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(7)Knowingly abandon a patient in need of nursing care. Pharmacology content shall also be integrated into the other content areas identified in the advanced practice nursing core. 2677; amended June 17, 1977, effective June 18, 1977, 7 Pa.B. 2115; amended September 8, 2000, effective September 9, 2000, 30 Pa.B. 6312 (relating to sexual abuse of children). The provisions of this 21.31 amended under sections 2.1(k) and 6.1 of The Professional Nursing Law (63 P.S. 2402; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. A second or subsequent violation will subject the registered nurse to discipline under section 14(a)(3) of the act (63 P.S. 218.6(a)). 212.1(k) and 222(a)). Nurses most frequently delegate tasks to LPN's (Licensed . 3796; amended October 16, 2015, effective October 17, 2015, 45 Pa.B. 211(k) and 218.1(c)). The provisions of this 21.28 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. Register your contact information to seamlessly take action on future legislative priorities. Therefore, the American Nurses Association developed the five rights of delegation to assist nurses in making safe decisions. (d)The Board recognizes codes of behavior as developed by appropriate practical nursing associations as the criteria for assuring safe and effective practice. (a)A practical nurse who has graduated from an approved practical nursing program in the United States or Canada and who obtained licensure in another jurisdiction of the United States or Canada 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. The Board will not issue a license or certificate unless the Bureau has received an electronic report from an approved course provider documenting the attendance/participation by the applicant or the applicant has obtained an exemption under subsection (c). (2)Successfully completing a Board-approved reactivation program, which requires passage of a nursing achievement examination. (c)When communicating with the Board, licensed practical nurses shall identify themselves by their full name, current address and license number. Training staff. 1804 Words. The provisions of this 21.362 issued under sections 6.1 and 8.1 of The Professional Nursing Law (63 P.S. Safe, competent nursing practice is grounded in the law as written in the state nurse practice act (NPA) and the state rules/regulations. The provisions of this 21.146a issued under section 17.6 of the Practical Nurse Law (63 P.S. (13)Perform repair of a central venous route access device or PICC. Upon application for reactivation of certification, the CNS shall provide the documentation in 21.828(b) (relating to CNS responsibilities) to demonstrate that the CNS has met the continuing education requirements for the biennial period immediately preceding the request for reactivation. 658 and 667.6). This section cited in 49 Pa. Code 21.412 (relating to interpretations regarding venipuncture, intravenous fluids, resuscitation and respirationstatement of policy); 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). (ii)Effectiveness with which the planned program of the cooperating agency can be utilized as a part of the total educational program of the school. 2061; amended June 18, 1993, effective June 19, 1993, 23 Pa.B. 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. (16)Eye, ear, nose and throat preparations. This section cited in 49 Pa. Code 21.5 (relating to fees); and 49 Pa. Code 21.29 (relating to expiration and renewal of license). 2677; amended February 25, 1977, effective February 26, 1977, 7 Pa.B. The provisions of this 21.145a adopted August 24, 2012, effective August 25, 2012, 42 Pa.B. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. 1916. (5)Employ the teaching faculty at least 1 semester before the initiation of their teaching responsibilities. Immediately preceding text appears at serial pages (363482) to (363484). Serious mental injuryA psychological condition, as diagnosed by a physician or licensed psychologist, including the refusal of appropriate treatment, that does one or more of the following: (i)Renders a child chronically and severely anxious, agitated, depressed, socially withdrawn, psychotic or in reasonable fear that the childs life or safety is threatened. Continuing Nursing Education. Advanced placement proposals developed may then be submitted for review and approval by the Board. 212.1(k)). 6196. Immediately preceding text appears at serial page (396910). 2827. (3)Act to safeguard the patient from the incompetent, abusive or illegal practice of any individual. The provisions of this 21.1 amended under sections 2.1(k) and 6.1 of The Professional Nursing Law (63 P.S. The provisions of this 21.223 adopted July 1, 1983, effective July 2, 1983, 13 Pa.B. The provisions of this 21.15 amended November 19, 1970, effective November 20, 1970, 1 Pa.B. The provisions of this 21.4 adopted January 30, 1976, effective January 31, 1976, 6 Pa.B. 3078; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. 186); and section 8 of the Practical Nurse Law (63 P.S. (b)A student who meets the description in subsection (a) and who also desires to practice as a registered nurse while participating in the training program shall submit an application for licensure by endorsement and obtain a temporary practice permit as provided by 21.28 (relating to licensure by endorsement). 9799.55(b) (relating to registration). (6)Endotracheal intubation in infant intensive care unit. Immediately preceding text appears at serial page (9707). An advanced practice registered nurse, registered nurse, or licensed practical nurse is responsible for the delegation and supervision of nursing tasks to unlicensed assistive personnel. (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). (7)The Boards written decision will be a final decision of a governmental agency subject to review under 2 Pa.C.S. 