pennsylvania nurse practice act delegation

(5)Opinions of graduates regarding the adequacy of their nursing program. 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. (2)A letter signed by the director or chief operating officer of an approved clinic that the applicant has been authorized to provide volunteer services in the named clinic by the governing body or responsible officer of the clinic. If the program is continued until completion, approved and qualified instruction shall be assured. ARSD 20:48: Registered and Practical Nurses, Certified Registered Nurse Anesthetists, & Clinical Nurse . (b)Policies and rules of procedure governing the faculty organization shall be in written form and periodically reviewed by the faculty. 4730; amended December 19, 2003, effective December 20, 2003, 33 Pa.B. (1)A candidate may take the licensing examination as many times as necessary to pass the licensure examination. (F)Aggravated indecent assault as defined in 18 Pa.C.S. Bodily injuryImpairment of physical condition or substantial pain. 2677; reserved July 11, 2008, effective July 12, 2008, 38 Pa.B. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. (c)Falsification of information required under this section or failure to complete the continuing education requirements by those who continue to practice as CNSs may result in the institution of formal disciplinary action under section 14(a)(3) of the act (63 P.S. 2667. (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. (3)To insure the graduates of practical nursing programs of eligibility for admission to examination for licensure. The provisions of this 21.25 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 2829; amended March 22, 1985, effective March 23, 1985, 15 Pa.B. (D)Sexual assault as defined in 18 Pa.C.S. (d)For purposes of activities relating to the approval and status of nursing education programs, the term Board used in this subchapter may mean the Boards educational advisors appointed under section 2.1(i) of the act (63 P.S. Abandonment is defined as the intentional deserting of a patient for whom the nurse is responsible. The provisions of this 21.102 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. The evaluative process must include, at a minimum, the following: (1)A self-evaluation process completed by faculty, administrators and students of the CRNP program evidencing input into the CRNP program by faculty, administrators and students. 212.1); reserved under section 2.1(k) of The Professional Nursing Law (63 P.S. Standards of nursing conduct. Read More. (a)Continuing education activities must address the CRNPs specialty. (a)Requirement of continuing education. (a)The agreement between the program and each of the cooperating agencies shall be written and signed by the administrators of the program and the cooperating agency and shall identify the responsibility and authority of each party. (c)The curriculum must provide for both clinical and theoretical experiences. The provisions of this 21.182 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. Immediately preceding text appears at serial page (335544). (d)The provider shall provide CNSs who successfully complete a course with a certificate of attendance. (a)A registered nurse whose license has lapsed for 5 years or longer or has been placed on inactive status for 5 years or longer, as permitted in section 11(b) of the act (63 P.S. (2)Successfully completing a Board-approved reactivation program, which requires passage of a nursing achievement examination. 704; amended March 25, 1977, effective March 26, 1977, 7 Pa.B. Immediately preceding text appears at serial pages (9717) to (9718). CNSClinical nurse specialistAn individual licensed in this Commonwealth to practice professional nursing who meets the educational and examination or equivalency requirements of the act and who is certified by the Board as a clinical nurse specialist. (2)Full. (6)The blood is identified as the blood ordered for the patient. 2061. It is codified in Chapter 4723 of the Ohio Revised Code (ORC). (i)The Board may grant initial certification in a Board-designated specialty or other pertinent specialty to an applicant who demonstrates current National certification by examination. This section cited in 49 Pa. Code 21.803 (relating to applicability of rules relating to professional nurses). (i)In determining teaching load of the faculty the following criteria shall be considered: (1)Number of individual courses or units of study assigned with consideration of differences in scope and depth. 101, applicable to paraprofessionals, states that 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. 211225.5), unless otherwise noted. 2061; reserved December 16, 2016, effective December 17, 2016, 46 Pa.B. (d)CNSs may obtain credit for correspondence courses, taped study courses, and other independent or online study courses if the course is approved under subsection (c). (iii)The reasonable expectations of the professional relationship. 2061. The provisions of this 21.3 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 1916. 658). 5486. (ii)Determine contraindications for the administration of specific immunizing and skin testing agents. 7822. 6383(b)(2). (3)The dates and location of the program. A volunteer license shall be valid for the biennial period for which it is issued, subject to biennial renewal. 