pennsylvania nurse practice act delegation

(ii)For a registered nurse involved in providing mental health services, the relationship which shall be deemed to exist for a period of time beginning with the first professional contact or consultation between the nurse and patient and ending 2 years after discharge from or discontinuance of services. (iii)Faculty biographical forms on all faculty in the cooperating agency. The provisions of this 21.162 amended under section 506 of The Administrative Code of 1929 (71 P.S. 658). (1)A currently-licensed practical nurse who wishes to practice practical 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 practical nurse on a form provided by the Board. The Board may consider sexual relationships between the nurse and the patient occurring prior to the professional relationship. 7822. 2829. Sexual violationThe term includes the following offenses: (i)Sexual intercourse between a registered nurse and a patient during the professional relationship. 17211. (iii)When a patient is receiving hemodialysis. (c)When communicating with the Board, licensed practical nurses shall identify themselves by their full name, current address and license number. 6319, commits a felony of the third degree, except that if the child abuse constitutes a felony of the first degree or higher, the penalty for the second or subsequent offense is a felony of the second degree. The Board will not renew a license of a registered nurse who fails to verify compliance with the continuing education requirement. (ii)Identify allergies, fluid and medication compatibilities. 811, unless otherwise noted. (a)The certification of a CNS will expire at the same time as the CNSs professional nursing license as provided in 21.29 (relating to expiration and renewal of license). 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. (i)Supervision of all students in the clinical areas is the responsibility of the CRNP program faculty. (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. (2)An adequate physical facility and appropriate instructional materials to carry out the continuing education course. No part of the information on this site may be reproduced for profit or sold for profit. In a health care facility regulated by the Department of Health, the Department of Public Welfare or the Federal government, information pertaining to the prescription, administration or dispensation of a controlled substance shall be entered in the medical records of the patient and the health care facility under 28 Pa. Code or 55 Pa. Code or appropriate Federal regulations, whichever is applicable, and bylaws of the health care facility and its medical staff. (iv)For purposes of licensure renewal, the training must have been completed during the relevant biennial renewal period. (g)A period of 2 years will be the maximum time period allowed for the correction of deficiencies that returns the program to compliance with the regulations. 216.1 and 218.1). A registered nurse shall comply with a request for submission of documents verifying the registered nurses completion of continuing education. (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. (iv)Actual cost of the program including faculty needed, clinical teaching resources, education supplies, office supplies, and the like, and sufficient evidence of stable financial support. 667.6); and 23 Pa.C.S. (3)If the willful failure to report continues while the mandated reporter knows or has reasonable cause to suspect a child is being subjected to child abuse by the same individual, or while the mandated reporter knows or has reasonable cause to suspect that the same individual continues to have direct contact with children through the individuals employment, program, activity or service, the mandated reporter commits a felony of the third degree, except that if the child abuse constitutes a felony of the first degree or higher, the mandated reporter commits a felony of the second degree. (5)An individual who has been granted a temporary practice permit for a currently-licensed registered nurse and who has complied with paragraphs (2)(4) may request an extension of the individuals temporary practice permit because of illness or extreme hardship by: (i)Submitting a temporary practice permit extension application provided by the Board. The provisions of this 21.284 issued under section 15(b) of the Medical Practice Act of 1985 (63 P.S. Immediately preceding text appears at serial page (9716). Latest news delivered right to your inbox! (3)Alternative education. (iii)Onsite clinical preceptors may include: (A)Advanced practice nurses who are currently licensed. (g)Learning experiences and methods that promote critical thinking and synthesis of learning shall be utilized in the teaching-learning process. The provisions of this 21.332a issued under sections 2.1(k) and 8.1(c) of The Professional Nursing Law (63 P.S. Sexual violationThe term includes the following offenses: (i)Engaging in sexual intercourse, indecent contact or deviate sexual intercourse with a patient during the professional relationship. (vi)Human diversity and social issues. (b)The CRNP shall notify the Board, in writing, whenever a prescriptive authority collaborative agreement is updated or terminated, and, when appropriate, shall file the Change Of Prescriptive Authority Collaborative Agreement form and the amended prescriptive authority collaborative agreement with the Board and pay the fee set forth in 21.253 (relating to fees). The provisions of this 21.34 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. Together the NPA and rules/regulations guide and govern nursing practice. (a)Professional samples. The certificate must contain the information listed in subsection (b)(1)(3) and (6)and the name of the individual to whom the certificate is awarded. The provisions of this 21.62 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. Training staff. (2)Continuous evaluation of instructional procedures, learning experiences and student progress. (11)Electrolytic, caloric and water balance. 