(vi)Providing or offering to provide drugs or treatment in exchange for sexual favors. (b)An applicant for licensure by endorsement shall meet the requirements as stated in the act. This section cited in 49 Pa. Code 21.273 (relating to application for certification); 49 Pa. Code 21.283 (relating to authority and qualifications for prescribing, dispensing and ordering drugs); 49 Pa. Code 21.285 (relating to prescriptive authority collaborative agreements); 49 Pa. Code 21.331 (relating to biennial renewal of certification); and 49 Pa. Code 21.336 (relating to continuing education course approval); and 49 Pa. Code 21.605 (relating to biennial renewal). (2) Respect and consider, while providing nursing care, the individual's right to freedom from psychological and physical abuse. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. Chapter 97, Subchapter H (relating to registration of sexual offenders), where the victim of the sexual offense was under 18 years of age when the crime was committed; (II)has been determined to be a sexually violent predator under 42 Pa.C.S. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. 658 and 667.6). 667.6); and 23 Pa.C.S. Immediately preceding text appears at serial pages (30263) to (30264). The curriculum must have the following components incorporated into each CRNP program: (1)Graduate nursing core. (c)Members of the faculty shall participate in the activities of the faculty organization in ways consistent with their rank and responsibilities. For the purpose of any civil or criminal proceeding, the good faith of the Board-regulated practitioner shall be presumed. (ii)Fabricating, feigning or intentionally exaggerating or inducing a medical symptom or disease which results in a potentially harmful medical evaluation or treatment to the child through any recent act. Graduate practical nurseAn individual who has graduated from an approved program of practical nursing in this Commonwealth or a comparable program in another state. (d)An applicant shall demonstrate proficiency in English by submitting proof that the applicants nursing education program was conducted in English or that the applicant has, prior to being approved to take the licensure examination, received a passing score on a Board-approved English proficiency examination unless the applicant has already met this requirement in satisfaction of 21.149(b)(2) (relating to temporary practice permits). 2061. 2829. (f)The Board may make announced or unannounced site visits to a nursing education program on provisional approval status. (3)Identify the categories of drugs from which the CRNP may prescribe or dispense in accordance with section 8.3 (a)(2)(ii) of the act (63 P.S. Sign up to receive PSNAs Legislative Action Alerts. There are 15 states where the state codes or regulations have language specifically referring to SANE practice. Immediately preceding text appears at serial page (352041). (d)As used in this subsection, conscious sedation is defined as a minimally depressed level of consciousness in which the patient retains the ability to independently and continuously maintain an airway and respond appropriately to physical stimulation and verbal commands. The Board may informally resolve any deficiency. Medicare and Medicaid reimbursement policies often pay less than MDs get for the same service (85 percent for Medicare and 75 to 100 percent for Medicaid, depending on the state). The Medical Cannabis Act, provides for the medical use of cannabis (marijuana) in Pennsylvania for the treatment of certain medical conditions. (a)The following application fees are charged by the Board for services provided to licensees and applicants: Licensure by examinationBoard-approved nursing education program graduates $95, Licensure by endorsement with examination $145, Extension of temporary practice permit $85, Fee for review and challenge of RN exam $435, Licensure by examinationGraduates of out-of-State nursing education programs $115, Reactivation of inactive or lapsed license (5 years or longer) $130, Restoration after suspension or revocation $60, Verification of licensure with history $50. (I)Fulfill legal requirements for writing prescriptions as a CRNP in this Commonwealth in accordance with 21.28321.287 (relating to CRNP). (a)An applicant for certification shall submit an application form provided by the Board to the Board for its review and approval. (iii)A physician available to a CRNP on a regularly scheduled basis for referrals, review of the standards of medical practice incorporating consultation and chart review, drug and other medical protocols within the practice setting, periodic updating in medical diagnosis and therapeutics and cosigning records when necessary to document accountability by both parties. The provisions of this 21.81 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 2667. (ii)The child abuse constitutes a felony of the first degree or higher. 212.1(k) and 222(a)). The provisions of this 21.141 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. (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. Sexual improprietyThe term includes the following offenses: (i)Making sexually demeaning or sexually suggestive comments about or to a patient, including comments about a patients body or undergarments. (7)An accurate record is made concerning the following: (iii)The amount of medication or fluid injected. (3)Nothing in this subsection shall require the mandated reporter to identify the person responsible for the child abuse to make a report of suspected child abuse. 4755; amended July 26, 2019, effective July 27, 2019, 49 Pa.B. 667.6). 