143 sections in this chapter.
XLVII LAC tit. 46, §XLVII-3401 — Disciplinary Proceedings before the Board
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A. The Board of Nursing has the responsibility to consider and determine the action necessary upon all charges of conduct which fall to conform to R.S. 37:911 et seq., as re-enacted and amended, or to the rules and regulations promulgated to carry out the provisions of this Subpa…
XLVII LAC tit. 46, §XLVII-3403 — Proceedings against a Registered Nurse, Advanced Practice Registered Nurse, Registered Nurse Applicant, APRN Applicant or a Student Nurse
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A. The board may deny, revoke, suspend, probate, limit, reprimand, or restrict any license to practice as a registered nurse or an advanced practice registered nurse, impose fines, assess costs, or otherwise discipline an individual in accordance with R.S. 37:921 - 925 and the bo…
XLVII LAC tit. 46, §XLVII-3405 — Definition of Terms
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A. The board in the exercise of its disciplinary authority has adopted the following meaning for the following terms. Aiding and Abetting - to intentionally assist anyone by condoning, or to apply positive or negative force to assist anyone in violating the Nurse Practice Act or …
XLVII LAC tit. 46, §XLVII-3407 — Disciplinary Process and Procedures
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A. Introduction. The provisions of the Administrative Procedure Act shall govern proceedings on questions of violation of R.S. 37:911 et seq., as re-enacted and amended. 1. A disciplinary proceeding, including the formal hearing, is less formal than a judicial proceeding. It is n…
XLVII LAC tit. 46, §XLVII-3409 — Formal Disciplinary Action
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A. A decision to initiate formal disciplinary proceedings is made if one or more of the following conditions exists. 1. The complaint is sufficiently serious. 2. The individual fails to respond to the board's correspondence concerning the complaint. 3. The individual's response t…
XLVII LAC tit. 46, §XLVII-3411 — Formal Hearing
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A. 1. The board has the authority, granted by R.S. 37:922 , to bring administrative proceedings to licensees, applicants for licensure, individuals seeking enrollment or progression in an approved nursing program, and individuals practicing nursing without a license. The board an…
XLVII LAC tit. 46, §XLVII-3413 — Appeal from Board Decision
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A. Any person whose license has been revoked, suspended, denied, or otherwise disciplined by the board shall have the right to have the proceedings of the board reviewed by the court having jurisdiction over the board, provided that such appeal is made within 30 days after the wr…
XLVII LAC tit. 46, §XLVII-3415 — Reinstatement of License
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A. An application for reinstatement of a suspended, revoked, or surrendered license shall be in writing in the form prescribed by the board. Applications and supporting documentation shall be submitted to the board at least 21 days prior to the scheduled hearing or conference. B.…
XLVII LAC tit. 46, §XLVII-3417 — Proceedings against a Nursing Education Program
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A. See §§3501, 3509, and 3523. Notes La. Admin. Code tit. 46 , § XLVII-3417 Promulgated by the Department of Health and Human Resources, Board of Nursing, LR 7:77 (March 1981), amended by the Department of Health and Hospitals, Board of Nursing, LR 24:1293 (July 1998). AUTHORITY …
XLVII LAC tit. 46, §XLVII-3419 — Alternative to Disciplinary Proceedings
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A. Under the provisions of R.S. 37:911 et seq., as re-enacted and amended, the Louisiana State Board of Nursing (board) has the authority to establish and implement a recovering nurse program as an alternative to the disciplinary process. The RNP is established to assist register…
XLVII LAC tit. 46, §XLVII-3501 — Duties of the Board Directly Related to Undergraduate and Graduate Nursing Education Degree Programs
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A. The authority of the Board of Nursing relating to undergraduate and graduate nursing education degree programs is contained in R.S. 37:911 et seq., and as amended. B. R.S. 37:918 , duties and powers of the board, states that the board shall: 1. establish and publish minimum cu…
XLVII LAC tit. 46, §XLVII-3503 — Definitions
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Accreditation -an external quality review process used in U.S. education and performed by peers to assure that postsecondary institutions and other education providers meet and maintain minimum standards of quality and integrity regarding academics, administration, structure, fun…
XLVII LAC tit. 46, §XLVII-3505 — Approval of Undergraduate and Graduate Nursing Education Degree Programs
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A. All undergraduate and graduate nursing education degree programs and clinical experiences in the state of Louisiana preparing persons for licensure, as a registered nurse and/or certification as an advanced practice registered nurse shall be approved by the board. The authorit…
XLVII LAC tit. 46, §XLVII-3507 — Purposes of Approval of Undergraduate and Graduate Nursing Education Degree Programs
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A. To promote the safe practice of nursing by establishing standards for undergraduate and graduate nurse education degree programs preparing individuals seeking licensure as registered nurses and/or advanced practice registered nurses in Louisiana. B. To grant legal recognition …
XLVII LAC tit. 46, §XLVII-3509 — Types of Approval of Undergraduate and Graduate Nursing Education Degree Programs
