The provisions of this 21.131 issued under sections 2.1(k) and 12.1 of The Professional Nursing Law (63 P.S. Immediately preceding text appears at serial pages (363484) to (363485). 212.1(k) and 222(a)). This section cited in 28 Pa. Code 107.64 (relating to administration of drugs); 49 Pa. Code 21.413 (relating to interpretations regarding the administration of drugsstatement of policy); and 49 Pa. Code 21.803 (relating to applicability of rules relating to professional nurses). ActThe Professional Nursing Law (63 P.S. (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. An Agency Data form, provided by the Board, shall be submitted for each new field agency used for the first time. (10)Administer IV medications for the purpose of procedural sedation or anesthesia. (5)To stimulate and maintain continued growth and improvement of practical nursing education in this Commonwealth. The provisions of this 21.505 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. (b)Providers referenced in 21.334(b) (relating to sources of continuing education) or CRNPs applying for individual approval in 21.334(c), when seeking Board approval of a continuing education course shall pay the required fee (see 21.253 (relating to fees)) and complete and submit an application for course approval at least 60 days prior to the date the course is to be offered, which shall include the following information: (1)The full name and address of the provider. The CRNP shall verify completion of the continuing education when submitting a biennial renewal. State Board of Nurse Examiners v. Rafferty, 471 A.2d 1339 (Pa. Cmwlth. (k)The ratio of credits in nursing to general education and elective credits shall be consistent with other associate degree programs in the college. If the program on provisional approval status is not in compliance within this designated time, the CRNP program will be removed from the approved list. (c)The philosophy and purposes of the CRNP program must be consistent with currently accepted social, educational and CRNP standards. 422.15(b)) (Repealed). (iv)Instruction and supervised practice required to insure competency in administering immunizing and skin testing agents. A nurse shall not be subject to disciplinary or any other adverse action for refusing to delegate a nursing intervention based on patient safety. 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) as a condition of certification. (3)At least 60 days prior to the expiration date of the temporary practice permit, the graduate practical nurse who wishes to extend the expiration date of the temporary practice permit because of illness or extreme hardship shall: (iii)Provide a detailed, written explanation of the reasons the extension is requested. 4755; amended July 26, 2019, effective July 27, 2019, 49 Pa.B. It is imperative that RNs work as full partners with physicians and other health professionals to realize the goals of healthcare reform. The candidate for licensure shall pass the licensure examination approved by the Board. (4)Administer medications or fluids via arterial lines. The Board may grant initial approval to a new nursing education program, with evidence that the standards of this subchapter are being met, for a period of time necessary to evaluate the results of the licensing examination taken by the first cohort of graduates. 658). (d)The Board recognizes codes of behavior as developed by appropriate practical nursing associations as the criteria for assuring safe and effective practice. Collaborative agreementThe written and signed agreement between a CRNP and a collaborating physician in which they agree to the details of their collaboration including the elements in the definition of collaboration. 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). Immediately preceding text appears at serial page (351278). (c)The philosophy and purposes of the educational unit in nursing shall be consistent with currently accepted social, educational and nursing standards. Immediately preceding text appears at serial pages (143338) to (143339). The provisions of this 21.112 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. The provisions of this 21.132 issued under sections 2.1(k) and 12.1 of The Professional Nursing Law (63 P.S. 212.1(k) and 221(c)), unless otherwise noted. The provisions of this 21.103 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. Immediately preceding text appears at serial page (319604). 2677. (6)Approval by the Board shall be obtained before the educational unit in nursing may utilize a new field agency for learning experiences. 667.6). Immediately preceding text appears at serial pages (319603) to (319604). (g)An LPN who has met the education and training requirements of 21.145b (relating to IV therapy curriculum requirements) may perform the following IV therapy functions, except as limited under 21.145a and only under supervision as required under subsection (f): (1)Adjustment of the flow rate on IV infusions. BoardThe State Board of Nursing of the Commonwealth. The provisions of this 21.148a adopted September 8, 2000, effective September 9, 2000, 30 Pa.B. 2061. (2)Provision shall be made for adequate storage space to maintain the safety and security of the library materials and holdings. This section cited in 49 Pa. Code 21.156b (relating to reporting of crimes and disciplinary action). A registered nurse seeking to reinstate a suspended license shall submit, or cause to be submitted, documentation to demonstrate that the registered nurse completed 30 hours of continuing education, including at least 2 hours in approved child abuse recognition and reporting in accordance with 21.508(b), within the biennial period immediately preceding application for reinstatement. 