The Nursing Practice Act NPA includes the "administration of medications or treatments ordered by a physician, podiatrist or dentist" as part of the practice of nursing. Although PAs are not included in the NPA, the Board recognizes that nurses work collaboratively with PAs to provide patient care in various practice settings. A nurse may carry out these orders.
To meet the professional education requirement, the applicant shall have graduated from: For issuance of a limited permit, an applicant shall obtain a score satisfactory to the department on a proficiency examination selected by the department as evidence of equivalent training, if the applicant's nursing education was obtained in a school of nursing outside the United States and its territories and has not been determined by the department to be equivalent in quality and scope to a program of nursing education registered by the department.
Effectiveness of non medical nurse prescribing primary care meet the education requirements, the applicant shall have graduated from high school or its equivalent, and shall have: All parts of the registered professional nurse licensing examination shall be taken each time the candidate is examined.
Each candidate for licensure as a registered professional nurse examined after November 22, shall have taken an examination acceptable to the State Board for Nursing. Except as provided in Section The registered professional nurse licensing examination results shall be reported as a single score.
Applicants who have passed a part or parts of the registered professional nurse licensing examination prior to July 1, may not retain credit for such part or parts beyond that date. A candidate for licensure as a practical nurse shall pass an examination acceptable to the State Board for Nursing.
Each candidate examined after September 11, shall have taken the same examination on the same dates such examination was given in this State. The passing score as determined by the State Board for Nursing for the licensed practical nurse licensing examination shall be reported as a single score.
A limited permit to practice as a registered professional nurse or licensed practical nurse may be issued after the applicant has met requirements of age, moral character, education and proficiency examination, if applicable, provided that the applicant has not failed the professional licensing examination.
Failure on a registered professional nurse licensing examination shall not preclude issuance of a limited permit to practice as a licensed practical nurse.
Nurse practitioner certificates issued to a registered professional nurse will reflect the specialty area of nurse practitioner academic preparation. The certificate will specify the specialty area of practice and, when applicable, that prescriptive privileges have been granted.
A nurse practitioner may apply for certification in more than one specialty area of practice. A complete application and fee shall be required for each certificate.
To meet the professional education requirements for certification as a nurse practitioner in this State, the applicant shall present evidence of: An acceptable course in pharmacology shall be equivalent in scope and content to that required by Section Alternative criteria for certification.
The department may issue a certificate upon the receipt of satisfactory evidence that an applicant licensed or certified in another state or country has met the substantial equivalent of the New York requirements for certification.
An applicant who satisfies all requirements for certification as a nurse practitioner may be authorized to issue prescriptions pursuant to Section 3 b of the Education Law after completing instruction, satisfactory to the department, in New York State and Federal laws and regulations relating to prescriptions and recordkeeping.
Practice agreements and practice protocols shall be maintained in the practice setting of the nurse practitioner and collaborating physician and shall be available to the department for inspection.
Practice agreements shall include provisions for referral and consultation, coverage for emergency absences of either the nurse practitioner or collaborating physician, resolution of disagreements between the nurse practitioner and collaborating physician regarding matters of diagnosis and treatment, and the review of patient records at least every three months by the collaborating physician; and may include such other provisions as determined by the nurse practitioner and collaborating physician to be appropriate.
Protocols shall identify the area of practice to be performed by the nurse practitioner in collaboration with the physician and shall reflect accepted standards of nursing and medical practice. Protocols shall include provisions for case management, including diagnosis, treatment, and appropriate recordkeeping by the nurse practitioner; and may include such other provisions as are determined by the nurse practitioner and collaborating physician to be appropriate.
Such protocols may be updated periodically. The department in its discretion or upon request of a nurse practitioner or collaborating physician may review practice protocols for the purpose of insuring that they are in conformance with accepted medical and nursing practice and with the statutes and regulations governing the practice of medicine, nursing, and the prescribing of drugs, and may render an opinion which shall be binding upon the parties to the protocol.
A practice and protocol committee designated by the Deputy Commissioner for the Professions shall review practice protocols and shall recommend findings as to their adequacy and conformity with current accepted medical and nursing practice. If the department determines that a protocol is inadequate or contrary to current accepted medical and nursing practice it shall communicate that determination, and the reasons therefor, to the nurse practitioner and to the collaborating physician in writing.
The nurse practitioner and collaborating physician shall conform to accepted medical and nursing practice immediately, and shall submit a revised protocol within 30 days of receipt of the department's determination, unless an extension of time is requested and granted by the department.
Continuation of practice in violation of the determination shall constitute unprofessional conduct by either or both licensees. An appeal from a determination that a practice protocol is inadequate or contrary to current accepted medical and nursing practice may be taken within 30 days after receipt of the notice of determination by a petition setting forth the reasons for the appeal, and signed by both the nurse practitioner and the collaborating physician.
Such joint appeal shall be filed with the Division of Professional Licensing Services and determined by the Committee on the Professions whose determination shall be final.
In addition to the requirements of Section of the Education Law, prescription forms used by nurse practitioners shall be printed with the name, nurse practitioner certificate number, office address, and office telephone number of the nurse practitioner.
As used in this subdivision: Collaborative relationships shall mean that a nurse practitioner communicates, in person, by telephone, or through written means including electronically, with a physician who is qualified to collaborate in the specialty involved, or in the case of a hospital, the nurse practitioner communicates with a physician qualified to collaborate in the specialty involved and who has privileges at such hospital, for the purposes of exchanging information, as needed, in order to provide comprehensive patient care and to make referrals, as necessary.
Physician shall mean a New York State licensed and registered physician. Hospital shall mean a hospital as defined by Public Health Law section 1.
Notwithstanding any provision in this section to the contrary and insofar as authorized by Education Law section 3 bin lieu of complying with the requirements relating to collaboration with a physician, collaborative practice agreements and practice protocols as set forth in subdivisions abcd and e of this section, a nurse practitioner may have collaborative relationships, with one or more physicians or a hospital, as such terms are defined in paragraph 1 of this subdivision, provided that the following criteria are met:Adult-Gerontology Primary Care Nurse Practitioner (A-GNP) The A-GNP certification examination is an entry-level competency-based examination that tests clinical knowledge of young adults (including adolescents and emancipated minors), adults, older adults, and elderly.
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