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. (f)A continuing education provider shall award a certificate of attendance to professional nurses who complete the continuing education activity. Immediately preceding text appears at serial pages (30263) to (30264). (iii)Clearly defined policies relating to admission, promotion, retention, transfer, advanced placement and dismissal. (ii)Statements likely to mislead or deceive because in context the statements make only a partial disclosure of the relevant facts. return to top. (3)Notwithstanding any civil penalty assessed under paragraph (1), failure to provide the Board with documentation demonstrating the completion of 30 hours of approved continuing education within 6 months after receiving notice of a deficiency will subject the registered nurse to discipline under section 14(a)(3) of the act. (10)Pulling back on Swan-Ganz catheter when it is wedged. (ii)Request certification of the applicants nursing education program from the licensing board or appropriate educational authorities. The provisions of this 21.83 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. This section cited in 49 Pa. Code 21.369 (relating to general curriculum requirements). The provisions of this 21.29b issued under section 2.1(k) of The Professional Nursing Law (63 P.S. 665) upon a nurse found to have engaged in conduct constituting a sexual impropriety or sexual violation. 2061. 4730; amended December 19, 2003, effective December 20, 2003, 33 Pa.B. (a)The faculty shall be employed by and responsible to the controlling institution. (b)Approval of the cooperating agency shall be secured prior to the placement of students within the agency. The administration of emergency medical treatment or transitory trauma care will not be deemed to establish a professional relationship. 667.6); and 23 Pa.C.S. The provisions of this 21.28 amended under 2.1(k) of The Professional Nursing Law (63 P.S. 2829; amended April 24, 2009, effective April 25, 2009, 39 Pa.B. (3)Activities sponsored by accredited hospitals and health care facilities. Immediately preceding text appears at serial page (9718). (c)As a condition of biennial renewal, a CRNP shall: (1)Renew the CRNPs registered nurse license. 212.1(k) and 222(a)). (7)Course related materials, including as applicable: (ii)Narrated script or talking points. (2)Administers the act by providing rules and regulations relating to the issuance and renewal of CNS certification. 2817. Consideration shall be given to scholastic aptitude, academic achievement, personal qualities and physical and emotional health necessary to fulfill the objectives of the program. When using this tool, the links will direct you to the state board of nursing website where you can locate the NPA via the state statute or code. (ix)Causing the death of the child through any act or failure to act. (6)The registered nurse shall have employed the prescribed techniques in administering the therapy in accordance with the established criteria. Immediately preceding text appears at serial page (335546). 1916. (d)The Board may impose disciplinary sanctions and assess civil penalties for cause. The provisions of this 21.162 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. 106386). 2005. (d)Courses in areas impacting the practice of professional nursing, such as nursing administration, management, education, and diagnostic and procedural coding are acceptable. (10)Administer IV medications for the purpose of procedural sedation or anesthesia. Patient (includes residents and clients)A person, other than a spouse or immediate family member, who receives professional services from a registered nurse, regardless of whether the nurse receives remuneration for the services. (ii)Clearly defined refund policies governing fees and tuition paid by the students. (a)A CRNP program must require, at a minimum, a baccalaureate degree in nursing for admission and must culminate with a masters degree in nursing or postmasters certificate. (c)Educational programs that prepare nurses to practice as CNSs created after March 20, 2008, shall submit evidence that the program meets the criteria in section 6.2(c)(1) of the act to the Board for inclusion on the list of approved programs. (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. Policies shall be in existence for the replacement of equipment, furnishings and supplies. The compliance review must include information regarding accreditation, administration, clinical sites, faculty, curriculum, testing, educational resources and student body of the program. A nurse licensed under this subchapter to practice in this Commonwealth. (F)Provide comprehensive and appropriate client education in relation to prescribed pharmacologic agents. 7822. (iv)For purposes of licensure renewal, the training must have been completed during the relevant biennial renewal period. (b)Additional certification. (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. 659 and 667.6). Acceptable documentation of hours obtained through 21.334(c) or (e) (relating to sources of continuing education) must be the Board approval letter sent to the applicant. (vi)Statement affirming the participant attended the entire course. License requirements; use of abbreviations. Act 68 of 2021. (D)Forcefully slapping or otherwise striking a child under 1 year of age. In viewing the clinical resources, the study shall speak to other nursing programs that share the teaching facilities identified in the study. A program may petition the Board for extension of the maximum period and the Board may, by majority vote, extend the period for good cause demonstrated by the program. 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. 