5486. 667.6); and 23 Pa.C.S. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. 3891. The main purpose of nursing practice acts is to protect the public from unsafe practitioners . (d)Reinstatement of lapsed license or reactivation of inactive license. Candidates for practical nursing licensure shall pass the licensure examination approved by the Board. (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. Immediately preceding text appears at serial pages (385244) to (385245). 421.3 and 421.16) (Repealed), unless otherwise noted. (a)A nursing education program shall be developed under the leadership of a registered nurse as follows: (1)A nursing education program may be developed under the authority of a regionally accredited university or college and will be known as a degree-granting nursing education program. 212.1(k) and 216.1); and sections 9 and 17.6 of the Practical Nurse Law (63 P.S. Your information will be kept confidential and we will not send spam. 201; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. 186); and section 8 of the Practical Nurse Law (63 P.S. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. The transcript must bear the impression of the school seal and signature of the nurse administrator or authorized representative. The Board may informally resolve any deficiency. The annual report must update information regarding the programs administration, faculty, curriculum and student enrollment. 667.6); and the Child Protective Services Law, 23 Pa.C.S. (d)Policies for selection, appointment and promotion of faculty shall be defined in writing. Phone - (717) 783-1400. (b)An applicant for initial certification shall include documentation satisfactory to the Board of the following: (1)Proof of completion of a Board-approved education program or proof of completion and official transcript from another course of study that meets the requirements of 21.271(a)(2) (relating to certification requirements). 2677; amended November 4, 1977, effective November 5, 1977, 7 Pa.B. The nurse administrator shall have experience in nursing practice, nursing education and administration. The provisions of this 21.18 adopted April 30, 1993, effective May 1, 1993, 23 Pa.B. (ii)A predetermined plan for emergency services. The provisions of this 21.157 amended under section 506 of The Administrative Code of 1929 (71 P.S. 10. (c)Members of the faculty shall participate in the activities of the faculty organization in ways consistent with their rank and responsibilities. This bill authorized Pennsylvania to join the Nurse Licensure Compact (NLC). (ii)Letters of intent from the cooperating agencies indicating positive commitment to the CRNP program and the availability of sufficient clinical resources to meet the educational requirements of the CRNP program. (2)Retires from the active practice of nursing in this Commonwealth in possession of an unrestricted license which was allowed to lapse by not renewing it. Immediately preceding text appears at serial page (363485). Professional relationship. (2)For academic courses taken from an accredited college or university, the registered nurse shall retain the transcript issued by the educational institution. 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. The 30 day period for holding a hearing may be waived by consent of the parties. 658). -Boundaries for practice are defined in the NPA of each state; defines how nursing is regulated in that jurisdiction. 2829; amended March 22, 1991, effective March 23, 1991, 21 Pa.B. No statutes or acts will be found at this website. (9)A copy of the proposed budget projected. The provisions of this 21.162a adopted under sections 2.1(k) and 6.1 of The Professional Nursing Law (63 P.S. 2061. Immediately preceding text appears at serial pages (335510) to (335513). (b)Each nursing faculty shall select record forms specifically for the CRNP program that include the following: (1)Student records, including the permanent record, containing both clinical and theoretical experience and achievement, shall be kept for 50 years. Immediately preceding text appears at serial pages (47492) and (44732). (14)Other information requested in writing by the Board. (2)A letter signed by the director or chief operating officer of an approved clinic that the applicant has been authorized to provide volunteer services in the named clinic by the governing body or responsible officer of the clinic. The provisions of this 21.172 amended under section 506 of The Administrative Code of 1929 (71 P.S. Immediately preceding text appears at serial page (335523). The provisions of this 21.20 added March 25, 2022, effective March 26, 2022, 52 Pa.B. (2)A written order has been issued by a licensed physician pertaining to an individual patient or group of patients. 6911; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. 5315; amended June 21, 1991, effective June 22, 1991, 21 Pa.B. (b)The curriculum shall be organized and developed to include the knowledge, attitudes, skills and abilities necessary for the specific levels of student achievement. McCarl v. State Board of Nurse Examiners, 396 A.2d 866 (Pa. Cmwlth. (f)A continuing education provider shall award a certificate of attendance to professional nurses who complete the continuing education activity. Deviate sexual intercourseThe term as defined in 18 Pa.C.S. 667.6); and 23 Pa.C.S. The signature may be an electronic signature. Stat . The applicant shall be exempt from payment of the biennial renewal fee of 21.5, 21.147 or 21.253 (relating to fees), as applicable. It recognizes the Inspector General as an appropriate authority, and stipulates an appropriate authority may not disclose the identity of a whistleblower without the whistleblowers consent unless disclosure is unavoidable in the investigation of the alleged violation. (e)An applicant shall remit the certification fee in 21.805 (relating