6196. (1)The Board approves the Registration Examination for Registered Dietitians and Examination of the Certification Board for Nutrition Specialists as the examinations which an applicant may complete to satisfy section 6(b)(4) of the act. 2677. BoardThe State Board of Nursing of the Commonwealth. Nurses, Part II. 667.6). An advanced practice registered nurse shall hold a doctorate, a post-nursing master's certificate, or a minimum of a master's degree that includes advanced education composed of didactic and supervised clinical practice in a specific area of advanced practice registered nursing. (b)When a program change is contemplated, a plan shall be presented to the Board showing: (4)Philosophy and objectives of the proposed program. (ii)A copy of the course syllabus offered by the cooperating agency. 658). The provisions of this 21.294 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. Nurse Practice Act / Minnesota Board of Nursing Immediately preceding text appears at serial page (26494). (vii)Causing serious physical neglect of a child. The provisions of this 21.723 amended October 16, 2015, effective October 17, 2015, 45 Pa.B. 6409; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. The act is intended to increase the quality of patient care by giving prescribers and dispensers access to a patients prescriptive history through an electronic data system; patients will have a thorough record of prescriptions for purposes of making educated and thoughtful health care decisions; and aid regulatory and law enforcement agencies in the detection and prevention of fraud, drug abuse and the criminal diversion of controlled substances. (a)A license issued under section 5(e) of the act (63 P.S. A nurse did not wilfully violate subsection (a)(4) in lightly slapping the hand of a patient who had a grip on her arm, since the nurse had to have the use of her arm in order to keep the patient from falling and other attempts to make the patient loosen his grip had failed. This standard does not prohibit or affect reporting responsibilities under 23 Pa.C.S. (a)The minimum faculty requirements submitted under 21.365(d)(3) (relating to establishment) for the program are: (1)Qualified faculty members teaching in their areas of specialized practice encompassed within the curriculum. (a)The faculty shall be employed by and responsible to the educational institution. Open Document. (ii)Request certification of the applicants nursing education program from the licensing board or appropriate educational authorities. (c)If the Board places a nursing education program on provisional approval status, the Board will notify the program, 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. (6)Continuing education programs approved by other state boards of nursing for advanced practice nurses or nurse practitioners. 6383(b)(2). (b)Programs must measure outcomes of graduates at 1-year and 3-year intervals postgraduation. 667.6). 659 and 667.6). 4730. The Impact of Nurse Delegation Regulations on the Provision of Home (2)A statement of the administrative structure and functions of the nursing school. 659 and 667.6). (c)Adequate funds shall be allocated and properly budgeted for the sound and effective operation of the CRNP program. 2829; amended April 24, 2009, effective April 25, 2009, 39 Pa.B. The provisions of this 21.133 adopted July 11, 2008, effective July 12, 2008, 38 Pa.B. 212.1(k)). 4236; amended September 20, 1985, effective September 21, 1985, 15 Pa.B. (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. Section 1300.20 Nursing Delegation by a Registered Professional Nurse; Section 1300.30 Fees; Section 1300.40 Renewals; Section 1300.50 Restoration; Section 1300.60 Granting Variances; . (a)Survey visits will be made of basic practical nursing programs conducted in hospitals, community colleges, universities and public school districts and vocational education programs under the Department of Education. (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. 212.1(k)). (c)The planned educational program shall include the following: (1)Organization and administrative policies of the controlling agency. Immediately preceding text appears at serial page (319606). (3)The fact that the educational needs of the students are being met. 6196; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. 6994. 667.6). The provisions of this 21.7 adopted May 19, 2006, effective May 20, 2006, 36 Pa.B. (3)Completion of a planned continuous preprofessional experience of at least 900 hours under appropriate supervision. Immediately preceding text appears at serial page (351271). (11)The changing of a gastrostomy tube when stoma is healed. A registered nurse seeking to reinstate a lapsed license or reactivate an inactive license shall file an application for reinstatement or reactivation and submit, or cause to be submitted, documentation to demonstrate that the licensee completed 30 hours of continuing education, including at least 2 hours in approved child abuse recognition and reporting in accordance with 21.508(b), within the biennial period immediately preceding application. (ii)The training was approved by the Department of Human Services. A Board-regulated practitioner may take or cause to be taken photographs of the child who is subject to a report and, if clinically indicated, cause to be performed a radiological examination and other medical tests on the child. The expected graduate competencies must be the key determinant of the clinical component. (c)The expected changes in student behavior identified in the statement of objectives shall be realistic and attainable within the program of instruction. 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. 2829. 