pennsylvania nurse practice act delegation pennsylvania nurse practice act delegation

(1)Initial. (a)The Board will accept hours of continuing education as designated by an approved provider, so long as each hour is at least 50 minutes of activity and each 1/2 hour is at least 30 minutes of activity. (5)For school nurses, evidence that the nurses certification by the Department of Education is current. (G)Analyze the effects of single and multiple drug regimens on the clients health and functioning. IV access deviceA centrally or peripherally inserted catheter used for the purpose of intravenous infusion therapy, including peripheral short catheters, peripheral midline catheters, peripherally inserted central catheters and central catheters, including tunneled, nontunneled catheters and implanted ports. Immediately preceding text appears at serial pages (396914) and (385263). 216.1 and 218.1). If requesting an extension due to illness, the applicant shall provide certification of the illness from the applicants treating physician. (d)The provider shall provide CNSs who successfully complete a course with a certificate of attendance. (7)Conversion of a continuous infusion to an intermittent infusion. The administration of anesthesia is a proper function of a registered nurse and is a function regulated by this section; this function may not be performed unless: (1)The registered nurse has successfully completed the educational program of a school for nurse anesthetists accredited by the Council on Accreditation of Education Programs of Nurse Anesthesia of the American Association of Nurse Anesthetists. 222) and this subchapter. Pennsylvania - American Association of Nurse Practitioners (iii)Causing or substantially contributing to serious mental injury to a child through any act or failure to act or a series of such acts or failures to act. (a)The curriculum shall be based upon the philosophy and objectives of the program and shall be developed, implemented and evaluated by the faculty. (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. 667.6); and 11.2(a) and (d) of The Professional Nursing Law (63 P.S. 6994. This section cited in 49 Pa. Code 21.503 (relating to photographs, medical tests and X-rays of child subject to report); 49 Pa. Code 21.505 (relating to immunity from liability); 49 Pa. Code 21.506 (relating to confidentialitywaived); and 49 Pa. Code 21.507 (relating to noncompliance). In certain health care facilities regulated by the Department of Health, the Department of Public Welfare and the Federal government, an order for the immediate, direct administration of a Schedule II controlled substance to a patient is not considered a prescription and is, therefore, not subject to the requirements in this paragraph. The provisions of this 21.147 adopted December 25, 1987, effective December 26, 1987, 17 Pa.B. 6196; amended March 25, 2022, effective March 26, 2022, 52 Pa.B. (c)Appropriate cumulative student health records shall be maintained throughout the enrollment of the student. 658 and 667.6). (c)The following nursing practices fall within the scope of registered nursing practice under 21.11 and 21.15 (relating to monitoring, defibrillating and resuscitating): (1)Measurement of a cardiac output by thermodilution method. 422.15(b)) (Repealed). 3124.1 (relating to sexual assault). The provisions of this 21.156a adopted June 18, 1993, effective June 19, 1993, 23 Pa.B. 279.1(a)(3) and (7) and 279.3a(a)). 1984); reversed in part 499 A.2d 289 (Pa. 1995); on remand 505 A.2d 359 (Pa. Cmwlth. (11)Evaluation used to assess participants satisfaction with the training. The expected graduate competencies must be the key determinant of the clinical component. Immediately preceding text appears at serial pages (30258) to (30259). A registered nurse whose license had lapsed or had been placed on inactive status shall comply with 21.30a or 21.156a (relating to continued competency). 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. (3)Administrative records. (2)Administers the act by providing rules and regulations relating to the issuance and renewal of CNS certification. (e)An applicant shall remit the certification fee in 21.805 (relating to fees). 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. 212.1(k)). To protect children from abuse, the reporting requirements of 25.50225.504 (relating to suspected child abusemandated reporting requirements; photographs, medical tests and X-rays of child subject to report; and suspected death as a result of child abusemandated reporting requirement) take precedence over provisions of any client confidentiality, ethical principle or professional standard that might otherwise apply. (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. (a)The LPN is prepared to function as a member of the health-care team by exercising sound nursing judgment based on preparation, knowledge, experience in nursing and competency. 