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A. Initial. Initial approval is granted to a new undergraduate and graduate nurse education degree program, which is determined by the board to be eligible to admit students to the nursing education degree program upon application by the parent institution and after survey and bo…
XLVII LAC tit. 46, §XLVII-3511 — Standards and Requirements for Undergraduate and Graduate Nursing Education Degree Programs: Mission/Philosophy and Goals
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A. The undergraduate and graduate nursing education degree program shall have a clear statement of mission/philosophy, consistent with the mission of the parent institution and congruent with current concepts in nursing education. B. The undergraduate and graduate nursing educati…
XLVII LAC tit. 46, §XLVII-3513 — Administration, Organization, Control of Undergraduate and Graduate Nursing Education Degree Programs
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A. There shall be a governing body which has legal authority to conduct undergraduate and/or graduate nursing education degree program(s), determine general policy and provide financial support. B. The undergraduate and graduate nursing education degree programs shall be in a reg…
XLVII LAC tit. 46, §XLVII-3515 — Faculty and Faculty Organization of Undergraduate and Graduate Nursing Education Degree Programs
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A. Faculty Body. There shall be qualified faculty adequate in numbers to provide a safe, effective faculty/student/client ratio as defined in (§3533, §3543, §3545) and to implement the undergraduate and/or graduate nurse education degree program in nursing in relation to its stat…
XLVII LAC tit. 46, §XLVII-3517 — Student Policies and Services: Undergraduate and Graduate Nursing Education Degree Programs
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A. Admission standards for entry into the undergraduate and graduate nursing education degree programs shall be established and published and shall reflect ongoing involvement by appropriate faculty. B. Qualified applicants shall be considered for admission without discrimination…
XLVII LAC tit. 46, §XLVII-3519 — Facilities, Resources, Services for Undergraduate and Graduate Nursing Education Degree Programs
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A. An identifiable physical facility for nursing shall be provided by the parent institution. B. Classrooms, conference rooms, multipurpose rooms, learning laboratories and library resources shall be provided. C. Offices for administrative personnel, faculty and support staff sha…
XLVII LAC tit. 46, §XLVII-3521 — Curriculum: Undergraduate and Graduate Nursing Education Degree Programs
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A. The faculty shall periodically review, evaluate and revise as appropriate the mission/philosophy, and goals of the undergraduate and/or graduate nursing education degree program(s); the goals and program outcomes shall be consistent with the mission of the nursing education de…
XLVII LAC tit. 46, §XLVII-3523 — Major/Substantive Changes: Undergraduate and Graduate Nursing Education Degree Programs (Formerly Sections 3525 and 3537)
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A. Undergraduate and/or graduate nursing education degree program(s) shall notify the board of major/substantive changes (refer to §3503). 1. - 9. Repealed. B. The undergraduate and/or graduate nursing education degree program(s) shall submit to the board two paper copies and one…
XLVII LAC tit. 46, §XLVII-3525 — Continuous Quality Improvement: Undergraduate and Graduate Nursing Education Degree Programs (Formerly Section 3523)
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A. The undergraduate and/or graduate nursing education degree program(s) has a systematic plan for continuous program improvement and assessment and documents the use of (evidence) in decision making for program development, improvement, and revision which includes the following …
XLVII LAC tit. 46, §XLVII-3527 — Records and Reports: Undergraduate and Graduate Nursing Education Degree Programs
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A. The undergraduate and graduate nursing education degree programs and the parent institution shall develop and implement a systematic plan for maintaining student records in accordance with the retention policy of the institution. 1. Student Records a. Each student's records in…
XLVII LAC tit. 46, §XLVII-3529 — Selection and Use of Clinical Facilities: Undergraduate and Graduate Nursing Education Degree Programs
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A. Hospitals used for clinical experiences shall be licensed by the state of Louisiana and certified by the appropriately designated agency for Medicare/Medicaid. In addition, hospitals and other health care agencies should be accredited or approved by a recognized accrediting or…
XLVII LAC tit. 46, §XLVII-3531 — Procedure for Terminating Undergraduate and Graduate Nursing Education Degree Programs
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A. Voluntary Termination 1. The board shall be notified when a decision has been made to close an undergraduate and/or graduate nursing education degree program(s). 2. The undergraduate and/or graduate nursing education degree program(s) shall provide a written plan of terminatio…
XLVII LAC tit. 46, §XLVII-3533 — Procedure for Establishing a New Undergraduate or Graduate Education Degree Program
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A. Step I: Letter of Intent and Feasibility Study 1. A written notice of intent to establish a new undergraduate and/or graduate nursing education degree program(s) stating the purpose and type of program must be submitted to the board in two paper copies and one electronic copy …
XLVII LAC tit. 46, §XLVII-3535 — Continuing Full Approval for Nursing Education Degree Programs
