reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 35 - Undergraduate and Graduate Nursing Education Degree Programs › Section XLVII-3541 - Procedure for Submitting Required Reports and Compliance Forms by Undergraduate and Graduate Nursing Education Degree Programs (Formerly Section 3539)

Current through Register Vol. 50, No. 6, June 20, 2024
A. Annual
				  Report
.
The undergraduate and/or graduate nursing education
				  degree program(s) shall submit two paper copies and one electronic copy of an
				  annual report, on a form provided by the board, on the designated date,
				  accompanied by one electronic copy of the current school catalog.
B. Compliance Forms
1. Undergraduate and/or graduate nursing
				  education degree program(s) shall submit a faculty qualification form within
				  two weeks of the time each new faculty member is employed.
2. Undergraduate and/or graduate nursing
				  education degree program(s) requesting approval of new clinical facilities
				  needed for students' clinical practice areas shall submit a clinical facility
				  survey form and shall be secured in accord with
				  §3529 prior to the time students are
				  assigned to the new facility.
3.
				  Any undergraduate and/or graduate nursing education degree program(s) required
				  to submit a regional or a national nursing accreditation interim report shall
				  submit a copy of the report to the board.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 35 - Undergraduate and Graduate Nursing Education Degree Programs › Section XLVII-3542 - Community-Based Learning Experiences (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 37:918.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 35 - Undergraduate and Graduate Nursing Education Degree Programs › Section XLVII-3543 - Preceptorship Learning Experiences (Formerly Section 3541)

Current through Register Vol. 50, No. 6, June 20, 2024
A. Nurse faculty shall retain the
				  responsibility for selecting and guiding all undergraduate and/or graduate
				  student learning experiences and the evaluation of student performances with
				  input from preceptors.
B.
				  Preceptors shall be selected according to written criteria jointly developed by
				  faculty and nursing administration in the clinical facility, and in accordance
				  with guidelines established by the board.
C. A faculty member shall be available to
				  preceptors while students are involved in a preceptorship experience.
D. The faculty member shall confer with each
				  preceptor and student at least weekly during the precepted
				  experience.
E. Preceptor Learning
				  Experiences
1. Undergraduate
a. Preceptor experiences for undergraduate
				  students shall only occur during the last two academic semesters of a
				  baccalaureate degree program and during one of the last two semesters of a
				  diploma or associate degree program.
b. The total preceptorship experience for
				  undergraduate students shall be limited to a maximum of 25 percent of the total
				  clinical weeks in the program of study.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 35 - Undergraduate and Graduate Nursing Education Degree Programs › Section XLVII-3545 - Undergraduate Community-Based Learning Experiences (Formerly Section 3542)

Current through Register Vol. 50, No. 6, June 20, 2024
A. "Community-based
				  experiences" involve the community as a whole, exclusive of acute care
				  facilities, with nursing care of individuals, families, and groups being
				  provided within the context of promoting and preserving the health of the
				  community.
B. Non-health-care
				  related agencies utilized for community-based learning experiences for students
				  must have an identifiable sponsoring agency with a clearly defined
				  purpose(s).
C. Nurse faculty shall
				  retain the responsibility for the selection and guidance of student
				  community-based learning experiences and for the evaluation of student
				  performance.
D. Community-Based
				  Agency Experience Supervision
1. Direct
				  Faculty Supervision
a. The undergraduate
				  nursing education degree program shall maintain a ratio of not more than 1
				  faculty member to 10 students (1:10).
b. Students may participate in invasive or
				  complex nursing activities in a community setting with the direct supervision
				  of a faculty member.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 35 - Undergraduate and Graduate Nursing Education Degree Programs › Section XLVII-3547 - Undergraduate and Graduate Nursing Education Degree Programs not Leading to Additional Licensure or APRN Certification

Current through Register Vol. 50, No. 6, June 20, 2024
A. Undergraduate and/or graduate nursing
				  education degree programs not leading to licensure and/or an additional APRN
				  certification do not require approval by the board.
B. Non-licensure undergraduate and/or
				  graduate nursing education degree program(s) offering courses/clinical
				  experiences in Louisiana are expected to maintain the following standards
				  required of approved programs:
1. approval of
				  program from parent institution;
2.
				  national nursing accreditation;
3.
				  approval from Louisiana Board of Regents;
4. faculty and preceptors supervising
				  post-licensure students in Louisiana clinical agencies must have active
				  unencumbered Louisiana licensure;
5. post-licensure students in Louisiana
				  clinical agencies must have active, unencumbered Louisiana registered nurse
				  licensure; and
6. adherence to
				  Louisiana nursing education articulation model is required.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 36 - Disclosure of Financial Interests and Prohibited Payments › Section XLVII-3601 - Scope