667.6); and 23 Pa.C.S. Alternatively, medical history and physical examination information recorded by another health care provider may be considered if the medical history was taken and the physical examination was conducted within the immediately preceding 30 days. Clinical hours must meet at least National certification requirements with a minimum of 500. Minnesota Board of Nursing 1210 Northland Drive Suite 120 Mendota Heights, MN 55120 Phone: 612-317-3000 Fax: 651-688-1841 Email: Nursing.Board@state.mn.us (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. 6383(b)(2). If the controlling agency also closes, advice should be obtained from the Board concerning the permanent safekeeping and availability of the records of the practical nursing program. 6196. Patients are suffering the consequences of chronic, understaffing levels. Discussion of a patients sexual practices and preferences shall be fully documented in the patients chart. 2402; amended April 24, 2009, effective April 25, 2009, 39 Pa.B. 212.1(k) and 222); amended under sections 2.1(k) and 12.1(a) of The Professional Nursing Law (63 P.S. (b)Students admitted to baccalaureate and associate degree programs shall meet the requirements for admission to the university or college and additional requirements that may be established for the nursing major. The provisions of this 21.15 amended November 19, 1970, effective November 20, 1970, 1 Pa.B. (ii)Provision shall be made for adequate storage space to maintain the safety and security of the library materials and holdings. 658). Strong leadership including that of the registered nurse. 2677. 1916. (vi)Human diversity and social issues. 211(k) and 218.1(c)). (j)Preparation insuring associate degree nursing competencies shall be provided through selected and supervised learning experiences. (3)Faculty to provide adequate supervision and evaluation. (e)Up to 4 hours may be approved under subsection (c) for service as a teacher in a nursing education program, preceptor providing direct clinical supervision in a specialty area, lecturer or speaker and for publication in a refereed journal or other scholarly publication relating to the CNSs area of practice. The provisions of 1 Pa. Code Part II (relating to the General Rules of Administrative Practice and Procedure) apply to the activities of and proceedings before the Board. When functioning in the expanded role as a professional nurse, the nurse shall practice within the scope of practice of the The provisions of this 21.311 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. (2)Exposure of appropriate duration to a patient population sufficient in number to insure that the student will meet program goals. 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 . The course work must provide graduates with curriculum in: (i)Management of client health/illness status. The provisions of this 21.191 amended March 25, 1977, effective March 26, 1977, 7 Pa.B. The provisions of this 21.336 adopted December 3, 2004, effective December 4, 2004, 34 Pa.B. (m)Education in the nursing major shall be offered largely at the upper divisional level. 1916. PA S 397 : Osteopathic Medical Practice Act Amendments - Amends the Osteopathic Medical Practice Act, relates to the State Subject: Other Physician Assistant Bills PA S 25 : Professional Nursing Law Amendments - Amends the Professional Nursing Law, provides for title, for definitions, The provisions of this 21.366 issued under sections 6.1 and 8.1 of The Professional Nursing Law (63 P.S. (ii)Types of vascular access delivery devices. (a)The selection of learning experiences and methods of instruction shall provide opportunities for fulfilling the stated objectives of the program of studies or of the curriculum. 212.1(k)). (c)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 21.156a(a)(1) or (2) (relating to continued competency). (7)The Board will not grant an extension to an individual who fails to meet the requirements of paragraphs (2)(6). 667.6). (e)Following the review of the CRNP program proposal and before final Board action is taken to grant permission to recruit students, an initial facility survey may be made by the designee of the Board. School nurses, who as certified education specialists are required to obtain continuing professional education under the Public School Code of 1949 (24 P.S. (2)Social and behavioral sciences including psycho-social facts and principles basic to personal adjustment and to nursing practice as well as appropriate content on the family and development stages from birth to senescence. Obtaining a RN license by examination for Pennsylvania graduates means that the applicant completed a Board approved RN nursing program, passed the NCLEX-RN, and meets the additional requirements for licensure. (b)When applying for licensure renewal, a licensed practical nurse shall: (1)Submit the renewal application, including disclosing a license to practice nursing or an allied health profession in any other state, territory, possession or country. 