District of Columbia Administrative Code

5511 SUPERVISED PRACTICE OF STUDENTS 5511.1 A student may practice practical nursing only in accordance with the Act and this chapter. 5511.2 A student who is fulfilling educational requirements under § 103(c) of the Act, D.C. Official Code § 3-1201.3, shall be authorized to enga…

5512 SUPERVISED PRACTICE OF GRADUATE NURSES 5512.1 A graduate nurse may practice practical nursing only in accordance with the Act and this chapter. 5512.2 An individual may be authorized to engage in the supervised practice of practical nursing, as a graduate nurse, without a Di…

5513 SUPERVISED PRACTICE OF APPLICANTS FOR LICENSURE BY ENDORSEMENT 5513.1 An applicant may practice practical nursing only in accordance with the Act and this chapter. 5513.2 An applicant for licensure by endorsement shall be authorized to engage in the supervised practice of pr…

5514 SCOPE OF PRACTICE 5514.1 The practice of practical nursing means the following: (a) The performance of actions of preventive health care, health maintenance, and the care of persons who are ill, injured, or experiencing alterations in health processes at the direction of the…

5515 DELEGATION OF PRACTICAL NURSING INTERVENTIONS 5515.1 Nothing in this section shall be applicable to, restrict, or limit the gratuitous provision of care by self, family, or friends. 5515.2 Practical nurses may delegate nursing interventions to be performed by unlicensed assi…

5516 STANDARDS OF CONDUCT 5516.1 A practical nurse shall adhere to the standards set forth in the "Code of Ethics for Nurses" as published by the American Nurses Association, as they may be amended or republished from time to time. 5516.2 A practical nurse shall respect the clien…

5599 DEFINITIONS 5599.1 As used in this chapter, the following terms have the meanings ascribed: Act - Health Occupation Revision Act of 1985 ("Act"), effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code §§ 3-1201.01 et seq.) (2001). Administrator for nursing services - th…

5600 APPROVAL OF NURSING PROGRAMS 5600.1 Pre-licensure, RN-to-BSN, or advanced practice nursing programs shall not operate in the District of Columbia without approval by the Board of Nursing (Board). This chapter sets forth the requirements and standards that a nursing education…

5601 INITIAL APPROVAL A college or university seeking initial approval of a nursing education program shall submit to the Board the following information: A statement of intent to establish a pre-licensure, RN-to-BSN, or advanced practice nursing education program, including name…

5602 DENIAL OF INITIAL APPROVAL 5602.1 The Board may deny initial approval for any of the following reasons: Failure to hire a nurse administrator who meets the qualifications of this chapter; Failure to hire faculty who meet the qualifications of this chapter; Facility’s learnin…

5603 FULL APPROVAL 5603.1 The Board may grant full approval to a program after initial approval provided that the program meets the following applicable standards: (a) The percentage of the program’s National Council Licensure Examination (NCLEX) pass rate is at least eighty perc…

5604 [REPEALED] SOURCE: Final Rulemaking published at 51 DCR 7190 (July 23, 2004); as amended by Final Rulemaking published at 54 DCR 2116 (March 9, 2007); as amended by Final Rulemaking published at 62 DCR 16319 (December 25, 2015). District of Columbia Municipal Regulations Bus…

5605 CONDITIONAL APPROVAL 5605.1 The Board may place a program with initial approval on conditional approval status for any of the following: (a) The percentage of the NCLEX pass rate is less than eighty percent (80%) for first-time test takers in pre-licensure programs; (b) The …

5606 WITHDRAWAL OF APPROVAL FOLLOWING CONDITIONAL APPROVAL STATUS 5606.1 The Board may withdraw approval of the program upon its determination that the program is or has been unable to meet or maintain the requirements and standards of this chapter based on any of the following f…

5607 ANNUAL REVIEW AND GENERAL ADMINISTRATION 5607.1 The Board shall conduct an annual review of all nursing education programs. A program approval that has not been reviewed and approved at the board-specified annual review shall expire. 5607.2 Each program seeking annual review…

5608 NURSING EDUCATION STANDARDS 5608.1 This section applies to practical, associate degree, baccalaureate, RN-to-BSN, and entry-level master degree nursing education programs. All such nursing education programs shall be accredited by a national nursing accrediting organization …

5609 [REPEALED] SOURCE: Final Rulemaking published at 51 DCR 7190 (July 23, 2004); as amended by Final Rulemaking published at 54 DCR 2116 (March 9, 2007); as amended by Final Rulemaking published at 62 DCR 16319 (December 25, 2015). District of Columbia Municipal Regulations Bus…

