachael intubation and extubation. Immediately preceding text appears at serial page (378846). Remuneration for employment shall be within the range of the salary scale for the position. 6409; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. If requested by the Boards educational advisor, a program in transition shall appear before the Board to respond to questions or concerns that arise from the annual progress report. 218.7) regarding liability coverage. 1916. Board of Nurse Examiners need not prove specific intent to violate the statute or regulations in order to establish a willful violation. This section cited in 49 Pa. Code 21.29a (relating to reporting of crimes and disciplinary action); 49 Pa. Code 21.331 (relating to biennial renewal of certification); and 49 Pa. Code 21.822 (relating to biennial renewal of certification). 658). (3)Activities sponsored by accredited hospitals and health care facilities. The nurse administrator shall have experience in nursing practice, nursing education and administration. 667.6). ActThe Practical Nurse Law (63 P.S. (ii)The estimated cost of each stage of a procedure or of the entire treatment. If the ordering practitioner is not available, the LPN shall raise the issue with a registered nurse or other responsible person in a manner consistent with the protocols or policies of the facility. (iii)The mandated reporter has direct knowledge of the nature of the abuse. (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. A minimum of 60 days from publication in the Pennsylvania Bulletin of notice of intention to adopt shall be provided for public comment. (b)The philosophy, purposes and objectives of the CRNP program shall be developed and clearly stated by the faculty and be reviewed and revised at stated time intervals by this group. (3)Following the exploratory meetings, the school shall submit written notification of intent to establish an affiliation with the cooperating agency for Board approval. 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. (e)An applicant for licensure by endorsement shall demonstrate proficiency in English by submitting proof that the applicants nursing education program was conducted in English or that the applicant received a passing score on a Board-approved English proficiency examination unless the applicant has met this requirement in satisfaction of 21.7(b)(2) (relating to temporary practice permits). (b)An applicant for initial certification shall include documentation satisfactory to the Board that the applicant meets the qualifications in 21.811 (relating to qualifications for initial certification). (2)Collection of arterial and venous blood samples from indwelling arterial/venous catheters. All nurses/certificate holders with an active license are required to demonstrate continuing competency for relicensure. (ii)Statements likely to mislead or deceive because in context the statements make only a partial disclosure of the relevant facts. The provisions of this 21.504 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. 2829. The provisions of this 21.152 amended under section 506 of The Administrative Code of 1929 (71 P.S. (e)A separate application and fee, as set forth in 21.5, shall be submitted whenever a change is made to information submitted under subsection (b), except for information related to a change in date or location, or both, of the activity under subsection (b)(3). Thus, a licensed practical nurse could be assessed a civil penalty and formally reprimanded based on allowing a nurses aide to ingest patient medication and provoke patients into agitation. The number of candidates for each class shall be determined by the educational and clinical resources which the school can provide. (4)School bulletins, including the following: (i)Comprehensive and current information. For credit to be granted, the continuing education course or program must be approved by the Bureau, in consultation with the Department of Human Services, as set forth in 21.509. (g)Cooperating agencies shall be subject to the following provisions: (1)Agreements to utilize field agencies outside the structural control of the controlling institution shall be initiated by the educational unit in nursing. The provisions of this 21.156b issued under section 17.6 of the Practical Nurse Law (63 P.S. Medical summaries or reports of the photographs, X-rays and relevant medical tests shall be made available to law enforcement officials in the course of investigating cases under 23 Pa.C.S. The provisions of this 21.283 adopted November 17, 2000, effective November 18, 2000, 30 Pa.B. The provisions of this 21.162 amended under section 506 of The Administrative Code of 1929 (71 P.S. (6)Evaluation of graduates by their employers. changes effective through 52 Pa.B. Find Your Nurse Practice Act | NCSBN This section cited in 49 Pa. Code 21.273 (relating to application for certification); and 49 Pa. Code 21.332a (relating to inactive status and reactivation). (c)Graduates of professional nursing education programs outside of this Commonwealth shall file an official transcript validating program completion with the application. (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. (3)Access a central venous route access device used for hemodynamic monitoring. Immediately preceding text appears at serial pages (30258) to (30259). 2677. The provisions of this 21.812 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. For a nurse practitioner who obtained initial certification in a specialty before February 7, 2005, and who does not hold current National certification, the specialty designation shall be demonstrated by certification from the nurse practitioners original state of certification. Program bulletins shall: (i)Be comprehensive and current since they serve as contracts of agreement between the applicant or student and the program. Whenever a Board-regulated practitioner is required to make a report under subsection (a) in the capacity as a member of the staff of a medical or other public or private institution, school, facility or agency, that Board-regulated practitioner shall report immediately in accordance with subsection (c) and shall immediately thereafter notify the person in charge of the institution, school, facility or agency or the designated agent of the person in charge. (d)The instructional strategies must be appropriate and consistent with the programs philosophy, mission and objectives. (2)A description of the methods of instruction and the clinical learning experiences provided. Pages - Nursing Delegation - Maryland Board of Nursing (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. (2)Cooperating agencies on the approved list shall submit changes on curriculum content to the Board for approval before schools are notified of the changes. 6219; amended May 19, 2006, effective May 20, 2006, 36 Pa.B. The provisions of this 21.156c adopted December 16, 2016, effective December 17, 2016, 46 Pa.B. (2)Documentation of the university or colleges pursuit of regional accreditation. The provisions of this 21.334 issued under sections 2.1(k) and 8.1(c) of The Professional Nursing Law (63 P.S. (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. (p)The ratio of credits in nursing, that is, the major field of study, general education and elective credits shall be consistent with the nature, purposes and requirements of the parent institution. 2829. 