The provisions of this 21.724 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. Opportunities shall be provided for the student to participate in case findings, health teaching and health counseling for patients and their families. (a)A program that meets and maintains the requirements of 21.361, 21.36521.369 and 21.37221.375 will be granted full approval status. The provisions of this 21.11 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (d)For purposes of activities relating to the approval and status of nursing education programs, the term Board used in this subchapter may mean the Boards educational advisors appointed under section 2.1(i) of the act (63 P.S. 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. The provisions of this 21.154 amended March 11, 1977, effective March 12, 1977, 7 Pa.B. Immediately preceding text appears at serial page (26494). In the case study, Mark must be sure that the delegatee will provide feedback after the task is complete. (3)The applicant or licensee submits documentation acceptable to the Board demonstrating why the applicant or licensee should not be subject to the training or continuing education requirement. Prescription drugs shall be dispensed in accordance with Federal regulations pertaining to packaging. (c)Only an individual who holds current active certification may practice or offer to practice as a CRNP in this Commonwealth. (4)Therapeutic interpersonal relationship skills. Performing health screenings. Abandonment is defined as the intentional deserting of a patient for whom the nurse is responsible. 212.1(k)). (s)Course syllabi that identify all aspects of each course shall be developed and readily available. (2)Current registration as a professional nurse in this Commonwealth. Child abuseIntentionally, knowingly or recklessly doing any of the following: (i)Causing bodily injury to a child through any recent act or failure to act. The provisions of this 21.20 added under section 2.1(k) of The Professional Nursing Law (63 P.S. The provisions of this 21.156c issued under section 17.6 of the Practical Nurse Law (63 P.S. (a)Survey visits are made of basic nursing programs conducted in hospitals, colleges or universities of exchange visitor programs and of cooperating agencies. (g)All forms are available on the Boards web site or by contacting the Board. (d)Student employment. 2115; amended September 8, 2000, effective September 9, 2000, 30 Pa.B. (3)A Board-approved diploma nursing education program may transition to a degree-granting nursing education program under the authority of a university or college pursuing regional accreditation and will be known as a program in transition. (4)The patient has a patent intravenous access. Immediately preceding text appears at serial pages (26492) and (26493). (iv)One copy of the annual report form required by the Board, completed by the cooperating agency. The provisions of this 21.24 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (f)An applicant for licensure by endorsement shall complete at least 3 hours of approved training in child abuse recognition and reporting in accordance with 21.508(a) (relating to child abuse recognition and reportingmandatory training requirement). The student evaluative process must: (i)Be evident in the course outlines provided to students at the beginning of each course. (5)The nursing education program and the Commonwealth will be provided an opportunity to file posthearing briefs. 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. 49 Pa. Code 21.18. (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. (7)Method of certifying and assuring attendance, and draft of certificate of attendance to be provided to course participants, as applicable. Immediately preceding text appears at serial page (319604). (viii)Parenteral solutions and indications. Clinical hours must meet at least National certification requirements with a minimum of 500. 212.1(k) and 222(a)); section 17.6 of the Practical Nurse Law (63 P.S. A clinical agency is one in which clinical experience can be obtained. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. (3)Providing evidence to the Board that the applicant has a current license and has practiced as a registered nurse in another jurisdiction at some period of time within the last 5 years. (e)A CRNP whose certification has been revoked shall meet all of the requirements for certification in 21.271(a) (relating to certification requirements), the requirements in 21.332(b), and any other requirements set forth by Board order. This section cited in 49 Pa. Code 21.5 (relating to fees); and 49 Pa. Code 21.29 (relating to expiration and renewal of license). Safe, competent nursing practice is grounded in the law as written in the state nurse practice act (NPA) and the state rules/regulations. The provisions of this 21.181 amended under section 506 of The Administrative Code of 1929 (71 P.S. 3796; amended October 16, 2015, effective October 17, 2015, 45 Pa.B. 2677. The provisions of this 21.401 adopted February 20, 1987, effective February 21, 1987, 17 Pa.B. The provisions of this 21.362 issued under sections 6.1 and 8.1 of The Professional Nursing Law (63 P.S. Students in this role cannot