4996; amended December 15, 1989, effective February 14, 1990, 19 Pa.B. (c)Board audits; proof of completion. 218.3(a)(2)(ii)). Unless the patient is in an inpatient care setting, the patient shall be specifically counseled about dosage levels, instructions for use, frequency and duration of use and possible side effects. (iii)If a faculty member is not physically present in the area in which students are practicing, a faculty member shall be immediately available by telephone or other means of telecommunication when students are engaged in clinical activities with a preceptor. 6994. The agreement shall be reviewed annually and a copy of the current agreement shall be filed in the office of the Board. 667.6); amended under sections 2.1(k), 11(b), 11.2 and 12.1 of The Professional Nursing Law (63 P.S. (3)Provides rules and regulations for the conduct of CNSs. (g)Learning experiences shall be selected and arranged to provide opportunity for the student to learn how to function within the role of the LPN and for the personal growth of students. The Department of Education, Certification and Staffing Policy Guidance (CSPG) #95, Principal states: "An educator holding a valid Pennsylvania certificate as a K-12 Principal is qualified to perform the following: 2. 6994. The candidate for licensure shall pass the licensure examination approved by the Board. (b)Exception. Immediately preceding text appears at serial pages (302267) to (302270). Immediately preceding text appears at serial page (378846). 212.1(k) and 221(c)), unless otherwise noted. 2829. (b)The authority and the administrative responsibility for the program shall be delegated by the governing body of the controlling agency to the registered professional nurse in charge of the program. The Commonwealth of Pennsylvania lacks specific delegation language in the nurse practice act. It is codified in Chapter 4723 of the Ohio Revised Code (ORC). 224(a)(3)). The provisions of this 21.171 reserved July 1, 1983, effective July 2, 1983, 13 Pa.B. (4)The registered nurse has had instruction and supervised practice in administering the therapy. (e)Reinstatement of suspended license. -Boundaries for practice are defined in the NPA of each state; defines how nursing is regulated in that jurisdiction. (ii)The purpose of this content is to provide the graduate with the knowledge and skills to assess, diagnose and manage (including the prescription of pharmacologic agents) a patients common health problems in a safe, high quality, manner. AUTHORITY: Implementing the Nurse Practice Act [225 ILCS 65] and authorized by Section 2105-15(7) of the Civil Administrative Code of Illinois [20 ILCS 2105]. 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. Developing policies and rules. 2061. Immediately preceding text appears at serial pages (30263) to (30264). (b)When applying for licensure renewal, a licensed practical nurse shall: (1)Submit the renewal application, including disclosing a license to practice nursing or an allied health profession in any other state, territory, possession or country. (a)The faculty shall be employed by and be responsible to the college or university. (c)The CRNP program must provide appropriate clinical resources and experience for students, including: (1)Space for facultys and students needs. 5952; amended December 9, 2005, effective December 10, 2005, 35 Pa.B. (5)The nursing education program and the Commonwealth will be provided an opportunity to file post-hearing briefs. Continuing educationAn activity approved by the Board as a condition for renewal of licensure or certification for which proof of completion can be provided to the Board. Therefore, the physician was justified in formulating a medical opinion based on the information provided by the certified registered nurse practitioner and the suspension of the petitioners license based on incompetence under 67 Pa. Code 83.5 was justified. The Independent Regulatory Review Commission (IRRC) declines to approve these regulations, stating in part: "If the General Assembly had intended to grantregistered nurses the authority to delegate functions to any other supportive personnel it would have been specifically provided within the Professional Nursing Law". 6994. The provisions of this 21.362 adopted June 2, 2006, effective June 3, 2006, 36 Pa.B. Pennsylvania still lacks specific delegation language in its Nurse Practice Act. (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. 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. CRNP CertificationBoard-approved nursing education program graduates $100, CRNP Certificationgraduates of out-of-State nursing education programs $140, Verification of certification with history $50, Application for prescriptive authority $95, Each additional application for prescriptive authority $45, Restoration of CRNP certification after suspension or revocation $60, Restoration of CRNP prescriptive authority after suspension or revocation $60, Biennial renewal of CRNP certification $81, Biennial renewal of prescriptive authority approval $41. 2829; amended July 11, 2008, effective July 12, 2008, 38 Pa.B. (c)Prior to establishment or transition, a nursing education program shall: (1)Complete a feasibility study which includes: (i)Sufficient statistical data to support the need for a program within the community and to assure availability of an adequate supply and flow of interested candidates. (4)Timed agenda and estimated hours of training. 