Scope of practice refers to the professional activities that each state authorizes nurses or other clinical staff to perform. 2061. The provisions of this 21.154 amended under section 506 of The Administrative Code of 1929 (71 P.S. (a)A CRNP shall comply with this section and 21.332a21.337. The provisions of this 21.74 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (2)Employ the director of the CRNP program prior to the intended admission date of students. changes effective through 52 Pa.B. (b)The authority and the administrative responsibility for the program shall be delegated by the governing body of the controlling agency to the registered professional nurse in charge of the program. The provisions of this 21.282 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. (a)A graduate practical nurse may only practice practical nursing under supervision and if the graduate practical nurse holds a current temporary practice permit. (ix)Causing the death of the child through any act or failure to act. (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. (b)The philosophy, purposes and objectives of the educational unit in nursing shall be developed and clearly stated by the faculty and shall be reviewed and revised at stated time intervals by this group. (d)The Board may approve practical nursing education programs conducted in hospitals and accredited community colleges, universities and postsecondary institutions that award academic degrees and public school districts and vocational education programs under the Department of Education, and will make available a list of approved practical nursing education programs on its web site. (b)The philosophy, purposes and objectives of the school shall be developed by the faculty and reviewed at stated intervals. 6210; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. 212.1(k)). It establishes a registry to ensure adequate availability of different medical cannabis strains and concentrations. The provisions of this 21.164 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. (4)Specify the circumstances and how often the collaborating physician will personally see the patient. Step-by-step explanation. Professional relationship. No part of the information on this site may be reproduced forprofit or sold for profit. (c)The registered nurse may not engage in areas of highly specialized practice without adequate knowledge of and skills in the practice areas involved. The Board will make available a list of Board-approved English proficiency examinations on its web site. (5)Involves individuals and their families in their health promotion, maintenance and restoration. (2)Discriminate, while providing nursing services, on the basis of age, marital status, sex, sexual preference, race, religion, diagnosis, socioeconomic status or disability. 212.1(k)); and section 17.6 of the Practical Nurse Law (63 P.S. The provisions of this 21.20 added under section 2.1(k) of The Professional Nursing Law (63 P.S. The provisions of this 21.283 adopted November 17, 2000, effective November 18, 2000, 30 Pa.B. (d)The Board may, in addition to any other disciplinary or corrective measure set forth in this section, levy appropriate civil penalties as authorized by section 13(b) of the act (63 P.S. (6)Evaluates the effectiveness of the quality of nursing care provided. (b)The registered nurse is fully responsible for all actions as a licensed nurse and is accountable to clients for the quality of care delivered. (3)Electrocardiogram, blood pressure and oximetry equipment are used for both monitoring and emergency resuscitation purposes pursuant to written guidelines which are provided for minimum patient monitoring. 224(a)(3)). The provisions of this section cited in 49 Pa. Code 21.162 (relating to types of approval). The provisions of this 21.332 adopted December 3, 2004, effective December 4, 2004, 34 Pa.B. (c)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. The provisions of this 21.21 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (5)Document and maintain accurate records. (c)When communicating with the Board, licensed practical nurses shall identify themselves by their full name, current address and license number. Opportunities shall be provided for the student to participate in case findings, health teaching and health counseling for patients and their families. (iii)The selection and maintenance of the kind and quality of facilities needed in the individual nursing program shall be determined by the curriculum design and teaching methods utilized by the faculty. 3796; amended October 16, 2015, effective October 17, 2015, 45 Pa.B. An applicant for initial certification who completed an educational program in a related discipline previously recognized for National certification as a CNS may be granted certification from the Board in the area of the applicants current National certification from the American Nurses Association or the American Nurses Credentialing Center. (iii)The amount of training received equals or exceeds the amount of training or continuing education required under subsection (a) or (b), as applicable. (F)Provide comprehensive and appropriate client education in relation to prescribed pharmacologic agents. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. A CRNP who holds an unrestricted certification to practice may apply for certification in an additional specialty. (b)Providers or CNSs requesting Board approval for continuing education as set forth in 21.825(c) (relating to sources of continuing education) shall pay the fee in 21.805 (relating to fees) and submit the following information to the Board: (5)The schedule of the programtitle of subject, lecturer and time allocated. 