(f)There shall be a planned and active faculty development program designed to meet the needs of the faculty. A program will not be placed on full approval status until it has graduated its first class and the class has achieved an acceptable rate of passing the National licensure examination, as set forth in 21.162b (relating to minimum rate for graduates of nursing education programs to pass the national licensure examination). Immediately preceding text appears at serial page (378846). (2)An individual applying for a temporary practice permit for a currently-licensed registered nurse shall demonstrate proficiency in English by submitting proof that the individuals nursing education program was conducted in English or that the individual has received a passing score on a Board-approved English proficiency examination. 6994. Nurse Practitioner (CRNP) Yes 49 Pa. Code 21.16, 63 P.S. Immediately preceding text appears at serial page (335523). (a)The educational policies of the educational unit in nursing shall be consistent with those of the controlling institution. (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. 3123 (relating to involuntary deviate sexual intercourse). (6)Evaluates the effectiveness of the quality of nursing care provided. (4)Faculty employed to teach dietetics-nutrition shall be currently licensed to practice dietetics-nutrition in this Commonwealth. The Board may consider sexual relationships between the dietitian-nutritionist and the patient occurring prior to the professional relationship. Applications will remain on file for 12 months. Together the NPA and rules/regulations guide and govern nursing practice. (ii)Records of preparation and experience, including college transcripts. 2829. 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. This section cited in 49 Pa. Code 21.273 (relating to application for certification); 49 Pa. Code 21.283 (relating to authority and qualifications for prescribing, dispensing and ordering drugs); 49 Pa. Code 21.285 (relating to prescriptive authority collaborative agreements); 49 Pa. Code 21.331 (relating to biennial renewal of certification); and 49 Pa. Code 21.336 (relating to continuing education course approval); and 49 Pa. Code 21.605 (relating to biennial renewal). 1916. (b)Programs planning to discontinue must follow the procedures in 21.41 (relating to notification; completion of program; records). (G)Indecent assault as defined in 18 Pa.C.S. In accordance with section 6(c) of the Volunteer Health Services Act (35 P.S. If something is delegated to a paramedic by an RN in the ED, there must be authority to do so in the act or rules, and the same principles of good delegation that one uses for delegating to another RN or LPN would hold true for a paramedic, as well. (5)Proposed curriculum design based on sound educational concepts and including detailed course descriptions and identification of clinical practice. CRNPCertified Registered Nurse PractitionerA professional nurse licensed in this Commonwealth who is certified by the Board in a specialty and who, while functioning in the expanded role as a professional nurse, performs acts of medical diagnosis or prescription of medical therapeutic or corrective measures in collaboration with a physician licensed to practice in this Commonwealth and in accordance with the act and this subchapter. (8)Activities approved by National nursing, risk management, health care quality and patient safety organizations. 21.824 (relating to inactive status and reactivation); and 49 Pa.B. 218.5(e)). Nurse violated 49 Pa. Code 21.11(a)(4) by leaving patient experiencing rare premature ventricular contractions, failing to call code team when so instructed and failing to attach cardiac monitor strip to patients chart, but such actions did not constitute violations of 21.13 which merely establishes limitations on who may perform resuscitation and respiration and circumstances under which those procedures may be performed. 658). (v)Creating a reasonable likelihood of bodily injury to a child through any recent act or failure to act. (ii)Request certification of the applicants nursing education program from the licensing board or appropriate educational authorities. (4)The administration of intrathecal medications by an externalized ventriculoperitoneal shunt. The provisions of this 21.18a issued under section 2.1(k) of The Professional Nursing Law (63 P.S. 2061. The CBEN has no regulatory authority but can issue administrative decisions or declaratory rulings. (iv)Causing sexual abuse or exploitation of a child through any act or failure to act. DiagnosingIdentification of and discrimination between physical and psychosocial signs and symptoms essential to effective execution and management of the nursing regimen. (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. Get more from your nursing profession: Advertise with PSNA! When