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A. Undergraduate and/or graduate nursing education degree program(s) must present evidence of compliance with all standards and requirements contained in LAC 46:XLVII.Chapter 35. B. The undergraduate nursing education degree program shall have a pass rate of 80 percent or greater…
XLVII LAC tit. 46, §XLVII-3537 — Procedure for Restructuring an Existing Undergraduate or Graduate Nursing Education Degree Program into/within Higher Education (Formerly Section 3534)
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A. Phasing-out an Existing Nursing Program (refer to §3531) 1. Notification of intent for restructuring an existing undergraduate and/or graduate nursing education degree program(s) . A letter of intent shall be submitted to the board to phase out an existing undergraduate and/or…
XLVII LAC tit. 46, §XLVII-3539 — Procedure for Approval for Undergraduate and Graduate Nursing Education Degree Programs whose Administrative Control is Located in Another State Offering Programs, Courses, and/or Clinical Experience in Louisiana (Formerly Section 3536)
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A. Program of Studies. To receive approval by the board for a total undergraduate and/or graduate nursing education degree program(s) of study by undergraduate and graduate nursing education degree programs with physical presence in Louisiana, but whose administrative control is …
XLVII LAC tit. 46, §XLVII-3541 — Procedure for Submitting Required Reports and Compliance Forms by Undergraduate and Graduate Nursing Education Degree Programs (Formerly Section 3539)
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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 ca…
XLVII LAC tit. 46, §XLVII-3543 — Preceptorship Learning Experiences (Formerly Section 3541)
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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 d…
XLVII LAC tit. 46, §XLVII-3545 — Undergraduate Community-Based Learning Experiences (Formerly Section 3542)
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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 agen…
XLVII LAC tit. 46, §XLVII-3547 — Undergraduate and Graduate Nursing Education Degree Programs not Leading to Additional Licensure or APRN Certification
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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 e…
XLVII LAC tit. 46, §XLVII-3601 — Scope
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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 refe…
XLVII LAC tit. 46, §XLVII-3603 — Definitions and Construction
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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 indirec…
XLVII LAC tit. 46, §XLVII-3605 — Required Disclosure of Financial Interests
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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 su…
XLVII LAC tit. 46, §XLVII-3607 — Prohibited Arrangements
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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 wo…
XLVII LAC tit. 46, §XLVII-3609 — Form of Disclosure
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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, addr…
XLVII LAC tit. 46, §XLVII-3611 — Effect of Violation; Sanctions
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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…
XLVII LAC tit. 46, §XLVII-3613 — Prohibition of Payments for Referrals
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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 o…
XLVII LAC tit. 46, §XLVII-3615 — Exceptions
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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…
XLVII LAC tit. 46, §XLVII-3617 — Effect of Violation
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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…
XLVII LAC tit. 46, §XLVII-3619 — Appendix- Financial Interest Disclosure Form
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Appendix Referring Nurse_________________________ Phone _________________ Employer_____________________________________________________ Address______________________________________________________ DISCLOSURE OF FINANCIAL INTEREST AS REQUIRED BY R.S. 37:1744 AND LAC 46:XLVII.3603…
XLVII LAC tit. 46, §XLVII-3701 — Duties of the Board Directly Related to Nursing Practice as Cited in R.S. 37:918
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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 …
XLVII LAC tit. 46, §XLVII-3703 — Definition of Terms Applying to Nursing Practice
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A. Terms applying to legal definitions of nursing practice, R.S. 37:913(13) and (14) . Accountability - being answerable for one's actions or inactions. The registered nurse answers to self, patient, agency, profession and society for the effectiveness and quality of nursing care…
XLVII LAC tit. 46, §XLVII-3705 — Administration of Anesthetic Agents
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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,…
XLVII LAC tit. 46, §XLVII-3707 — Peripherally Inserted Central Catheter (PICC) Insertion and Removal
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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 peri…
XLVII LAC tit. 46, §XLVII-3709 — Delegation of Medication Administration to Unlicensed Assistive Personnel in Outpatient Clinic Settings
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A. Introduction. Registered nurses and advanced practice registered nurses may delegate medication administration in outpatient clinic settings for patients with stable and predictable health conditions under specific provisos as provided for in this Subpart. When delegating to u…
XLVII LAC tit. 46, §XLVII-3901 — Legal Standards
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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 th…