1986). (d)Waiver. (G)Leaving a child unsupervised with an individual, other than the childs parent, who the actor knows or reasonably should have known: (I)is required to register as a Tier II or Tier III sexual offender under 42 Pa.C.S. The provisions of this 21.33 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (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. (3)Provision for ongoing student evaluative process that assesses the students progress toward and ultimate achievement of program objectives. 2677. 4730. AUTHORITY: Implementing the Nurse Practice Act [225 ILCS 65] and authorized by Section 2105-15(7) of the Civil Administrative Code of Illinois [20 ILCS 2105]. Central venous catheterAn intravenous (IV) catheter, the tip of which terminates beyond the peripheral vasculature and may be either tunneled, implanted or percutaneously inserted. Assisted Living: Registered Nurse Medication Delegation This section cited in 49 Pa. Code 21.363 (relating to approval process); and 49 Pa. Code 21.369 (relating to general curriculum requirements). (e)The Board will regulate the practice of practical nursing. 4755; amended July 26, 2019, effective July 27, 2019, 49 Pa.B. The provisions of this 21.365 adopted June 2, 2006, effective June 3, 2006, 36 Pa.B. If faculty are managing their own caseload of patients, the maximum ratio is one student per faculty member. IV therapyThe administration of fluids, electrolytes, nutrients or medications by the venous route. 6196. (c)As a condition of biennial renewal, a CNS shall hold a valid, unexpired and unrestricted professional nursing license. Bodily injuryImpairment of physical condition or substantial pain. 2677. (f)Evening and night assignments shall be considered part of the curriculum only in terms of the objectives to be achieved and if supervision is provided by the nursing faculty. (2)Identify the specialty in which the CRNP is certified. The provisions of this 21.364 adopted June 2, 2006, effective June 3, 2006, 36 Pa.B. (d)Courses in areas impacting the practice of professional nursing, such as nursing administration, management, education, and diagnostic and procedural coding are acceptable. (3)An instructor whose area of expertise is in the subject matter being taught. The provisions of this 21.1 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 211(k) and 218.1(c)). (b)A student who meets the description in subsection (a) and who also desires to practice as a registered nurse while participating in the training program shall submit an application for licensure by endorsement and obtain a temporary practice permit as provided by 21.28 (relating to licensure by endorsement). (2)The school wishing to establish agreements with a cooperating agency shall initiate meetings with the proposed cooperating agency to determine: (i)Compatibility of the educational philosophy and objectives of the cooperating agency with those of the parent school. The provisions of this 21.507 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. (ii)Determine contraindications for the administration of specific immunizing and skin testing agents. (c)The Board has the right to establish rules and regulations for the practice of nursing. 7822. (1)An LPN may initiate and maintain IV therapy only under the direction and supervision of a licensed professional nurse or health care provider authorized to issue orders for medical therapeutic or corrective measures (such as a CRNP, physician, physician assistant, podiatrist or dentist). The LPN participates in the planning, implementation and evaluation of nursing care using focused assessment in settings where nursing takes place. 3040; amended November 17, 2000, effective November 18, 2000, 30 Pa.B. Consideration must be given to scholastic aptitude, academic achievement, personal qualities and physical and emotional health necessary to fulfill the objectives of the program. Examination yearThe period beginning on October 1st of a year through September 30th of the following year. (2)Order, perform and supervise diagnostic tests for patients and, to the extent the interpretation of diagnostic tests is within the scope of the CRNPs specialty and consistent with the collaborative agreement, may interpret diagnostic tests. The provisions of this 21.375 issued under sections 6.1 and 8.1 of The Professional Nursing Law (63 P.S. The State of Scope of Practice - Penn Nursing 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. The provisions of this 21.84 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (a) No person shall engage in the practice of professional nursing in Delaware without being licensed by the Board, except those persons issued a temporary permit by the Board. 3796; amended October 16, 2015, effective October 17, 2015, 45 Pa.B. (c)The following nursing practices fall within the scope of LPN practice under 21.145(a) and (b): (2)Changing outer tracheostomy tube after stoma is healed. The provisions of this 21.822 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. (b)The Board may, for any given biennial license period and with adequate notice to registered nurses, require that up to 4 hours of continuing education be completed in designated topics. The number of candidates for each class shall be determined by the educational and clinical resources which the program can provide. (6)Order blood and blood components for patients. 2103. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. (b)Notice of application for renewal will be forwarded biennially to each active CRNP at the CRNPs address of record with the Board prior to the expiration date of the current biennial period. Article 9. 