Note: This mailbox is reserved for receipt of documentation specific to letters of good standing, exam information, disciplinary documents, transcripts and other education or employment verifications, and . (f)Applicants shall submit additional information as identified on the application or as requested by the Board. A study of delegation to home care workers conducted by AARP in 2016 found that 16 states allowed delegation of all 16 tasks inventoried, including . A registered nurse whose license is not renewed by the expiration of the biennial period may not engage in the practice of professional nursing until the continuing education requirements are satisfied and the license has been renewed, reinstated or reactivated. (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. (b)Relationships with central administrative officers, interrelationships among other disciplines and services of the college or university, and representation on college or university councils and committees for faculty in a CRNP program must be consistent with the interaction and responsibilities accorded to other faculty members of the college or university. (2)Faculty members shall give evidence of maintaining expertise in their clinical or functional areas of specialization. (b)When acting in collaboration with a physician as set forth in a collaborative agreement and within the CRNPs specialty, a CRNP may: (1)Perform comprehensive assessments of patients and establish medical diagnoses. Immediately preceding text appears at serial page (238278). 3796, amended August 20, 2010, effective August 21, 2010, 40 Pa.B. 2976; amended June 18, 1993, effective June 19, 1993, 23 Pa.B. This section cited in 49 Pa. Code 21.28 (relating to licensure by endorsement); 49 Pa. Code 21.332a. 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. 659 and 667.6). (a)An annual report of the practical nursing program shall be sent to the Board using the form supplied by the Board. (5)Solicit, borrow or misappropriate money, materials or property from a patient or the patients family. (6)Leave a nursing assignment prior to the proper reporting and notification to the appropriate department head or personnel of such an action. 216.1 and 218.1). Deviate sexual intercourseThe term as defined in 18 Pa.C.S. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. Together the NPA and rules/regulations guide and govern nursing practice. (6)Provide professional services with objectivity and with respect for the unique needs and values of individuals. The CRNP shall verify completion of the continuing education when submitting a biennial renewal. 2063; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. Nurses are educated and accountable for the nursing care provided to healthcare consumers. (4)Facilities for obtaining adequate, well-balanced meals. 2115; amended September 8, 2000, effective September 9, 2000, 30 Pa.B. When defining additional clinical hours, the complexity of the specialty content, as well as the need for clinical experience to enhance retention and skills, shall be considered. Immediately preceding text appears at serial pages (335539) to (335540) and (363467). Immediately preceding text appears at serial page (9705). Board-designated specialtyOne of six patient populations, including neonatal, pediatrics, family/across the lifespan, adult/gerontology, womens health/gender-related and psychiatric/mental health. 186); and section 8 of the Practical Nurse Law (63 P.S. 2061; amended November 15, 1991, effective November 16, 1991, 21 Pa.B. (b)Programs planning to discontinue must follow the procedures in 21.41 (relating to notification; completion of program; records). 1996). 4236; amended September 20, 1985, effective September 21, 1985, 15 Pa.B. 811; amended June 21, 1991, effective June 22, 1991, 21 Pa.B. Patients are suffering the consequences of chronic, understaffing levels. The nurse administrator shall have experience in nursing practice, nursing education and administration. Approved programThose educational programs accredited by the NLNAC or CCNE for preparing a professional nurse to practice as a CNS. 279(a)(3) and (7) and 279.3a); sections 13.1 and 17.5 of the Practical Nurse Law (63 P.S. Immediately preceding text appears at serial pages (363484) to (363485). (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. (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. 667.6), unless otherwise noted. (c)Applicants shall have completed work equal to a standard high school course with a minimum of 16 units, including 4 units of English, 3 units of Social Studies, 2 units of Mathematics (1 of which is Algebra) and 2 units of Science with a related laboratory or the equivalent. (5)Mandatory training in child abuse recognition and reporting. 667.6); and 23 Pa.C.S. Immediately preceding text appears at serial pages (30258) to (30259). Immediately preceding text appears at serial pages (351272) and (378843). (a)The faculty shall be employed by and responsible to the controlling institution. 2667. A professional nurse who does not hold at least one graduate degree in nursing, but who has experience in nursing practice, nursing education and administration may be considered on an individual basis. 6994. They contain general statements of appropriate professional nursing actions. (i)Display portion of current Pennsylvania licenses and certifications. LDNLicensed dietitian-nutritionistA person holding a current license under this subchapter to practice dietetics-nutrition in this Commonwealth. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. (c)If a program is discontinued, it is the responsibility of the controlling institution to provide for the completion of the program for students currently enrolled, either by placing the students in an approved program or continuing the enrolled classes until completion. The provisions of this 21.30a amended under section 2.1(k) of The Professional Nursing Law (63 P.S. It depends upon the care needs of the client, as assessed by the advanced practice registered nurse or 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. (1)A currently-licensed registered nurse who wishes to practice professional nursing during the period from the date of submission of the Applicant Data Sheet of the application for licensure until the Board makes a determination on the application for licensure or 1 year, whichever comes first, shall: (i)Submit an application for temporary practice permit for a currently-licensed registered nurse on a form provided by the Board. Immediately preceding text appears at serial page (351271). 7822. (3)Library holdings shall include sufficient reference titles, periodicals and other educational materials, as well as supplementary aids to achieve the objectives of the program. 422.15(b)) (Repealed). (c)Documentation requirements. The Board may place on provisional approval a nursing education program not meeting the standards of this subchapter. The provisions of this 21.282 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. The provisions of this 21.603 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. 2677; amended June 17, 1977, effective June 18, 1977, 7 Pa.B. Immediately preceding text appears at serial pages (396901) and (385205). 666.2). Signed into law May 21, 2013: Act 16 of 2016. The Commonwealth of Pennsylvania lacks specific delegation language in the nurse practice act. (6)The registered nurse possesses the knowledge, skills and abilities related to the management of patients receiving intravenous conscious sedation with evaluation of competence on a periodic basis. Immediately preceding text appears at serial pages (385247) to (385248). Many nurses would like a yes or no answer to questions about the delegation of nursing practice, however, in most cases it is not that simple. (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. (2)Current registration as a professional nurse in this Commonwealth. South Dakota Board of Nursing. (b)A controlling agency desiring to establish a program of practical nursing is required to: (1)Employ the nurse administrator of the educational unit at least 6 months prior to the intended admission date of students. The provisions of this 21.231 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. 90-158 through 90-171.18: Recodified as 90-171.19 through 90-171.47. 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. For a program in transition, the nurse administrator may serve as administrator of both the degree-granting and diploma nursing education program during the transition period. 222.1(k)); and 23 Pa.C.S. 2818; amended January 17, 1992, effective January 18, 1992, 22 Pa.B. 6658; amended June 2, 2006, effective June 3, 2006, 36 Pa.B. 216.1 and 218.1). Clinical hours must meet at least National certification requirements with a minimum of 500. 2061. 300; amended November 12, 1993, effective November 13, 1993, 23 Pa.B. 3101. 667.6); and 23 Pa.C.S. (j)There shall be a planned and active faculty development program designed by the faculty to meet their perceived needs. 1916. (a)Students shall have access to personal records as defined by Federal and State legislation. This section cited in 49 Pa. Code 21.283 (relating to authority and qualifications for prescribing, dispensing and ordering drugs); and 49 Pa. Code 21.369 (relating to general curriculum requirements). (2)Provisions for necessary immediate professional health care. This section cited in 49 Pa. Code 21.705 (relating to fees); and 49 Pa. Code 21.723 (relating to license renewal). 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). If the applicant, due to extenuating circumstances, cannot take the first scheduled examination following completion of the program, the applicant shall appeal to the Board for authority to continue practicing. 658). This section cited in 49 Pa. Code 21.825 (relating to sources of continuing education). (vi)For online courses, a transcript of audio training. (e)Committee reports and faculty actions shall be recorded, filed systematically and kept available for reference. (13)Perform disability assessments for the program providing temporary assistance to needy families (TANF). (8)Citation of sources, including written permission to use copyrighted material, if applicable. (3)At least 60 days prior to the expiration date of the temporary practice permit, the graduate practical nurse who wishes to extend the expiration date of the temporary practice permit because of illness or extreme hardship shall: (iii)Provide a detailed, written explanation of the reasons the extension is requested. Performing of venipuncture and administering and withdrawing intravenous fluids are functions regulated by this section, and these functions may not be performed unless: (1)The procedure has been ordered in writing for the patient by a licensed doctor of the healing arts. The provisions of this 21.76 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. National certificationCertification by a Board-recognized National certification organization which required passing a nurse practitioner National certifying examination in a specialty. A volunteer