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SELECTED BOARDS OF NURSING RULES/WAIVERSBOARD OF NURSINGRULES TEMPORARILY WAIVEDCOMMENTSGEORGIAThere is not a need to institute any waivers regarding clinical practice requirements for nursing schools.? The Georgia BON has not declared specific clinical practice hours. The clinical hours must be sufficient to meet course objectives and proficiency. Policy 1.16 Graduate nursing students who have yet to take their licensing exams will also be allowed to seek temporary licensure through the Georgia Board of Nursing. In response to the Governor's declaration of a Public Health State of Emergency, the Board has enacted Policy 1.16 which provides for the issuance of temporary permits for licensed practical nurses, registered nurses and advanced practice registered nurses who have an active, unencumbered license in any other U.S. jurisdiction who are entering into the state to respond to the declared emergency.??Additionally, Georgia is a member of the?Nurse Licensure Compact (NLC).??Any licensed practical nurse or registered nurse with a multistate license from another?NLC jurisdiction?may practice in Georgia using their multistate privilege.Has not waived any conditions of the Georgia Nurse Practice Act associated with tele nursing (other states are waiving the requirement to be licensed in a neighboring “compact state”). ?Nurses who plan to practice telehealth during this disaster:Telenursing involves nursing practice via any electronic means such as telephone, satellite, or computer. Examples of Telenursing practice may include (but are not limited to) teaching, consulting, triaging, advising, or providing direct services.? All of these actions constitute the practice of nursing, even when there is no face-to-face or physical contact with a person or patient.? If a job description requires a person to hold a valid nursing license, then the job duties therein involve the practice of nursing.? This means a nurse must comply with the?Georgia Nurse Practice Act?and?Board Rules. ?These measures will directly address critical healthcare needs in the weeks ahead.WISCONSINThere is not a need to institute any waivers regarding clinical practice requirements for nursing schools.? The Wisconsin BON has not declared specific clinical practice hours. The clinical hours must be sufficient to meet course objectives and proficiency. Regulations in Wisconsin require students to complete at least 50% of their clinical hours through in-person, supervised experiences. Nursing schools and students are seeking a waiver from the Wisconsin Board of Nursing that would allow them to accrue clinical hours through additional simulated experiences, rather than in person. For private schools transitioning courses from on ground to online, the Board is recommending to follow the U.S. D.O.E. and provide broad approval and not require participation in SARA.Hospitals canceled student rotations in the last 10 days as they face shortages of personal protective equipment and an influx of patients with COVID-19.The Board is scheduled to consider the proposal at a 1 p.m. meeting Wednesday, March 25, 2020.?TEXAS22 Tex. Admin.?Code?§217.3(a)(2) and (4) relating to Temporary Authorization to Practice/Temporary Permit relating to temporary authorization to practice/temporary permits for graduate nurses (GN) and graduate vocational nurses.? Prior to this waiver, the rule limited the length of a GN or graduate vocational nurse (GVN) permit to 75 days.??The granted waiver now allows the Board to extend GN and GVN permits up to 6 months.This extension will allow nurse graduates to continue to practice until they can take the licensing exam. These individuals must still be supervised by a licensed nurse in their GN/ GVN roles.? Employers will be able to employ these graduates and meet health care demands during the declared emergency.? Further, the public will have greater access to care if these individuals can practice during this time.22 Tex. Admin. Code 214.10(e)(3)?and?§215.10(e)(3)?relating to Clinical Learning Experiences for Vocational Nursing and Professional Nursing Education Programs:Prior to this waiver, these rules limited clinical learning experiences for vocational nursing and professional/registered nursing students to 50% simulation activities in each clinical course.?The granted waiver now allows students in their final year of a nursing education program to meet clinical learning objectives by exceeding the 50% limit on simulated clinical learning experiences.This temporary waiver may help senior nursing students enrolled in a program that has ceased direct care clinical learning experiences to graduate as planned and become a part of the nursing workforce during this unprecedented disaster when employers need “all hands on deck.”?22 Tex. Admin. Code 217.9(f)?and 217.9(g)?relating to Inactive and Retired Licensure Status: Prior to this waiver, Rule 217.9(f) required a nurse who has not practiced in Texas and whose license has been in inactive state for less than 4 years to complete a reactivation application form, pay a fee, and submit verification of 20 hours of Continuing Education (CE).??The granted waiver now eliminates licensure reactivation fees and CE requirements for these applicants.??Prior to this waiver, Section 217.9 (g) required a nurse whose license has been inactive for more than four years to complete an additional refresher course and jurisprudence exam, in addition to a reactivation fee and completion of CE.?This waiver eliminates licensure reactivation fees, CE requirements, refresher course requirements, and the jurisprudence exam requirement.?Employers who seek to employ nurses who have been out of practice for a significant period of time are encouraged to assess each nurse’s competency and offer orientation necessary to assure the nurse is competent to practice safely.This will help expedite reactivation of licenses during this time of great need to increase the nursing workforce.Licenses that have current discipline or are revoked, surrendered, or in inactive status under the terms of prior disciplinary order are excluded from the Governor approved waiver process.CALIFORNIA California Board of Nursing, although receiving strong requests from nursing deans, have not and, apparently, do not plan on changing the requirements related to maximum numbers or percentage of on-ground clinical practicums.PENNSYLVANIA There is not a need to institute any waivers regarding clinical practice requirements for nursing schools.? The Pennsylvania BON has not declared specific clinical practice hours. The clinical hours must be sufficient to meet course objectives and proficiency. The waivers noted from the Pennsylvania Board of Nursing do not provide for any change in clinical practice hours related to simulation.VIRGINIAWaived additional clinical practice hours for “on track” student due to graduate this May.? Waived the maximum number of hours permitted to be in clinical simulation for each nursing course, which affects all students.? ................
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