Current through Register Vol. 50, No. 6, June 20, 2024
A. The rules of
				  this Chapter interpret, implement and provide for the enforcement of
				  R.S.
				  37:1744 and
				  R.S.
				  37:1745, requiring disclosure of a registered
				  nurse's and registered nurse applicant's financial interest in another health
				  care provider to whom or to which the nurse refers a patient, and prohibiting
				  certain payments in return for referring or soliciting patients.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 37:1744,
					 R.S.
					 37:1745, and
					 R.S.
					 37:918.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 36 - Disclosure of Financial Interests and Prohibited Payments › Section XLVII-3603 - Definitions and Construction

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Definitions. For the purpose of this Chapter, the following terms are defined
				  as follows.
Board
- Louisiana State Board of
					 Nursing.
Financial Interest
- a significant
					 ownership or investment interest established through debt, equity or other
					 means and held, directly or indirectly, by a registered nurse or a member of a
					 registered nurse's immediate family, or any form of direct or indirect
					 remuneration for referral.
Health Care Item
- any substance, product,
					 device, equipment, supplies or other tangible good or article which is or may
					 be used or useful in the provision of health care.
Health Care Provider
- any person,
					 partnership, corporation or any other organization licensed by the state to
					 provide preventive, diagnostic, or therapeutic health care services or
					 items.
Health Care Services
- any act or treatment
					 performed or furnished by a health care provider to or on behalf of a
					 patient.
Immediate Family
- as respects a registered
					 nurse, the registered nurse's spouse, children, grandchildren, parents,
					 grandparents and siblings.
Payment
- transfer or provision of money,
					 goods, services, or anything of economic value, including gifts, gratuities,
					 favors, entertainment or loans.
Person
- includes a natural person or a
					 partnership, corporation, organization, association, facility, institution, or
					 any governmental subdivision, department, board, commission, or other
					 entity.
Referral
- the act of ordering, directing,
					 recommending or suggesting as given by a health care provider to a patient,
					 directly or indirectly, which is likely to determine, control or influence the
					 patient's choice of another health care provider for the provision of health
					 care services or items.
Registered Nurse
- an individual licensed
					 as a registered nurse in Louisiana, or an individual licensed as a registered
					 nurse in another state and holding a 90-day permit to practice nursing in
					 Louisiana in accordance with
					 R.S.
					 37:920.
Registered Nurse Applicant
- a graduate of
					 an approved school of nursing who has been issued a temporary working permit,
					 as provided for in
					 R.S.
					 37:920.C.
B. Construction. As used hereinafter in this
				  Chapter, the term registered nurse is deemed to likewise incorporate registered
				  nurse applicants as defined herein.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 37:1744 and
					 R.S.
					 37:918.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 36 - Disclosure of Financial Interests and Prohibited Payments › Subchapter A - Disclosure of Financial Interests by Referring Health Care Providers › Section XLVII-3605 - Required Disclosure of Financial Interests

Current through Register Vol. 50, No. 6, June 20, 2024
A. A registered nurse shall not make any
					 referral of a patient outside the nurse's employment practice for the provision
					 of health care items or services by another health care provider in which the
					 referring registered nurse has a financial interest, unless, in advance of any
					 such referral, the referring registered nurse discloses to the patient, in
					 accordance with
					 §3609 of this Chapter, the existence
					 and nature of such financial interest.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1744 and
						R.S.
						37:918.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 36 - Disclosure of Financial Interests and Prohibited Payments › Subchapter A - Disclosure of Financial Interests by Referring Health Care Providers › Section XLVII-3607 - Prohibited Arrangements