license authorizes the holder to practice only in an organized community-based clinic without remuneration. N 1-9 . (v)Residency and Fellowship programs which are at the post baccalaureate level, and are sponsored by a United States regionally accredited college or university, or an institution accredited/approved by the Joint Committee on Accreditation of Healthcare Organizations or the National Committee for Quality Assurance. In accordance with section 6(c) of the Volunteer Health Services Act (35 P.S. (a)An LDN 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 21.723 (relating to license renewal), whichever is sooner. (ii)Clearly defined refund policies governing fees and tuition paid by the students. The provisions of this 21.29b issued under section 2.1(k) of The Professional Nursing Law (63 P.S. 212.1(k)). (5)Activities sponsored by regionally-accredited institutions of higher education. (4)Performance of graduates on the licensing examination. (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. 2061; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. The provisions of this 21.183 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. Immediately preceding text appears at serial page (385252). Nurse practitioners applying for certification from a jurisdiction that does not designate the nurse practitioners specialty will be required to present evidence satisfactory to the Board to demonstrate the nurse practitioners specialty. 2677. (5)A noncertified registered nurse who has completed an approved anesthesia program may administer anesthesia under the direction of and in the presence of the chief or director anesthesia services or a Board certified anesthesiologist until the announcement of results of the first examination given for certification for which she is eligible. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. Additional hours must be provided for specialties that provide care to multiple age groups (for example, family CRNPs) or for those who will practice in multiple care settings. In this section, cooperating agency means an educational institution or health care delivery system which cooperates with the controlling institution. (h)Learning experiences shall focus on direct nursing care, and effort shall be made to arrange experiences in a pattern of logical sequence that demonstrates continuity of care. ActsThe Professional Nursing Law (63 P.S. 2061. The provisions of this 21.401 adopted February 20, 1987, effective February 21, 1987, 17 Pa.B. (iii)The curriculum outline and instructional methods utilized by the faculty shall be determinative in the selection and maintenance of the facilities needed in the individual practical nursing program. The label must include the statement, Do not use after manufacturers expiration date, or similar wording. ActThe Practical Nurse Law (63 P.S. 9799.58 (relating to assessments) or has to register for life under 42 Pa.C.S. The provisions of this 21.812 amended March 25, 2022, effective March 26, 2022, 52 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 15 of the act (63 P.S. The CBEN is responsible for determining which professional nursing functions can be delegated to the LPN and what other nursing functions can be delegated to unlicensed assistive personnel (UAP). (9)The changing of an outer tracheostomy tube after stoma is healed. Any organization of five or more NPs that supports this mission can become an organizational member of AANP. (c)The LPN participates in the development, revision and implementation of policies and procedures designed to insure comfort and safety of patients in collaboration with other health care personnel. The provisions of this 21.287 issued under section 15(b) of the Medical Practice Act of 1985 (63 P.S. Immediately preceding text appears at serial pages (351271) to (351272). 6409; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. The provisions of this 21.233 issued under section 506 of The Administrative Code of 1929 (71 P.S. Immediately preceding text appears at serial pages (26492) and (26493). (10)Administrative structure and functions of the practical nursing program. (2)Respect and consider, while providing nursing care, the individuals right to freedom from psychological and physical abuse. -Boundaries for practice are defined in the NPA of each state; defines how nursing is regulated in that jurisdiction. 2667. 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. Immediately preceding text appears at serial pages (209966) to (209967). (a)The following nursing practices fall within the scope of registered nursing practice under 21.11, 21.12 and 21.14 (relating to general functions; venipuncture; intravenous fluids; and administration of drugs): (1)Intravenous administration of Pavulon to a patient maintained on a mechanical ventillator. Nurse violated 49 Pa. Code 21.11(a)(4) by leaving patient experiencing rare premature ventricular contractions, failing to call code team when so instructed and failing to attach cardiac monitor strip to patients chart, but such actions did not constitute violations of 21.13 which merely establishes limitations on who may perform resuscitation and respiration and circumstances under which those procedures may be performed. 71017503), by releasing information necessary to complete the report. (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. Immediately preceding text appears at serial page (335545). Immediately preceding text appears at serial page (385245). 