reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › CRNP PRACTICE › Section 21.282a - CRNP Practice

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A CRNP
						may collaborate only with physicians who hold a current license to practice in
						this Commonwealth.
(b) When acting
						in collaboration with a physician as set forth in a collaborative agreement and
						within the CRNP's specialty, a CRNP may:
(1)
						Perform comprehensive assessments of patients and establish medical
						diagnoses.
(2) Order, perform and
						supervise diagnostic tests for patients and, to the extent the interpretation
						of diagnostic tests is within the scope of the CRNP's specialty and consistent
						with the collaborative agreement, may interpret diagnostic tests.
(3) Initiate referrals to and consultations
						with other licensed professional health care providers, and consult with other
						licensed professional health care providers at their request.
(4) Develop and implement treatment plans,
						including issuing orders to implement treatment plans. However, only a CRNP
						with current prescriptive authority approval may develop and implement
						treatment plans for pharmaceutical treatments.
(5) Complete admission and discharge
						summaries.
(6) Order blood and
						blood components for patients.
(7)
						Order dietary plans for patients.
(8) Order home health and hospice
						care.
(9) Order durable medical
						equipment.
(10) Issue oral orders
						to the extent permitted by the health care facilities' by-laws, rules,
						regulations or administrative policies and guidelines.
(11) Make physical therapy and dietitian
						referrals.
(12) Make respiratory
						and occupational therapy referrals.
(13) Perform disability assessments for the
						program providing temporary assistance to needy families (TANF).
(14) Issue homebound schooling
						certifications.
(15) Perform and
						sign the initial assessment of methadone treatment evaluations, provided that
						any order for methadone treatment shall be made only by a physician.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › CRNP PRACTICE › Section 21.283 - Authority and qualifications for prescribing, dispensing and ordering drugs

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A CRNP with
						prescriptive authority approval may, when acting in collaboration with a
						physician as set forth in a prescriptive authority collaborative agreement and
						within the CRNP's specialty, prescribe and dispense drugs and give written or
						oral orders for drugs and other medical therapeutic or corrective measures.
						These orders may include:
(1) Orders for
						drugs, total parenteral nutrition and lipids, in accordance with §§
													21.284 and
						21.285 (relating to prescribing
						and dispensing parameters; and prescriptive authority collaborative
						agreements).
(2) Disposables and
						devices adjunctive to a treatment plan.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › CRNP PRACTICE › Section 21.284 - Prescribing and dispensing parameters

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The Board adopts the American Hospital
						Formulary Service Pharmacologic-Therapeutic Classification to identify drugs
						which the CRNP may prescribe and dispense subject to the parameters identified
						in this section.
(b) A CRNP with
						current prescriptive authority approval from the Board may prescribe, dispense
						and administer drugs and therapeutic or corrective measures consistent with the
						prescriptive authority collaborative agreement and relevant to the CRNP's
						specialty from the following categories:
(1)
						Antihistamines.
(2) Anti-infective
						agents.
(3) Antineoplastic agents,
						unclassified therapeutic agents, devices and pharmaceutical aids.
(4) Autonomic drugs.
(5) Blood formation, coagulation and
						anticoagulation drugs, and thrombolytic and antithrombolytic agents.
(6) Cardiovascular drugs.
(7) Central nervous system agents.
(8) Contraceptives including foams and
						devices.
(9) Diagnostic
						agents.
(10) Disinfectants for
						agents used on objects other than skin.
(11) Electrolytic, caloric and water
						balance.
(12) Enzymes.
(13) Antitussive, expectorants and mucolytic
						agents.
(14) Gastrointestinal
						drugs.
(15) Local
						anesthetics.
(16) Eye, ear, nose
						and throat preparations.
(17)
						Serums, toxoids and vaccines.
(18)
						Skin and mucous membrane agents.
(19) Smooth muscle relaxants.
(20) Vitamins.
(21) Hormones and synthetic
						substitutes.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › CRNP PRACTICE › Section 21.284a - Prescribing and dispensing drugs