211(k) and 218.1(c)). Practical Nurses (Nurse Practice Act). Discussion of a patients sexual practices, preferences and performance shall be fully documented in the patients chart, when applicable. 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. This section cited in 49 Pa. Code 21.5 (relating to fees); and 49 Pa. Code 21.29 (relating to expiration and renewal of license). A licensed practical nurse shall notify the Board within 14 days of a change of address. (14)Other information requested in writing by the Board. 658). Immediately preceding text appears at serial page (9713). The provisions of this 21.148a adopted September 8, 2000, effective September 9, 2000, 30 Pa.B. (B)Physicians who are currently licensed. The provisions of this 21.331 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. 1916. 2061; amended June 18, 1993, effective June 19, 1993, 23 Pa.B. (5)An individual who has been granted a temporary practice permit for a currently-licensed practical nurse and who has complied with paragraphs (2)(4) may request an extension of the temporary practice permit because of illness or extreme hardship by: (i)Submitting a temporary practice permit extension application on a form provided by the Board. 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. The provisions of this 21.15 amended November 19, 1970, effective November 20, 1970, 1 Pa.B. 732-301732-303) and, upon approval, will be submitted to the Legislative Reference Bureau for recommended publication in the Pennsylvania Bulletin and Pennsylvania Code as a statement of policy of the Board as a part of this subchapter. As a condition of biennial renewal of prescriptive authority approval, a CRNP shall complete a minimum of 16 of the 30 hours of Board-approved continuing education in pharmacology in the 2 years prior to renewal. Keystone State. The provisions of this 21.29b adopted December 16, 2016, effective December 17, 2016, 46 Pa.B. 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. (b)Continuing education requirements shall be completed each biennial renewal cycle. This section cited in 49 Pa. Code 21.805 (relating to fees); 49 Pa. Code 21.827 (relating to continuing education course approval); and 49 Pa. Code 21.828 (relating to CNS responsibilities). 212.1k); and section 17.6 of the Practical Nurse Law (63 P.S. (b)If a nursing education program is removed from the approved list, the controlling institution shall provide for the completion of the program for students currently enrolled by placing the students in an approved program. 2829; amended July 11, 2008, effective July 12, 2008, 38 Pa.B. The provisions of this 21.32 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. Administrative records shall conform with the following: (4)Program bulletin. 2063; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. The provisions of this 21.412 adopted February 20, 1987, effective February 21, 1987, 17 Pa.B. (4)Activities sponsored by hospitals and health care facilities licensed by the Department of Health or the Department of Public Welfare. The provisions of this 21.291 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. (i)Educational facilities shall be attractive, adequately heated, lighted and ventilated. (f)Scientific facts and concepts selected to be taught shall be limited to those that are essential as a basis for nursing action and are applicable to patient care. 2402; amended April 24, 2009, effective April 25, 2009, 39 Pa.B. 2677. The provisions of this 21.145a issued under section 17.6 of the Practical Nurse Law (63 P.S. 6994. (iv)Include student evaluation of the quality of clinical experiences. 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. (3)The agreement between the educational unit in nursing and the cooperating agency shall be developed jointly, recorded in writing, reviewed periodically by both parties, revised as occasion requires and consistently adhered to by those responsible for implementing the provisions. The nurse must incorporate the nursing practice act with his or her educational background, previous work experience, institutional policies, and technological advancements. (iii)The mandated reporter has direct knowledge of the nature of the abuse. 702 (relating to appeals). Appropriate discussions of sexual matters between a nurse and a patient shall be fully documented in patient records. Chapter 36-9: Registered and Practical Nurses, Certified Registered Nurse Anesthetists, & Clinical Nurse Specialists. 