be assigned as charge nurse of a unit. 186); and section 1 of The Professional Nursing Law (63 P.S. (a)Licenses for practical nurses expire on June 30 of each biennium in the even-numbered years. The provisions of this 21.294 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. If requesting an extension due to illness, the applicant shall provide certification of the illness from the applicants treating physician. The provisions of this 21.812 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. The provisions of this 21.51 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. The provisions of this 21.14 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. (b)A nursing education program may be developed only if there is an adequate faculty and adequate clinical facilities and the philosophy of the parent institution encompasses dual programs of education. 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. (a)Except as provided in subsection (c), individuals applying to the Board for an initial license or certificate shall have completed at least 3 hours of training in child abuse recognition and reporting requirements which has been approved by the Department of Human Services and the Bureau, as set forth in 21.509 (relating to child abuse recognition and reporting course approval process). The provisions of this 21.337 issued under sections 2.1(k) and 8.1(c) of The Professional Nursing Law (63 P.S. Faculty assistants shall be currently licensed as professional nurses in this Commonwealth. Immediately preceding text appears at serial page (351271). ApprovedApproved by the Board. 658). (2)Evidence that the applicant has practiced as a nurse practitioner in another jurisdiction at some period of time within the last 5 years under a current license or certification during that time. 2061; amended September 8, 2000, effective September 9, 2000, 30 Pa.B. The minimum faculty and staff requirements are as follows: (2)Full-time faculty members in the areas of practice encompassed within the curriculum. (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. 279.1(a)(3) and (7)). Appropriate counseling shall be given to the patient regarding the condition diagnosed and the controlled substance prescribed, administered or dispensed. Administrative Rules. The provisions of this 21.29b adopted December 16, 2016, effective December 17, 2016, 46 Pa.B. (9)Advertise in a false or misleading manner. The provisions of this 21.183 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. (C)Forcefully shaking a child under 1 year of age. The provisions of this 21.311 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. The committee shall also perform the following functions: (i)Identify the immunizing and skin testing agents which the nurse may administer. The provisions of this 21.284 issued under section 15(b) of the Medical Practice Act of 1985 (63 P.S. 2976; amended June 18, 1993, effective June 19, 1993, 23 Pa.B. 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. (11)Administer fluids or medications via an epidural, intrathecal, intraosseous or umbilical route, or via a ventricular reservoir. Immediately preceding text appears at serial pages (47492) and (44732). (b)An LPN shall notify the Board of a criminal conviction, plea of guilty or nolo contendere, or admission into a probation without verdict or accelerated rehabilitative disposition program within 30 days of the disposition or on the biennial renewal application under 21.156, whichever is sooner. Fax - (717) 787-7769. 666). (f)Nonprofessional course content not directly related to patient care, such as courses in self-improvement, changes in attitude, financial gain, courses designed for lay people, basic life support or cardiopulmonary resuscitation, mandatory annual education on facility specific policies unrelated to the practice of professional nursing (such as facility leave policies) and employment orientation programs are not acceptable for meeting requirements for license renewal. (c)Remuneration for employment shall be within the range of the salary scale for the position. (j)There shall be a planned and active faculty development program designed by the faculty to meet their perceived needs. (b)Notice of application for renewal will be forwarded biennially to each active CNS at the CNSs address of record with the Board prior to the expiration date of the current biennial period. (5)Solicit, borrow or misappropriate money, materials or property from a patient. (5)The registered nurse has demonstrated competency in administering the therapy to the satisfaction of the employer. -Since the mandatory NPA was passed in N. Carolina in 1903, nursing has been legislated, directed, and controlled to some extent. This definition is not intended to limit in any way the practice of practical nursing as defined in the Practical Nurse Law (63 P.S. (3)The registered nurse who administers parenteral fluids, drugs or blood has had instruction and supervised practice in administering parenteral fluids, blood or medications into the vein. You may be trying to access this site from a secured browser on the server. (viii)Engaging in any of the following recent acts: (A)Kicking, biting, throwing, burning, stabbing or cutting a child in a manner that endangers the child. Immediately preceding text appears at serial page (9690). (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. 