Current through Register Vol. 50, No. 6, June 20, 2024
A. Any
					 arrangement or scheme, including cross-referral arrangements, which a
					 registered nurse knows or should know has a principal purpose of ensuring or
					 inducing referrals by the registered nurse to another health care provider,
					 which, if made directly by the registered nurse would be a violation of §3605,
					 shall constitute a violation of §3605
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1744 and
						R.S.
						37:918.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 36 - Disclosure of Financial Interests and Prohibited Payments › Subchapter A - Disclosure of Financial Interests by Referring Health Care Providers › Section XLVII-3609 - Form of Disclosure

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Required Contents. The disclosure required by
					 §3605 of this Chapter shall be made in
					 writing, shall be furnished to the patient, or the patient's authorized
					 representative, prior to or at the time of making the referral, and shall
					 include:
1. the registered nurse's name,
					 address and telephone number;
2.
					 the name and address of the health care provider to whom the patient is being
					 referred by the registered nurse;
3. the nature of the items or services which
					 the patient is to receive from the health care provider to which the patient is
					 being referred; and
4. the
					 existence and nature of the registered nurse's financial interest in the health
					 care provider to which the patient is being referred.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 36 - Disclosure of Financial Interests and Prohibited Payments › Subchapter A - Disclosure of Financial Interests by Referring Health Care Providers › Section XLVII-3611 - Effect of Violation; Sanctions

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Any violation of or failure of compliance with the prohibitions and provision
					 of §3613 of this
					 Chapter shall be deemed grounds for disciplinary proceedings against a
					 registered nurse,
					 R.S.
					 37:921, providing cause for the board to
					 deny, revoke, suspend or otherwise discipline the license of said registered
					 nurse.
B. Administrative Sanctions
1. In addition to the sanctions provided for
					 by §3611 A, upon proof of violation of
					 §3605 by a registered nurse, the board
					 shall order a refund of all or any portion of any amounts paid by a patient,
					 and/or by any third-party payor on behalf of a patient, for health care items
					 or services furnished upon a referral by the registered nurse in violation of
					 §3605 The board may order the registered nurse to refund to such patient
					 and/or third-party payor, the legal interest on such payments at the rate
					 prescribed by law calculated from the date on which any such payment was made
					 by the patient and/or third-party payors.
2. In addition to the above, anyone who
					 violates any provisions of this Part may be brought before the board and fined
					 not more than $5,000 for each count or separate offense, plus administrative
					 costs.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 36 - Disclosure of Financial Interests and Prohibited Payments › Subchapter B - Prohibited Payments › Section XLVII-3613 - Prohibition of Payments for Referrals

Current through Register Vol. 50, No. 6, June 20, 2024
A. A registered nurse shall not knowingly and
					 willfully make or offer to make any payment, directly or indirectly, overtly or
					 covertly, in cash or in kind, to induce another person to refer an individual
					 to the registered nurse for the furnishing or arranging for the furnishing of
					 any health care item or service.
B.
					 A registered nurse shall not knowingly and willfully solicit, receive or accept
					 any payment, directly or indirectly, overtly or covertly, in cash or in kind,
					 in return for referring a patient to a health care provider for the furnishing
					 or arranging for the furnishing of any health care item or service.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1745 and
						R.S.
						37:918.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 36 - Disclosure of Financial Interests and Prohibited Payments › Subchapter B - Prohibited Payments › Section XLVII-3615 - Exceptions

Current through Register Vol. 50, No. 6, June 20, 2024
A. Proportionate
					 Return on Investment. Payments or distributions by an entity representing a
					 direct return on investment based upon a percentage of ownership shall not be
					 deemed a payment prohibited by
					 R.S.
					 37:1745.B or by
					 §3613 of these rules, provided that
					 the requirements of the "Safe Harbor Regulations" at 56 Fed. Reg. 35,951 are
					 satisfied.
B. General Exceptions.
					 Any payment, remuneration, practice or arrangement which is not prohibited by
					 or unlawful under §1128. B(b) of the Federal Social Security Act (Act),  42 U.S.C. §
												1320a-7b (b), as amended, with respect to health care items or services
					 for which payment may be made under Title XVIII or Title XIX of the Act,
					 including those payments and practices sanctioned by the Secretary of the
					 United States Department of Health and Human Services, through regulations
					 promulgated at  42 CFR §1001 . 952, shall not be deemed a payment prohibited by
					 R.S.
					 37:1745.B or by
					 §3613 of these rules with respect to
					 health care items or services for which payment may be made by any patient or
					 private governmental payor.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1745 and
						R.S.
						37:918.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 36 - Disclosure of Financial Interests and Prohibited Payments › Subchapter B - Prohibited Payments › Section XLVII-3617 - Effect of Violation