212(1)). Sexual improprietyThe term includes the following offenses: (i)Sexual intercourse between an LPN and a patient during the professional relationship. No. The provisions of this 21.155 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. (iii)Monitor the patients circulatory system and infusion site. The provisions of this 21.293 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. (3)Faculty members without a degree in nursing, but who hold at least one graduate degree in a subject area pertinent to their area of teaching, shall be designated as allied faculty members. Immediately preceding text appears at serial page (396909). (d)Evidence of specific instances with individuals other than the licensee, opinion evidence or reputation evidence of a patients past sexual conduct is not admissible in proceedings brought under 21.711 (relating to professional conduct). (c)An applicant for certification by endorsement shall include documentation satisfactory to the Board of the following: (1)Verification of current, unrestricted licensure or certification as a nurse practitioner issued by the proper licensing authority of another state, territory or possession of the United States or a foreign country. (ii)Remit the fee specified in 21.5. 1986). (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. (iii)Causing or substantially contributing to serious mental injury to a child through any act or failure to act or a series of such acts or failures to act. (7)Advisory committee membership and functions if one is appointed. 2061. (b)An applicant for initial certification shall include documentation satisfactory to the Board that the applicant meets the qualifications in 21.811 (relating to qualifications for initial certification). 4730. Signed into law July 2, 2014: This bill amends the Whistleblower Law to addthe following to the definition of employer: public body or individual; partnership; association; for-profit or non-profit corporation. 186); and section 8 of the Practical Nurse Law (63 P.S. (5)Nursing experience involving direct patient care or teaching experience within 2 years of employment. (iv)Records of National certification, if applicable. The provisions of this 21.21 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. A study of delegation to home care workers conducted by AARP in 2016 found that 16 states allowed delegation of all 16 tasks inventoried, including . 3121 (relating to rape). 6311 (relating to persons required to report suspected child abuse), all Board-regulated practitioners are considered mandated reporters. The provisions of this 21.723a issued under sections 2.1(k) and 12.1(a) of The Professional Nursing Law (63 P.S. (ii)Only the following may be considered a perpetrator for failing to act, as provided in this section: (D)A person responsible for the childs welfare who is 18 years of age or older. The provisions of this 21.332 adopted December 3, 2004, effective December 4, 2004, 34 Pa.B. The provisions of this 21.173 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. 610, unless otherwise noted. (D)Actual or simulated sexual activity for the purpose of producing visual depiction, including photographing, videotaping, computer depicting or filming. 6383(b)(2). SB 416. (3)A baccalaureate degree, preferably in nursing, with experience in the areas of nursing, nursing education and educational administration. (C)A paramour or former paramour of the childs parent. Comments may be sent to Michele Phinney, Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to mdh.regs@maryland.gov, or fax to 410-767-6483. (ii)The course work shall be at an advanced level above a pharmacology course required by a professional nursing (RN) education program. (See 16 CFR Part 1700 (relating to poison prevention packaging)). (a)Students shall have access to personal records as provided by Federal and State legislation. Rafferty v. State Board of Nurse Examiners, 471 A.2d 1339 (Pa. Cmwlth. (b)To obtain licensure, an applicant must meet the qualifications set forth in section 6(b)(1)(4) of the act (63 P.S. If supervision is provided by electronic communication, the LPN shall have access to assistance readily available. (c)The following nursing practices fall within the scope of LPN practice under 21.145(a) and (b): (2)Changing outer tracheostomy tube after stoma is healed. The provisions of this 21.30 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. (4)Develop and implement treatment plans, including issuing orders to implement treatment plans. (c)A registered nurse shall notify the Board of disciplinary action in the nature of a final order taken against the registered nurse by the licensing authority of another state, territory or country within 90 days of receiving notice of the disciplinary action, or on the biennial renewal application under 21.29(c)(4), whichever is sooner. (a)An annual report of the practical nursing program shall be sent to the Board using the form supplied by the Board. Delegation Overview. Immediately preceding text appears at serial pages (385247) to (385248). (a)In lieu of meeting the RN continuing education requirements of section 12.1(b) of the act (63 P.S. 186); and section 1 of The Professional Nursing Law (63 P.S. (2)The notice of intent to remove a program from the approved list will set forth the alleged violations of the standards for nursing education programs. (3)National certification. 5315; amended June 21, 1991, effective June 22, 1991, 21 Pa.B. Immediately preceding text appears at serial page (366681). (4)Provide information which will enable patients to make their own informed decisions regarding nutrition and dietetic therapy, including: (i)The purpose and nature of any evaluation, treatment, educational or training procedure. Immediately preceding text appears at serial page (335544). This standard does not prohibit or affect reporting responsibilities under 23 Pa.C.S. 212.1(k)). 