5610 ADVANCED PRACTICE REGISTERED NURSING EDUCATION STANDARDS 5610.1 This section shall apply to advanced practice nursing education programs that prepare students for practice as nurse-anesthetists, nurse-midwives, nurse-practitioners, or clinical nurse specialists. 5610.2 An ad…

5611 CLINICAL PLACEMENT IN THE DISTRICT FROM PROGRAMS NOT APPROVED TO OPERATE IN THE DISTRICT 5611.1 A nursing education program not approved to operate in the District in accordance with this chapter may place its students in a clinical practice in the District if the program me…

5612 [REPEALED] SOURCE: Final Rulemaking published at 51 DCR 7190 (July 23, 2004); as amended by Final Rulemaking published at 54 DCR 2116 (March 9, 2007); as amended by Final Rulemaking published at 62 DCR 16319 (December 25, 2015). District of Columbia Municipal Regulations Bus…

5613 [REPEALED] SOURCE: Final Rulemaking published at 51 DCR 7190 (July 23, 2004); as amended by Final Rulemaking published at 54 DCR 2116 (March 9, 2007); as amended by Final Rulemaking published at 62 DCR 16319 (December 25, 2015). District of Columbia Municipal Regulations Bus…

5699 DEFINITIONS As used in this chapter, the following terms have the meanings ascribed: Act: Health Occupation Revision Act of 1985 (“Act”), effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code §§ 3-1201.01 et seq.). Advanced practice program: a post-baccalaureate nursin…

5700 APPLICABILITY 5700.1 A certified registered nurse-anesthetist is a registered nurse prepared in a formal educational program to assume an expanded role in providing health care in the area of anesthesiology services. Certified registered nurse-anesthetists, when functioning …

5701 GENERAL REQUIREMENT 5701.1 Only a person currently licensed as a registered nurse under chapter 54 of this title shall be eligible to apply for a license to practice nurse-anesthesia under this chapter. SOURCE: Final Rulemaking published at 36 DCR 3491 (May 12, 1989); as ame…

5702 TERM OF CERTIFICATE 5702.1 Subject to § 5702.2, a certificate issued pursuant to this chapter shall expire at PAGE 22:00 midnight of June 30 of each even-numbered year. 5702.2 If the Director changes the renewal system pursuant to § 4006.3 of chapter 40 of this title, a cert…

5703 RENEWAL OF CERTIFICATE 5703.1 A holder of a certificate to practice as a certified registered nurse-anesthetist shall renew his or her certificate by submitting a completed application on the forms required by the Board and paying the required fees prior to the expiration of…

5704 EDUCATIONAL REQUIREMENTS 5704.1 An applicant for a license to practice as a certified registered nurse-anesthetist shall furnish proof satisfactory to the Board, in accordance with section § 608(a) of the Act, D.C. Official Code § 3-1206.08(a), that the applicant has success…

5705 NATIONAL EXAMINATION 5705.1 In addition to the requirements in § 5701 and § 5704, to qualify for a certificate to practice as a certified registered nurse-anesthetist in the District of Columbia, an applicant shall receive a passing score on the national certification examin…

5706 CERTIFICATION BY ENDORSEMENT 5706.1 An applicant is eligible for certification by endorsement if the applicant is currently licensed or certified, in good standing, as a registered nurse anesthetist under the laws of a state or territory of the United States. 5706.2 To apply…

5707 STANDARDS OF CONDUCT 5707.1 A certified-registered nurse anesthetist shall adhere to the standards set forth in the American Association of Nurse Anesthetists' (AANA) "Code of Ethics," as they may be amended or republished from time to time. SOURCE: Final Rulemaking publishe…

5708 SCOPE OF PRACTICE 5708.1 In addition to the general functions specified in § 5700, a nurse-anesthetist may perform all of the functions listed below, to include: (a) Determining the health status of the patient as it relates to the relative risks associated with the anesthet…

5709 PRESCRIPTIVE AUTHORITY 5709.1 A nurse-anesthetist shall have authority to prescribe legend drugs and controlled substances subject to the limitations set forth in § 5710. 5709.2 A nurse-anesthetist shall have authority to prescribe drugs only while certified in accordance wi…

5710 PRESCRIBING CONTROLLED SUBSTANCES 5710.1 A nurse-anesthetist shall have authority to prescribe those drugs in Schedules II through V, established pursuant to the District of Columbia Uniform Controlled Substances Act of 1981, D.C. Law 4-29, D.C. Official Code §§ 48-901.02 et…

5712 USES OF TITLE OR ABBREVIATIONS 5712.1 Only persons certified as registered nurse-anesthetists by the Board shall be designated as such and have the right to use the title "Certified Registered Nurse Anesthetist" or "CRNA" or any other title or abbreviation designated by the …