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. 2817. (9)The changing of an outer tracheostomy tube after stoma is healed. The provisions of this 21.5 adopted December 25, 1987, effective December 26, 1987, 17 Pa.B. 5329. National certificationThe credential awarded by a Board-recognized organization evidencing that an individual has passed a National certification examination and has maintained current National certification in a specialty as specified by the organization. (5)The name and relationship of each individual responsible for causing the suspected abuse and any evidence of prior abuse by each individual. 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). (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. (c)A registered nurse who fails to comply with an obligation or prohibition under this section is subject to disciplinary and corrective measures under section 14 of the act (63 P.S. (d)A practical nurse who has graduated from a practical nursing education program in a country or territory outside of the United States or Canada deemed equivalent to the program of study required in this Commonwealth at the time the program was completed and who obtained licensure in that country or territory upon having passed an examination considered by the Board to be equivalent to the examination required for licensure in this Commonwealth may be granted licensure by endorsement without examination. (viii)Parenteral solutions and indications. 6409; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. LDNLicensed dietitian-nutritionistA person holding a current license under this subchapter to practice dietetics-nutrition in this Commonwealth. (3)Provides rules and regulations for the conduct of licensees. 658). A confirmation by the Department of Human Services of the receipt of a report of suspected child abuse submitted electronically relieves the mandated reporter of the duty to make an additional oral or written report. (i)Shall be comprehensive and current, since it serves as a contract of agreement between the applicant or student and the school. For the purpose of any civil or criminal proceeding, the good faith of the Board-regulated practitioner shall be presumed. Oral orderA spoken order issued by a practitioner authorized by law and by facility policy to issue orders for medical and therapeutic measures. Immediately preceding text appears at serial page (319606). For the American Nurses Association . (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. If requesting an extension due to illness, the applicant shall provide certification of the illness from the applicants treating physician. (d)Student employment. (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. (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. Chapter 36-9: Registered and Practical Nurses, Certified Registered Nurse Anesthetists, & Clinical Nurse Specialists. The provisions of this 21.367 adopted June 2, 2006, effective June 3, 2006, 36 Pa.B. In viewing the clinical resources, the study shall speak to other nursing programs that share the teaching facilities identified in the study. The provisions of this 21.144 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. (b)A CNS practicing in this Commonwealth shall maintain a level of professional liability coverage as set forth in section 8.5(e) of the act (63 P.S. (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 provisions of this 21.41 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (d)Restrictions on CRNP prescribing and dispensing practices are as follows: (1)A CRNP may write a prescription for a Schedule II controlled substance for up to a 30-day supply as identified in the collaborative agreement. A nurse shall not be subject to disciplinary or any other adverse action for refusing to delegate a nursing intervention based on patient safety. The provisions of this 21.822 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. (iii)Oral to genital contact between a nurse and a patient during the professional relationship. 279.1(a)(3) and (7)). 659 and 667.6). (b)If a nursing education program is removed from the approved list, the controlling institution shall provide for the completion of the program for students currently enrolled by placing the students in an approved program. 212). The provisions of this 21.156 amended October 16, 2015, effective October 17, 2015, 45 Pa.B. The Nurse Practice Act of Maryland defines "Delegation" as "The act of authorizing an unlicensed individual, a certified nursing assistant (CNA), licensed practical nurse (LPN) or a medication technician to perform acts of registered nursing or licensed practical nursing (Code of Maryland Regulations 10 . 3040; amended November 17, 2000, effective November 18, 2000, 30 Pa.B. RDRegistered DietitianThe title given to an individual who meets the requirements set forth by the CDR. Immediately preceding text appears at serial pages (363471) to (363472). (b)To obtain prescriptive authority approval, a CRNP shall: (1)Successfully complete at least 45 hours of course work specific to advanced pharmacology in accordance with the following: (i)The course work in advanced pharmacology may be either part of the CRNP education program or, if completed outside of the CRNP education program, an additional course or courses taken from an educational program or programs approved by the Board. (13)Antitussive, expectorants and mucolytic agents. (i)Course syllabi that identify all aspects of each course must be developed and readily available. However, any food mixed with medical cannabis may not be sold. (3)Specialty content. 