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Professional samples.
A CRNP who holds current prescriptive
						authority approval may request, receive and sign for professional samples and
						may dispense professional samples to patients.
(b)
Prescriptions.
(1) Prescriptions must bear the name, title
						and Pennsylvania CRNP certification number of the CRNP.
(2) When appropriate, the CRNP's National
						Provider Identifier (NPI) number must appear on the prescription.
(3) Prescriptions may not be
						presigned.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › CRNP PRACTICE › Section 21.285 - Prescriptive authority collaborative agreements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The prescriptive authority collaborative
						agreement between a physician and a CRNP who will prescribe and dispense drugs
						and other medical therapeutic or corrective measures, as set forth in §
												21.283(a)
						(relating to authority and qualifications for prescribing, dispensing and
						ordering drugs) must satisfy the following requirements. The agreement must:
(1) Be in writing, identify the parties,
						including the collaborating physician, the CRNP, and at least one substitute
						physician who will provide collaboration if the collaborating physician is
						unavailable, include the signature of the CRNP and the collaborating physician,
						and contain the date that the agreement is signed and the date that the
						agreement is effective.
(2)
						Identify the specialty in which the CRNP is certified.
(3) Identify the categories of drugs from
						which the CRNP may prescribe or dispense in accordance with section 8.3
						(a)(2)(ii) of the act (63 P.S. §
														218.3(a)(2)(ii)).
(4) Specify the circumstances and how often
						the collaborating physician will personally see the patient.
(5) Be kept at the primary practice location
						of the CRNP and a copy filed with the Bureau of Professional and Occupational
						Affairs.
(6) Be made available for
						inspection to anyone who requests it and be provided, without charge, to any
						licensed pharmacist or pharmacy upon request.
(7) Be reviewed and updated by the parties at
						least once every 2 years or whenever the agreement is changed.
(8) Specify the amount of professional
						liability insurance that covers the CRNP.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › CRNP PRACTICE › Section 21.286 - Identification of the CRNP

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A CRNP
						shall comply with State, Federal and facility regulations regarding
						identification of personnel.
(b)
						The listing of a CRNP in an advertisement or publicly displayed sign shall
						identify CRNPs who use the designation "Dr." as CRNPs by using the title CRNP
						following the individual's name.
The provisions of this §
														21.286 issued under section 15(b)
							 of the Medical Practice Act of 1985 (63 P.S. §
															422.15(b))
							 (Repealed).
This section cited in 49 Pa. Code §
														21.369 (relating to general
							 curriculum requirements).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › CRNP PRACTICE › Section 21.287 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
														21.287 issued under section 15(b)
							 of the Medical Practice Act of 1985 (63 P.S. §
															422.15(b))
							 (Repealed).
This section cited in 49 Pa. Code §
														21.369 (relating to general
							 curriculum requirements).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › CRNP PRACTICE › Section 21.288 - CRNP standards of conduct

Current through Register Vol. 54, No. 28, July 13, 2024
A CRNP shall undertake a specific practice or procedure
						  only if the CRNP has the necessary knowledge, preparation, experience and
						  competency to properly execute the practice or procedure and the practice is
						  within the scope of the CRNP's specialty and consistent with the CRNP's
						  collaborative agreement. A CRNP shall comply with §
												21.18 (relating to standards of
						  nursing conduct).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › CRNP PRACTICE › Section 21.291 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
This section cited in 28 Pa. Code §
														107.12a (relating to specified
							 professional personnel-statement of
							 policy).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › CRNP PRACTICE › Section 21.292 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › CRNP PRACTICE › Section 21.293 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › CRNP PRACTICE › Section 21.294 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › CRNP PRACTICE › Section 21.311 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › CRNP PRACTICE › Section 21.321 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › MAINTENANCE OF CERTIFICATION › Section 21.331 - Biennial renewal of certification