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. An applicant for initial certification by endorsement shall have completed at least 3 hours of approved training in child abuse recognition and reporting in accordance with 21.508(a) as a condition of certification. 221(a)(3)) and 21.831(3) (relating to penalties for violations). The provisions of this 21.123 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. If a CRNP specifically indicates that the name of the drug may not appear on the label, the recognized National drug code number shall be placed on the label if the number is available for the product. (b)The curriculum shall reflect the philosophy and purposes of the educational unit in nursing and shall implement the objectives of the program. (4)Specify the circumstances and how often the collaborating physician will personally see the patient. (f)CRNP courses and curriculum must be organized to continue the development of values, understandings, knowledge and skills needed in all aspects of practice as a CRNP and emphasize specialty areas. Records shall be maintained in locked files which assure their safe keeping. Immediately preceding text appears at serial pages (30249) to (30250). (c)Students accepting financial aid should be made aware of the provisions and responsibilities incurred with such assistance. 2061; reserved December 16, 2016, effective December 17, 2016, 46 Pa.B. (13)Other information requested by the Board. (e)An applicant who graduated from a practical nursing education program outside of the United States or Canada shall have the applicants education evaluated by a Board-approved foreign credentials evaluator to determine whether the education obtained is equivalent to the program of study required in this Commonwealth at the time the program was completed. Common violations include: 1. This directed scope of practice includes, but is not limited to: contributing to the assessment of the health status of individuals and groups" (see Okla . (g)A period of 2 years will be the maximum time period allowed for the correction of deficiencies that returns the program to compliance with the regulations. (vi)A list of affiliating schools utilizing the cooperating agency. (h)If the standards of this subchapter are met within the designated time, the nursing education program will be removed from provisional approval status. (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. (2)National and international nursing organizations and their state and local affiliates. (b)The health program shall include at least the following: (1)Preentrance and periodic health examinations. The provisions of this 21.367 issued under sections 6.1 and 8.1 of The Professional Nursing Law (63 P.S. Strong leadership including that of the registered nurse. (vi)Discussing information about ones sexual problems, preferences or fantasies. policies shall be in existence for the replacement of equipment, furnishings, and supplies. 212.2(i)). Immediately preceding text appears at serial pages (363485) to (363486). 218.5(e)) on the application for certification. (d)Student employment. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. 1984); reversed in part 499 A.2d 289 (Pa. 1995); on remand 505 A.2d 359 (Pa. Cmwlth. (2)The nurse administrator of an associate degree or diploma program shall hold at least one graduate degree in nursing. (iii)The mandated reporter has direct knowledge of the nature of the abuse. 2061; amended April 24, 2009, effective April 25, 2009, 39 Pa.B. Pennsylvania is one of 28 states that has not expanded the scope of practice in its licensure laws for certified registered nurse practitioners (NPs), who must maintain formal collaborative agreements with physicians to practice. 6658; amended June 2, 2006, effective June 3, 2006, 36 Pa.B. (b)A CRNP shall carry out the following minimum standards when prescribing, administering or dispensing controlled substances: (1)Initial evaluation. (a)Education. (iv)Causing sexual abuse or exploitation of a child through any act or failure to act. The provisions of this 21.5 adopted December 25, 1987, effective December 26, 1987, 17 Pa.B. (c)A cooperating agency providing faculty and instruction for clinical nursing courses shall be responsible for submitting 15 copies of proposed curriculum changes to the Board prior to the announcement of change to the affiliating school. Information included at this site has been derived directly from the Pennsylvania Code, the Commonwealth's official publication of rules and regulations and from the Pennsylvania Bulletin, the Commonwealth's official gazette for information and rulemaking . An applicant for certification by the Board who holds an unrestricted license, certificate or authorization to practice as a CNS from another state, territory or possession of the United States or a foreign country, who met initial certification requirements equivalent to the Boards certification requirements and a current RN license in this Commonwealth may be granted certification by endorsement. (b)An applicant for a volunteer license 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) as a condition of issuance of a volunteer license. (b)The LPN administers medication and carries out the therapeutic treatment ordered for the patient in accordance with the following: (1)The LPN may accept a written order for medication and therapeutic treatment from a practitioner authorized by law and by facility policy to issue orders for medical and therapeutic measures. This section cited in 49 Pa. Code 21.146a (relating to procedural matters). The provisions of this 21.13 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. Immediately preceding text appears at serial page (26492). (4)Removal of sutures of a simple and uncomplicated nature. The provisions of this 21.172 amended July 1, 1983, effective July 2, 1983, 13 Pa.B.

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pennsylvania nurse practice act delegation