Immediately preceding text appears at serial pages (363484) to (363485). (3)The length of appointment of an interim or acting nurse administrator of a nursing education program may not exceed 1 year. Immediately preceding text appears at serial page (26492). Immediately preceding text appears at serial page (26495). 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. The provisions of this 21.27 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (i)The program shall build its professional education on a general education basis. Chapter 36-9A: Certified Nurse Practitioners & Certified Nurse Midwives. The administration of anesthesia is a proper function of a registered nurse and is a function regulated by this section; this function may not be performed unless: (1)The registered nurse has successfully completed the educational program of a school for nurse anesthetists accredited by the Council on Accreditation of Education Programs of Nurse Anesthesia of the American Association of Nurse Anesthetists. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. (a)The following providers of continuing education and credentialing organizations have currently met the standards for approval for continuing education. Nothing in this subchapter is to be deemed to limit or prohibit a professional nurse from engaging in those activities which constitute the practice of professional nursing as defined in section 2 of the act (63 P.S. 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 . 1984); reversed in part 499 A.2d 289 (Pa. 1995); on remand 505 A.2d 359 (Pa. Cmwlth. (iv)Include student evaluation of the quality of clinical experiences. (8)The name, telephone number and e-mail address of the person making the report. (c)Physical and biological sciences shall include content from the areas of anatomy and physiology, chemistry, microbiology, physics and nutrition, which may be integrated, combined or presented as separate courses; the scientific facts and principles drawn from these areas serve as a basis for planning and implementing nursing care. 2677. 6196; amended March 25, 2022, effective March 26, 2022, 52 Pa.B. (c)Students accepting financial aid should be made aware of the provisions and responsibilities incurred with such assistance. The provisions of this 21.171 reserved July 1, 1983, effective July 2, 1983, 13 Pa.B. 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 21.22 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (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. Continuing Nursing Education. The provisions of this 21.156a adopted June 18, 1993, effective June 19, 1993, 23 Pa.B. (d)A CRNP whose certification has been suspended for 5 years or longer shall meet the requirements in 21.332(b), and any other requirements set forth by Board order. (12)Make respiratory and occupational therapy referrals. 2677. (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). The provisions of this 21.126 adopted December 10, 1982, effective December 11, 1982, 12 Pa.B. The provisions of this 21.605 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. (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. (d)Adequate funds shall be allocated and properly budgeted for sound and effective operation of the program. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. No part of the information on this site may be reproduced forprofit or sold for profit. (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. 222.1(k)); and 23 Pa.C.S. (5)National nursing specialty organizations. The provisions of this 21.271 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. Immediately preceding text appears at serial pages (143338) to (143339). (iii)Utilize evaluation tools that reflect nurse practitioner National competencies in the specialty areas. 212.1(k) and 216.1); and sections 9 and 17.6 of the Practical Nurse Law (63 P.S. If the applicant, due to extenuating circumstances, cannot take the first scheduled examination following completion of the program, the applicant shall appeal to the Board for authority to continue practicing. (6)The request for temporary practice permit extension shall be submitted to the Board at least 60 days prior to the expiration date of the temporary practice permit. 3806. (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. (7)The Board will not grant an extension to an individual who fails to meet the requirements of paragraphs (2)(6). (a)Changes that are a departure from the requirements of the program and which shall be submitted to the Board for approval include the following: (1)Changes in the objectives of the program which require alteration of the present curriculum or courses or which increase or decrease the length of the program. Licensing A.R.S. The provisions of this 121.22 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (2)National and international nursing organizations and their state and local affiliates. (3)Disclose discipline imposed by a state licensing board in the previous biennial period and criminal charges pending or criminal conviction, plea of guilty or nolo contendere, or admission into a probation without verdict or accelerated rehabilitative disposition during the previous biennial period, unless prior notification has been made under 21.156b (relating to reporting of crimes and disciplinary actions). Immediately preceding text appears at serial page (378858). (3)Knowingly permit another individual to use his license or temporary permit for any purpose or knowingly permit the unlicensed person under the registered nurses jurisdiction or supervision to misrepresent that the individual is a licensed nurse. (iii)Letters of intent from the cooperating agencies indicating positive commitment to the nursing education program and the availability of sufficient clinical resources to meet the educational requirements of the program. 