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The certification, and prescriptive
						authority approval, if applicable, of a CRNP will expire at the same time as
						the CRNP's registered nurse license as provided in §
												21.29 (relating to expiration and
						renewal of license).
(b) Notice of
						application for renewal will be forwarded biennially to each active CRNP at the
						CRNP's address of record with the Board prior to the expiration date of the
						current biennial period.
(c) As a
						condition of biennial renewal, a CRNP shall:
(1) Renew the CRNP's registered nurse
						license.
(2) Verify completion of a
						minimum of 30 hours of Board-approved continuing education in the 2 years prior
						to renewal, including at least 2 hours of approved training in child abuse
						recognition and reporting in accordance with §
													21.508(b)
						(relating to child abuse recognition and reporting-mandatory training
						requirement). As a condition of biennial renewal of prescriptive authority
						approval, a CRNP shall complete a minimum of 16 of the 30 hours of
						Board-approved continuing education in pharmacology in the 2 years prior to
						renewal.
(3) Demonstrate current
						National certification, if the CRNP was certified by the Board after February
						7, 2005.
(4) Pay the required
						biennial renewal fee set forth in § 21.253 (relating to fees).
(5) Verify compliance with section 8.7 of the
						act (63 P.S. §
														218.7)
						regarding liability coverage.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › MAINTENANCE OF CERTIFICATION › Section 21.332 - Requirement of continuing education

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
						A CRNP shall comply with this section and §§
						21.332a-21.337.
(b) Continuing
						education requirements shall be completed each biennial renewal cycle.
(1) A CRNP who does not meet the continuing
						education requirements for a biennial period will be subject to formal
						disciplinary action under section 14(a)(3) of the act (63 P.S. §
														244(a)(3)).
(2) The Board may waive the requirements of
						continuing education in cases of illness or undue hardship. It is the duty of
						each CRNP who seeks a waiver to notify the Board in writing and request the
						waiver at least 90 days prior to the end of the renewal period unless an
						emergency or hardship occurs within the 90-day period. The Board will grant,
						deny or grant in part the request for waiver.
(3) A CRNP who requests a waiver may not
						prescribe or dispense drugs after the expiration of his current prescriptive
						authority until the Board grants the waiver request or the prescriptive
						authority approval has been renewed.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › MAINTENANCE OF CERTIFICATION › Section 21.332a - Inactive status and reactivation

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A CRNP who places his certification on
						inactive status is not required to meet the continuing education requirements
						in section 8.1(c) of the act (63 P.S. §
													218.1(c)) during the period
						the certification is on inactive status. Upon application for reactivation of
						certification, the CRNP shall show proof of meeting the continuing education
						requirements for the biennial period immediately preceding the request for
						reactivation, and, if the certification has been lapsed or on inactive status
						for 5 years or longer, the CRNP must have a current, active professional nurse
						license, reactivated in accordance with the continued competency requirements
						in §
												21.30a (related to continued
						competency), and at least one of the following:
(1) Proof of current National certification
						in the specialty in which the nurse is seeking reactivation, if the CRNP is
						subject to section 8.1(b) of the act.
(2) Evidence that the applicant has practiced
						as a nurse practitioner in another jurisdiction at some period of time within
						the last 5 years under a current license or certification during that
						time.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › MAINTENANCE OF CERTIFICATION › Section 21.333 - Continuing education content

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
						Continuing education activities must address the CRNP's specialty.
(b) Pharmacology continuing education
						activities must provide the knowledge and skills to understand the
						pharmacokinetics and pharmacodynamics of broad categories of drugs or drugs
						used in the CRNP's specialty and to analyze the relationship between
						pharmacologic agents and physiologic/pathologic responses.
The provisions of this §
														21.333 issued under sections
							 2.1(k) and 8.1(c)
							 of The Professional Nursing Law (63 P.S. §§
															211(k) and
							 218.1(c)).
This section cited in 49 Pa. Code §
														21.332 (relating to requirement of
							 continuing education).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › MAINTENANCE OF CERTIFICATION › Section 21.334 - Sources of continuing education