2829; amended July 11, 2008, effective July 12, 2008, 38 Pa.B. The provisions of this 21.233 issued under section 506 of The Administrative Code of 1929 (71 P.S. Opportunities shall be provided for the student to participate in case findings, health teaching and health counseling for patients and their families. Immediately preceding text appears at serial page (319577). Immediately preceding text appears at serial page (9718). (3)An instructor whose area of expertise is in the subject matter being taught. One hour of CPE credit will be given for each 50-minute clock hour of CPE activity. If the program is continued until completion, approved and qualified instruction shall be assured. The provisions of this 21.158 issued under section 506 of The Administrative Code of 1929 (71 P.S. (11)Make physical therapy and dietitian referrals. (x)Engaging a child in a severe form of trafficking in persons or sex trafficking, as those terms are defined under section 103 of the Trafficking Victims Protection Act of 2000 (Division A of Pub.L. 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. 441, and its associated rules and regulations in Wis . Distance learning continuing educationContinuing education in which the individual participates in the educational activity by means of electronic media or through refereed journals, rather than in a classroom, laboratory or clinical setting where the faculty and participant are physically located in the same room. 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) as a condition of certification. Person responsible for the childs welfareA person who provides permanent or temporary care, supervision, mental health diagnosis or treatment, training or control of a child in lieu of parental care, supervision and control. 222.1 (k)); section 17.6 of the Practical Nurse Law (63 P.S. 3806. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. (vi)Human diversity and social issues. This section cited in 49 Pa. Code 21.803 (relating to applicability of rules relating to professional nurses). To be granted certification in an additional specialty, the CRNP shall meet the educational and National certification requirements for the specialty in which the CRNP is applying for certification. 658). The provisions of this Subchapter H adopted July 16, 2010, effective July 17, 2010, 40 Pa.B. 2020 Pennsylvania State Nurses Association, all rights reserved. (2)Faculty records. (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. 224). The provisions of this 21.822 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. (7)Method of certifying and assuring attendance, and draft of certificate of attendance to be provided to course participants, as applicable. (5)Teaching patients and families the administration of intravenous medications in the home. 6994. (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. (v)Encouraging a patient to masturbate in the presence of the nurse or masturbating while the patient is present. (2)A committee of licensed physicians and nurses within the employing agency has established written criteria prescribing when the therapy shall be administered by a registered nurse either in the presence or absence of the attending physician. (9)Accurately present professional qualifications and credentials. The provisions of this 21.21 issued under section 506 of The Administrative Code of 1929 (71 P.S. (iv)For purposes of licensure renewal, the training must have been completed during the relevant biennial renewal period. (4)Develop and implement treatment plans, including issuing orders to implement treatment plans. Immediately preceding text appears at serial page (26504). (3)Activities sponsored by accredited hospitals and health care facilities. (3)The registered nurse who administers parenteral fluids, drugs or blood has had instruction and supervised practice in administering parenteral fluids, blood or medications into the vein. 6994. (b)To obtain licensure, an applicant must meet the qualifications set forth in section 6(b)(1)(4) of the act (63 P.S. 12-1205.6). (2)Observation and reporting of subjective and objective signs of adverse reactions to any IV administration and initiation of appropriate interventions. The Board may place on provisional approval a nursing education program not meeting the standards of this subchapter. (b)The function of this committee is to act in an advisory capacity to the faculty and as a liaison group between the faculty, the agency and the community. (C)Actual or simulated sexual activity or nudity for the purpose of sexual stimulation or gratification of any individual. Immediately preceding text appears at serial page (238278). (4)A statement of the philosophy, purposes and objectives of the program, which are congruent with the philosophy of the university or college. The provisions of this 21.271 amended under section 2.1(k) of the Professional Nursing Law (63 P.S. (4)Performance of graduates on the State Board Test Pool Examination. The provisions of this 21.364 issued under sections 6.1 and 8.1 of The Professional Nursing Law (63 P.S. Immediately preceding text appears at serial pages (385168) to (385169). The provisions of this 21.162 amended under section 506 of The Administrative Code of 1929 (71 P.S. 6196. Immediately preceding text appears at serial pages (30249) to (30250). 1439; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. 222.1(k)); and 23 Pa.C.S. Immediately preceding text appears at serial page (26493). Open Document. (j)Course outlines shall include specific behavioral objectives anticipated and shall contribute to the objectives of the total curriculum. Expertise may be demonstrated by the instructors certification in the specialty area to be presented. The Pennsylvania State Board of Nursing establishes the NPs' permitted fields of work (PSBN). (f)Carry over. 212.2(i)). 667.5(a) and (b)) and section 810(a)(3) and (7) of The Administrative Code of 1929 (71 P.S. (a)There shall be a nursing faculty organization appropriate to the size of the group. 