1986). (iii)Current records of continuing education activities. (b)Continuing education requirements shall be completed each biennial renewal cycle. The provisions of this 21.25 issued under section 506 of The Administrative Code of 1929 (71 P.S. (2)An LPN shall obtain instruction and supervision if implementing new or unfamiliar nursing practices or procedures. The provisions of this 21.414 adopted February 20, 1987, effective February 21, 1987, 17 Pa.B. (10)Document and maintain accurate records in accordance with the acceptable and prevailing standard of recordkeeping. The provisions of this 21.131 adopted July 11, 2008, effective July 12, 2008, 38 Pa.B. Immediately preceding text appears at serial page (351278). CNSCertified Nutrition SpecialistThe title given to individuals who meet the requirements of the CBNS. (e)The Board will regulate the practice of practical nursing. This information must include the name of the controlled substance, its strength, the quantity and the date it was prescribed, administered or dispensed. The school shall have a written policy consistent with its philosophy and objectives concerning criteria for granting advanced standing or accepting transfer students. The provisions of this 21.145 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. 2061; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. 2829. 3891. The term includes a State health center, nonprofit community-based clinic and Federally qualified health center, as designated by Federal rulemaking or as approved by the Department of Health or the Department of Public Welfare. Additional emergency resuscitation equipment is immediately available. (b)No information may be released from a students record without written permission of the student. A mandated reporter shall make a report of suspected child abuse in accordance with this section if the mandated reporter has reasonable cause to suspect that a child is a victim of child abuse under any of the following circumstances: (i)The mandated reporter comes into contact with the child in the course of employment, occupation and practice of the profession or through a regularly scheduled program, activity or service. 218.5(e)) on the application for certification. 211225); and the Practical Nurse Law (63 P.S. 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). The registered nurse is always accountable for the overall outcome of delegated tasks based on each state's nurse practice act provisions. (b)Evidence of specific instances, opinion evidence, or reputation evidence of a patients past sexual conduct is not admissible in proceedings brought under 21.148(b)(9) (relating to standards of nursing conduct). (m)Education in the nursing major shall be offered largely at the upper divisional level. Immediately preceding text appears at serial page (335544). An emergency oral prescription for a Schedule II controlled substance shall be covered by a written prescription delivered to the pharmacist within 72 hours. 2673; amended July 3, 2008, effective July 5, 2008, 38 Pa.B. 7508.2 (relating to operation of methamphetamine laboratory) is occurring, provided that the violation is being investigated by law enforcement. The provisions of this 21.722 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. (ii)The mandated reporter is directly responsible for the care, supervision, guidance or training of the child, or is affiliated with an agency, institution, organization, school, regularly established church or religious organization or other entity that is directly responsible for the care, supervision, guidance or training of the child. The approved list will consist of programs on initial, full and provisional approval status. 4730; amended May 19, 2006, effective May 20, 2006, 36 Pa.B. (10)Administer IV medications for the purpose of procedural sedation or anesthesia. (c)The organizational plan for the program of practical nursing shall provide for relationships with the governing body of the controlling agency, individuals and cooperating agencies responsible for and participating in the program operation. Effective in 60 days. (5)Proof of specialty designation. (e)A separate application and fee, as set forth in 21.5, shall be submitted whenever a change is made to information submitted under subsection (b), except for information related to a change in date or location, or both, of the activity under subsection (b)(3). The law relating to the practice of practical nursing was established with the Louisiana Revised Statutes of 1950, Title 37, Chapter 11. 216.1 and 218.1). (a)Changes that are a departure from the requirements of the program and which shall be submitted to the Board for approval include the following: (1)Changes in the objectives of the program which require alteration of the present curriculum or courses or which increase or decrease the length of the program. 2061; amended April 24, 2009, effective April 25, 2009, 39 Pa.B. 222(b)), a CNS may submit proof of completion of the CNS continuing education requirement set forth in section 8.5(c)(2) of the act (63 P.S. For a program in transition, the submission shall be made at least 3 months prior to the intended admission date of students. Sexual improprietyThe term includes the following offenses: (i)Sexual intercourse between an LPN and a patient during the professional relationship. 212.1); reserved under section 2.1(k) of The Professional Nursing Law (63 P.S. This section cited in 49 Pa. Code 21.701 (relating to definitions). (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. (M)Sexual exploitation as defined in 18 Pa.C.S. 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.