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
						The following providers of continuing education and credentialing organizations
						have currently met the standards for approval for continuing education.
						Therefore, all activities offered by these providers are approved for
						continuing education hours required for biennial license renewal.
(1) Board-approved CRNP educational programs
						and CRNP educational programs approved by other state boards of nursing or that
						hold current accreditation issued by a National nursing accreditation
						organization.
(2) National and
						international nursing organizations and their state and local
						affiliates.
(3) National and
						international medical and osteopathic organizations and their state and local
						affiliates.
(4) National
						pharmaceutical organizations and their state and local affiliates.
(5) National nursing specialty
						organizations.
(6) Continuing
						education programs approved by other state boards of nursing for advanced
						practice nurses or nurse practitioners.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › MAINTENANCE OF CERTIFICATION › Section 21.335 - Requirements for courses

Current through Register Vol. 54, No. 28, July 13, 2024
Each course shall have:
(1) An established mechanism to measure its
						quality, established criteria for selecting and evaluating faculty, and
						established criteria for the evaluation of each participant who completes the
						course.
(2) Adequate facilities
						with appropriate instructional materials to carry out continuing education
						programs.
(3) Instructors who have
						suitable qualifications as detailed in §
												21.336(d)
						(relating to continuing education course approval).
The provisions of this §
														21.335 issued under sections
							 2.1(k) and 8.1(c)
							 of The Professional Nursing Law (63 P.S. §§
															211(k) and
							 218.1(c)).
This section cited in 49 Pa. Code §
														21.332 (relating to requirement of
							 continuing education).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › MAINTENANCE OF CERTIFICATION › Section 21.336 - Continuing education course approval

Current through Register Vol. 54, No. 28, July 13, 2024
(a) As a condition of approval, providers and
						credentialing organizations are required to provide CRNPs who complete
						continuing education courses with a certificate of completion which contains
						the information listed in §
												21.337(a)
						(relating to CRNP responsiblities). Providers and credentialing organizations
						shall maintain records of course attendance for at least 5 years.
(b) Providers referenced in §
												21.334(b) 
						(relating to sources of continuing education) or CRNPs applying for individual
						approval in §
												21.334(c), when
						seeking Board approval of a continuing education course shall pay the required
						fee (see §
												21.253 (relating to fees)) and
						complete and submit an application for course approval at least 60 days prior
						to the date the course is to be offered, which shall include the following
						information:
(1) The full name and address of
						the provider.
(2) The title of the
						program.
(3) The dates and location
						of the program.
(4) The faculty
						names, titles, affiliations, degrees and areas of expertise.
(5) The schedule of program-title of subject,
						lecturer and time allocated.
(6)
						The total number of hours requested.
(7) The method of certifying and assuring
						attendance, and draft of certificate of attendance to be provided to course
						participants.
(8) The course
						objectives.
(9) The target
						audience.
(10) The core
						subjects.
(11) The program
						coordinator.
(12) The instruction
						and evaluation methods.
(13) Other
						information requested by the Board.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › MAINTENANCE OF CERTIFICATION › Section 21.337 - CRNP responsibilities

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
						CRNP is required to maintain documentation of completion of continuing
						education, including:
(1) CRNP
						name.
(2) Dates attended.
(3) Continuing education hours.
(4) Title of course.
(5) Course provider.
(6) Location of course.
(7) Course number.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › MAINTENANCE OF CERTIFICATION › Section 21.341 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › PENALTIES FOR VIOLATION › Section 21.351 - Penalties for violation