to fees). This section cited in 49 Pa. Code 21.825 (relating to sources of continuing education). (E)Institutional sexual assault as defined in 18 Pa.C.S. This section cited in 49 Pa. Code 21.166 (relating to removal from approved list); and 49 Pa. Code 21.173 (relating to discontinuance or interruption of a program of practical nursing). (c)The applicant for license renewal may complete and submit an application online or may mail a completed application form to the Boards administrative office. (c)Requests for approval of a continuing education activity under subsection (b)shall be submitted at least 90 days prior to commencement of the activity and shall be accompanied by the fee in 21.5 (relating to fees). The provisions of this 21.154 amended under section 506 of The Administrative Code of 1929 (71 P.S. The relationship continues, for purposes of 21.704, for 30 days after termination of professional services by either the licensed dietitian-nutritionist or the patient. For the American Nurses Association . 2829; reserved July 11, 2008, effective July 12, 2008, 38 Pa.B. (c)Reporting procedure. 216.1 and 218.1). (7)The Boards written decision will be a final decision of a governmental agency subject to review under 2 Pa.C.S. (a)A licensed registered nurse may administer a drug ordered for a patient in the dosage and manner prescribed. The provisions of this 21.504 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. Immediately preceding text appears at serial pages (363472) to (363473). (ii)Assess the programs effectiveness relative to current trends in education and health care. (11)Make physical therapy and dietitian referrals. Protects the health and safety of the citizens of the Commonwealth of Pennsylvania through the licensure/certification and regulation of the practice of professional and practical nursing and dietetics-nutrition by registered nurses, practical nurses, certified registered nurse practitioners, clinical nurse specialists, dietitian-nutritionists, Nurses most frequently delegate tasks to LPN's (Licensed . 658). The provisions of this 21.33a adopted under sections 2.1(k) and 6.1 of The Professional Nursing Law (63 P.S. (3)At least 60 days prior to the expiration date of the temporary practice permit, the graduate registered nurse who wishes to extend the expiration date of the temporary practice permit because of illness or extreme hardship shall: (i)Submit an application for temporary practice permit extension on a form provided by the Board. This section cited in 49 Pa. Code 21.7 (relating to temporary practice permits); 49 Pa. Code 21.20 (relating to licensure by examination); and 49 Pa. Code 21.21 (relating to application for examination). (c)The Board will notify a program on provisional approval status, 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. (a)Major curriculum changes that require Board approval include: (1)Alteration of the program philosophy, purposes and objectives which influences or affects the integration of material into the total curriculum, such as changes in course content or instruction, shifting content, changing course placement, adding or deleting courses, changing the length of a course or the program and changing the allotment. 7822. A CNS who places the CNSs certification on inactive status is not required to meet the continuing education requirements in section 8.5(c)(2) of the act (63 P.S. 667.6); and 11.2(a) and (d) of The Professional Nursing Law (63 P.S. (3)Knowingly permit another individual to use his license or temporary permit for any purpose or knowingly permit the unlicensed person under the licensed practical nurses jurisdiction or supervision to misrepresent that the individual is a licensed nurse. (2)Applicants shall have completed work equal to a standard high school course as evaluated by the Credentials Evaluation Division of the Pennsylvania Department of Education. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. 6383(b)(2). The provisions of this 21.724 amended December 16, 2016, effective December 17, 2016, 46 Pa.B. 7822. A program shall includeacademic counseling, initiated by either faculty or students. The Board will hold a hearing, within 30 days of the submission of documentation, at which the program official may appear and present additional evidence to show cause as to why approval should not be withdrawn. The Board will base educational equivalency upon an evaluation administered by a Board-approved foreign credentials evaluator. (2)Administer tissue plasminogen activators, immunoglobulins, antineoplastic agents or investigational drugs. (5)Solicit, borrow or misappropriate money, materials or property from a patient. Laws & Rules. Recent act or failure to actAn act or failure to act committed within 2 years of the date of the report to the Department of Human Services or county agency. In accordance with section 6(c) of the Volunteer Health Services Act (35 P.S. 6383(b)(2). If the practical nursing program is in the public school system, the proposal shall be submitted to the Board through the Department of Education, Bureau of Vocational Education. Immediately preceding text appears at serial pages (9704) to (9705). 6210; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. (c)A university or college may conduct CRNP programs within the graduate program of the university or college where it resides, if the college or university has a professional nurse program and the philosophy of the parent institution encompasses dual programs of education. (2)Administers the act by providing rules and regulations relating to the issuance and renewal of CNS certification. (d)Upon approval of a continuing education activity under subsection (b), the Board will determine the number of continuing education hours awarded for the activity. 212.1(k) and 222); amended under sections 2.1(k) and 12.1(a) of The Professional Nursing Law (63 P.S. (ii)Records of preparation and experience, including official college transcripts. 