212.1(k) and 216.1); and sections 9 and 17.6 of the Practical Nurse Law (63 P.S. 186); and section 8 of the Practical Nurse Law (63 P.S. However, only a CRNP with current prescriptive authority approval may develop and implement treatment plans for pharmaceutical treatments. State Board of Nurse Examiners v. Rafferty, 471 A.2d 1339 (Pa. Cmwlth. (a)Initial certification. 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. (vii)Using or causing the use of anesthesia or any other drug affecting consciousness for the purpose of engaging in any conduct that would constitute a sexual impropriety or sexual violation. 4302 (relating to incest). This section cited in 49 Pa. Code 21.29 (relating to expiration and renewal of license). (2)Discriminate, while providing nursing services, on the basis of age, marital status, sex, sexual preference, race, religion, diagnosis, socioeconomic status or disability. The Board may grant a temporary practice permit to a graduate practical nurse as follows: (1)An individual who wishes to practice as a graduate practical nurse during the period from the date of completion of the Board-approved educational program to the notification of the results of the licensing examination shall submit an application for temporary practice permit for a graduate practical nurse on a form provided by the Board and remit the fee specified in 21.147 (relating to fees). 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. ), appeal denied, 664 A.2d 978 (Pa. 1995). 212.1(k) and 216.1); and sections 9 and 17.6 of the Practical Nurse Law (63 P.S. Where nurse had disconnected patient from respirator to perform unauthorized evaluation of spontaneous respiration, failed to perform external cardiac resuscitation, etc., subsection (a)(2) and (4) was not unconstitutionally vague with respect to nurses conduct since nurses actions were unauthorized, contra-indicated and a serious deviation from acceptable nursing practice. Rafferty v. State Board of Nurse Examiners, 471 A.2d 1339 (Pa. Cmwlth. Whenever a Board-regulated practitioner is required to make a report under subsection (a) in the capacity as a member of the staff of a medical or other public or private institution, school, facility or agency, that Board-regulated practitioner shall report immediately in accordance with subsection (c) and shall immediately thereafter notify the person in charge of the institution, school, facility or agency or the designated agent of the person in charge. The provisions of this 21.153 amended under section 506 of The Administrative Code of 1929 (71 P.S. (1)Undertake a specific practice only if the registered nurse has the necessary knowledge, preparation, experience and competency to properly execute the practice. (G)An individual 18 years of age or older who engages a child in severe forms of trafficking in persons or sex trafficking, as those terms are defined under section 103 of the Trafficking Victims Protection Act of 2000 (Division A of Pub.L. 1027; amended April 29, 1983, effective April 30, 1983, 13 Pa.B. (b)Policies, including personnel policies in effect for nursing faculty, must be those in effect for faculty members throughout the controlling institution except where specified otherwise in this chapter. 2667. However, distinction is established by virtue of what has been transferred to another individual. 2061; reserved December 16, 2016, effective December 17, 2016, 46 Pa.B. 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. PA S 397 : Osteopathic Medical Practice Act Amendments - Amends the Osteopathic Medical Practice Act, relates to the State Subject: Other Physician Assistant Bills PA S 25 : Professional Nursing Law Amendments - Amends the Professional Nursing Law, provides for title, for definitions, The provisions of this 21.156 amended under section 17.6 of the Practical Nurse Law (63 P.S. 667.6); section 2.1(k) of The Professional Nursing Law (63 P.S. The provisions of this 21.146a issued under section 17.6 of the Practical Nurse Law (63 P.S. (ii)Any of the following offenses committed against a child: (A)Rape as defined in 18 Pa.C.S. The provisions of this 21.373 issued under sections 6.1 and 8.1 of The Professional Nursing Law (63 P.S. The provisions of this 21.283 issued under section 15(b) of the Medical Practice Act of 1985 (63 P.S. (2)An individual applying for a temporary practice permit for a currently-licensed practical nurse shall demonstrate proficiency in English by submitting proof that the individuals nursing education program was conducted in English or that the individual has received a passing score on a Board-approved English proficiency examination. 212.1(k) and 216.1); and sections 9 and 17.6 of the Practical Nurse Law (63 P.S. (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. 186); and section 8 of the Practical Nurse Law (63 P.S. 6994. 216.1 and 218.1). The label shall also bear the name and address of the CRNP, the date dispensed, the name of the patient and the directions for use of the drug by the patient. (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. 4730; amended May 19, 2006, effective May 20, 2006, 36 Pa.B. A written or electronic report of suspected child abuse, shall include the following information, if known: (1)The names and addresses of the child, the childs parents and any other person responsible for the childs welfare. (2)Analyzes the health status of the individuals and families and compares the data with the norm when possible in determining nursing care needs. 