the Board is empowered to take disciplinary or corrective action against a nurse for conduct defined as a sexual violation or sexual impropriety, the nurse will not be eligible for placement into an impaired professional program under section 14.1 of the act (63 P.S. This subchapter cited in 6 Pa. Code 11.3 (relating to definitions); and 28 Pa. Code 9.678 (relating to PCPs); 28 Pa. Code 107.12a (relating to specified professional personnelstatement of policy); 52 Pa. Code 56.2 (relating to definitions); 52 Pa. Code 56.252 (relating to definitions); 55 Pa. Code 1153.41a (relating to medicationstatement of policy); 55 Pa. Code 2380.122a (relating to labeling of medicationsstatement of policy); 55 Pa. Code 2380.124a (relating to medication logstatement of policy); 55 Pa. Code 2380.126a (relating to adverse reactionstatement of policy); 55 Pa. Code 5200.42a (relating to medication prescriptionstatement of policy); 55 Pa. Code 5210.58a (relating to medication prescriptionstatement of policy); 55 Pa. Code 6400.162a (relating to labeling of medicationstatement of policy); 55 Pa. Code 6400.163a (relating to use of prescription medicationstatement of policy); 55 Pa. Code 6400.164a (relating to medication logstatement of policy); 55 Pa. Code 6400.166a (relating to adverse reactionstatement of policy); 55 Pa. Code 6500.132a (relating to labeling of medicationstatement of policy); 55 Pa. Code 6500.133a (relating to use of prescription medicationsstatement of policy); 55 Pa. Code 6500.134a (relating to medication logstatement of policy); and 55 Pa. Code 6500.136a (relating to adverse reactionstatement of policy). (b)Cooperating agencies outside of this Commonwealth shall be subject to the following: (1)The state board of nursing of the state in which the cooperating agency is located shall be contacted to determine the approval status of that agency in that state. 6994. (7)Course related materials, including as applicable: (ii)Narrated script or talking points. The Board may informally resolve any deficiency. Approved programThose educational programs accredited by the NLNAC or CCNE for preparing a professional nurse to practice as a CNS. (a)Written notification of intent to discontinue a program of practical nursing shall be submitted to the Board within a reasonable period of time, but not less than 6 months prior to a discontinuance. (3)Patient counseling. 667.6). 1916. (b)Adequate funds shall be allocated and properly budgeted for sound and effective operation of the school. Immediately preceding text appears at serial page (378866). The provisions of this 21.201 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. (6)Leave a nursing assignment prior to the proper reporting and notification to the appropriate department head or personnel of such an action. 2677; amended February 25, 1977, effective February 26, 1977, 7 Pa.B. Where the Board of Nurse Examiners found no willful, repeated, deliberate or knowing violation, but merely acts which were deemed to deviate from accepted practice and errors of judgment, the court held that there was no violation of subsection (a) (1) and (4). The label shall also bear the name and address of the CRNP, the date dispensed, the name of the patient and the directions for use of the drug by the patient. 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. (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. (e)Group or individual research, as the principal or co-principal investigator, if approved by the institutional review board of the sponsoring institution, is acceptable and will be credited in the year completed as 15 hours of continuing education. Evening and night assignments are considered part of the curriculum only in terms of the objectives to be achieved and if faculty supervision is provided. Only the Board may, by a majority vote, confer initial approval status on a proposed nursing education program, extend the maximum 2-year period for correction of deficiencies or remove a program from the approved list. (b)Relationships with central administrative officers, interrelationships among other disciplines and services of the college or university, and representation on college or university councils and committees for faculty in a CRNP program must be consistent with the interaction and responsibilities accorded to other faculty members of the college or university. 8372 (December 31, 2022). (c)The employment of less qualified instructors. 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. The provisions of this 21.337 adopted December 3, 2004, effective December 4, 2004, 34 Pa.B. If requesting an extension due to illness, the applicant shall provide certification of the illness from the applicants treating physician. (a)The curriculum shall be developed, implemented and evaluated by the faculty and be based on the philosophy and objectives of the school. This section cited in 49 Pa. Code 21.33a (relating to failure to comply with standards). 