6318 (relating to unlawful contact with minor). (b)Upon completion of the entire program, a transcript or photocopy of the final record of the student shall be submitted along with the application for admission to the licensing examination. 667.6); and 23 Pa.C.S. 1916. 279.1(a)(3) and (7) and 279.3a(a)). A controlling institution is a university, college or hospital which conducts programs of education in nursing. The provisions of this 21.33a adopted under sections 2.1(k) and 6.1 of The Professional Nursing Law (63 P.S. (4)Specify the circumstances and how often the collaborating physician will personally see the patient. (3)A description of specific methodologies and tools that evaluate the learners achievement of the objectives. The following documents shall be retained and submitted upon request: (1)For attendance at continuing education programs or courses, the registered nurse shall retain the certificate of attendance provided by the program or course provider. The provisions of this 21.81 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (vii)Using or causing the use of anesthesia or any other drug affecting consciousness for the purpose of engaging in conduct that would constitute a sexual impropriety or sexual violation. The provisions of this 21.62 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (11)Electrolytic, caloric and water balance. Pennsylvania still lacks specific delegation language in its Nurse Practice Act. (ii)A copy of the course syllabus offered by the cooperating agency. A nursing education program on full approval status will be placed on provisional approval status if the program fails to meet the provisions of 21.33b. (b)Submissions must include all of the following: (1)Contact information (mailing address, e-mail address and telephone number) for the agency/course administrator. (6)Evaluation of graduates by their employers. 186); and section 8 of the Practical Nurse Law (63 P.S. A college or university desiring to establish a program of nursing is required to: (1)Submit a proposal to the Board, at least 12 months prior to the first intended admission of students, which includes the following: (i)Sufficient statistical data to support the need for a CRNP program within the community and to assure availability of an adequate number of interested candidates. (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. Medical summaries or reports of the photographs, X-rays and relevant medical tests taken shall be sent to the county children and youth social service agency at the time the written report is sent, or within 48 hours after an electronic report is made under 21.502(c)(2) (relating to suspected child abusemandated reporting requirements), or as soon thereafter as possible. Delegation The Pennsylvania Nurse Practice Act contains no delegation language. During each biennial renewal period, the licensee shall notify the Board of any change in clinic or volunteer status within 30 days of the date of a change, or at the time of renewal, whichever occurs first. 2677. Immediately preceding text appears at serial pages (214458) to (214459). Immediately preceding text appears at serial pages (209966) to (209967). 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. 2677; amended April 29, 1983, effective April 30, 1983, 13 Pa.B. 218.5(c)(2)). This section cited in 49 Pa. Code 21.162a (relating to failure to comply with standards). This section cited in 49 Pa.B. 1984); reversed in part 499 A.2d 289 (Pa. 1995); on remand 505 A.2d 359 (Pa. Cmwlth. Immediately preceding text appears at serial page (335546). (9)Umbilical vessel catheterization in infant intensive care units. 658 and 667.6); and section 2.1(k) of The Professional Nursing Law (63 P.S. (8)The registered nurse monitors the patient until the patient is discharged by a qualified professional authorized to discharge the patient in accordance with established criteria of the facility. (b)A program should include personal, professional and academic counseling, initiated by either faculty or students. Whistleblower protection is extended to an employee who makes a good faith report or is about to report waste stemming from a public body or other employer. The provisions of this 21.201 amended under section 506 of The Administrative Code of 1929 (71 P.S. 2677. 667.6); and 23 Pa.C.S. Remuneration for employment shall be within the range of the salary scale for the position. (2)Pay the required fee as set forth in 21.705 (relating to fees). 216.1 and 218.1). 