Current through Register Vol. 54, No. 28, July 13, 2024
Certification as a CRNP may be suspended, revoked or
						  otherwise restricted or subjected to remedial measures when, after notice and
						  opportunity to be heard, the Board finds that:
(1) The CRNP has engaged in the performance
						of medical functions and tasks beyond the scope of practice permitted for a
						CRNP, beyond the scope of the CRNP's specialty, or in violation of the CRNP's
						collaborative agreement, as provided in the act and this subchapter.
(2) The CRNP has performed a medical task or
						function which the CRNP does not have the necessary knowledge, preparation,
						experience and competency to perform properly or is not qualified under the act
						and this subchapter to perform.
(3)
						The CRNP has violated the act or this subchapter, or engaged in any conduct
						prohibited for professional nurses.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › APPROVAL OF CERTIFIED REGISTERED NURSE PRACTITIONER PROGRAMS › Section 21.361 - General criteria for approval of programs

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A CRNP program must require, at a
						minimum, a baccalaureate degree in nursing for admission and must culminate
						with a master's degree in nursing or postmaster's certificate.
(b) A CRNP program must prepare the
						registered nurse (RN) to function as a nurse practitioner in an expanded role
						in a particular specialty.
(c) A
						CRNP program must prepare the registered nurse to perform acts of medical
						diagnosis and prescription of medical, therapeutic or corrective measures in
						collaboration with a physician licensed to practice medicine in this
						Commonwealth.
(d) A CRNP program
						may be formed as a master's program, an RN to master's program, an RN to
						nursing doctorate program or a pilot or accelerated program that culminates
						with at least a master's degree in nursing.
The provisions of this §
														21.361 issued under sections
							 6.1 and 8.1 of The Professional
							 Nursing Law (63 P.S. §§
															216.1
							 and 218.1).
This section is cited in 49 Pa. Code §
														21.363 (relating to
							 process).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › APPROVAL OF CERTIFIED REGISTERED NURSE PRACTITIONER PROGRAMS › Section 21.362 - Annual reports and compliance reviews; list of approved programs

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Approved
						programs must complete an annual report to the Board on a form provided by the
						Board. The annual report must update information regarding the program's
						administration, faculty, curriculum and student enrollment.
(b) Approved programs must conduct a
						compliance review of CRNP programs at least once every 3 years. The compliance
						review shall be submitted to the Board on a form provided by the Board. The
						compliance review must include information regarding accreditation,
						administration, clinical sites, faculty, curriculum, testing, educational
						resources and student body of the program.
(c) The Board will send a written report of
						recommendations or requirements, or both, including compliance deadlines, based
						on the CRNP program's compliance review, to the CRNP program. The Board will
						conduct an announced or unannounced site compliance visit at its
						discretion.
(d) Lists of approved
						CRNP programs will be compiled and published annually (the approved list) and
						will be made available for distribution. The approved list will consist of
						programs on initial, full and provisional approval status.
The provisions of this §
														21.362 issued under sections
							 6.1 and 8.1 of The Professional
							 Nursing Law (63 P.S. §§
															216.1
							 and 218.1).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › APPROVAL OF CERTIFIED REGISTERED NURSE PRACTITIONER PROGRAMS › Section 21.363 - Approval process

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A program
						that meets and maintains the requirements of §§
												21.361,
						21.365-21.369 and 21.372-21.375 will be
						granted full approval status.
(b)
						The Board will place a CRNP program on provisional approval status if, as
						evidenced by the compliance review or other information, the program is not in
						compliance with the Board's regulations. At its discretion, the Board will
						require progress reports or other information deemed necessary for the
						evaluation of a program on provisional approval status. Two years will be the
						maximum time allowed for the correction of the deficiencies that resulted in
						the program being placed on provisional approval status. If the program on
						provisional approval status is not in compliance within this designated time,
						the CRNP program will be removed from the approved list.
(c) The Board may return a CRNP program on
						provisional approval status to full approval status if the program attains and
						maintains the acceptable standards in §§
												21.365-21.377, and adheres to the
						policies and regulations of the Board.
The provisions of this §
														21.363 issued under sections
							 6.1 and 8.1 of The Professional
							 Nursing Law (63 P.S. §§
															216.1
							 and 218.1).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › APPROVAL OF CERTIFIED REGISTERED NURSE PRACTITIONER PROGRAMS › Section 21.364 - Removal from approved list; discontinuance of CRNP program