212.1(k) and 218.1(c)); amended under sections 2.1(k) and 12.1(a) of The Professional Nursing Law (63 P.S. (2)Proof of current National certification as set forth in 21.271(a)(3). 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). 222.1(k)); and 23 Pa.C.S. 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. (c)To obtain licensure, an applicant shall complete at least 3 hours of training in child abuse recognition and reporting in accordance with 21.508(a) (relating to child abuse recognition and reportingmandatory training requirement). 6383(b)(2). Immediately preceding text appears at serial page (363485). (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. The provisions of this 21.371 adopted June 2, 2006, effective June 3, 2006, 36 Pa.B. (b)The licensed dietitian-nutritionist may not: (2)Discriminate, while providing dietitian-nutritionist services, on the basis of age, marital status, gender, sexual preferences, race, ethnicity, religion, diagnosis, socioeconomic status or disability. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. (g)Faculty assistants shall maintain a record of their activities leading to the completion of a graduate degree in nursing which shall be submitted to the Board upon request. Chapter 97, Subchapter H (relating to registration of sexual offenders), where the victim of the sexual offense was under 18 years of age when the crime was committed; (II)has been determined to be a sexually violent predator under 42 Pa.C.S. The provisions of this 21.283 adopted November 17, 2000, effective November 18, 2000, 30 Pa.B. (4)To assist graduates of programs of practical nursing in this Commonwealth to qualify for licensure by endorsement in other jurisdictions. Every applicant for examination as a licensed practical nurse shall furnish evidence satisfactory to the Board that the applicant is 18 years of age or older, is of good moral character, has completed at least 12 years of education with diploma in public, parochial or private school, or its equivalent as evaluated by the Department of Education; and has satisfactorily completed a course in practical nursing prescribed and approved by the Board in a school, hospital or other institution of not less than 1,500 hours and within a period of not less than 12 months. The candidate for licensure shall pass the licensure examination approved by the Board. A registered nurse may form a professional corporation with other registered nurses or other health care practitioners who treat human ailments and conditions, and who are licensed to provide health care services in this Commonwealth without receiving a referral or supervision from another health care practitioner. Immediately preceding text appears at serial pages (385175) to (385176). 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. Sexual improprietyThe term includes the following offenses: (i)Making sexually demeaning or sexually suggestive comments about or to a patient, including comments about a patients body or undergarments. 2677. A CRNP shall undertake a specific practice or procedure only if the CRNP has the necessary knowledge, preparation, experience and competency to properly execute the practice or procedure and the practice is within the scope of the CRNPs specialty and consistent with the CRNPs collaborative agreement. The provisions of this 21.509 added March 25, 2022, effective March 26, 2022, 52 Pa.B. The annual report must update information regarding the programs administration, faculty, curriculum and student enrollment. 2103; amended August 24, 2012, effective August 25, 2012, 42 Pa.B. Chapter 36-9A: Certified Nurse Practitioners & Certified Nurse Midwives. The signature may be an electronic signature. Immediately preceding text appears at serial page (26492). (k)The failure of a program to cooperate with the Board by failing to provide requested information or reports, by refusing or limiting a site visit, or by refusing to adhere to restrictions mandated by the Board will be considered a violation of the standards for nursing education programs and may result in immediate referral of the program to the prosecution division to consider formal action to remove the program from the approved list as provided in 21.166 (relating to removal from approved list). A professional nurse may not practice or offer to practice as a CRNP in this Commonwealth if the professional nurses certification or RN license is revoked or suspended. 6219; amended May 19, 2006, effective May 20, 2006, 36 Pa.B. 4730. (iii)Providing or offering to provide drugs, herbs, nutritional supplements or treatment in exchange for indecent contact, sexual intercourse or deviate sexual intercourse. 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) (relating to child abuse recognition and reportingmandatory training requirement). This information shall be submitted with the Applicant Data Sheet of the application for licensure. The provisions of this 21.121 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 655). The provisions of this 21.291 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. 