7822. (a)An LDN 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 21.723 (relating to license renewal), whichever is sooner. However, any food mixed with medical cannabis may not be sold. Immediately preceding text appears at serial page (26485). (13)Verification of ability to report participation/attendance electronically to the Bureau in a format prescribed by the Bureau. (h)Consideration shall be given to individual differences among students. (6)Approval by the Board shall be obtained before the educational unit in nursing may utilize a new field agency for learning experiences. (i)The CRNP has practiced, for at least 1 of the last 3 years, as a CRNP with prescriptive authority in another jurisdiction. Previously, Pennsylvania was one of only two states that did not recognize CRNAs in its Professional Nursing Law. (E)Institutional sexual assault as defined in 18 Pa.C.S. This section cited in 49 Pa. Code 21.156b (relating to reporting of crimes and disciplinary action). The provisions of this 21.81 issued under section 506 of The Administrative Code of 1929 (71 P.S. When using this tool, the links will direct you to the state board of nursing website where you can locate the NPA via the state statute or code. (9)Advertise in a false or misleading manner. (13)Antitussive, expectorants and mucolytic agents. (f)An applicant for licensure by endorsement shall complete at least 3 hours of approved training in child abuse recognition and reporting in accordance with 21.508(a) (relating to child abuse recognition and reportingmandatory training requirement). Immediately preceding text appears at serial pages (363471) to (363472). (2)A CRNP may prescribe a Schedule III or IV controlled substance for up to a 90 day supply as identified in the collaborative agreement. The provisions of this 21.723 amended under sections 2.1(k) and 12.1(a) of The Professional Nursing Law (63 P.S. The minimum faculty and staff requirements are as follows: (2)Full-time faculty members in the areas of practice encompassed within the curriculum. 2103. (iv)Discussing or commenting on a patients potential sexual performance or requesting details of a patients sexual history or preferences during an examination or consultation, except when the examination or consultation is pertinent to the issue of sexual function or dysfunction or reproductive health care. 211225.5). Immediately preceding text appears at serial pages (9704) to (9705). (3)Changes in clinical facilities involving contractual agreements. Immediately preceding text appears at serial page (26492). 6994. 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). Upon application for reactivation of prescriptive authority approval, the CRNP shall show proof of meeting the continuing education requirements for the biennial period immediately preceding the request for reactivation. TreatingSelection and performance of those therapeutic measures essential to the effective execution and management of the nursing regimen and execution of the prescribed medical regimen. 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. The agreement shall be reviewed annually and a copy of the current agreement shall be filed in the office of the Board. An applicant for licensure by examination shall comply with the requirements of 21.151 (relating to application for examination), pass the examination and 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). (n)Nursing courses and curriculum shall be organized to continue the development of values, understandings, knowledge and skills needed in all aspects of professional nursing. (b)Pharmacology continuing education activities must provide the knowledge and skills to understand the pharmacokinetics and pharmacodynamics of broad categories of drugs or drugs used in the CRNPs specialty and to analyze the relationship between pharmacologic agents and physiologic/pathologic responses. (4)A statement of the philosophy, purposes and objectives of the program, which are congruent with the philosophy of the university or college. The physical examination must include an evaluation of the heart, lungs, vital signs, pain level, and body functions that relate to the patients specific complaint. (a)Admission standards shall conform with the following: (1)Policies and procedures related to the selection and admission of students are the responsibility of the individual program. 6319 (relating to penalties), a Board-regulated practitioner who is required to report a case of suspected child abuse or to make a referral to the appropriate authorities and who willfully fails to do so commits a criminal offense, as follows: (1)An offense not otherwise specified in paragraphs (2), (3) or (4) is a misdemeanor of the second degree. Title 848 of the Indiana Administrative Code contains rules set forth by the Indiana State Board of Nursing for nursing education and the practice of nursing in . 6383(b)(2). 212.1(k) and 216.1); and sections 9 and 17.6 of the Practical Nurse Law (63 P.S. (5)Document and maintain accurate records. NP Organization Members. The provisions of this 21.509 added under section 2.1(k) of The Professional Nursing Law (63 P.S. (15)Perform and sign the initial assessment of methadone treatment evaluations, provided that any order for methadone treatment shall be made only by a physician. Immediately preceding text appears at serial pages (396901) and (385205). (vi)Volunteering information to a patient about ones sexual problems, preferences or fantasies. (1)A currently-licensed practical nurse who wishes to practice practical nursing during the period from the date of submission of the Applicant Data Sheet of the application for licensure until the Board makes a determination on the application for licensure or 1 year, whichever comes first, shall: (i)Submit an application for temporary practice permit for a currently-licensed practical nurse on a form provided by the Board. (c)The philosophy and purposes of the CRNP program must be consistent with currently accepted social, educational and CRNP standards. (a)A candidate for the licensing examination may submit an application together with the required fee no sooner than 90 days prior to completing a professional nursing education program. (i)Nursing courses shall be organized to use and reinforce relevant learnings from preceding and concurrent courses. (ii)The scope of the prescriptive authority in the other jurisdiction is equivalent to prescriptive authority in this Commonwealth. