667.6); and 23 Pa.C.S. 6994. 2829. (b)Upon completion of the entire program, a transcript or photocopy of the final record of the student shall be submitted along with the application for admission to the licensing examination. (e)In addition to the fees prescribed in subsection (a), which are payable directly to the Board, a candidate for the practical nurse licensing examination shall also pay a fee to the National Council of the State Boards of Nursing (www.ncsbn.org) to cover costs associated with the preparation and administration of the practical nurse licensing examination. (2)Administers the act by providing rules and regulations for the practice of dietetics-nutrition. 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. ACNAmerican College of Nutrition. Immediately preceding text appears at serial page (378843). When prescribing or dispensing a drug, the CRNP shall document in the patients medical record the name, amount and dosage of the drug, instructions for taking the drug, the number of refills, the date and the CRNPs name. The minimum rate for graduates to pass the National licensure examination are as follows: (1)A nursing education program shall achieve and maintain a minimum pass rate of 60% or more of its first-time examinees during an examination year. 211225); and the Practical Nurse Law (63 P.S. The provisions of this 21.33 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (2)Full. Maintenance includes dressing changes, IV tubing changes, and saline or heparin flushes. (i)The CRNP has practiced, for at least 1 of the last 3 years, as a CRNP with prescriptive authority in another jurisdiction. (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). (d)An applicant who holds certification who is applying for certification in another specialty shall submit documentation of the following: (1)Official transcript from the applicants nurse practitioner program and any additional educational programs, including degree awarded, demonstrating a concentration in the specialty in which the applicant is seeking certification. 3345; reserved December 25, 1987, effective December 26, 1987, 17 Pa.B. 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. The provisions of this 21.505 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. 2061. Nurse Practice Acts are laws in each state that determine the legal duties and responsibilities of a nurse to patients, other nurses, and the community. A minimum of 60 days from publication in the Pennsylvania Bulletin of notice of intention to adopt shall be provided for public comment. The Board may certify an applicant for initial certification who files an application on a form provided by the Board and pays the application fee in 21.805 (relating to fees), in accordance with the following: (1)RN license. (2)Successfully completing a Board-approved reactivation program which requires passage of a nursing achievement examination. (5)Activities sponsored by regionally-accredited institutions of higher education. (I)Fulfill legal requirements for writing prescriptions as a CRNP in this Commonwealth in accordance with 21.28321.287 (relating to CRNP). The provisions of this Subchapter A adopted May 22, 1951, unless otherwise noted. The provisions of this 21.1 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 5943; amended December 29, 2000, effective November 18, 2000, 30 Pa.B. A registered nurse shall notify the Board within 14 days of a change of address. 2827; amended November 26, 1993, effective November 27, 1993, 23 Pa.B. Possible legal and ethical constraints arise regarding delegation in nursing. Immediately preceding text appears at serial pages (335510) to (335513). Under 23 Pa.C.S. (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. The provisions of this 21.605 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. 2829. (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. 221.2(a) and (b)); section 17.5(a) and (b) of the Practical Nurse Law (63 P.S. 1916. (ii)The failure to provide a child with adequate essentials of life, including food, shelter or medical care. (3)Provisional. Laws, c. 153 ; 64 Del. (2)Prior to the initiation of IV therapy, an LPN shall: (i)Verify the order and identity of the patient. Immediately preceding text appears at serial page (103882). The applicant shall retain documentation of submission of the request to submit to the Board upon request. (3)Providing evidence to the Board that the applicant has a current license and has practiced as a practical nurse in another jurisdiction at sometime within the last 5 years. If requesting an extension due to illness, the applicant shall provide certification of the illness from the applicants treating physician. 212.1(k)). 2061; amended June 8, 1990, effective June 9, 1990, 20 Pa.B. (9)A description of the clinical facilities. (iv)Records of National certification, if applicable. (7)Knowingly abandon a patient in need of nursing care. Section 1300.20 Nursing Delegation by a Registered Professional Nurse; Section 1300.30 Fees; Section 1300.40 Renewals; Section 1300.50 Restoration; Section 1300.60 Granting Variances; . (g)Learning experiences and methods that promote critical thinking and synthesis of learning shall be utilized in the teaching-learning process. This area of core content must also include both pharmacotherapeutics and pharmacokinetics of broad categories of pharmacologic agents. (n)Nursing courses and curriculum shall be organized to continue the development of values, understandings, knowledge and skills needed in all aspects of professional nursing. 