pennsylvania nurse practice act delegation

(e)The educational unit in nursing shall have administrative authority and responsibility consonant with the general policies of the controlling institution. 4730. (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. The provisions of this 21.149 issued under sections 3.1 and 17.6 of the Practical Nurse Law (63 P.S. (h)The director or coordinator and nursing faculty of the program shall be afforded the time and opportunity to engage in leadership activities within their profession as are commensurate with their educational responsibilities. (a)The certification, and prescriptive authority approval, if applicable, of a CRNP will expire at the same time as the CRNPs registered nurse license as provided in 21.29 (relating to expiration and renewal of license). 8372 (December 31, 2022). 244(a)(3)). The Board may consider sexual relationships between the nurse and the patient occurring prior to the professional relationship. This information must include the name of the controlled substance, its strength, the quantity and the date it was prescribed, administered or dispensed. (2)Submit an application for prescriptive authority approval to the Board. (iii)The patients condition deteriorates or there is a significant change in condition, the patient is not responding to therapy, the patient becomes unstable or the patient needs immediate assistance. In 2011-2012, the AHNA Practice Committee initiated a project to provide a specific state-by-state analysis of Nurse Practice Acts that referenced or addressed holistic nursing, holism and/or complementary alternative modalities (CAM) or integrative therapies within the practice of registered nurses (RNs). 2063; amended October 18, 1985, effective October 19, 1985, 15 Pa.B. 658). The provisions of this 21.286 adopted November 17, 2000, effective November 18, 2000, 30 Pa.B. 6196; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. 1984); reversed in part 499 A.2d 289 (Pa. 1995); on remand 505 A.2d 359 (Pa. Cmwlth. Advanced practice registered . This section cited in 49 Pa. Code 21.332 (relating to requirement of continuing education); and 49 Pa. Code 21.336 (relating to continuing education course approval). (i)The CRNP has practiced, for at least 1 of the last 3 years, as a CRNP with prescriptive authority in another jurisdiction. (7)An accurate record is made concerning the following: (iii)The amount of medication or fluid injected. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. (iii)Letters of intent from the cooperating agencies indicating positive commitment to the nursing program and the availability of sufficient clinical resources to meet the educational requirements of the program. Immediately preceding text appears at serial page (26504). (12)Administration, maintenance and discontinuance of parenteral nutrition and fat emulsion solutions. 2677. A request shall be presented to the Board in writing. The policies and procedures shall provide for: (i)Identification of the immunizing and skin testing agents which the LPN may administer. According to the PSBN, NPs' areas of expertise include "the execution of advanced nursing . 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]. (a)A registered nurse currently licensed in another jurisdiction of the United States or Canada who has graduated from an approved program of nursing and who is enrolled in an accredited graduate nursing program, a bachelor of science nursing program, or a refresher course in nursing may practice nursing in a clinical setting as required by the educational program of studies without obtaining a Pennsylvania license so long as the student does not receive compensation except in the form of stipends, scholarships and other awards related to the training program. (b)The Board may grant a temporary practice permit to an individual who holds a current practical nurse license issued by another state, territory or possession of the United States or Canada (a currently-licensed practical nurse). Remuneration for employment shall be within the range of the salary scale for the position. 666). (iii)Learn to plan and give nursing care to a group of selected patients. 6305 (relating to electronic reporting) through the Department of Human Services Child Welfare Information Solution self-service portal at www.compass.state.pa.us/cwis. The provisions of this 21.15 amended November 19, 1970, effective November 20, 1970, 1 Pa.B. The provisions of this 21.366 issued under sections 6.1 and 8.1 of The Professional Nursing Law (63 P.S. 6196; amended March 25, 2022, effective March 26, 2022, 52 Pa.B. The provisions of this 121.22 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 5943; amended December 29, 2000, effective November 18, 2000, 30 Pa.B. (G)Analyze the effects of single and multiple drug regimens on the clients health and functioning. The provisions of this 21.363 issued under sections 6.1 and 8.1 of The Professional Nursing Law (63 P.S. (3)Demonstrate current National certification, if the CRNP was certified by the Board after February 7, 2005. The provisions of this 21.231 issued under section 506 of The Administrative Code of 1929 (71 P.S. 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. This section cited in 28 Pa. Code 107.64 (relating to administration of drugs); 49 Pa. Code 21.413 (relating to interpretations regarding the administration of drugsstatement of policy); and 49 Pa. Code 21.803 (relating to applicability of rules relating to professional nurses). (v)Instruct the patient regarding the risk and complication of therapy. To be granted an additional certification, the CNS shall meet the educational and National certification requirements for the additional certification. (ii)Unnecessarily exposing a patients body or watching a patient dress or undress, unless for therapeutic purposes or the patient specifically requests assistance. External cardiac resuscitation and artificial respiration, mouth-to-mouth, are procedures regulated by this section, and these functions may not be performed unless both of the following provisions are met: (1)External cardiac resuscitation and artificial respiration, mouth-to-mouth, shall only be performed by a nurse on an individual when respiration or pulse, or both, cease unexpectedly. (a)If the Board receives information suggesting that a nursing education program has not maintained the standards of this subchapter, the Board will validate the information and notify the program, in writing, of the alleged deficiency. (2)Bureau of Professional and Occupational Affairs, 2601 North Third Street, P.O. 212.1(k) and 216.1); and sections 9 and 17.6 of the Practical Nurse Law (63 P.S. (a)As a condition of approval, providers and credentialing organizations are required to provide CRNPs who complete continuing education courses with a certificate of completion which contains the information listed in 21.337(a) (relating to CRNP responsiblities). (a)A CRNP program must be developed and maintained under the authority of a regionally accredited university or college or have current accreditation by the Credentialing Commission for Nurse Education or the National League of Nursing. The provisions of this 21.89 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. A record system essential to the operation of the program shall be maintained. One hour of CPE credit will be given for each 50-minute clock hour of CPE activity. (4)The faculty names, titles, affiliations, degrees and areas of expertise. 