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. (ii)The patients care needs surpass the LPNs knowledge, skill or ability. (d)Reinstatement of lapsed license or reactivation of inactive license. The provisions of this 21.13 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. Sign up to receive text alerts and be the first to know when this legislation is moving. (4)The agreement shall insure full control of student education by the faculty of the program. At least 2 of the required 30 hours must be completed in approved training in child abuse recognition and reporting in accordance with 21.508(b) (relating to child abuse recognition and reportingmandatory training requirement). (a)Cooperating agencies within this Commonwealth shall be subject to the following: (1)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. An LDN who can demonstrate to the Board a verified hardship may request a waiver of CPE requirements for a single biennial period. (v)Encouraging a patient to masturbate in the presence of the nurse or masturbating while the patient is present. 2061; amended June 8, 1990, effective June 9, 1990, 20 Pa.B. (1)Board-approved CRNP educational programs and CRNP educational programs approved by other state boards of nursing or that hold current accreditation issued by a National nursing accreditation organization. (a)If the Board receives information suggesting that a nursing education program has not maintained the standards of this subchapter, the Board will validate the information and will notify the program, in writing, of the alleged deficiency. (8)Insertion or removal of a peripheral short catheter. (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. The provisions of this 21.30a amended under section 2.1(k) of The Professional Nursing Law (63 P.S. The Board will make available a list of Board-approved English proficiency examinations on its web site. (b)Board-approved continuing professional education. 4086; amended November 29, 1991, effective November 30, 1991, 21 Pa.B. (iii)When a patient is receiving hemodialysis. The provider shall place the course number on the certificate of attendance and shall provide CRNPs who successfully complete a course with a certificate of attendance. 6994. 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). -Since the mandatory NPA was passed in N. Carolina in 1903, nursing has been legislated, directed, and controlled to some extent. 6994. ApprovedApproved by the Board. Immediately preceding text appears at serial pages (335543) to (335544). Pennsylvania nurse practice act delegation. (6)Discontinuance of a medication or fluid infusion, including infusion devices. (v)Residency and Fellowship programs which are at the post baccalaureate level, and are sponsored by a United States regionally accredited college or university, or an institution accredited/approved by the Joint Committee on Accreditation of Healthcare Organizations or the National Committee for Quality Assurance. 211225.5). (ii)One program faculty member shall supervise no more than six students in a clinical course. 6409. (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. The candidate for licensure shall pass the licensure examination approved by the Board. 2103. IV therapyThe administration of fluids, electrolytes, nutrients or medications by the venous route. (iv)Include student evaluation of the quality of clinical experiences. 5634; amended June 16, 2000, effective June 17, 2000, 30 Pa.B. (b)Providers of stand-alone courses shall apply for approval from the Board before offering an IV therapy course. Candidates for practical nursing licensure shall pass the licensure examination approved by the Board. This competence may be demonstrated through educational training and supervised clinical experience. (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. 211(k) and 218.1(c)). (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. 186); and section 8 of the Practical Nurse Law (63 P.S. Immediately preceding text appears at serial page (9690). The provisions of this 21.156a amended under section 17.6 of the Practical Nurse Law (63 P.S. 218.2(c.2)), regarding the authority of state agencies and health care facilities. (9)The actions taken by the person making the report, including actions taken under 23 Pa.C.S. 2667. 2827. 186); and section 8 of the Practical Nurse Law (63 P.S. 667.6). The provisions of this 21.162b adopted under sections 2.1(k) and 6.1 of The Professional Nursing Law (63 P.S. (c)The Bureau will notify the individual, entity or organization in writing upon approval of the course and will post a list of approved courses on the Bureaus web site and the Boards web site. 658). 