Current through Register Vol. 50, No. 6, June 20, 2024
A. Any
					 violation of or failure of compliance with the prohibitions and provision of
					 §3613 of this Chapter shall be deemed
					 grounds for disciplinary proceedings against a registered nurse,
					 R.S.
					 37:921, providing cause for the board to
					 deny, revoke, suspend or otherwise discipline the license of said registered
					 nurse.
B. Administrative Sanctions.
					 In addition to the above, anyone who violates any provisions of this Part may
					 be brought before the board and fined not more than $5,000 for each count or
					 separate offense plus administrative costs.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1745 and
						R.S.
						37:918.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 36 - Disclosure of Financial Interests and Prohibited Payments › Subchapter B - Prohibited Payments › Section XLVII-3619 - Appendix- Financial Interest Disclosure Form

Current through Register Vol. 50, No. 6, June 20, 2024
Appendix
Referring Nurse_________________________ Phone
						_________________
Employer_____________________________________________________
Address______________________________________________________
DISCLOSURE OF
FINANCIAL INTEREST
AS REQUIRED BY
						R.S.
						37:1744 AND
LAC 46:XLVII.3603-3607
To:__________________________
						Date:__________________________
(Name of Patient to Be Referred)
____________________________________
(Patient Address)
Louisiana law requires registered nurses and other health
						care providers to make certain disclosures to a patient when they refer a
						patient to another health care provider or facility in which the registered
						nurse has a financial interest. [I am] [We are] referring you, or the named
						patient for whom you are legal representative, to:
(Name and Address of Provider to Whom Patient is
						Referred)
to obtain the following health care services, products or
						items:
_____________________________________________________________
(Purpose of the Referral)
[I] [We] have a financial interest in the health care
						provider to whom [I am] [we are] referring you, the nature and extent of which
						are as follows:
_______________________________________________________________________________________________________________________________________________________________________________________
PATIENT ACKNOWLEDGMENT
I, the above-named patient, or legal representative of
						such patient, hereby acknowledge receipt, on the date indicated and prior to
						the described referral, of a copy of the foregoing Disclosure of Financial
						Interest. I acknowledge that I have been advised by the above identified nurse
						of the nurse's financial or ownership interest in the facility or entity to
						which I have been referred and further, that the nurse has advised me that I am
						free to choose another facility or entity to provide the service, drug, device
						or equipment recommended.
_____________________________________________________________
(Signature of Patient or Patient's Representative)
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1745 and
						R.S.
						37:918
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 37 - Nursing Practice › Section XLVII-3701 - Duties of the Board Directly Related to Nursing Practice as Cited in R.S. 37:918

Current through Register Vol. 50, No. 6, June 20, 2024
A. The board
				  shall:
1. establish and publish standards of
				  nursing practice and education in accordance with those developed and accepted
				  by the profession;
2. adopt, and
				  revise rules and regulations necessary to enable the board to carry into effect
				  the provision of this Part in accordance with the Administrative Procedure
				  Act;
3. have all other powers
				  necessary and proper to the performance of their duties, including but not
				  limited to the power to subpoena.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 37 - Nursing Practice › Section XLVII-3705 - Administration of Anesthetic Agents

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Registered nurses, who are not certified registered nurse anesthetists, may
				  administer anesthetic agents to intubated patients in critical care settings,
				  and may titrate and continue infusion of local anesthetic agents through the
				  use of epidural catheters for pain management, excluding obstetric patients,
				  provided that the following conditions are met.
1. There is an institutional policy and plan
				  for registered nurses (non-CRNAs) to administer anesthetic agents to intubated
				  patients in critical care settings, and to titrate and continue infusion of
				  local anesthetic agents through the use of epidural catheters and perineural
				  catheters for pain management for patients other than obstetric patients that
				  includes:
a. a clear statement of the purpose
				  and goal of the treatment;
b.
				  written protocols, with documentation of acceptance of the protocols by the
				  medical staff of the agency;
c.
				  policies and procedures to include but not be limited to the following:
i. preparation of solution;
ii. initiation of infusion;
iii. responding to emergency
				  situations;
iv. maximum dose per
				  hour of an anesthetic agent which can be administered by a registered nurse,
				  who is not a certified registered nurse anesthetist, as approved by the medical
				  staff; and
v. criteria for
				  documentation of the procedure.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 37 - Nursing Practice › Section XLVII-3707 - Peripherally Inserted Central Catheter (PICC) Insertion and Removal