2677; amended March 20, 1981, effective March 21, 1981, 11 Pa.B. (4)Timed agenda and estimated hours of training. (iii)Periodic evaluation of the program by faculty, students and graduates of the program. Immediately preceding text appears at serial pages (335539) to (335540) and (363467). (2)One academic quarter course is equivalent to 10 continuing education hours. (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. 2061. LDNLicensed dietitian-nutritionistA person holding a current license under this subchapter to practice dietetics-nutrition in this Commonwealth. (d)The controlling institution has the legal responsibility to make provision for permanent retention of student and graduate records in conformity of 21.125 (relating to custody of records). 2115; amended September 8, 2000, effective September 9, 2000, 30 Pa.B. The National Council of State Boards of Nursing (NCSBN) is a not-for-profit organization whose purpose is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing. (d)The planned CRNP educational program proposal must include: (1)A statement of the organization and administrative policies of the college or university. (13)Collection of blood specimens from an IV access device. (h)If the standards of this subchapter are met within the designated time, the nursing education program will be removed from provisional approval status. (11)Administer fluids or medications via an epidural, intrathecal, intraosseous or umbilical route, or via a ventricular reservoir. (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. Immediately preceding text appears at serial pages (26492) and (26493). 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. 667.6); and 23 Pa.C.S. 90-158 through 90-171.18: Recodified as 90-171.19 through 90-171.47. (b)Except as provided in subsection (c), licensees seeking renewal of a license or certificate issued by the Board shall complete, as a condition of biennial renewal, at least 2 hours of approved continuing education in child abuse recognition and reporting requirements, as a portion of the total continuing education required for biennial renewal. 2103; amended August 24, 2012, effective August 25, 2012, 42 Pa.B. The licensee will not be required to remit the biennial renewal fee during the period when the license is on inactive status. 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". (c)Providers shall submit other information requested by the Board. (v)Theoretical foundations of nursing practice. (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. Immediately preceding text appears at serial page (366681). (c)Falsification of information required under this section or failure to complete continuing education requirements by those who continue to practice as a CRNP or to prescribe, may result in the institution of formal disciplinary action under section 14(a)(3) of the act (63 P.S. (iii)The care of patients with long-term nursing needs. This section cited in 49 Pa. Code 21.369 (relating to general curriculum requirements). RN's must delegate numerous tasks, and delegation is a core nursing responsibility. The provisions of this 21.101 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (2)An adequate physical facility and appropriate instructional materials to carry out the continuing education course. In order to return to active status, the licensee shall submit proof of completion of a minimum of 30 hours of approved CPE in the biennial period preceding the request for reactivation and pay applicable fees. 1916. The provisions of this 21.149 adopted May 19, 2006, effective May 20, 2006, 36 Pa.B. (a)A CRNP may collaborate only with physicians who hold a current license to practice in this Commonwealth. 1984); reversed in part 499 A.2d 289 (Pa. 1995); on remand 505 A.2d 359 (Pa. Cmwlth. 7822. 2829. (4)The nurse administrator shall hold either a temporary practice permit to practice professional nursing or be currently licensed as a professional nurse in this Commonwealth. The provisions of this 21.373 adopted June 2, 2006, effective June 3, 2006, 36 Pa.B. The provisions of this 21.29a issued under sections 2.1(k) and 12.1(a) of The Professional Nursing Law (63 P.S. (3)Provisional. (1)Initial. (2)A written statement from the out-of State licensing, credentialing or authorizing entity setting forth the licensure, certification or authorization to practice requirements at the time the applicant was first licensed, certified or authorized to practice by that entity. (4)Except as otherwise provided in 28 Pa. Code 123.7(c) (relating to dental anesthetist and nurse anesthetist qualifications), when the operating/anesthesia team consists entirely of nonphysicians, such as a dentist and a certified registered nurse anesthetist, the registered nurse anesthetist shall have available to her by physical presence or electronic communication an anesthesiologist or consulting physician of her choice. Immediately preceding text appears at serial page (9712). Chapter 63 (relating to the Child Protective Services Law), the Older Adults Protective Services Act (35 P.S. 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. 2061; amended November 15, 1991, effective November 16, 1991, 21 Pa.B. 1916. 2667. Nurses, Part II. (4)An individual who has been granted a temporary practice permit for a currently-licensed practical nurse shall ensure that all documentation in support of the application for licensure is received by the Board at least 90 days prior to the expiration date of the temporary practice permit. 186); and section 8 of the Practical Nurse Law (63 P.S. The provisions of this 21.374 issued under sections 6.1 and 8.1 of The Professional Nursing Law (63 P.S. Central venous catheterAn intravenous (IV) catheter, the tip of which terminates beyond the peripheral vasculature and may be either tunneled, implanted or percutaneously inserted. 658). (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.

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