667.6); and 23 Pa.C.S. 212.1(k)). Immediately preceding text appears at serial pages (47492) and (44732). 186 and 279.3a); and sections 8 and 17.6 of the Practical Nurse Law (63 P.S. 422.15(b)) (Repealed). (a)A professional nurse who has satisfactorily met the requirements set forth in the act and this subchapter and holds current certification as a CRNP or whose certification is maintained on inactive status may use the designation CRNP. 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. (4)An individual who has been granted a temporary practice permit for a currently-licensed registered nurse shall ensure that all documentation in support of the application for licensure is received by the Board no later than 90 days prior to the expiration date of the temporary practice permit. C. 1953, 1918; 54 Del. (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. (g)Learning experiences and methods that promote critical thinking and synthesis of learning shall be utilized in the teaching-learning process. PSNA Supported: Passed 173-29 and Enacted: This resolution directs the Joint State Government Commission to study the issue of professional bedside nurse staffing. 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. Serious physical neglectAny of the following when committed by a perpetrator that endangers a childs life or health, threatens a childs well-being, causes bodily injury or impairs a childs health, development or functioning: (i)A repeated, prolonged or egregious failure to supervise a child in a manner that is appropriate considering the childs developmental age and abilities. 3895. (iv)Statements relating to fees without reasonable disclosure of all relevant variables so that the statements would be misunderstood by or would be deceptive to a layperson. (a)An individual may apply for licensure as a dietitian-nutritionist by submitting a written application on forms provided by the Board and remitting the application fee set forth in 21.705 (relating to fees). (ii)Provision shall be made for adequate storage space to maintain the safety and security of the library materials and holdings. (E)Institutional sexual assault as defined in 18 Pa.C.S. The survey report is presented to the Board and a written report of recommendations or requirements, or both, is sent to the school, college or university. Immediately preceding text appears at serial pages (214458) to (214459). 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. The provisions of this 21.351 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. The provisions of this 21.705 amended August 20, 2010, effective August 21, 2010, 40 Pa.B. 2061; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. (3)Written policies and procedures under which the LPN may administer immunizing agents and do skin testing have been established by a committee representing the nurses, the physicians and the administration of the agency or institution employing or having jurisdiction over the LPN. The evaluative process must include, at a minimum, the following: (1)A self-evaluation process completed by faculty, administrators and students of the CRNP program evidencing input into the CRNP program by faculty, administrators and students. Immediately preceding text appears at serial page (26495). (c)Fifteen copies of the materials listed in subsection (b) shall be submitted at least 3 weeks prior to the Board meetings at which the matters are to be considered. 667.6); and 23 Pa.C.S. 2103. (12)Administration, maintenance and discontinuance of parenteral nutrition and fat emulsion solutions. (b)The candidate may take the licensing examination as many times as necessary to pass the licensure examination. ChildLineAn organizational unit of the Department of Human Services, which operates a 24-hour a day Statewide toll-free telephone system for receiving reports of suspected child abuse, referring reports for investigation and maintaining the reports in the appropriate file. Final approval of the cooperating agency will depend upon a survey of the facilities. 7822. (iii)The LDN has an emotional or mental disability that affects his practice in a manner that could harm the patient. The provisions of this 21.505 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. 1916. (a)The following providers of continuing education and credentialing organizations have currently met the standards for approval for continuing education. (c)The following fees are charged by the Board for services to nursing education programs: (d)The following fee is charged for evaluations of curricula and programs requiring Board approval under 21.145b(b) and 21.156a(2) (relating to IV therapy curriculum requirements; and continued competency) $285. Immediately preceding text appears at serial pages (378846) and (346571). Maintenance includes dressing changes, IV tubing changes, and saline or heparin flushes. 186); and sections 8 and 17.6 of the Practical Nurse Law (63 P.S. The provisions of this 21.701 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. 