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Definition
PICC Line
-peripherally inserted central
					 catheters (PICCs) are venous devices used to administer all types of
					 intravenous medications and solutions. PICCs are soft, flexible
					 catheters.
B. Registered nurses may
				  insert, secure and remove central catheters through peripheral venous sites
				  provided that the following conditions are met:
1. documentation of satisfactory completion
				  of a minimum of four hours of study in an appropriate instructional program and
				  verification of employment in a supervised clinical practice on file with the
				  employer;
2. catheter placement is
				  pursuant to a physician or other qualified prescriber's order for the
				  procedure;
3. the procedure is
				  performed according to appropriately established policy and procedure of the
				  health care facility, employing agency and/or physician's office;
4. in view of the proliferation of various
				  catheter products available for placement, the registered nurse must be
				  knowledgeable about the manufacturer's suggestions and precautions concerning
				  the specific catheter product utilized, and should review product information
				  on a frequent basis; and
5. prior
				  to initiation of therapy, catheter tip placement must be determined by a
				  physician or an advanced practice registered nurse with the following provisos.
a. The procedure of verifying catheter tip
				  placement by an APRN is a written established institutional/facility policy
				  which:
i. delineates that the APRN must be
				  credentialed by the agency prior to performing the procedure;
ii. delineates the specific procedure in the
				  clinical privileges of the individual APRN;
iii. verifies competencies initially and at
				  regular intervals through methods including but not limited to direct
				  observation;
iv. provides that the
				  final verification of catheter tip placement performed via radiographic methods
				  be provided by a physician; and
v.
				  requires and documents evidence of formal didactic educational preparation and
				  clinical experiences of the APRN to perform the procedure.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 39 - Legal Standards of Nursing Practice › Section XLVII-3901 - Legal Standards

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				  Louisiana State Board of Nursing recognizes that assessment, planning,
				  intervention, evaluation, teaching, and supervision are the major
				  responsibilities of the registered nurse in the practice of nursing. The
				  standards of nursing practice provide a means of determining the quality of
				  care which an individual receives regardless of whether the intervention is
				  provided solely by a registered nurse or by a registered nurse in conjunction
				  with other licensed or unlicensed personnel as provided in LAC
				  46:XLVII.3703.
B. The standards are
				  based on the premise that the registered nurse is responsible for and
				  accountable to the individual for the quality of nursing care he or she
				  receives. Documentation must reflect the quality of care.
C. The standards of practice shall:
1. be considered as base line for quality
				  nursing care;
2. be developed in
				  relation to the law governing nursing;
3. apply to the registered nurse practicing
				  in any setting;
4. govern the
				  practice of the licensee at all levels of practice.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 39 - Legal Standards of Nursing Practice › Section XLVII-3903 - Standard Number 1: Collection and Recording Individual's Health Status

Current through Register Vol. 50, No. 6, June 20, 2024
A. Data concerning
				  an individual's health status must be systematically and continuously
				  collected, recorded, and communicated in order to determine nursing care needs,
				  according to the following criteria.
1. The
				  priority of data collection is determined by the individual's immediate
				  condition and needs.
2. The
				  collection and recording of data provides for systematic collection, frequent
				  updating, accessibility, and appropriate confidentiality.
3. The appropriate data includes:
a. growth and development factors;
b. biophysical status;
c. emotional status;
d. cultural, religious, socioeconomic
				  background;
e. performance of
				  activities of daily living;
f.
				  patterns of coping;
g. interaction
				  patterns;
h. individual's
				  perception of and satisfaction with his health status;
i. individual's health goals;
j. environmental factor (physical, social,
				  emotional, ecological); and
k.
				  available and accessible human and material resources.
4. The data are collected by:
a. interview;
b. examination;
c. observation; and
d. reading of records and reports.
5. The data are collected from:
a. the individual;
b. family members;
c. pertinent others; and
d. other health care personnel.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 39 - Legal Standards of Nursing Practice › Section XLVII-3905 - Standard Number 2: Analysis of Health Status Data