186); and section 8 of the Practical Nurse Law (63 P.S. (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. (e)The resources, facilities and services of the college or university must be available to and used by the CRNP program and be adequate to meet the needs of the faculty and students. 212.2(i)). The most restrictive states require collaborative agreements with MDs, and NPs often have to pay for theman average of $5,000 to $10,000 a year. The provisions of this 21.74 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (11)Evaluation used to assess participants satisfaction with the training. 667.6); and 23 Pa.C.S. Upon application for reactivation of prescriptive authority approval, the CRNP shall show proof of meeting the continuing education requirements for the biennial period immediately preceding the request for reactivation. (vii)Health promotion and disease prevention. 7822. (6)The total number of hours requested. The journals or printed bills of the respective chambers should be consulted for official purposes. If faculty are providing onsite preceptorship, the maximum ratio is two students per faculty member. Therefore, all activities offered by these providers are approved for continuing education hours required for biennial license renewal. 4086; amended November 29, 1991, effective November 30, 1991, 21 Pa.B. This section cited in 49 Pa. Code 21.363 (relating to approval process). (b)The following nursing practices fall within the scope of LPN practice under 21.145(b): (1)Changing cystostomy tubes after the stoma heals. Immediately preceding text appears at serial page (9690). 667.6); and 23 Pa.C.S. (9)The actions taken by the person making the report, including actions taken under 23 Pa.C.S. A CRNP who holds current prescriptive authority approval may request, receive and sign for professional samples and may dispense professional samples to patients. (4)Experience and skill in the practice of nursing. (8)Activities approved by National nursing, risk management, health care quality and patient safety organizations. (i)Supervision of all students in the clinical areas is the responsibility of the CRNP program faculty. 2402; amended April 24, 2009, effective April 25, 2009, 39 Pa.B. Immediately preceding text appears at serial page (351278). (d)The following fees related to continuing education are charged by the Board: Approval of each hour of registered nurse continuing education activity by sources not listed in 21.134(a) (relating to continuing education sources) $115, Renewal of approval of registered nurse continuing education activity by sources not listed in 21.134(a) $35, (e)The following fee is charged for evaluations of programs requiring Board approval under 21.30a(a)(2) (relating to continued competency)$285. Nurse practice acts require the registered nurse to provide appropriate supervision for all delegated tasks. Please direct comments or questions to. The advanced nursing practice core must include the following content: (i)Advanced health/physical assessment. 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. (3)The refilling of implantable drug delivery systems following placement by a physician in the proper anatomical site. 224). 2677; reserved December 16, 2016, effective December 17, 2016, 46 Pa.B. 186); and section 8 of the Practical Nurse Law (63 P.S. (1)The Board approves the Registration Examination for Registered Dietitians and Examination of the Certification Board for Nutrition Specialists as the examinations which an applicant may complete to satisfy section 6(b)(4) of the act. 6527. 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. (3)To insure the graduates of practical nursing programs of eligibility for admission to examination for licensure. 422.15(b)) (Repealed). (c)If the Board places a nursing education program on provisional approval status, the Board will notify the program, in writing, of the deficiencies and the amount of time that will be allowed for correction of the deficiencies that resulted in the programs placement on provisional approval status. 7822. (5)The registered nurse involved in direct patient care is certified in advanced cardiac life support (ACLS). 3122.1 (relating to statutory sexual assault). The certification of nursing education shall be submitted to the Board in English directly from the appropriate educational authorities. (v)Professional reading for which there is no evaluative test submitted and no certificate of completion or CPE unit awarded. (7)Administer medications requiring titration. 7822. (7)Be alert to situations that might cause a conflict of interest or have the appearance of a conflict. 218.7) regarding professional liability coverage. 