449.46(c)), a volunteer license holder shall comply with the applicable continuing education requirements imposed by the Board, including at least 2 hours of training in approved child abuse recognition and reporting in accordance with 21.508(b) (relating to child abuse recognition and reportingmandatory training requirement). (4)Activities sponsored by hospitals and health care facilities licensed by the Department of Health or the Department of Public Welfare. 211(k) and 218.1(c)). On the initial occasion when a controlled substance is prescribed, administered or dispensed to a patient, the medical record must also include a specification of the symptoms observed and reported, the diagnosis of the condition for which the controlled substance is being given and the directions given to the patient for the use of the controlled substance. 49 Pa. Code 21.18. This section cited in 49 Pa. Code 21.805 (relating to fees); 49 Pa. Code 21.827 (relating to continuing education course approval); and 49 Pa. Code 21.828 (relating to CNS responsibilities). (f)Counseling and guidance. (3)Employ the nurse administrator of the educational unit at least 12 months prior to the intended admission date of students. The provisions of this 21.374 issued under sections 6.1 and 8.1 of The Professional Nursing Law (63 P.S. (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. The provisions of this 21.18 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. 6196. 704; amended March 25, 1977, effective March 26, 1977, 7 Pa.B. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. No statutes or acts will be found at this website. The provisions of this 21.146 issued under section 506 of The Administrative Code of 1929 (71 P.S. 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 . (8)Contraceptives including foams and devices. 4302 (relating to incest). 2061; amended November 15, 1991, effective November 16, 1991, 21 Pa.B. The standards of practice are defined and delineated by the nursing profession. Clinical experiences must be consistent with the scope of practice. This standard does not prohibit or affect reporting responsibilities under 23 Pa.C.S. (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. 186). The request for approval must include the following: (1)A course outline that includes the components of the IV therapy course required under 21.203(d)(8). (a)Students shall have access to personal records as provided by Federal and State legislation. (12)The instruction and evaluation methods. 212.1(k)). (E)Safely and appropriately select pharmacologic agents for the management of client health problems based on client variations, the problem being managed, and cost effectiveness. 211(k) and 218.1(c)). Both are completely searchable. The provisions of this 121.22 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 6319 (relating to penalties), a Board-regulated practitioner who is required to report a case of suspected child abuse or to make a referral to the appropriate authorities and who willfully fails to do so commits a criminal offense, as follows: (1)An offense not otherwise specified in paragraphs (2), (3) or (4) is a misdemeanor of the second degree. (iii)Onsite clinical preceptors may include: (A)Advanced practice nurses who are currently licensed. 449.45); section 2.1(k) of The Professional Nursing Law (63 P.S. (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. 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. CNSClinical nurse specialistAn individual licensed in this Commonwealth to practice professional nursing who meets the educational and examination or equivalency requirements of the act and who is certified by the Board as a clinical nurse specialist. (a)A CRNP may collaborate only with physicians who hold a current license to practice in this Commonwealth. This chapter cited in 28 Pa. Code 107.12a (relating to specified professional personnelstatement of policy); 28 Pa. Code 109.66 (relating to blood transfusions and intravenous medications); 28 Pa. Code 501.4 (relating to regulations); 28 Pa. Code 551.52 (relating to ASF responsibilities); 28 Pa. Code 601.3 (relating to requirements for home health care agencies); 49 Pa. Code 41.26 (relating to professional corporations); and 49 Pa. Code 47.21 (relating to professional corporations). Appropriate counseling shall be given to the patient regarding the condition diagnosed and the controlled substance prescribed, administered or dispensed. (iv)If the applicant is required to take the licensure examination, submit the licensure examination registration form and fee required to the professional testing organization and retain documentation of the submission of the application to take the examination to provide to the Board upon request. 1916. 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. (2)Administers the act by providing rules and regulations relating to the issuance and renewal of CNS certification. 1916. (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. The Board will conduct an announced or unannounced site compliance visit at its discretion. Due to high call volume, call agents cannot check the status of your application. (d)Policies in effect for faculty members of the educational unit in nursing shall be those in effect for faculty members throughout the controlling institution, except where specified otherwise in this chapter.