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The Board will give at least 30 days
						notice of intent to remove a CRNP program from full approval status to
						provisional approval status or from provisional approval status to removal from
						the approved list and will provide an opportunity for the program's officials
						to present documentation, within 10 days of notification of intent to remove,
						to show why approval should not be withdrawn. The Board will hold a hearing,
						within 30 days of the submission of documentation, at which the program
						official may appear and present additional evidence to show cause as to why
						approval should not be withdrawn. The 30 day period for holding a hearing may
						be waived by consent of the parties. Failure to hold a hearing within 30 days
						will not be cause to withdraw the notice of intent to remove.
(b) Programs planning to discontinue must
						follow the procedures in §
												21.41 (relating to notification;
						completion of program; records).
The provisions of this §
														21.364 issued under sections
							 6.1 and 8.1 of The Professional
							 Nursing Law (63 P.S. §§
															216.1
							 and 218.1).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › APPROVAL OF CERTIFIED REGISTERED NURSE PRACTITIONER PROGRAMS › Section 21.365 - Establishment

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A CRNP program
						must be developed and maintained under the authority of a regionally accredited
						university or college or have current accreditation by the Credentialing
						Commission for Nurse Education or the National League of Nursing.
(b) A CRNP program must be under the
						direction of a faculty member who holds an active certification as a
						Pennsylvania CRNP and an earned doctorate degree or a specific plan for and
						evidence toward completion of the doctoral degree within 5 years. The length of
						appointment of temporary and acting directors of CRNP programs may not exceed 1
						year.
(c) A university or college
						may conduct CRNP programs within the graduate program of the university or
						college where it resides, if the college or university has a professional nurse
						program and the philosophy of the parent institution encompasses dual programs
						of education. 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.
(ii) Letters of intent
						from the cooperating agencies indicating positive commitment to the CRNP
						program and the availability of sufficient clinical resources to meet the
						educational requirements of the CRNP program.
(iii) The projected cost of the CRNP program
						including costs for faculty, clinical teaching resources, educational supplies,
						office supplies, and the like, and sufficient evidence of stable financial
						support.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › APPROVAL OF CERTIFIED REGISTERED NURSE PRACTITIONER PROGRAMS › Section 21.366 - Organizational requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						CRNP program must be a definable entity distinguishable from other educational
						programs and services within the institution.
(b) Relationships with central administrative
						officers, interrelationships among other disciplines and services of the
						college or university, and representation on college or university councils and
						committees for faculty in a CRNP program must be consistent with the
						interaction and responsibilities accorded to other faculty members of the
						college or university.
(c) Adequate
						funds shall be allocated and properly budgeted for the sound and effective
						operation of the CRNP program.
(d)
						Policies in effect for faculty members of the CRNP program must be those in
						effect for faculty members throughout the college or university.
(e) The resources, facilities and services of
						the college or university must be available to and used by the CRNP program and
						be adequate to meet the needs of the faculty and students.
The provisions of this §
														21.366 issued under sections
							 6.1 and 8.1 of The Professional
							 Nursing Law (63 P.S. §§
															216.1
							 and 218.1).
This section cited in 49 Pa. Code §
														21.363 (relating to approval
							 process).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › APPROVAL OF CERTIFIED REGISTERED NURSE PRACTITIONER PROGRAMS › Section 21.367 - Faculty requirements for CRNP programs

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The minimum faculty requirements
						submitted under §
												21.365(d)(3)
						(relating to establishment) for the program are:
(1) Qualified faculty members teaching in
						their areas of specialized practice encompassed within the
						curriculum.
(2) Additional faculty
						members as needed to insure an educationally effective student-faculty
						ratio.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › APPROVAL OF CERTIFIED REGISTERED NURSE PRACTITIONER PROGRAMS › Section 21.368 - Faculty policies