667.6); and 23 Pa.C.S. The provisions of this 21.24 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 1100 Wayne Ave, Suite #925 Silver Spring, MD 20910-5669 . Contact our Communications Department at 717-798-8942 or email to receive the kit. You may be trying to access this site from a secured browser on the server. The provisions of this 21.701 amended December 16, 2016, effective December 17, 2016, 46 Pa.B. Graduate practical nurseAn individual who has graduated from an approved program of practical nursing in this Commonwealth or a comparable program in another state. (ii)A copy of the course syllabus offered by the cooperating agency. The agreement shall be reviewed annually and a copy of the current agreement shall be filed in the office of the Board. (q)The ratio of students to faculty shall assure optimal learning opportunities in clinical laboratory sessions and shall be consistent with the objectives of the clinical nursing courses. (4)Interactive information systems (computer/technical support) sufficient to develop, manage and evaluate the program. 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. (c)The Board shall be informed in writing concerning the permanent placement of these records. Standards of nursing conduct. For the purpose of any civil or criminal proceeding, the good faith of the Board-regulated practitioner shall be presumed. (c)Functions and responsibilities of each faculty member shall be defined in writing. ActThe Professional Nursing Law (63 P.S. 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. (3)Knowingly permit another individual to use his license or temporary permit for any purpose or knowingly permit the unlicensed person under the registered nurses jurisdiction or supervision to misrepresent that the individual is a licensed nurse. An instructor of a stand-alone course shall have knowledge and skill in the aspect of the course content taught. Delegation by Registered Nurses | Article | NursingCenter (e)Up to 4 hours will be credited for service as a teacher, preceptor, lecturer or speaker and for publication in a refereed journal or other scholarly publication relating to pharmacology or the CRNPs area of practice. The provisions of this 21.29b issued under section 2.1(k) of The Professional Nursing Law (63 P.S. 6409. 222) during the biennial period immediately preceding the application for renewal in accordance with 21.13121.134 (relating to continuing education). The Nurse Practice Act: Learn It, Know It, Live It (7)Administer medications requiring titration. (4)Administer medications or fluids via arterial lines. (c)The planned educational program shall include the following: (1)Organization and administrative policies of the controlling agency. 2061; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. The Board will not issue a license or certificate unless the Bureau has received an electronic report from an approved course provider documenting the attendance/participation by the applicant or the applicant has obtained an exemption under subsection (c). The provisions of this 21.183 amended under section 506 of The Administrative Code of 1929 (71 P.S. The Board approves educational programs that meet the requirements of section 6(b)(2) of the act (63 P.S. (b)The curriculum shall be organized and developed to include the knowledge, attitudes, skills and abilities necessary for the specific levels of student achievement. The provisions of this 21.18 adopted April 30, 1993, effective May 1, 1993, 23 Pa.B. The Commonwealth of Pennsylvania lacks specific delegation language in the nurse practice act. The provisions of this 21.23 issued under section 506 of The Administrative Code of 1929 (71 P.S. (a)The physical structures that serve the purpose of the practical nursing program and are available for student or faculty or both use include those that are provided in the immediate environment and also those that are off the school premises. Applicants shall verify compliance with section 8.7 of the act (63 P.S. (b)Except as provided in subsection (c), licensees seeking renewal of a license or certificate issued by the Board shall complete, as a condition of biennial renewal, at least 2 hours of approved continuing education in child abuse recognition and reporting requirements, as a portion of the total continuing education required for biennial renewal. The execution of the procedures shall include the identification and discrimination of expected and unexpected human responses and the effective management of nursing actions. 212.2(i)). 218.3(a)(2)(ii)). 5-14. The Board will hold a hearing, within 30 days of the submission of documentation, at which the program official may appear and present additional evidence to show cause as to why approval should not be withdrawn. 7822. 6383(b)(2). The provisions of this 21.33 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. The provisions of this 21.150 added under section 2.1(k) of The Professional Nursing Law (63 P.S. Scope of practice varies by state. 