279.3a); and section 2.1(k) of The Professional Nursing Law (63 P.S. 667.6); and amended under sections 2.1(k) and 6.1 of The Professional Nursing Law (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 provisions of this 21.4a adopted September 8, 2000, effective September 9, 2000, 30 Pa.B. (d)Exemptions granted under subsection (c) are applicable only for the biennial renewal period for which the exemption is requested. (vi)Statements containing a representation or implication that is likely to cause a reasonable person to misunderstand or to be deceived, or fail to contain reasonable warnings or disclaimers necessary to make a representation or implication not deceptive. 658 and 667.6). 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). 5943; amended December 29, 2000, effective November 18, 2000, 30 Pa.B. A second or subsequent violation will subject the registered nurse to discipline under section 14(a)(3) of the act (63 P.S. (b)Additional certification. The provisions of this 21.131 issued under sections 2.1(k) and 12.1 of The Professional Nursing Law (63 P.S. 5315; amended June 21, 1991, effective June 22, 1991, 21 Pa.B. The provisions of this 21.29b issued under section 2.1(k) of The Professional Nursing Law (63 P.S. (4)Failure to comply with an audit request for continuing education documentation may subject a registered nurse to additional discipline under section 14(a)(4)(i) of the act. (c)The consent of the patient to any sexual impropriety or sexual violation is not a defense to any disciplinary charge for violation of the act or this subchapter. Due to high call volume, call agents cannot check the status of your application. (ii)Shall include clearly defined refund policies governing fees and tuition paid by the students. For the American Nurses Association . (3)Patient counseling. 2673; amended July 11, 2008, effective July 12, 2008, 38 Pa.B. The faculty shall have the freedom to teach and guide students and to select appropriate learning experiences in consultation with designated members of the agency staff. The provisions of this 21.15 amended November 19, 1970, effective November 20, 1970, 1 Pa.B. (2)The LPN may accept an oral order if the following conditions are met: (i)The practitioner issuing the oral order is authorized by law and by facility policy to issue oral orders for medical and therapeutic measures. (5)Solicit, borrow or misappropriate money, materials or property from a patient or the patients family. (iv)Legal implications for IV therapy. The Board will not renew a license of a registered nurse who fails to verify compliance with the continuing education requirement. A college or university desiring to establish a program of nursing is required to: (1)Submit a proposal to the Board, at least 12 months prior to the first intended admission of students, which includes the following: (i)Sufficient statistical data to support the need for a CRNP program within the community and to assure availability of an adequate number of interested candidates. (vi)Providing or offering to provide drugs or treatment in exchange for sexual favors. Supervising staff. (b)A CRNP program must be under the direction of a faculty member who holds an active certification as a Pennsylvania CRNP and an earned doctorate degree or a specific plan for and evidence toward completion of the doctoral degree within 5 years. 6383(b)(2). (ii)The failure to provide a child with adequate essentials of life, including food, shelter or medical care. (d)A practical nurse who has graduated from a practical nursing education program in a country or territory outside of the United States or Canada deemed equivalent to the program of study required in this Commonwealth at the time the program was completed and who obtained licensure in that country or territory upon having passed an examination considered by the Board to be equivalent to the examination required for licensure in this Commonwealth may be granted licensure by endorsement without examination. (d)Committees shall be established as needed to implement the functions of the faculty effectively, and the purposes and membership of each shall be clearly defined. 449.46(c)), a volunteer license holder shall comply with the applicable continuing education requirements imposed by the Board, including at least 2 hours of training in approved child abuse recognition and reporting in accordance with 21.508(b) (relating to child abuse recognition and reportingmandatory training requirement). 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. The philosophy and objectives of the program shall reflect the following: (1)The belief of the faculty about nursing, practical nursing education and education in general. (iv)Touching breasts, genitals or any other body part for any purpose other than appropriate examination or treatment, or using prolonged or improper examination techniques, or after the patient has refused or withdrawn consent. Upon application for reactivation of certification, the CRNP shall show proof of meeting the continuing education requirements for the biennial period immediately preceding the request for reactivation, and, if the certification has been lapsed or on inactive status for 5 years or longer, the CRNP must have a current, active professional nurse license, reactivated in accordance with the continued competency requirements in 21.30a (related to continued competency), and at least one of the following: (1)Proof of current National certification in the specialty in which the nurse is seeking reactivation, if the CRNP is subject to section 8.1(b) of the act. (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. The provisions of this 21.337 issued under sections 2.1(k) and 8.1(c) of The Professional Nursing Law (63 P.S. Physicians may render an opinion based on a review of records. The provisions of this 21.143 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. A candidate may contact the certifying organization for more information regarding the National certification examination and examination fee. The provisions of this 21.292 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. Program, activity or serviceAny of the following in which children participate and which is sponsored by a school or a public or private organization: (iv)A community or social outreach program. Disclaimer: The information on this system is unverified. 