3806. (4)Carries out nursing care actions which promote, maintain and restore the well-being of individuals. Medical summaries or reports of the photographs, X-rays and relevant medical tests shall be made available to law enforcement officials in the course of investigating cases under 23 Pa.C.S. (iv)Statements relating to fees without reasonable disclosure of all relevant variables so that the statements would be misunderstood by or would be deceptive to a layperson. Immediately preceding text appears at serial page (26485). (2)Educational preparation and nursing experience of the faculty members employed. The provisions of this 21.164 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. 667.6). At least 2 of the 30 hours shall 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). Board approval of the nurse administrators credentials shall be obtained prior to the appointment. The standards of practice are defined and delineated by the nursing profession. The provisions of this 21.331 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. (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. Interpretations are not intended to be legally enforceable against a licensed person by the Board. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. Applications will remain on file for 12 months. (b)The philosophy, purposes and objectives of the school shall be developed by the faculty and reviewed at stated intervals. (4)Faculty employed to teach dietetics-nutrition shall be currently licensed to practice dietetics-nutrition in this Commonwealth. License requirements; use of abbreviations. (F)An individual 18 years of age or older who does not reside in the same home as the child but is related within the third degree of consanguinity or affinity by birth or adoption to the child. 667.6); and 23 Pa.C.S. 1916. (4)Clinical experience, as provided in paragraph (3), in the care of men, women and children in a variety of age groups with health problems characteristic of the age group involved. 2829. The applicant shall retain documentation of submission of the request to submit to the Board upon request. 2103. 224). In 2011-2012, the AHNA Practice Committee initiated a project to provide a specific state-by-state analysis of Nurse Practice Acts that referenced or addressed holistic nursing, holism and/or complementary alternative modalities (CAM) or integrative therapies within the practice of registered nurses (RNs). An LDN who can demonstrate to the Board a verified hardship may request a waiver of CPE requirements for a single biennial period. (c)Faculty qualifications are as follows: (1)Faculty members teaching required nursing education courses shall hold at least one graduate degree in nursing, shall be currently licensed as professional nurses in this Commonwealth, and shall have expertise in their areas of instruction. Serious mental injuryA psychological condition, as diagnosed by a physician or licensed psychologist, including the refusal of appropriate treatment, that does one or more of the following: (i)Renders a child chronically and severely anxious, agitated, depressed, socially withdrawn, psychotic or in reasonable fear that the childs life or safety is threatened. (4)School bulletins, including the following: (i)Comprehensive and current information. (b)Faculty members shall meet the requirements of the parent institution for faculty appointments. (b)Board-approved continuing professional education. An individual whose supporting documentation has not been received by the Board at least 90 days prior to the expiration date of the temporary practice permit shall submit, within 10 days of receiving notice of the deficiency from the Board, a detailed written explanation of why the supporting documentation has not been supplied to the Board in a timely manner. This information must be submitted with the Applicant Data Sheet of the application for licensure. 216.1 and 218.1). (1)An LPN shall communicate with a licensed professional nurse and the patients health care team members to seek guidance when: (i)The patients care needs exceed the licensed practical nursing scope of practice. (3)The agreement between the school of 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. (6)Leave a nursing assignment prior to the proper reporting and notification to the appropriate department head or personnel of such an action. 221(b)), may reactivate the license by doing one of the following: (1)Successfully completing the initial licensing examination approved by the Board and submitting the examination fee in 21.5 (relating to fees). (15)Direct access of implantable devices. (2)The applicant or licensee submits documentation demonstrating all of the following: (i)The applicant or licensee has already completed child abuse recognition training required under 23 Pa.C.S. (c)Library facilities and resources, which are planned and maintained to meet the specific needs of the student and the faculty shall be as follows. The nurse practice act covers a wide range of topics to establish a safe, consistent level of care in that state. The provisions of this 21.505 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. (b)A nursing education program shall notify applicants for admission of the programs approval status and, within 30 days of a change of status, shall notify applicants and students by electronic mail or first class mail that the programs approval status has changed. Indecent contactThe term as defined in 18 Pa.C.S. The Board will grant, deny or grant in part the request for waiver. 