2677. (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. (iii)When a patient is receiving hemodialysis. The registered nurse may not leave the patient unattended or engage in tasks which would compromise continuous monitoring. (3)A program served with notice of intent to remove will be given 45 days in which to file a written answer to the notice. (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. The execution of the procedures shall include the identification and discrimination of expected and unexpected human responses and the effective management of nursing actions. The provisions of this 21.145 amended under section 506 of The Administrative Code of 1929 (71 P.S. section 22.1 of the Podiatry Practice Act (63 P.S. 2061. Immediately preceding text appears at serial page (319604). A current copy of the policies and procedures shall be provided to the LPN at least once every 12 months. (4)National pharmaceutical organizations and their state and local affiliates. (2)A statement of the administrative structure and functions of the nursing school. The provisions of this 21.86 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. The provisions of this 21.222 issued under section 506 of The Administrative Code of 1929 (71 P.S. (4)School bulletins, including the following: (i)Comprehensive and current information. (e)Applicants shall remit the fee set forth in 21.253. This section cited in 49 Pa. Code 21.33a (relating to failure to comply with standards). 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. Immediately preceding text appears at serial page (78865). 216.1 and 218.1). (9)Engage in conduct defined as a sexual violation or sexual impropriety in the course of a professional relationship. (2)Submit 18 copies of the feasibility study to the Board for approval. Sexual violationThe term includes the following offenses: (i)Sexual intercourse between a registered nurse and a patient during the professional relationship. (c)A notarized list of nurses employed in the program shall be submitted by January 15 of each year. (g)Total hours of theory and clinical experience should be planned on a 35-hour week basis. The provisions of this 21.20 added under section 2.1(k) of The Professional Nursing Law (63 P.S. (c)In addition to the documentation in subsections (a) and (b), an applicant for certification by endorsement shall include documentation satisfactory to the Board that the applicant meets the educational qualifications in 21.812(a) (relating to qualifications for certification by endorsement; additional certification) and the following: (1)Verification of unrestricted licensure, certification or authority to practice as a professional nurse and CNS issued by the proper licensing authority of another state, territory or possession of the United States or a foreign country. This section cited in 49 Pa. Code 21.147 (relating to fees). Article 2. Faculty records shall conform with the following: (i)Display Portion of current nursing license. According to the PSBN, NPs' areas of expertise include "the execution of advanced nursing . (c)Graduates of professional nursing education programs outside of this Commonwealth shall file an official transcript validating program completion with the application. (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. (d)The planned CRNP educational program proposal must include: (1)A statement of the organization and administrative policies of the college or university. 7822. (a)The curriculum shall be developed, implemented and evaluated by the faculty and be based on the philosophy and objectives of the school. 212.1(k) and 222); amended under sections 2.1(k) and 12.1(a) of The Professional Nursing Law (63 P.S. It establishes a registry to ensure adequate availability of different medical cannabis strains and concentrations. (F)Causing a child to be present at a location while a violation of 18 Pa.C.S. (iv)The CRNP met the continuing education requirements of the other jurisdiction within 1 year of the request for reactivation of prescriptive authority. 658); reserved under section 17.6 of the Practical Nurse Law (63 P.S. The Board may perform audits on registered nurses to determine compliance with the continuing education requirements. (iii)Statements intended to, or likely to, create false or unjustified expectations of favorable results. (3)An LPN shall follow the written, established policies and procedures of the facility that are consistent with the act. (2)Respect and consider, while providing nursing care, the individuals right to freedom from psychological and physical abuse. PICCPeripherally inserted central catheterAn IV catheter, the tip of which terminates in the superior vena cava and is confirmed by chest x-ray. Effective in 60 days. 1916. (3)To insure the graduates of practical nursing programs of eligibility for admission to examination for licensure. (3)Changing a subclavian catheter over guidewire after it had been placed by a physician. The provisions of this 21.183 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. (2)Submit an application for prescriptive authority approval to the Board. The provisions of this 21.332a adopted December 3, 2004, effective December 4, 2004, 34 Pa.B. (a)Policies and procedures related to the selection and admission of students are the responsibility of the individual program. Immediately preceding text appears at serial page (9707). (7)A statement identifying the National educational standards and guidelines used in the development of the nursing practitioner program. 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. Register your contact information to seamlessly take action on future legislative priorities. 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. The provisions of this 21.376 adopted June 2, 2006, effective June 3, 2006, 36 Pa.B. (3)Patient counseling. 6383(c) (relating to education and training). IC 25-23 Indiana Nurse Practice Act. 7822. (c)Students admitted to CRNP programs shall have successfully completed the equivalent of a baccalaureate degree in nursing from an accredited institution of higher learning in a nursing program. 5329. Additional emergency resuscitation equipment is immediately available. Appropriate discussions of sexual matters between a nurse and a patient shall be fully documented in patient records.