Current through Register Vol. 50, No. 6, June 20, 2024
A. Nursing diagnoses, nursing care goals, and
				  expected outcomes are derived from an analysis of the health status data,
				  according to the following criteria.
1. The
				  individual's health status is compared to the norm to determine if there is a
				  deviation and the degree and direction of deviation.
2. Nursing diagnoses are documented in a
				  manner that facilitates the determination of expected outcomes and plan of
				  care.
3. Short and long term goals
				  are mutually set with the individual and pertinent others. These goals are:
a. congruent with other planned
				  therapies;
b. stated in realistic
				  and measurable terms; and
c.
				  assigned a time period for achievement.
4. Goals are established to maximize
				  functional capabilities and are congruent with:
a. growth and development factors;
b. biophysical status;
c. behavioral patterns; and
d. human and material resources.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 39 - Legal Standards of Nursing Practice › Section XLVII-3907 - Standard Number 3: Priorities and Actions for Nursing Care

Current through Register Vol. 50, No. 6, June 20, 2024
A. The plan for
				  nursing care must include individualized nursing actions to achieve the
				  established outcomes, according to the following criteria.
1. The plan includes priorities for nursing
				  action.
2. The plan includes a
				  logical sequence of actions to attain the goals.
3. The plan is based on current scientific
				  knowledge and nursing practice.
4.
				  The plan incorporates available and appropriate resources.
5. The plan can be implemented.
6. The plan reflects consideration of human
				  dignity and patients rights.
7. The
				  plan includes measures to manage specific patient problems:
a. what is to be done;
b. how to do it;
c. when to do it;
d. where to do it; and
e. who is to do it.
8. The plan is developed with the individual,
				  to family, to pertinent others, and to health personnel as
				  appropriate.
9. The plan is
				  documented.
10. The plan provides
				  for continuity of care.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 39 - Legal Standards of Nursing Practice › Section XLVII-3909 - Standard Number 4: Implementation of Nursing Care Plan

Current through Register Vol. 50, No. 6, June 20, 2024
A. The plan for nursing care is implemented
				  according to the following criteria.
1.
				  Nursing actions are consistent with the plan for nursing care.
2. Interventions are implemented in a safe
				  and appropriate manner.
3. Nursing
				  actions are documented by:
a. written
				  records;
b. observation of nursing
				  performance;
c. report of nursing
				  action by the individual and/or pertinent others.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 39 - Legal Standards of Nursing Practice › Section XLVII-3911 - Standard Number 5: Evaluation of Nursing Care Plan

Current through Register Vol. 50, No. 6, June 20, 2024
A. The plan for nursing care is evaluated
				  according to the following criteria.
1.
				  Evaluation is systematic and ongoing.
2. Current data about the individual are used
				  to measure progress toward established goals.
3. Nursing actions are analyzed for their
				  effectiveness in achievement of established goals.
4. The individual, family, and other
				  significant health care personnel participate in the evaluation of established
				  goals.
5. The individual's response
				  is compared with observable outcomes which are specified in the established
				  goals.
6. The individual's
				  responses to interventions are documented.
7. Determination is made of the long term
				  effects of nursing care on the individual.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 39 - Legal Standards of Nursing Practice › Section XLVII-3913 - Standard Number 6: Continuous Process of Reassessment and Modification

Current through Register Vol. 50, No. 6, June 20, 2024
A. The planning for
				  nursing care is a continuous process of reassessment and modification,
				  according to the following criteria.
1.
				  Ongoing assessment data are used to revise diagnoses, outcomes, and the plan of
				  care, as needed.
2. Revisions in
				  diagnoses, outcomes, and the plan of care are documented.
3. The individual, significant others, and
				  relevant health care providers are involved in the revision process, when
				  appropriate.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 39 - Legal Standards of Nursing Practice › Section XLVII-3915 - Standard Number 7: Professional Performance