6311 (relating to persons required to report suspected child abuse) to make a report of suspected child abuse. Immediately preceding text appears at serial pages (261722) and (209951). (ii)Attendance at exhibits manned by detail personnel. (x)Engaging a child in a severe form of trafficking in persons or sex trafficking, as those terms are defined under section 103 of the Trafficking Victims Protection Act of 2000 (Division A of Pub.L. (b)The following nursing practices fall within the scope of LPN practice under 21.145(b): (1)Changing cystostomy tubes after the stoma heals. 212.1(k) and 222(a)); section 17.6 of the Practical Nurse Law (63 P.S. (3)Faculty to provide adequate supervision and evaluation. (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 extent of the approval granted will be based on the nature and content of the program submitted. If a licensee holds more than one license or certificate issued by the Board, or holds a license issued by another licensing board within the Bureau that requires mandatory training in child abuse recognition and reporting, credit for completion of an approved course will be applied to both credentials. (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. (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.". (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. (8)Falsify or knowingly make incorrect entries into the patients record or other related documents. Immediately preceding text appears at serial pages (363471) to (363472). (7)Needle aspiration of pneumothorax in infant intensive care unit. (c)For purposes of activities relating to the approval and status of nursing education programs, the term Board as used in this subchapter may mean the Boards educational advisors appointed under section 2.1(i) of the act (63 P.S. (f)An hour for purposes of nurse practitioner continuing education is 50 minutes. The provisions of this 21.154 amended under section 506 of The Administrative Code of 1929 (71 P.S. The Nurse Practice Act: Learn It, Know It, Live It Supervision and direction of certified and non-certified staff persons required for school operation exclusive of directing health services controlled by the Nurse Practice Act. 2829. Cmwlth. Abandonment is defined as the intentional deserting of a patient for whom the nurse is responsible. changes effective through 52 Pa.B. The Board may extend the time period for correction of deficiencies at its discretion if the program is making demonstrable progress toward the correction of deficiencies. (d)Adequate funds shall be allocated and properly budgeted for sound and effective operation of the program. 422.15(b)) (Repealed). (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. Immediately preceding text appears at serial page (9715). A professional nurse who does not hold at least one graduate degree in nursing, but who has experience in nursing practice, nursing education and administration may be considered on an individual basis. (b)Policies, including personnel policies in effect for CRNP program faculty, must be those in effect for faculty members throughout the college or university. 1165; amended April 26, 1996, effective April 27, 1996, 26 Pa.B. The advanced nursing practice core must include the following content: (i)Advanced health/physical assessment. Each LDN shall complete 30 CPE credits during the 2 calendar years immediately preceding the application for license renewal. 216.1 and 218.1). PA Scope of Practice and delegation - General Nursing Talk - allnurses (d)The objectives of the nursing program shall be consistent with the purposes of the educational unit. Sign up to receive text alerts and be the first to know when this legislation is moving. The Board approval letter sent to the applicant will be considered acceptable documentation of hours obtained through 21.825(c) or (e) (relating to sources of continuing education). (e)The LPN may administer immunizing agents and do skin testing only if the following conditions are met: (1)The LPN has received and satisfactorily completed a Board approved educational program which requires study and supervised clinical practice intended to provide training necessary for administering immunizing agents and for performing skin testings. The provisions of this 21.724 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. 21.824 (relating to inactive status and reactivation); and 49 Pa.B. (m)Education in the nursing major shall be offered largely at the upper divisional level. (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. 6994. (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. 218.7) regarding liability coverage. 658). (a)An applicant for a volunteer license shall complete an application obtained from the Board. 3124.2 (relating to institutional sexual assault). (b)The following renewal fees are charged by the Board to support its operations: (c)The following fees are charged by the Board for services provided to nursing education programs: Application for approval of new nursing education program $2,195, Review of annual compliance report fee $430, New nursing education program survey visit fee $1,525. Effective in 60 days. N 1-9 . Failure to hold a hearing within 30 days will not be cause to withdraw the notice of intent to remove. CertificationCertification as a CNS issued by the Board. 658 and 667.6); and section 2.1(k) of The Professional Nursing Law (63 P.S. 2063; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. (c)Providers shall submit other information requested by the Board. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. (v)Managing and negotiating health care delivery systems. Immediately preceding text appears at serial pages (209959) to (209960). The approved list will consist of programs on initial, full and provisional approval status. (5)Old and new master rotation or organizational curriculum plans. 653.1 and 667.6); amended under section 17.6 of the Practical Nurse Law (63 P.S. 6994. 2829. (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.