2667. (9)Anticipated credentials or experience of the presenter, or biography of presenter, if known. (3)The CRNP has violated the act or this subchapter, or engaged in any conduct prohibited for professional nurses. 212.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. (3)The certified nurse anesthetist is authorized to administer anesthesia in cooperation with a surgeon or dentist. Two things limit the independent scope of nursing practice: Task/practice must be within the field of nursing, and; RN must possess the specialized knowledge, judgment, and skill required to complete the job/task undertaken. (c)Interpretations issued under this section do not constitute an exercise of delegated legislative power by the Board and will be expressly subject to modification by the Board in an adjudicative proceeding based upon the particular facts and circumstances relevant to a proceeding. (n)Course syllabi that identify all aspects of each course shall be developed and readily available. The provisions of this 21.805 amended under section 11.2(a) and (b) of The Professional Nursing Law (63 P.S. In a health care facility regulated by the Department of Health, the Department of Public Welfare or the Federal government, information pertaining to the prescription, administration or dispensation of a controlled substance shall be entered in the medical records of the patient and the health care facility under 28 Pa. Code or 55 Pa. Code or appropriate Federal regulations, whichever is applicable, and bylaws of the health care facility and its medical staff. 279.1(a)(3) and (7)). 2063, unless otherwise noted. (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. (5)Safeguard the patients dignity, the right to privacy and the confidentiality of patient information and make full disclosure about any limitations on the LDNs abilities to guarantee full confidentiality. 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. 224). The provisions of this 21.116 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 6383(b)(2). (h)The curriculum shall be evaluated according to a plan developed by the faculty and shall include the following: (1)A careful review of aspects of the educational program based on the stated philosophy and objectives. The provisions of this 21.503 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. 216.1 and 218.1). 212.1(k) and 216.1); and sections 9 and 17.6 of the Practical Nurse Law (63 P.S. (f)An applicant shall verify compliance with section 8.5(e) of the act (63 P.S. The provisions of this 21.172 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. The provisions of this 21.723b adopted December 16, 2016, effective December 17, 2016, 46 Pa.B. The provisions of this 21.162b adopted April 24, 2009, effective April 25, 2009, 39 Pa.B. 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. (12)Make respiratory and occupational therapy referrals. Board-regulated practitionerA registered nurse (RN), licensed practical nurse (LPN), certified registered nurse practitioner (CRNP), clinical nurse specialist (CNS) or licensed dietitian-nutritionist (LDN). The provisions of this 21.155 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. (f)The learning experiences and methods of instruction shall provide opportunity for fulfilling the purposes of the educational unit in nursing and the objectives of the program. (8)Statements of financial viability for 5 years. 212.1(k) and 216.1); and sections 9 and 17.6 of the Practical Nurse Law (63 P.S. 212.1(k)). (4)October 31 in the odd-numbered years. The Board will conduct an announced or unannounced site compliance visit at its discretion. The provisions of this 21.157 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. For purposes of 21.704 (relating to matters related to allegations of sexual impropriety or violation), any conduct prohibited with a patient is also prohibited with an immediate family member or spouse of a patient. (4)Facilities for obtaining adequate, well-balanced meals. (5)The name and relationship of each individual responsible for causing the suspected abuse and any evidence of prior abuse by each individual. (3.1)Ensure that the registered nurse has completed at least 2 hours of approved training in child abuse recognition and reporting in accordance with 21.508(b) (relating to child abuse recognition and reportingmandatory training requirement). (ii)The Board may grant initial certification without specialty to applicants who demonstrate that their educational program does not make them eligible to take a National certification examination and who demonstrate equivalence. (1)Prescriptions must bear the name, title and Pennsylvania CRNP certification number of the CRNP. (ii)The educational facilities shall be provided with equipment and supplies to meet the teaching and learning requirements of both students and teachers.

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