2829; amended March 22, 1985, effective March 23, 1985, 15 Pa.B. This section cited in 49 Pa. Code 21.508 (relating to child abuse recognition and reportingmandatory training requirement). (a)Professional samples. Failure of the licensee to comply with the Volunteer Health Services Act (35 P.S. 24 Del. 6311 (relating to persons required to report suspected child abuse), all Board-regulated practitioners are considered mandated reporters. The provisions of this 21.162a adopted under sections 2.1(k) and 6.1 of The Professional Nursing Law (63 P.S. Immediately preceding text appears at serial pages (209964) to (209965). Approved clinicAn organized community-based clinic offering primary health care services to individuals and families who cannot pay for their care, to Medical Assistance clients or to residents of medically underserved areas or health professionals shortage areas. Immediately preceding text appears at serial pages (385216) to (385217). In 1994, the Board of Nursing attempted to pass regulations which included delegation. (5)The intravenous fluid or medication to be administered is the fluid or medication specified in the written order. (C)Involuntary deviate sexual intercourse as defined in 18 Pa.C.S. (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. (1)Under 23 Pa.C.S. The provisions of this 21.232 issued under section 506 of The Administrative Code of 1929 (71 P.S. The provisions of this 21.362 adopted June 2, 2006, effective June 3, 2006, 36 Pa.B. (b)The following nursing practices fall within the scope of registered nursing practice under 21.11 and 21.14: (1)The addition of medications to peritoneal dialysate. (b)If the controlling institution also closes, advice should be obtained from the Board concerning the permanent safekeeping and availability of the records of the school of nursing. 2829. 6409; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. (2)The concept that practical nursing is an integral part of nursing. (c)The philosophy and purposes of the CRNP program must be consistent with currently accepted social, educational and CRNP standards. (iv)For purposes of licensure renewal, the training must have been completed during the relevant biennial renewal period. (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. (i)The plan of instruction shall enable students to develop understanding of the functions of the LPN within different patterns of nursing service. An applicant for certification shall have completed an accredited, Board-approved masters or postmasters nurse practitioner program or other Board-approved program that awarded an advanced degree or a course of study considered by the Board to be equivalent to that required for certification in this Commonwealth at the time the course was completed. The compliance review shall be submitted to the Board on a form provided by the Board. (4)Administer medications or fluids via arterial lines. Immediately preceding text appears at serial page (335545). Pennsylvania nurse practice act delegation. (iii)Faculty biographical forms on all faculty in the cooperating agency. 42.21c). Examination yearThe period beginning on October 1st of a year through September 30th of the following year. This section cited in 49 Pa. Code 21.29 (relating to expiration and renewal of license); and 49 Pa. Code 21.134 (relating to continuing education sources). (a)A CRNP shall comply with this section and 21.332a21.337. 212.1(k)). (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. The provisions of this 21.163 reserved July 1, 1983, effective July 2, 1983, 13 Pa.B. (a)A registered nurse shall notify the Board of pending criminal charges within 30 days of the filing of the criminal charges or on the biennial renewal application under 21.29(c)(4) (relating to expiration and renewal of license), whichever is sooner. This section cited in 49 Pa. Code 21.162a (relating to failure to comply with standards). A nursing education program on full approval status will be placed on provisional approval status if the program fails to meet the provisions of 21.162b. 186); and section 1 of The Professional Nursing Law (63 P.S. Consideration must be given to scholastic aptitude, academic achievement, personal qualities and physical and emotional health necessary to fulfill the objectives of the program. (C)CRNPs who are currently licensed and certified. (2)Exposure of appropriate duration to a patient population sufficient in number to insure that the student will meet program goals. (5)Old and new master rotation or organizational curriculum plans. A controlling institution is a university, college or hospital which conducts programs of education in nursing. The student evaluative process must: (i)Be evident in the course outlines provided to students at the beginning of each course. When functioning in the expanded role as a professional nurse, the nurse shall practice within the scope of practice of the Among the factors to be considered in determining the number and frequency of follow-up evaluations that should be recommended to the patient are the condition diagnosed, the controlled substance involved, expected results and possible side effects. The provisions of this 21.183 amended under section 506 of The Administrative Code of 1929 (71 P.S. (a)The following providers of continuing education and credentialing organizations have currently met the standards for approval for continuing education. 