6313(e) (relating to reporting procedure), notwithstanding any other provision of law to the contrary, a mandated reporter who makes a report of suspected child abuse does not violate the Mental Health Procedures Act (50 P.S. (2)Administrative structure and functions of the nursing school. 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). (c)CNSs may obtain credit for continuing education offered by providers not indicated in subsection (a) if the provider obtains Board approval of the continuing education prior to its implementation, or the CNS obtains Board approval of the continuing education prior to attending the continuing education. (c)A CRNP may not prescribe or dispense a drug from the following categories: (5)Schedule I controlled substances as defined by section 4 of The Controlled Substance, Drug, Device and Cosmetic Act (35 P.S. 5486. (e)The faculty shall formulate policies that relate to the operation of the school. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. (ii)Determine contraindications for the administration of specific immunizing and skin testing agents. 1916. Sexual violationThe term includes the following offenses: (i)Sexual intercourse between a registered nurse and a patient during the professional relationship. (j)Course outlines shall include specific behavioral objectives anticipated and shall contribute to the objectives of the total curriculum. (j)There shall be a planned and active faculty development program designed by the faculty to meet their perceived needs. (6)Order blood and blood components for patients. This includes emergency drugs. (4)Performance of graduates on the State Board Test Pool Examination. (i)If the standards of this subchapter are not met within the designated time, the nursing education program will be removed from the approved list as provided in 21.166 (relating to removal from approved list). 218.5(c)(2)). (2)At least 90 days prior to the expiration date of the temporary practice permit, the graduate registered nurse shall: (i)Submit an application for licensure by examination as a registered nurse. 667.6); and 23 Pa.C.S. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. 2667. The Board may extend the temporary practice permit period in cases of illness or extreme hardship as set forth in paragraph (5). When applying for licensure renewal, a registered nurse shall: (1)Complete and submit the renewal application, including disclosing any license to practice nursing or any allied health profession in any other state, territory, possession or country. (2)One academic quarter course is equivalent to 10 continuing education hours. 2061. (a)The prescriptive authority collaborative agreement between a physician and a CRNP who will prescribe and dispense drugs and other medical therapeutic or corrective measures, as set forth in 21.283(a) (relating to authority and qualifications for prescribing, dispensing and ordering drugs) must satisfy the following requirements. No part of the information on this site may be reproduced for profit or sold for profit. In Pennsylvania, the School Code mandates a ratio of 1 certified school nurse to 1,500 students, which may mean that 1 school nurse is covering 3-5 buildings. 2976; amended June 16, 2000, effective June 17, 2000, 30 Pa.B. (2)The nurse administrator of an associate degree or diploma program shall hold at least one graduate degree in nursing. RN's must delegate numerous tasks, and delegation is a core nursing responsibility. The provisions of this Subchapter F adopted November 28, 1997, effective November 29, 1997, 27 Pa.B. A mandated reporter shall immediately make a report of suspected child abuse to the Department of Human Services by either: (1)Making an oral report of suspected child abuse by telephone to ChildLine at (800) 932-0313, followed by a written report within 48 hours to the Department of Human Services or the county agency assigned to the case in a manner and format prescribed by the Department of Human Services. Immediately preceding text appears at serial page (30258). Faculty assistants shall be currently licensed as professional nurses in this Commonwealth. 667.6); and 23 Pa.C.S. 667.6); and 23 Pa.C.S. (c)Failure to comply with an obligation or prohibition imposed by this section is subject to disciplinary and corrective measures under section 16 of the act (63 P.S. 2677. This section cited in 49 Pa.B. The provisions of this 21.272 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. This section cited in 49 Pa. Code 21.332 (relating to requirement of continuing education); and 49 Pa. Code 21.336 (relating to continuing education course approval). (5)The intravenous fluid or medication to be administered is the fluid or medication specified in the written order. Board-recognizedThe Board has determined that an entity meets the Boards quality standards to conduct an activity and has named the entity on the Boards web site. (9)The actions taken by the person making the report, including actions taken under 23 Pa.C.S. 8372 (December 31, 2022). (iii)Outline medical principles governing the treatment of possible anaphylactic reactions. The transcript shall bear the impression of the school seal and signature of the nurse in charge of the program or authorized representative. Delegation is defined by the American Nurses Association and the National Council