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						faculty shall be employed by and be responsible to the college or
						university.
(b) Policies, including
						personnel policies in effect for CRNP program faculty, must be those in effect
						for faculty members throughout the college or university.
(c) Functions and responsibilities of each
						faculty member shall be defined in writing.
(d) Teaching hours of CRNP faculty must be
						consistent with the policies of the college or university.
The provisions of this §
														21.368 issued under sections
							 6.1 and 8.1 of The Professional
							 Nursing Law (63 P.S. §§
															216.1
							 and 218.1).
This section cited in 49 Pa. Code §
														21.363 (relating to approval
							 process).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › APPROVAL OF CERTIFIED REGISTERED NURSE PRACTITIONER PROGRAMS › Section 21.369 - General curriculum requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The curriculum shall be developed,
						implemented and evaluated by the faculty and be based on the philosophy and
						objectives of the school.
(b) The
						curriculum must be organized and developed to include the knowledge, attitudes,
						skills and abilities necessary for practice as a CRNP and in accordance with
						this chapter as related to CRNP practice.
(c) The curriculum must provide for both
						clinical and theoretical experiences. The curriculum must have the following
						components incorporated into each CRNP program:
(1)
Graduate nursing core.
The graduate nursing core must include the following content:
(i) Research.
(ii) Health care policy and
						organization.
(iii)
						Ethics.
(iv) Professional role
						development.
(v) Theoretical
						foundations of nursing practice.
(vi) Human diversity and social
						issues.
(vii) Health promotion and
						disease prevention.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › APPROVAL OF CERTIFIED REGISTERED NURSE PRACTITIONER PROGRAMS › Section 21.370 - Evaluation

Current through Register Vol. 54, No. 28, July 13, 2024
(a) As part of the
						CRNP program approval process, the CRNP program shall submit an outline of, and
						appropriate time line for, its planned evaluative process. The evaluative
						process must include, at a minimum, the following:
(1) A self-evaluation process completed by
						faculty, administrators and students of the CRNP program evidencing input into
						the CRNP program by faculty, administrators and students. The self-evaluative
						process must include:
(i) Peer evaluation of
						teacher effectiveness.
(ii) Student
						evaluation of teaching and program effectiveness.
(iii) Periodic evaluation of the program by
						faculty, students and graduates of the program.
(iv) Periodic evaluation of the program's
						human and fiscal resources, program policies, facilities and
						services.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › APPROVAL OF CERTIFIED REGISTERED NURSE PRACTITIONER PROGRAMS › Section 21.371 - Curriculum changes requiring Board approval

Current through Register Vol. 54, No. 28, July 13, 2024
Curriculum changes that require Board approval include
						  changes in:
(1) Program objectives,
						course content or instruction that affect the integration of material into the
						total curriculum.
(2) An approved
						program which deems a new or different certification specialty title for
						graduates of that program requires approval as a new CRNP education
						program.
The provisions of this §
														21.371 issued under sections
							 6.1 and 8.1 of The Professional
							 Nursing Law (63 P.S. §§
															216.1
							 and 218.1).
This section cited in 49 Pa. Code §
														21.363 (relating to
							 process).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › APPROVAL OF CERTIFIED REGISTERED NURSE PRACTITIONER PROGRAMS › Section 21.372 - CRNP program philosophy; purposes and objectives