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. CSPG No. (2)The registered nurse who performs venipunctures has had instruction and supervised practice in performing venipunctures. Immediately preceding text appears at serial page (363485). 6383(b)(2). 6383(b)(2). The provisions of this 21.4a issued under section 2.1(k) of The Professional Nursing Law (63 P.S. If an exemption is granted, the Board will issue or renew the license/certificate, as applicable. (d)The objective of the nursing program shall be consistent with the purposes of the educational unit. 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. (ii)The term does not include acts of medical diagnosis or prescription of medical therapeutic or corrective measures, except as may be authorized by rules and regulations jointly promulgated by the State Board of Medicine and the Board, which rules and regulations will be implemented by the Board. (3)At least 60 days prior to the expiration date of the temporary practice permit, the graduate registered nurse who wishes to extend the expiration date of the temporary practice permit because of illness or extreme hardship shall: (i)Submit an application for temporary practice permit extension on a form provided by the Board. 3806. 658 and 667.6). (13)Collection of blood specimens from an IV access device. (1)Provides for licensure of dietitian-nutritionists who meet the qualifications set forth in the act. Immediately preceding text appears at serial pages (319601) to (319602). Clinical experiences must be consistent with the scope of practice. The applicant shall retain documentation of the submission of the request to provide to the Board upon request. Nurse violated subsection (a)(4) by disconnecting comatose patient from respirator to check for spontaneous respirations, leaving patient without oxygen for 30 seconds, when there had been no special circumstances such as patient displaying signs of becoming conscious. (c)Appropriate cumulative student health records shall be maintained throughout the enrollment of the student. 2677. Immediately preceding text appears at serial pages (363485) to (363486). 811. (3)A program served with notice of intent to remove will be given 45 days in which to file a written answer to the notice. The minimum faculty and clerical personnel required in each program is as follows: (1)A full-time nurse director or nurse coordinator. The provisions of this 21.311 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. 218.5(c)(2)). (b)There must be current, appropriate, adequate and available learning resources to include audio/visual equipment, computers and library materials. 5484. (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. 212.1(k) and 216.1); and sections 9 and 17.6 of the Practical Nurse Law (63 P.S. (4)Analysis of rhythm strips of patients with permanent programmable pacemakers. Developing policies and rules. Sexual improprietyThe term includes the following offenses: (ii)Exposing a patients body or watching a patient dress or undress, unless the patient specifically requests assistance. (c)A CRNP who has prescriptive authority shall complete at least 16 hours of Board-approved continuing education in pharmacology in the 2 years prior to the biennial renewal date of the certification. The provisions of this Subchapter E issued under the Child Protective Services Law, 23 Pa.C.S. (b)A licensed practical nurse whose license has been suspended for 5 years or longer may reactivate the license after complying with the terms of the suspension Order by doing either of the following: (1)Successfully completing the initial licensing examination approved by the Board and submitting the examination fee in 21.147. 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. (5)For school nurses, evidence that the nurses certification by the Department of Education is current. (5)The registered nurse has demonstrated competency in administering the therapy to the satisfaction of the employer. The provisions of this 21.723b issued under section 2.1(k) of The Professional Nursing Law (63 P.S. 6383(b)(2). 655). (b)Board-approved continuing professional education. (b)Engaging in conduct constituting a sexual violation or sexual impropriety is unprofessional conduct and will subject the licensee to disciplinary action under section 14 of the act (63 P.S. The provisions of this 21.21 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. Immediately preceding text appears at serial pages (378846) and (346571). (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. 2976; amended June 18, 1993, effective June 19, 1993, 23 Pa.B. (a)Students shall have access to personal records as defined by Federal and State legislation. 2061. 1916. 4730. A controlling institution is a university, college or hospital which conducts programs of education in nursing.

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