1996). The provisions of this 21.182 amended under section 506 of The Administrative Code of 1929 (71 P.S. The Board will make available a list of Board-approved English proficiency examinations on its web site. 216.1 and 218.1). 667.6); and 23 Pa.C.S. 3806. (b)The Board provides for licensure of graduate practical nurses from approved programs by examination, by endorsement and by programs renewal of licenses. (1)A candidate may take the licensing examination as many times as necessary to pass the licensure examination. (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 nurse practice act covers a wide range of topics to establish a safe, consistent level of care in that state. If an exemption is denied, the Board will e-mail the applicant or licensee a discrepancy notice notifying them of the need to either complete an approved course or, if warranted, to submit additional documentation in support of their request for an exemption. (g)The Board will apply 21.132(b) (relating to continuing education hours) to determine the number of hours awarded for academic coursework. 6210; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. 6994. The provisions of this 21.505 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. 3040; amended November 17, 2000, effective November 18, 2000, 30 Pa.B. (6)Endotracheal intubation in infant intensive care unit. 1916. 6994. All nurses/certificate holders with an active license are required to demonstrate continuing competency for relicensure. A request shall be presented to the Board in writing. 186); and section 8 of the Practical Nurse Law (63 P.S. (b)An applicant for licensure by endorsement shall meet the requirements as stated in the act. (b)The Board will notify a program, in writing, that the program will be placed on provisional approval status. Immediately preceding text appears at serial page (30279). (e)The terminal objectives of the program shall identify behavioral changes that are expected to occur in the student. (2)Continuous evaluation of instructional procedures, learning experiences and student progress. The transcription shall include the prescribers name, the date, the time of acceptance of the oral order and the full signature of the LPN accepting the oral order. (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). (c)The philosophy of the school shall express beliefs about education, nursing and the responsibility of the school to the student. Whistleblower protection is extended to an employee who makes a good faith report or is about to report waste stemming from a public body or other employer. (h)If the standards of this subchapter are met within the designated time, the nursing education program will be removed from provisional approval status. Immediately preceding text appears at serial pages (26499) and (26500). The compliance review shall be submitted to the Board on a form provided by the Board. Sign up to receive PSNAs Legislative Action Alerts. 667.6); section 2.1(k) of The Professional Nursing Law (63 P.S. 212.1(k) and 216.1); and sections 9 and 17.6 of the Practical Nurse Law (63 P.S. Immediately preceding text appears at serial pages (319603) to (319604). (2)A registered nurse who has not completed a minimum of 30 hours of continuing education shall make up the deficiency within 6 months of receiving notice of the deficiency. (e)A separate application shall be submitted whenever a change is made to any information submitted under subsection (b), except for information related to a change in date or location, or both. (ii)The LPN has received instruction and training in accepting an oral order in an approved nursing education program or has received instruction and training in accepting an oral order in accordance with the established policies and protocols of the facility. (7)Record system in operation which will assist in the evaluation of the educational program. A nursing education program shall prepare its graduates to pass the National licensure examination at a rate at least equal to the minimum rate set by the Board. 667.6). 6219; amended August 24, 2012, effective August 25, 2012, 42 Pa.B. 212(1)). (a)Disciplinary action. (2)Practice dietetics based on scientific principles and current information. (c)There shall be an education rationale for the selection and distribution of courses and for the selection of theoretical and clinical laboratory content in nursing courses. 186). (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. This section cited in 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). This section cited in 49 Pa. Code 21.723 (relating to license renewal). (3)Act to safeguard the patient from the incompetent, abusive or illegal practice of any individual. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. 658); reserved under section 17.6 of the Practical Nurse Law (63 P.S. 841. The length of appointment of temporary and acting directors of CRNP programs may not exceed 1 year. (c)If a nursing education program is removed from the approved list, the controlling institution shall make provision for permanent retention of student and graduate records in conformance with 21.123 and 21.125 (relating to access and use of records; and custody of records). 