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A clear statement of philosophy and
						purposes of the CRNP program, consistent with the philosophy and purposes of
						the college or university, shall be formulated and adopted.
(b) The philosophy, purposes and objectives
						of the CRNP program shall be developed and clearly stated by the faculty and be
						reviewed and revised at stated time intervals by this group.
(c) The philosophy and purposes of the CRNP
						program must be consistent with currently accepted social, educational and CRNP
						standards.
The provisions of this §
														21.372 issued under sections
							 6.1 and 8.1 of The Professional
							 Nursing Law (63 P.S. §§
															216.1
							 and 218.1).
This section cited in 49 Pa. Code §
														21.363 (relating to approval
							 process).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › APPROVAL OF CERTIFIED REGISTERED NURSE PRACTITIONER PROGRAMS › Section 21.373 - Facility and resource requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The support of the college or university
						must be adequate to meet CRNP program needs and include the following:
(1) Faculty and staff offices.
(2) Classrooms, conference rooms and
						laboratories.
(3) Administrative
						and secretarial support.
(4)
						Interactive information systems (computer/technical support) sufficient to
						develop, manage and evaluate the program.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › APPROVAL OF CERTIFIED REGISTERED NURSE PRACTITIONER PROGRAMS › Section 21.374 - Selection and admission standards

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
						Policies and procedures related to the selection and admission of students are
						the responsibility of the individual program. Consideration must be given to
						scholastic aptitude, academic achievement, personal qualities and physical and
						emotional health necessary to fulfill the objectives of the program.
(b) Students admitted to CRNP programs shall
						meet the requirements for admission to the university or college for a master's
						degree in nursing program and additional requirements that may be established
						for the CRNP program.
(c) Students
						admitted to CRNP programs shall have successfully completed the equivalent of a
						baccalaureate degree in nursing from an accredited institution of higher
						learning in a nursing program.
(d)
						Students admitted to CRNP programs shall be currently licensed as a registered
						nurse (RN) or, if enrolled in an RN to Master of Science in Nursing (MSN) or RN
						to Nursing Doctorate (ND) program, shall complete all competencies for
						undergraduate requirements prior to taking graduate courses.
The provisions of this §
														21.374 issued under sections
							 6.1 and 8.1 of The Professional
							 Nursing Law (63 P.S. §§
															216.1
							 and 218.1).
This section cited in 49 Pa. Code §
														21.363 (relating to approval
							 process).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › APPROVAL OF CERTIFIED REGISTERED NURSE PRACTITIONER PROGRAMS › Section 21.375 - Advanced standing

Current through Register Vol. 54, No. 28, July 13, 2024
The school shall have a written policy consistent with
						  its philosophy and objectives concerning criteria for granting advanced
						  standing. The policy of master's degree programs must be consistent with that
						  of the college or university.
The provisions of this §
														21.375 issued under sections
							 6.1 and 8.1 of The Professional
							 Nursing Law (63 P.S. §§
															216.1
							 and 218.1).
This section cited in 49 Pa. Code §
														21.363 (relating to approval
							 process).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 21 - STATE BOARD OF NURSING › Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS › APPROVAL OF CERTIFIED REGISTERED NURSE PRACTITIONER PROGRAMS › Section 21.376 - Program records

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The program
						shall employ a record system that ensures the operation of the program. Records
						shall be maintained in locked files which assure their safe keeping.
(b) Each nursing faculty shall select record
						forms specifically for the CRNP program that include the following:
(1) Student records, including the permanent
						record, containing both clinical and theoretical experience and achievement,
						shall be kept for 50 years.
(2)
						Faculty records, including the following:
(i)
						"Display portion" of current Pennsylvania licenses and
						certifications.
(ii) Records of
						preparation and experience, including official college transcripts.
(iii) Current records of continuing education
						activities.
(iv) Records of
						National certification, if applicable.
(3) Administrative records, including the
						following:
(i) Affiliation agreements with
						cooperating agencies.
(ii) Minutes
						of meetings.
(iii) Annual
						reports.
(iv) Follow-up studies of
						graduates.
(v) Budgets.
(vi) Current written policies.
(4) School bulletins, including
						the following:
(i) Comprehensive and current
						information.
(ii) Clearly defined
						refund policies governing fees and tuition paid by the students.
(iii) Clearly defined policies relating to
						admission, promotion, retention, transfer, advanced placement and
						dismissal.