of State Boards of Nursing as, "the process for a nurse to direct another person to perform nursing tasks and activities" . The provisions of this Subchapter E adopted November 8, 1996, effective November 9, 1996, 26 Pa.B. (3)The refilling of implantable drug delivery systems following placement by a physician in the proper anatomical site. (d)An applicant for licensure by endorsement whose license in the other jurisdiction is not current for 5 years or longer shall, prior to receiving a license in this Commonwealth, satisfy the requirements of 21.30a(a)(1) or (2) (relating to continued competency). (c)The philosophy of the school shall express beliefs about education, nursing and the responsibility of the school to the student. (iii)The listing, identification, description and explanation of principles, including technical and clinical indications, necessary for the identification and treatment of possible adverse reactions. The student evaluative process must: (i)Be evident in the course outlines provided to students at the beginning of each course. (b)An applicant for licensure by endorsement shall meet the requirements as stated in the act. (ii)Fabricating, feigning or intentionally exaggerating or inducing a medical symptom or disease which results in a potentially harmful medical evaluation or treatment to the child through any recent act. 216.1 and 218.1). (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. (vii)Infusion equipment used in IV therapy. (e)The applicant shall remit the required renewal fee in 21.805 (relating to fees) with the applicants renewal application forms. This directed scope of practice includes, but is not limited to: contributing to the assessment of the health status of individuals and groups" (see Okla . (d)Courses will be approved only in the instructors demonstrated areas of expertise. 2827; amended November 28, 1997, effective November 29, 1997, 27 Pa.B. (b)For purposes of this section, cooperation means a process in which the nurse anesthetist and the surgeon work together with each contributing an area of expertise, at their individual and respective levels of education and training. 667.6); and 23 Pa.C.S. (iii)The patients condition deteriorates or there is a significant change in condition, the patient is not responding to therapy, the patient becomes unstable or the patient needs immediate assistance. (13)Collection of blood specimens from an IV access device. 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. 7822. 5404; amended October 23, 1998, effective October 24, 1998, 28 Pa.B. An individual or entity shall not mandate that a registered professional nurse delegate nursing interventions if the registered professional nurse determines it is inappropriate to do so. (5)Opinions of graduates regarding the adequacy of their nursing program. (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. (3)Administrative records, including the following: (i)Affiliation agreements with cooperating agencies. 811. Immediately preceding text appears at serial pages (378842) and (351261) to (351263). PSNA Supported: Passed 200-0 and Enacted: This resolution establishes a task force on opioid prescription drug proliferation, creates an advisory committee and studies its impact on heroin use in the Commonwealth. The Board may extend the temporary practice permit in cases of illness or extreme hardship, as set forth in paragraph (5). 3891. 6196. The provisions of this 21.812 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. This section cited in 49 Pa. Code 21.253 (relating to fees); 49 Pa. Code 21.285 (relating to prescriptive authority collaborative agreements); 49 Pa. Code 21.332a (relating to inactive status and reactivation); and 49 Pa. Code 21.369 (relating to general curriculum requirements). 5329; amended June 8, 1990, effective June 9, 1990, 20 Pa.B. (4)For a patient whose condition is determined by the LPNs supervisor to be stable and predictable, and rapid change is not anticipated, the supervisor may supervise the LPNs provision of IV therapy by physical presence or electronic communication. (a)There shall be a nursing faculty organization appropriate to its size and in harmony with other educational units within the controlling institution. (i)The procedure for issuing interpretations will not prohibit the Board from answering specific inquiries involving individual factual situations, which answers will be limited in application to the individual factual situation involved in the inquiry. Signed into law June 30, 2021. 2103. A program shall provide additional notice to applicants and students at the direction of the Board. Safe, competent nursing practice is grounded in the law as written in the state nurse practice act (NPA) and the state rules/regulations. (6)The registered nurse shall have employed the prescribed techniques in administering the therapy in accordance with the established criteria. (3)Written policies and procedures under which the LPN may administer immunizing agents and do skin testing have been established by a committee representing the nurses, the physicians and the administration of the agency or institution employing or having jurisdiction over the LPN. The provisions of this 21.33b adopted April 24, 2009, effective April 25, 2009, 39 Pa.B. The results of this examination and evaluation must be set forth in the patients medical record together with the diagnosis of the condition for which the controlled substance is being prescribed. (d)Teaching hours and additional duties of nurse faculty must be consistent with the policies of the controlling institution. (d)A CRNP whose certification has been suspended for 5 years or longer shall meet the requirements in 21.332(b), and any other requirements set forth by Board order.
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