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. (a)Cooperating agencies within this Commonwealth shall be subject to the following: (1)The agreement between the educational unit in nursing and the cooperating agency shall be developed jointly, recorded in writing, reviewed periodically by both parties, revised as occasion requires and consistently adhered to by those responsible for implementing the provisions. The provisions of this 21.33b adopted April 24, 2009, effective April 25, 2009, 39 Pa.B. If the program is continued until completion, approved and qualified instruction shall be assured. The provisions of this 21.149 adopted May 19, 2006, effective May 20, 2006, 36 Pa.B. 212.1(k)). 1916. 667.6); and the Child Protective Services Law, 23 Pa.C.S. 1804 Words. The provisions of this 21.113 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (b)Notice of application for renewal will be forwarded biennially to each active CRNP at the CRNPs address of record with the Board prior to the expiration date of the current biennial period. (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. (4)Complete a feasibility study which shall include: (ii)Identification of available clinical resources for program implementation based on the projected enrollment and faculty. Policies shall be in existence for the replacement of equipment, furnishings and supplies. Nineteen chapters within the Ohio Administrative Code (OAC) fill out the ORC with additional rules regarding nursing practice. To protect children from abuse, the reporting requirements of 25.50225.504 (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) take precedence over provisions of any client confidentiality, ethical principle or professional standard that might otherwise apply. (c)Interpretations issued under this section do not constitute an exercise of delegated legislative power by the Board and will be expressly subject to modification by the Board in an adjudicative proceeding based upon the particular facts and circumstances relevant to a proceeding. (k)The failure of a program to cooperate with the Board by failing to provide requested information or reports, by refusing or limiting a site visit, or by refusing to adhere to restrictions mandated by the Board will be considered a violation of the standards for nursing education programs and may result in immediate referral of the program to the prosecution division to consider formal action to remove the program from the approved list as provided in 21.166 (relating to removal from approved list). 667.6); and 23 Pa.C.S. (b)Student employment shall be on a voluntary basis and not a requirement of the institution. Immediately preceding text appears at serial pages (209964) to (209965). 212.1(k) and 216.1); and sections 9 and 17.6 of the Practical Nurse Law (63 P.S. (5)Be kept at the primary practice location of the CRNP and a copy filed with the Bureau of Professional and Occupational Affairs. Immediately preceding text appears at serial pages (30278) to (30279). The provisions of this 21.25 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 667.6), unless otherwise noted. (c)Advanced standing shall conform with the following: (1)The Board encourages practical nursing programs to thoughtfully review their respective curriculi to identify where opportunity can be provided for the recognition and validation of previous education and experience of prospective applicants. 212(1)). These written policies and procedures shall be available to the nurse. The provisions of this 21.112 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (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. Immediately preceding text appears at serial page (26492). (9)The actions taken by the person making the report, including actions taken under 23 Pa.C.S. (5)Opinions of graduates regarding the adequacy of their nursing program. 5952; amended December 9, 2005, effective December 10, 2005, 35 Pa.B. The provisions of this 21.341 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. One hour of CPE credit will be given for each 50-minute clock hour of CPE activity. (12)Sample certificate of attendance/participation, which shall include: (iv)Length of training (2 or 3 hours). (2)Adequate facilities with appropriate instructional materials to carry out continuing education programs. With your membership, you can enhance your professional development through free and discounted courses, receive our newsletters to learn about industry trends, and we have so much more to offer. The provisions of this 21.87 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 7822. 211(k) and 218.1(c)). Section 2 of the act of May 22, 1951 (P.L.317, No.69), known as The Professional Nursing Law, is amended by adding a definition to read: Section 2. Upon receipt of the request, the Board will require information to be submitted on an Agency Data form and returned for review and action. The provisions of this 21.271 amended under section 2.1(k) of the Professional Nursing Law (63 P.S. This section cited in 49 Pa. Code 21.5 (relating to fees); and 49 Pa. Code 21.822 (relating to biennial renewal of certification). (a)A licensed practical nurse whose license has lapsed for 5 years or longer or has been placed on inactive status for 5 years or longer, as permitted in section 13.1(b) of the act (63 P.S. (a)The Board may, upon request of a licensed nurse, nursing association, health care facility or licensed health care professional, or upon its own motion, issue interpretations of this chapter as they apply to the question of whether the execution of specific practices are within the scope of professional or practical nursing. (7)Record system in operation which will assist in the evaluation of the educational program. The policy of masters degree programs must be consistent with that of the college or university. The provisions of this 21.28 amended under 2.1(k) of The Professional Nursing Law (63 P.S. The provisions of this 21.152 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. 