2677; amended April 29, 1983, effective April 30, 1983, 13 Pa.B. (g)Financial aid. (3)The LPN shall question any order which is perceived as unsafe or contraindicated for the patient or which is not clear and shall raise the issue with the ordering practitioner. (a)As a condition of approval, providers and credentialing organizations are required to provide CNSs who complete continuing education courses with a certificate of completion which contains the information in 21.828(a) (relating to CNS responsibilities). 212.1(k)); and section 17.6 of the Practical Nurse Law (63 P.S. (d)Diploma schools of nursing utilizing their own faculties shall be subject to the following provisions: (1)Agreements to utilize field agencies outside the structural control of the controlling institution shall be initiated by the school of nursing. 2061; amended June 18, 1993, effective June 19, 1993, 23 Pa.B. If you need assistance contact us. 2829; amended March 22, 1991, effective March 23, 1991, 21 Pa.B. (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. 3345; reserved December 25, 1987, effective December 26, 1987, 17 Pa.B. Innovation & Ongoing Development Fund Requests. (ii)Unnecessarily exposing a patients body or watching a patient dress or undress, unless for therapeutic purposes or the patient specifically requests assistance. (c)The philosophy and purposes of the educational unit in nursing shall be consistent with currently accepted social, associate degree education and nursing standards. The Board may certify an applicant who has a current, unrestricted license to practice professional nursing in this Commonwealth. Faculty members shall maintain a record of participation in continuing education, professional self-development and other activities that promote the maintenance of expertise in their respective areas of teaching. 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. Recent act or failure to actAn act or failure to act committed within 2 years of the date of the report to the Department of Human Services or county agency. 221(b) and 221.2); and section 22.1 of the Podiatry Practice Act (63 P.S. The administration of anesthesia is a proper function of a registered nurse and is a function regulated by this section; this function may not be performed unless: (1)The registered nurse has successfully completed the educational program of a school for nurse anesthetists accredited by the Council on Accreditation of Education Programs of Nurse Anesthesia of the American Association of Nurse Anesthetists. Information included at this site has been derived directly from the Pennsylvania Code, the Commonwealth's official publication of rules and regulations and from the Pennsylvania Bulletin, the Commonwealth's official gazette for information and rulemaking . (d)Theory and practice shall be offered concurrently and be so planned that demands on the student within each time period are comparable. (2)Copy of the licensure or certification requirements at the time the applicant was initially licensed or certified by another jurisdiction and a copy of the criteria under which the applicant was initially licensed or certified, obtained from the jurisdictions board of nursing or licensing authority. (d)The Board recognizes standards of practice and professional codes of behavior, as developed by appropriate nursing associations, as the criteria for assuring safe and effective practice. The provisions of this 21.156 amended October 16, 2015, effective October 17, 2015, 45 Pa.B. 1900 Board of Nursing - Delaware (iii)Oral to genital contact between a nurse and a patient during the professional relationship. The county children and youth social service agency shall have access to actual photographs or duplicates and X-rays and may obtain them or duplicates of them upon request. 658). (a)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. 218.5(c)(2)). The following words and terms, when used in this subchapter, have the following meanings, unless the content clearly indicates otherwise: The provisions of this 121.22 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. The Board will make available a list of Board-approved English proficiency examinations on its web site. (1)Provides for licensure of dietitian-nutritionists who meet the qualifications set forth in the act. (ii)The course work shall be at an advanced level above a pharmacology course required by a professional nursing (RN) education program. 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. (i)For a registered nurse not involved in providing mental health services, the relationship which shall be deemed to exist for a period of time beginning with the first professional contact or consultation between a registered nurse and a patient and ending with the patients discharge from or discontinuance of services by the nurse or by the nurses employer. (a)A controlling agency may be a hospital, educational institution or combination thereof. 7822. 5329. Abandonment is defined as the intentional deserting of a patient for whom the nurse is responsible. (5)The field agencies selected for use shall have the quality and variety of resources for planned learning experiences needed for the purpose of the program of the school of nursing. (k)Learning experiences selected shall focus on the needs of the student and may not be structured to render service to the cooperating agency. (a)The Board will assign registered nurses to one of the following license expiration dates: (1)April 30 in the even-numbered years. 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. (iv)Include student evaluation of the quality of clinical experiences. 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. The provisions of this Subchapter F adopted November 28, 1997, effective November 29, 1997, 27 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. Graduate practical nurseAn individual who has graduated from an approved program of practical nursing in this Commonwealth or a comparable program in another state. Provisions shall be in place for back-up personnel who are experts in airway management, emergency intubation and advanced life support if complications arise. 5521. ApprovedApproved by the Board. 6311 (relating to persons required to report suspected child abuse), all Board-regulated practitioners are considered mandated reporters. 212.1(k) and 216.1); and sections 9 and 17.6 of the Practical Nurse Law (63 P.S. (a)Disciplinary action. (4)The agreement shall insure full control of student education by the faculty of the program. They contain general statements of appropriate professional nursing actions. (b)An applicant for licensure by endorsement shall meet the requirements as stated in the act. National Council of State Boards of Nursing, Inc. All Rights Reserved. 667.6), unless otherwise noted. A registered nurse may form a professional corporation with other registered nurses or other health care practitioners who treat human ailments and conditions, and who are licensed to provide health care services in this Commonwealth without receiving a referral or supervision from another health care practitioner. (3)One academic semester course is equivalent to 15 continuing education hours. 4086; amended November 29, 1991, effective November 30, 1991, 21 Pa.B. (9)Copies of written agreements with cooperating agencies and facilities to be used in the program. 2677; amended June 17, 1977, effective June 18, 1977, 7 Pa.B. A confirmation by the Department of Human Services of the receipt of a report of suspected child abuse submitted electronically relieves the mandated reporter of the duty to make an additional oral or written report.
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