2677; amended June 17, 1977, effective June 18, 1977, 7 Pa.B. Immediately preceding text appears at serial pages (385247) to (385248). (ii)Remit the fee specified in 21.5. 2061; amended April 24, 2009, effective April 25, 2009, 39 Pa.B. 5943; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. License requirements; use of abbreviations. (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. 2667. According to the New Mexico Nurse Practice Act, the definition of Board approval for nursing programs is an official or formal consent, confirmation or sanction . 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. The provisions of this 21.33a adopted under sections 2.1(k) and 6.1 of The Professional Nursing Law (63 P.S. Patient (includes residents and clients)A person, other than a spouse or immediate family member, who receives professional services from a registered nurse, regardless of whether the nurse receives remuneration for the services. (d)The Board recognizes standards of practice and professional codes of behavior, as developed by appropriate nursing associations, as the criteria for assuring safe and effective practice. (d)The curriculum shall be flexible enough to permit adaptations according to individual student needs as well as to changing concepts relative to emerging roles. The Board recommends that a minimum of 40% of the total curriculum be theoretical and the remaining 60% be in appropriate clinical experience. (v)Instruct the patient regarding the risk and complication of therapy. Immediately preceding text appears at serial page (26495). 6994. An applicant for initial certification shall have completed at least 3 hours of approved training in child abuse recognition and reporting in accordance with 21.508(a) (relating to child abuse recognition and reportingmandatory training requirement). (e)The Board may require that a nursing education program on provisional approval status prepare and submit additional reports and will notify the program, in writing, of the reports required. (3)Official transcript from the applicants nurse practitioner program, including degree awarded. 667.6); and 23 Pa.C.S. (b)Policies and rules of procedure of the faculty organization shall be in written form and shall be reviewed periodically by the faculty. 186); and section 8 of the Practical Nurse Law (63 P.S. When using this tool, the links will direct you to the state board of nursing website where you can locate the NPA via the state statute or code. Immediately preceding text appears at serial pages (214476) and (222949). The provisions of this 21.61 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. The provisions of this 21.374 adopted June 2, 2006, effective June 3, 2006, 36 Pa.B. If supporting material is not provided within 12 months of the date of application, the applicant will be required to file a new application and remit the certification fee. (vii)Causing serious physical neglect of a child. Immediately preceding text appears at serial pages (396914) and (385263). (1)Undertake a specific practice only if the registered nurse has the necessary knowledge, preparation, experience and competency to properly execute the practice. (2)Use of lidocaine as an analgesic prior to venipuncture. 10. 1986). Popular name: Act 368 333.17211 Practice of nursing or as licensed practical nurse; license or authorization required; use of words, titles, or letters. 211(k) and 218.1(c)). 218.2(c.2)), regarding the authority of state agencies and health care facilities. (15)Direct access of implantable devices. Policies shall be in existence for the replacement of equipment, furnishings and supplies. 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 by the first cohort of graduates. 211(k) and 218.1(c)). 6994. The Board will not grant an exemption based solely upon proof that children are not part of the applicants or licensees practice. 5943; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. (ii)Encouraging the patient to masturbate in the presence of the dietitian-nutritionist or masturbating while a patient is present. 9799.58 (relating to assessments) or has to register for life under 42 Pa.C.S. The Board will grant, deny or grant in part the request for waiver. (2)Programs submitted shall be developed for either a specific, identified individual or for a theoretical group of individuals. (v)An enrichment or educational program. State-specific guidelines for delegation are defined in the Wisconsin Nurse Practice Act, Wis . The provisions of this 21.271 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. An Agency Data form, provided by the Board, shall be submitted for each new cooperating agency and field agency. 1986). Through the LAP program, PSNA members can participate in a broad range of advocacy initiatives while building relationships with elected officials. (a)A CRNP shall comply with State, Federal and facility regulations regarding identification of personnel. 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. 702 (relating to appeals). (4)Proposed curriculum including detailed course descriptions and identification of clinical areas of practice.