212.1(k) and 222); amended under sections 2.1(k) and 12.1(a) of The Professional Nursing Law (63 P.S. 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. In the case of an emergency contact by a known patient, a prudent, short-term prescription for a controlled substance may be issued. C. 1953, 1918; 54 Del. (ii)Unnecessarily exposing a patients body or watching a patient dress or undress, unless for therapeutic purposes or the patient specifically requests assistance. 218.5(c)(2)), unless the requirement is waived by the Board under 21.823(b) (relating to CNS-level continuing education; waiver; sanctions) or the CNSs certification is on inactive status. 216(b)(2)) that are approved by ACEND or the ACN. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. (vi)For online courses, a transcript of audio training. 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. (a)An applicant for certification shall submit an application form provided by the Board to the Board for its review and approval. (e)The Board may approve professional nursing education programs conducted in hospitals and accredited colleges, universities and postsecondary institutions that award academic degrees, and will make available a list of approved programs on its web site. (b)A CRNP who places his prescriptive authority approval on inactive status for less than 3 years is not required to meet the continuing education requirements in 21.332(b)(2) (relating to requirement of continuing education) during the period the prescriptive authority approval is on inactive status. (iii)The projected cost of the CRNP program including costs for faculty, clinical teaching resources, educational supplies, office supplies, and the like, and sufficient evidence of stable financial support. (G)Leaving a child unsupervised with an individual, other than the childs parent, who the actor knows or reasonably should have known: (I)is required to register as a Tier II or Tier III sexual offender under 42 Pa.C.S. 218.5(c)(2)) during the period the certification is on inactive status. (a)A clear statement of philosophy, purposes and objectives consistent with the philosophy and objectives of the governing body shall be formulated and adopted. The Board will uphold the same good faith presumption in any disciplinary proceeding that might result by reason of a Board-regulated practitioners actions under 21.50221.504 (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). ApprovedApproved by the Board. (4)A list of medications which may be administered by the registered nurse is established and maintained by a committee of physicians, pharmacists and nurses from the employing agency or the agency within whose jurisdiction the procedure is being performed if no employing agency is involved. (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. (5)Activities sponsored by regionally-accredited institutions of higher education. (c)An applicant or licensee may apply in writing for an exemption from the training/continuing education requirements set forth in subsections (a) and (b) provided the applicant or licensee meets one of the following: (1)The applicant or licensee submits documentation demonstrating all of the following: (i)The applicant or licensee has already completed child abuse recognition training as required by section 1205.6 of the Public School Code of 1949 (24 P.S. 3101 (relating to definitions). The provisions of this 21.29a issued under sections 2.1(k) and 12.1(a) of The Professional Nursing Law (63 P.S. (b)A student who meets the description in subsection (a) and who also desires to practice as a registered nurse while participating in the training program shall submit an application for licensure by endorsement and obtain a temporary practice permit as provided by 21.28 (relating to licensure by endorsement). (c)The organizational plan for the school of nursing shall provide for relationships with the governing body, individuals and cooperating agencies responsible for and participating in the school operation. 2667. CertificationThe authorization granted by the Board to a professional nurse who has demonstrated the qualifications for recognition as a CRNP. (e)Reinstatement of suspended license. (10)Administer IV medications for the purpose of procedural sedation or anesthesia. There is no BON requirement for physician . The Board will place those nursing education programs on full approval status which attain and maintain the standards of this subchapter. (2)Full-time nursing instructors must be adequate in number to provide a maximum student-teacher ratio of 15 to 1 in the clinical area. (b)The Board will place a CRNP program on provisional approval status if, as evidenced by the compliance review or other information, the program is not in compliance with the Boards regulations. 4236; amended September 20, 1985, effective September 21, 1985, 15 Pa.B. (13)Antitussive, expectorants and mucolytic agents. Board-designated specialtyOne of six patient populations, including neonatal, pediatrics, family/across the lifespan, adult/gerontology, womens health/gender-related and psychiatric/mental health. (a)The following continuing education activities that meet the requirements of 21.133 (relating to continuing education content) for registered nurses are approved: (1)Activities sponsored by a Board-approved practical or professional nursing program or a Nationally accredited graduate nursing program. 5943; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. 811. The provisions of this 21.17 adopted October 22, 1976, effective October 23, 1976, 6 Pa.B. (iii)Submit an application for an education evaluation to a Board-approved foreign credentials evaluator if required under 21.23(b) and 21.28(c) (relating to qualifications of applicant for examination; and licensure by endorsement) and retain documentation of the application submitted to the evaluator to provide to the Board upon request.

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