3078; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. The Board will make available a list of Board-approved English proficiency examinations on its web site. The Board of Nursing (BON) considers RNs to be independent practitioners. 2061. 6409; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. The provisions of this 21.18 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. 2829; amended April 24, 2009, effective April 25, 2009, 39 Pa.B. The provisions of this 21.505 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. (8)Insert or remove any IV access device, except a peripheral short catheter. 2829. 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. (4)A statement of the philosophy, purposes and objectives of the program, which are congruent with the philosophy of the university or college. (b)When a class is not admitted in a given year, the practical nursing program shall close unless approval has been granted by the Board based on the justification for continuation as submitted to the Board. The provisions of this 21.502 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. The Board may place on provisional approval a nursing education program not meeting the standards of this subchapter. (v)Professional reading for which there is no evaluative test submitted and no certificate of completion or CPE unit awarded. (3)Electrocardiogram, blood pressure and oximetry equipment are used for both monitoring and emergency resuscitation purposes pursuant to written guidelines which are provided for minimum patient monitoring. Medical cannabis mixed with food or drinks to assist with ingestion does not violate the ban on edible products. 667.6), unless otherwise noted. 212.1(k)). But I can not find anything. If something is delegated to a paramedic by an RN in the ED, there must be authority to do so in the act or rules, and the same principles of good delegation that one uses for delegating to another RN or LPN would hold true for a paramedic, as well. (g)Learning experiences and methods that promote critical thinking and synthesis of learning shall be utilized in the teaching-learning process. 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). The provisions of this 21.370 adopted June 2, 2006, effective June 3, 2006, 36 Pa.B. (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. ), appeal denied, 664 A.2d 978 (Pa. 1995). The number of candidates for each class shall be determined by the educational and clinical resources which the school can provide. (e)A separate application shall be submitted whenever a change is made to any information submitted under subsection (b), except for information related to a change in date or location, or both, of the program submitted under subsection (b)(3). 5329. 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. The CRNP shall verify completion of the continuing education when submitting a biennial renewal. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. (a)A CNS 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 CNS. An Agency Data form, provided by the Board, shall be submitted for each new field agency used for the first time. 2829. (a)The educational policies of the educational unit in nursing shall be consistent with those of the controlling institution. 667.6); and 23 Pa.C.S. (f)Carry over. Immediately preceding text appears at serial pages (385121) to (385122). To be granted an additional certification, the CNS shall meet the educational and National certification requirements for the additional certification. (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. If faculty are providing onsite preceptorship, the maximum ratio is two students per faculty member. 422.15(b)) (Repealed). The provisons of this 21.30 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. 186); and section 8 of the Practical Nurse Law (63 P.S. (a)The curriculum shall be developed, implemented and evaluated by the faculty and shall implement the philosophy and objectives of the school. The licensee shall retain documentation of completion of Board-approved continuing education (as set forth in subsection (b)) for at least 5 years and shall submit this documentation upon request of the Board. Laws, c. 26, 1 ; 1920. (2)A written order has been issued by a licensed physician pertaining to an individual patient or group of patients. (2)Employ the director of the CRNP program prior to the intended admission date of students. (ii)A predetermined plan for emergency services. (iv)The CRNP met the continuing education requirements of the other jurisdiction within 1 year of the request for reactivation of prescriptive authority.