49 Pa. Code Ch. 21 — State Board of Nursing

§ 21.24. Passage of the licensure examination. The candidate for licensure shall pass the licensure examination approved by the Board. Authority The provisions of this § 21.24 issued under section 506 of The Administrative Code of 1929 (71 P.S. § 186); and section 1 of The Profes…

§ 21.25. Re-examination. (a) A candidate shall submit a re-examination application, including the required fee for re-examination. (b) The candidate may take the licensing examination as many times as necessary to pass the licensure examination. (c) Candidates who apply for re-ex…

§ 21.251. Definitions. The following words and terms, when used in this subchapter, have the following meanings, unless the context clearly indicates otherwise: Act—The Professional Nursing Law (63 P.S. § § 211—225.5). Board—The State Board of Nursing of the Commonwealth. CRNP—Ce…

§ 21.252. [Reserved]. Source The provisions of this § 21.252 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. 6994. Immediately preceding text appears at serial page (335544).

§ 21.253. Fees. (a) The following application fees are charged by the Board for services to licensees and applicants: CRNP Certification—Board-approved nursing education program graduates… $100 CRNP Certification—graduates of out-of-State nursing education programs … $140 Verific…

§ 21.26. [Reserved]. Source The provisions of this § 21.26 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. 2829; reserved April 24, 2009, effective April 25, 2009, 39 Pa.B. 2103. Immediately pr…

§ 21.261. Use of title; authorization to practice. (a) A professional nurse who has satisfactorily met the requirements set forth in the act and this subchapter and holds current certification as a CRNP or whose certification is maintained on inactive status may use the designati…

§ 21.27. [Reserved]. Authority The provisions of this § 21.27 reserved under section 2.1(k) of The Professional Nursing Law (63 P.S. § 212.1(k)). Source The provisions of this § 21.27 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 2677; amended September 16, 1983, …

§ 21.271. Certification requirements. (a) Initial certification. An applicant for initial certification shall meet the following requirements: (1) Registered nurse license. An applicant for certification shall hold a current, unrestricted license as a professional nurse in this C…

§ 21.272. [Reserved]. Source The provisions of this § 21.272 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. 6994. Immediately preceding text appears at serial page (335546).

§ 21.273. Application for certification. (a) Applicants for certification shall pay a fee set forth in § 21.253 (relating to fees), and submit an application form provided by the Board to the Board for its review and approval. Applicants shall verify compliance with section 8.7 o…

§ 21.28. Licensure by endorsement. (a) A registered nurse who has graduated from an approved professional nursing education program in the United States or Canada and who obtained licensure in another jurisdiction having passed an examination considered by the Board to be equival…

§ 21.281. {Reserved}. Source The provisions of this § 21.281 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. 6994. Immediately preceding text appears at serial page (335546).

§ 21.282. {Reserved}. Source The provisions of this § 21.282 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. 6994. Immediately preceding text appears at serial page (335546).

§ 21.282a. CRNP Practice. (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) Perf…

§ 21.283. Authority and qualifications for prescribing, dispensing and ordering drugs. (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 special…

§ 21.284. Prescribing and dispensing parameters. (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…

§ 21.284a. Prescribing and dispensing drugs. (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…

§ 21.284b. Prescribing, administering and dispensing controlled substances. (a) A CRNP authorized to prescribe or dispense, or both, controlled substances shall register with the Drug Enforcement Administration. (b) A CRNP shall carry out the following minimum standards when pres…

§ 21.285. Prescriptive authority collaborative agreements. (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 au…

§ 21.286. Identification of the CRNP. (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…

§ 21.287. {Reserved}. Authority 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). Source The provisions of this § 21.287 adopted November 17, 2000, effective November 18, 2000, 30 Pa.B. 5943; reserved …

§ 21.288. CRNP standards of conduct. 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 speci…

§ 21.289. Additional grounds for discipline. In addition to the grounds set forth in section 14(a) of the act (63 P.S. § 224(a)), a CRNP who fails to comply with the Safe Emergency Prescribing Act (35 P.S. § § 873.1—873.9) shall be subject to disciplinary action. Authority The pr…

§ 21.29. Expiration and renewal of license. (a) The Board will assign registered nurses to one of the following license expiration dates: (1) April 30 in the even-numbered years. (2) October 31 in the even-numbered years. (3) April 30 in the odd-numbered years. (4) October 31 in …

§ 21.291. {Reserved}. Source The provisions of this § 21.291 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. 6994. Immediately preceding text appears at serial pages (319603) to (319604). Cross Refere…

§ 21.292. {Reserved}. Source The provisions of this § 21.292 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. 6994. Immediately preceding text appears at serial page (319604).

§ 21.293. {Reserved}. Source The provisions of this § 21.293 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. 6994. Immediately preceding text appears at serial page (319604).

§ 21.294. {Reserved}. Source The provisions of this § 21.294 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. 6994. Immediately preceding text appears at serial page (319604).

§ 21.29a. Reporting of crimes and disciplinary action. (a) A registered nurse shall notify the Board of pending criminal charges within 30 days of the filing of the criminal charges or on the biennial renewal application under § 21.29(c)(4) (relating to expiration and renewal of …

§ 21.29b. Reporting of address changes. A registered nurse shall notify the Board within 14 days of a change of address. Authority The provisions of this § 21.29b issued under section 2.1(k) of The Professional Nursing Law (63 P.S. § 212.1(k)). Source The provisions of this § 21.…

§ 21.3. [Reserved]. Authority The provisions of this § 21.3 reserved under section 2.1(k) of The Professional Nursing Law (63 P.S. § 212.1(k)). Source The provisions of this § 21.3 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 2677; reserved December 16, 2016, eff…

§ 21.30. Registered nurses licensed outside of the United States or Canada. (a) A registered nurse educated and licensed outside of the United States or Canada may not practice professional nursing in this Commonwealth until the registered nurse is issued a license or temporary p…

§ 21.30a. Continued competency. (a) A registered nurse whose license has lapsed for 5 years or longer or has been placed on inactive status for 5 years or longer, as permitted in section 11(b) of the act (63 P.S. § 221(b)), may reactivate the license by doing one of the following…

§ 21.31. Surveys; list of approved nursing education programs. (a) Survey visits are made of basic nursing programs conducted in hospitals, colleges or universities of exchange visitor programs and of cooperating agencies. In this section, ‘‘cooperating agency’’ means an educatio…

§ 21.311. {Reserved}. Source The provisions of this § 21.311 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. 6994. Immediately preceding text appears at serial page (308269).

§ 21.32. Objectives. Nursing schools in this Commonwealth are approved to effectuate the following: (1) Safeguard the preparation of nurses and assure safe standards of nursing practice in this Commonwealth. (2) Stimulate and maintain continued growth and improvement of nursing e…

§ 21.321. {Reserved}. Source The provisions of this § 21.231 adopted July 22, 1977, effective July 23, 1977, 7 Pa.B. 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. 6994. Immediately preceding text appears at serial page (308269).

§ 21.33. Types of approval. (a) The Board grants the following types of approval to nursing education programs: (1) Initial. The Board may grant initial approval to a new nursing education program, with evidence that the standards of this subchapter are being met, for a period of…

§ 21.331. Biennial renewal of certification. (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…

§ 21.332. Requirement of continuing education. (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…

§ 21.332a. Inactive status and reactivation. (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 …

§ 21.333. Continuing education content. (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 dru…

§ 21.334. Sources of continuing education. (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 …

§ 21.335. Requirements for courses. 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 facil…

§ 21.336. Continuing education course approval. (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) …

§ 21.337. CRNP responsibilities. (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 numb…