Current through Register Vol. 50, No. 6, June 20, 2024
A. The registered nurse demonstrates the
				  following professional nursing practice behaviors.
1. Evaluates own nursing practice in relation
				  to professional practice standards, relevant state and federal statutes, and
				  relevant administrative rules.
2.
				  Acquires and maintains current knowledge in nursing practice.
3. Considers factors related to safety,
				  effectiveness, and cost in planning and delivering nursing care.
4. Nursing decisions and actions are
				  determined in an ethical manner.
5.
				  Clarifies any order or treatment regimen believed to be inaccurate, or
				  contraindicated by consulting with the appropriate licensed practitioner and by
				  notifying the ordering practitioner when the registered nurse makes the
				  decisions not to administer the medication or treatment.
6. Makes assignments to others that take into
				  consideration patient safety and which are commensurate with the educational
				  preparation experience, authorized scope of practice, knowledge and ability of
				  the persons to whom the assignments are made.
7. Accepts only those nursing assignments
				  that are commensurate with one's own educational preparation, experience,
				  authorized scope of practice, knowledge and ability.
8. Reports to the board any unsafe nursing
				  practice when there is reasonable cause to suspect actual harm or risk of harm
				  to patients.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 40 - Prevention of Transmission of Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) (Repealed) › Section XLVII-4001 - Definitions (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 37:918(K) and R.S.
					 37:1746-1747.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 40 - Prevention of Transmission of Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) (Repealed) › Section XLVII-4003 - Standard Precautions (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 37:918(K) and R.S.
					 37:1746-1747.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 40 - Prevention of Transmission of Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) (Repealed) › Section XLVII-4005 - Self-Reporting (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 37:918(K) and R.S.
					 37:1746-1747.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 40 - Prevention of Transmission of Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) (Repealed) › Section XLVII-4007 - Authorization to Perform or Participate in Exposure-Prone Procedures (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 37:918(K) and R.S.
					 37:1746-1747.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 43 - Employment of Unlicensed Persons › Section XLVII-4303 - Employment of Student Nurses and Unsuccessful Candidates on the State Board Licensing Examination (NCLEX-RN)

Current through Register Vol. 50, No. 6, June 20, 2024
A. Students in nursing and unsuccessful
				  candidates on the licensing examination employed in nursing settings shall only
				  be employed as unlicensed persons and cannot legally perform, nor be assigned
				  nursing duties other than those allowable to other unlicensed nursing
				  personnel.
B. To assist these
				  individuals to be employed in an acceptable position whereby they contribute to
				  patient care and yet do not jeopardize the welfare of the patient nor legally
				  implicate themselves or their employing institution, the board has adopted the
				  following policies.
1. The employer shall:
a. document the unlicensed status of these
				  individuals;
b. review the written
				  job description with the employee;
c. provide proper orientation to and training
				  for the position;
d. make no
				  distinction between the student of nursing, the unsuccessful candidate for
				  registered nurse licensure, and any other unlicensed nursing personnel in
				  regard to the delegated responsibilities and functions;
e. inform all nursing personnel that the
				  student of nursing and the unsuccessful candidate have no legal right to
				  function in any nursing capacity reserved for the licensed nurse.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 45 - Advanced Practice Registered Nurses › Section XLVII-4501 - Introduction

Current through Register Vol. 50, No. 6, June 20, 2024
A. Louisiana
				  Revised Statutes of 1950, specifically
				  R.S.
				  37:911 et seq., delegated to the Louisiana
				  State Board of Nursing the responsibility to authorize additional acts to be
				  performed by registered nurses practicing in expanded roles and gave the board
				  of nursing the power to set standards for nurses practicing in specialized
				  roles. From 1981 to 1995, the board recognized advanced practitioners of
				  nursing as certified nurse-midwives, certified registered nurse anesthetists,
				  clinical nurse specialists, and primary nurse associates.
B. In 1995, the Louisiana Legislature amended
				  R.S.
				  37:911 et seq., empowering the board of
				  nursing to use the term advanced practice registered nurse (APRN) to license a
				  registered nurse with advanced education as provided in
				  R.S.
				  37:913.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 37:918.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 45 - Advanced Practice Registered Nurses › Section XLVII-4507 - Licensure as Advanced Practice Registered Nurse