5713 PRACTICE OF A CERTIFIED NURSE-ANESTHETIST IN HEALTH CARE FACILITIES REQUIRING A FORMAL EVALUATION 5713.1 An APRN shall be evaluated by another APRN licensed to practice in the same specialty area. SOURCE: Final Rulemaking published at 49 DCR 11751 (December 27, 2002). AUTHOR…

5714 SUPERVISED PRACTICE OF STUDENTS 5714.1 A student may practice nurse-anesthesia only in accordance with the Act and this chapter. 5714.2 A student fulfilling education requirements for certification and practicing within the limitations set forth in § 103(c) of the Act, D.C. …

5715 SUPERVISED PRACTICE OF GRADUATES 5715.1 A graduate may practice nurse-anesthesia only in accordance with the Act and this chapter. 5715.2 An individual may be authorized to engage in the supervised practice of nurse-anesthesia, as a graduate registered nurse-anesthetist, wit…

5716 SUPERVISED PRACTICE OF APPLICANTS FOR CERTIFICATION BY ENDORSEMENT 5716.1 An applicant may practice nurse-anesthesia only in accordance with the Act and this chapter. 5716.2 An applicant for certification by endorsement shall be authorized to engage in the supervised practic…

5799 DEFINITIONS 5799.1 For purposes of this chapter, the following terms have the meanings ascribed: Act - Health Occupation Revision Act of 1985 (“Act”), effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code §§ 3-1201.01 et seq.). Applicant - a person applying for a licen…

5800 APPLICABILITY 5800.1 A certified nurse-midwife is a registered nurse prepared in a formal educational program to assume an expanded role in providing health care in the area of nurse-midwifery services. Certified nurse-midwives, when functioning within the authorized scope o…

5801 GENERAL REQUIREMENT 5801.1 Only a person currently licensed as a registered nurse under chapter 54 of this title shall be eligible to apply for a certificate to practice nurse-midwifery under this chapter. SOURCE: Final Rulemaking published at 36 DCR 3497 (May 12, 1989); and…

5802 TERM OF CERTIFICATE 5802.1 Subject to § 5802.2, a certificate issued pursuant to this chapter shall expire at 12:00 midnight of June 30 of each even-numbered year. 5802.2 If the Director changes the renewal system pursuant to § 4006.3 of chapter 40 of this title, a certifica…

5803 RENEWAL OF CERTIFICATE 5803.1 A holder of a certificate to practice as a certified nurse-midwife shall renew his or her certificate by submitting a completed application on the forms required by the Board and paying the required fees prior to the expiration of the certificat…

5804 EDUCATIONAL REQUIREMENTS 5804.1 An applicant for a certificate to practice as a certified nurse-midwife shall furnish proof satisfactory to the Board, in accordance with § 608(b) of the Act, D.C. Official Code § 3-1206.08(b), that the applicant has successfully completed a p…

5805 NATIONAL EXAMINATION AND CERTIFICATION 5805.1 In addition to the requirements in § 5801 and § 5804, to qualify for a certificate to practice as a certified nurse-midwife in the District of Columbia, an applicant shall receive a passing score on the national certification exa…

5806 CERTIFICATION BY ENDORSEMENT 5806.1 An applicant is eligible for certification by endorsement if the applicant is currently licensed or certified, in good standing, as a nurse-midwife under the laws of a state or territory of the United States. 5806.2 To apply for certificat…

5807 STANDARDS OF CONDUCT 5807.1 A certified nurse-midwife shall adhere to the standards set forth in the American College of Nurse Midwives' "Code of Ethics" as they may be amended or republished from time to time. SOURCE: Final Rulemaking published at 36 DCR 3497, 3499 (May 12,…

5808 SCOPE OF PRACTICE 5808.1 In addition to the general function specified in D.C. Official Code § 3-1206.04 the nurse-midwife may perform any of the acts listed below, including: (a) Manage the care of the normal obstetrical patient; (b) Perform minor surgical procedure; (c) Ma…

5809 PRESCRIPTIVE AUTHORITY 5809.1 A certified nurse-midwife shall have authority to prescribe legend drugs and controlled substances subject to the limitations set forth in § 5810. 5809.2 A certified nurse-midwife shall have authority to prescribe drugs only while licensed in ac…

5810 PRESCRIBING CONTROLLED SUBSTANCES 5810.1 A certified nurse-midwife shall have authority to prescribe those drugs in Schedules II through V, established pursuant to the District of Columbia Uniform Controlled Substances Act of 1981, D.C. Law 4-29, D.C. Official Code §§ 48-901…