211225.5), unless otherwise noted. 211(k) and 218.1(c)). (4)Proof of current National certification in the specialty in which the nurse is seeking certification by the Board, if the applicant obtained initial certification or licensure after February 7, 2005. (iii)The care of patients with long-term nursing needs. (c)The CRNP program must provide appropriate clinical resources and experience for students, including: (1)Space for facultys and students needs. The provisions of this 21.502 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. (a)As a condition of approval, providers and credentialing organizations are required to provide CNSs who complete continuing education courses with a certificate of completion which contains the information in 21.828(a) (relating to CNS responsibilities). (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. The Board may informally resolve any deficiency. This section cited in 49 Pa. Code 21.363 (relating to approval process); and 49 Pa. Code 21.365 (relating to establishment). 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. 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). This section cited in 49 Pa. Code 21.369 (relating to general curriculum requirements). (e)The faculty shall formulate policies which relate to the operation of the program. (3)The CRNP has violated the act or this subchapter, or engaged in any conduct prohibited for professional nurses. (a)Written notification of intent to discontinue a program of nursing shall be submitted to the Board within a reasonable time, but not less than 6 months prior to discontinuance. Central venous catheterAn intravenous (IV) catheter, the tip of which terminates beyond the peripheral vasculature and may be either tunneled, implanted or percutaneously inserted. The provisions of this 21.603 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. This section cited in 49 Pa. Code 21.147 (relating to fees); 49 Pa. Code 21.155 (relating to licensure by endorsement); and 49 Pa. Code 21.602 (relating to volunteer license). (3)Pay the fee set forth in 21.253 (relating to fees). Immediately preceding text appears at serial page (9707). 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. 6383(b)(2). The Ohio Nurse Practice Act (NPA), established in 1915, sets guidelines for nurses who practice in the State of Ohio. (c)Adequate funds shall be allocated and properly budgeted for the sound and effective operation of the program. 6994. We also have a Scenario that we are to say with proof from our PA nurse practice act if a nursing assistant can remove a PIV if they have been educated on it. The policies and procedures shall provide for: (i)Identification of the immunizing and skin testing agents which the LPN may administer. 63146317. 186); and sections 8 and 17.6 of the Practical Nurse Law (63 P.S. 3281; amended December 19, 2003, effective December 20, 2003, 33 Pa.B. 658). Faculty and instructors shall give evidence of maintaining expertness in clinical and functional areas of responsibility. No statutes or acts will be found at this website. (b)Relationships with central administrative officers, interrelationships among other disciplines and services of the institution and representation on institutional councils and committees for faculty of the educational unit in nursing shall be consistent with the interaction and responsibilities accorded to other faculty members of the institution. The provisions of this 21.152 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. (v)Creating a reasonable likelihood of bodily injury to a child through any recent act or failure to act. (e)An applicant who graduated from a practical nursing education program outside of the United States or Canada shall have the applicants education evaluated by a Board-approved foreign credentials evaluator to determine whether the education obtained is equivalent to the program of study required in this Commonwealth at the time the program was completed. (f)In addition to the fees prescribed in subsection (a), which are payable directly to the Board, a candidate for the registered nurse licensing examination shall also pay a fee to the National Council of the State Board of Nursing (www.ncsbn.org) to cover costs associated with the preparation and administration of the registered nurse licensing examination. (c)Only an individual who holds current active certification may practice or offer to practice as a CRNP in this Commonwealth. (a)As part of the CRNP program approval process, the CRNP program shall submit an outline of, and appropriate time line for, its planned evaluative process. The registered nurse is always accountable for the overall outcome of delegated tasks based on each state's nurse practice act provisions. They often are responsible for: Giving residents medications. The provisions of this 21.77 reserved October 22, 1976, effective October 23, 1976, 6 Pa.B. (d)Committees shall be established as needed to implement the functions of the faculty effectively, and the purposes and membership of each committee shall be defined clearly. 