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" . (iii)If a faculty member is not physically present in the area in which students are practicing, a faculty member shall be immediately available by telephone or other means of telecommunication when students are engaged in clinical activities with a preceptor. (1)Prescriptions must bear the name, title and Pennsylvania CRNP certification number of the CRNP. 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. PDF PUBLIC HEALTH CODE (EXCERPT) NURSING - Michigan Legislature This section cited in 49 Pa. Code 21.508 (relating to child abuse recognition and reportingmandatory training requirement). The rules were established through the Administrative Code, Title 46, Professional and Occupational Standards: Part XLVII. (2)An individual applying for a temporary practice permit for a currently-licensed practical 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. 2103. (k)The ratio of credits in nursing to general education and elective credits shall be consistent with other associate degree programs in the college. (5)A statement of the curriculum, based on sound educational concepts, and including detailed course descriptions, objectives and descriptions of the relevant clinical practice related to the specialty area. The provisions of this 21.20 added under section 2.1(k) of The Professional Nursing Law (63 P.S. (b)No information may be released from a students record without written permission of the student. 841. (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. (2)Stimulate and maintain continued growth and improvement of nursing education in this Commonwealth. (4)The nature and extent of the suspected child abuse, including any evidence of prior abuse to the child or any sibling of the child. National certification organizationAn organization recognized by the Board and maintained on the approved list on the Boards website that has as one of its purposes the examination of individuals who will practice as CNSs. This section cited in 49 Pa. Code 21.34 (relating to removal from approved list); and 49 Pa. Code 21.41 (relating to notification; completion of program; records). Immediately preceding text appears at serial pages (335546) and (319599). 7822. Policies shall be in existence for the replacement of equipment, furnishings and supplies. (4)Disclose any discipline imposed by a state licensing board in the previous biennial period or any criminal charges pending or criminal conviction, plea of guilty or nolo contendere, or admission into a probation without verdict or accelerated rehabilitative disposition program during the previous biennial period unless prior notification has been made under 21.723a (relating to reporting of crimes and disciplinary action). A temporary practice permit granted under this section is valid for up to 1 year from the date of issuance, unless extended under paragraphs (3) and (4), and immediately expires if the applicant fails the licensing examination. 2677. RN LICENSURE & NURSE PRACTICE ACT. Scope of practice varies by state. (j)Course outlines shall include specific behavioral objectives anticipated and shall contribute to the objectives of the total curriculum. The provisions of this 21.204 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. 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. 186); and section 8 of the Practical Nurse Law (63 P.S. This section cited in 49 Pa. Code 21.156b (relating to reporting of crimes and disciplinary action). (9)The actions taken by the person making the report, including actions taken under 23 Pa.C.S. (13)Perform repair of a central venous route access device or PICC. (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. (11)Make physical therapy and dietitian referrals. (c)Reporting procedure. (f)Approval by the Board shall be obtained before the educational unit in practical nursing may utilize a new clinical agency for learning experiences. (vi)Statement affirming the participant attended the entire course. The provisions of this 21.151 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. Students in this role cannot be assigned as charge nurse of a unit. 6994. Additionally, under 23 Pa.C.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. (3)Additional instructors consistent with the size and needs of the programs. (2)Changing gastrostomy tube when stoma is healed. (5)National nursing specialty organizations and programs accredited by National nursing accrediting associations. (v)Instruct the patient regarding the risk and complication of therapy. This section cited in 49 Pa. Code 21.701 (relating to definitions). The school shall have a written policy consistent with its philosophy and objectives concerning criteria for granting advanced standing. The provisions of this 21.23 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. This section cited in 49 Pa. Code 21.29a (relating to reporting of crimes and disciplinary action); 49 Pa. Code 21.331 (relating to biennial renewal of certification); and 49 Pa. Code 21.822 (relating to biennial renewal of certification).