Current through Register Vol. 50, No. 6, June 20, 2024
A. Initial Licensure
1. The applicant shall meet the following
				  requirements:
a. holds a current,
				  unencumbered, unrestricted and valid registered nurse license in Louisiana and
				  there are no grounds for disciplinary proceedings, as stated in
				  R.S.
				  37:921;
b. completion of a minimum of a graduate
				  degree with a concentration in the respective advanced practice nursing role
				  and population focus or completion of a post master's concentration in the
				  respective advanced practice nursing role and population focus from a program
				  accredited by a nursing or nursing related accrediting body that is recognized
				  by the U.S. secretary of education and/or the Council for Higher Education
				  Accreditation (CHEA) and otherwise approved by the board. Exception to the
				  graduate degree may be granted to those applicants who provide documentation as
				  requested by the board that, prior to December 31, 1995, the applicant
				  completed or was continuously enrolled in a formalized post-basic education
				  program preparing for the advanced practice nursing role and population focus
				  as approved by the board prior to December 31, 1995 as follows:
i. a program of studies offered through an
				  institution of higher education which qualifies the graduate to take a
				  certification examination in the advanced practice role and population foci;
				  or
ii. a program of studies
				  accepted by a nationally recognized certifying body which is recognized by the
				  Louisiana State Board of Nursing.
c. any deviation from Clause 1.b shall be
				  submitted to the board for review and approval;
d. submission of a completed application on a
				  form furnished by the board;
e.
				  submission of evidence of current certification in the respective advanced
				  practice nursing role and population focus by a nationally recognized
				  certifying body approved by the board;
f. submission of a non-refundable fee as
				  specified in LAC 46:XLVII.3341;
g.
				  submission to criminal history record information as specified in LAC
				  46:XLVII.3330;
h. after initial
				  licensure, applicants seeking licensure for advanced practice in an additional
				  specialty and/or functional role shall meet the requirements stated in LAC
				  46:XLVII.4507 A.1.a.-e;
i. if there
				  is a gap equal to or greater than two years between the completion of the
				  graduate or post graduate program as delineated in LAC 46:XLVII.4507.A.1.b and
				  the application for initial licensure, the applicant must provide additional
				  verification of competency as requested by the board and may be required to
				  appear before the board (or its committee) for further consideration before
				  licensure or a temporary permit may be granted.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 45 - Advanced Practice Registered Nurses › Section XLVII-4509 - Educational Requirements (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.37:918.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLVII - Nurses: Practical Nurses and Registered Nurses › Subpart 2 - Registered Nurses › Chapter 45 - Advanced Practice Registered Nurses › Section XLVII-4511 - Advanced Practice Registered Nurse Professional Certification Programs

Current through Register Vol. 50, No. 6, June 20, 2024
A. A national
				  certifying body which meets the following criteria shall be recognized by the
				  board as mandated by
				  R.S.
				  37:913:
1.
				  credentials nationally;
2. does not
				  require an applicant to be a member of any organization or entity;
3. documents the criteria for applicant
				  eligibility to take an examination for certification and
				  recertification;
4. requires a
				  graduate degree as the minimal educational level for certification or otherwise
				  approved by the board;
5. utilizes
				  an application process and credential review which includes documentation that
				  the applicant's didactic education has concentrated in the advanced nursing
				  practice role and population focus being certified, and that the applicant's
				  clinical practice is in the advanced nursing role and population focus of
				  certification;
6. uses an
				  examination as a basis for certification in the advanced nursing practice
				  category which meets the following criteria:
a. the examination is based upon job analysis
				  studies conducted using standard methodologies acceptable to the testing
				  community;
b. the examination
				  represents entry-level practice based on standards in the advanced nursing
				  practice category;
c. the
				  examination represents the knowledge, skills (critical thinking and technical),
				  and role functions essential for the delivery of safe and effective advanced
				  nursing care to the client;
d. the
				  examination content and its distribution are specified in a test plan, based on
				  the job analysis study, that is available to examinees;
e. examination items are reviewed for content
				  validity, cultural sensitivity, and correct scoring using an established
				  mechanism, both before use and periodically;
f. examinations are evaluated for
				  psychometric performance;
g. the
				  passing standard is established using acceptable psychometric methods, and is
				  re-evaluated periodically; and
h.
				  examination security is maintained through established procedures;
7. issues certification based upon
				  passing the examination and meeting all other certification
				  requirements;
8. provides for
				  periodic re-certification which includes review of qualifications and
				  indicators of continued competence, including but not limited to continuing
				  education or examination; and
9.
				  has mechanisms in place for communication to boards of nursing for timely
				  verification of an individual's certification status, changes in certification
				  status, and changes in the certification program, including qualifications,
				  test plan, and scope of practice.