3040; amended November 17, 2000, effective November 18, 2000, 30 Pa.B. Register your contact information to seamlessly take action on future legislative priorities. The provisions of this 21.705 amended under section 11.2 of The Professional Nursing Law (63 P.S. 186); and section 8 of the Practical Nurse Law (63 P.S. 6994. (iv)The right to withdraw from treatment at any time. Systematic evaluation planAn organized, continuous analysis of all nursing education program components, such as curriculum, faculty, facilities, policies and outcome measures, that addresses standards or benchmarks to be achieved and establishes an action plan if those standards or benchmarks are not achieved. Supervision and direction of certified and non-certified staff persons required for school operation exclusive of directing health services controlled by the Nurse Practice Act. (b)Concerning adequate storage space for general supplies and equipment. 2061; amended April 24, 2009, effective April 25, 2009, 39 Pa.B. (n)Course syllabi that identify all aspects of each course shall be developed and readily available. (g)An LPN who has met the education and training requirements of 21.145b (relating to IV therapy curriculum requirements) may perform the following IV therapy functions, except as limited under 21.145a and only under supervision as required under subsection (f): (1)Adjustment of the flow rate on IV infusions. (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. Immediately preceding text appears at serial pages (30247) to (30248). 223(b)) upon a nurse found to have engaged in conduct constituting a sexual impropriety or sexual violation. This section cited in 49 Pa. Code 21.721 (relating to qualifications for licensure); and 49 Pa. Code 21.723 (relating to license renewal). (b)When a class is not admitted in a given year, the practical nursing program shall close unless approval has been granted by the Board based on the justification for continuation as submitted to the Board. (2)Education. (iv)Ability of the cooperating agency to absorb an additional affiliating school. (a)A CRNP is required to maintain documentation of completion of continuing education, including: (b)Primary responsibility for documenting completion of the continuing education requirements rests with the CRNP. 2677. (ii)Records of preparation and experience, including college transcripts. (b)A registered nurse whose license has been suspended for 5 years or longer may reactivate the license after complying with the terms of the suspension Order by doing either of the following: (1)Successfully completing the initial licensing examination approved by the Board and submitting the examination fee in 21.5. 667.6); and 23 Pa.C.S. (21)Hormones and synthetic substitutes. (iii)Submit an application for an education evaluation to a Board-approved foreign credentials evaluator if required under 21.155(d) (relating to licensure by endorsement) and retain documentation of the application submitted to the evaluator to provide to the Board upon request. (4)Timed agenda and estimated hours of training. The provisions of this 21.165 reserved July 1, 1983, effective July 2, 1983, 13 Pa.B. Policies and procedures relating to scholarships, loans and grants shall be developed within the framework of the philosophy of the controlling institution and defined in writing. The graduate nursing core must include the following content: (ii)Health care policy and organization. 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. The provisions of this 21.504 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. 1916. The Board approval letter sent to the applicant will be considered acceptable documentation of hours obtained through 21.825(c) or (e) (relating to sources of continuing education). The curriculum must have the following components incorporated into each CRNP program: (1)Graduate nursing core. (b)Pharmacology continuing education activities must provide the knowledge and skills to understand the pharmacokinetics and pharmacodynamics of broad categories of drugs or drugs used in the CRNPs specialty and to analyze the relationship between pharmacologic agents and physiologic/pathologic responses. (i)The LDN has engaged in any substance abuse that could affect the LDNs practice. The provisions of this 21.71 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. Records shall be kept in locked fire-proof files. The provisions of this 21.364 issued under sections 6.1 and 8.1 of The Professional Nursing Law (63 P.S. The program shall provide the Board with a copy of the notice sent to applicants and students. (6)When a physician writes a prescription order for a patient for a specific medication with a range of dosage, the registered nurse shall use professional judgment to determine the amount of medication within the range to be given to the patient. (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. 667.6), unless otherwise noted. Pharmacology content shall also be integrated into the other content areas identified in the advanced practice nursing core. (3)Official transcript from the applicants nurse practitioner program, including degree awarded. 658). (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.