Nursing Guide to Practice

OP

OFFICE OF THE

PROFESSIONS

NEW YORK STATE EDUCATION DEPARTMENT

Nursing

Guide to Practice

The University of the State of New York THE STATE EDUCATION DEPARTMENT

Office of the Professions Division of Professional Licensing Services

89 Washington Avenue Albany, NY 12234-1000

op.

(Rev. 4/09)

THE UNIVERSITY OF THE STATE OF NEW YORK

Regents of the University

MERRYL H. TISCH, Chancellor, B.A., M.A., Ed.D. ........................................................New York

MILTON L. COFIELD, Vice Chancellor, B.S., M.B.A., Ph.D. ..........................................Rochester

ROBERT M. BENNETT, Chancellor Emeritus, B.A., M.S. ................................................Tonawanda

JAMES C. DAWSON, A.A., B.A., M.S., Ph.D. ..................................................................Plattsburgh

ANTHONY S. BOTTAR, B.A., J.D. ..................................................................................Syracuse

GERALDINE D. CHAPEY, B.A., M.A., Ed.D. ..................................................................Belle Harbor

HARRY PHILLIPS, 3rd, B.A., M.S.F.S. ............................................................................Hartsdale

JAMES R. TALLON, JR., B.A., M.A. ................................................................................Binghamton

ROGER TILLES, B.A., J.D. ................................................................................................Great Neck

KAREN BROOKS HOPKINS, B.A., M.F.A. ......................................................................Brooklyn

CHARLES R. BENDIT, B.A. ..............................................................................................Manhattan

BETTY A. ROSA, B.A., M.S. in Ed., M.S. in Ed., M.Ed., Ed.D.........................................Bronx

LESTER W. YOUNG, JR., B.S., M.S., Ed. D.......................................................................Oakland Gardens

CHRISTINE D. CEA, B.A., M.A., Ph.D. ............................................................................Staten Island

WADE S. NORWOOD, B.A. ..............................................................................................Rochester

Commissioner of Education President of The University of the State of New York DAVID M. STEINER

Deputy Commissioner for the Professions FRANK MU?OZ

Acting Director of the Division of Professional Licensing Services SUSAN NACCARATO

Executive Secretary for the State Board for Nursing BARBARA ZITTEL

The State Education Department does not discriminate on the basis of age, color, religion, creed, disability, marital status, veteran status, national origin, race, gender, genetic predisposition or carrier status, or sexual orientation in its educational programs, services and activities. Portions of this publication can be made available in a variety of formats, including Braille, large print or audiotape, upon request. Inquiries concerning this policy of nondiscrimination should be directed to the Department's Office for Diversity, Ethics, and Access, Room 530, 89 Washington Avenue, Albany, NY 12234.

MEMBERS OF THE

NEW YORK STATE BOARD FOR NURSING

New York is unique in placing its system of professional governance under the Board of Regents, a citizen body. Boards of professionals and public members advise the Regents and the Education Department on all aspects of professional education, licensing, practice, and discipline.

Name

Term

Prissana Alston, R.N., Dix Hills ................................................04/01/09 - 03/31/14 (2nd Term)

Lisa Balas, R.N., Buffalo ............................................................01/01/08 - 12/31/12 (1st Term)

Kathleen J. Guido, R.N., Tillson ................................................12/01/04 - 11/30/09 (1st Term)

Liesl S. Hall, R.N., St. Albans ....................................................11/01/05 - 10/31/10 (1st Term)

Donna M. Karczewski, R.N., Cheektowaga ..............................07/01/04 - 06/30/09 (2nd Term)

Yolanda Liggons, MS, APRN, BC and FNP, Cambria Heights ..07/31/08 - 08/01/13 (1st Term)

John W. Mullen*, Troy ..............................................................07/01/04 - 06/30/09 (2nd Term)

George J. Pastor*, Valley Stream ..............................................11/01/05 - 10/31/10 (1st Term)

Paul Philippe, R.N., Livingston ..................................................01/01/07 - 01/01/12 (2nd Term)

Ann Marie Hermoso Puentespina, R.N., Brooklyn ....................07/31/08 - 08/01/13 (1st Term)

Victoria Record, R.N., Palmyra ..................................................01/01/08 - 12/31/12 (1st Term)

Lorraine Sanders, R.N., Merrick ................................................04/01/05 - 03/31/10 (1st Term)

Alexandra Schneider, R.N., Lima ..............................................04/01/05 - 03/31/10 (1st Term)

Theresa Sebastian, R.N., Bayside ..............................................07/01/04 - 06/30/09 (2nd Term)

Angela Sheehan, R.N., Delmar ..................................................07/01/07 - 06/30/12 (2nd Term)

Toni C. Smith, R.N., Rochester ..................................................07/01/07 - 06/30/12 (2nd Term)

Gloria Strong, R.N., Schenectady ..............................................07/01/07 - 06/30/12 (2nd Term)

James VanMeenen*, Rochester ..................................................01/01/08 - 12/31/12 (1st Term)

Margaret B. Walker, R.N., Canandaigua ....................................03/01/08 - 02/29/13 (2nd Term)

Ernest B. Wheeler, RN, New York ..............................................01/01/08 - 12/31/12 (1st Term)

*Public Member

Note: A list of current Board members is available on the Office of the Professions' Web site at op..

TABLE OF CONTENTS

Welcome ..............................................................................................................................1

Office of the Professions Strategic Plan ..............................................................................3

Who to Contact ....................................................................................................................4

Nursing Jurisprudence Exam ................................................................................................7

Answers to Nursing Jurisprudence Exam ............................................................................12

Frequently Asked Practice Questions ..................................................................................14

Practice Positions ..................................................................................................................23 Abandonment in Nursing Administration of IV Anesthetic Agents by Non-Anesthetist Registered Nurse for the Purpose of Sedation and Anesthesia Administration of Medication by Unlicensed Personnel AICD/Pacemaker Interruptions with a Magnet during Colonoscopy Procedures The Differentiated Scope of Practice of Licensed Practical Nurses (LPNs) and Registered Professional Nurses (RNs)

Intraosseous Fluid and Medication Administration

Intravenous Monoclonal Antibodies

Nurse Practitioner

Approved Protocol Texts

Clarifying Information for Nurse Practitioners

Collaborative Practice Agreement (Sample)

The Practice of IV Therapy by Licensed Practical Nurses in Acute Care Settings The Practice of IV Therapy by Licensed Practical Nurses in Long Terms Care Settings SED/OMRDD Memorandum of Understanding for RN Nursing Supervision Standing Orders or Protocols Task Force on Provision of Services for Chronic Outpatient End State Renel Disease (ESRD) Facilities

Ethical Practice ....................................................................................................................63

American Nurses Association Code of Ethics ......................................................................63

Whistleblower Protection ....................................................................................................64

Professional Misconduct ......................................................................................................66

Reporting Professional Misconduct or Unlicensed Practice ................................................66

Professional Assistance Program ..........................................................................................68

Page Reference to Laws, Rules and Regulations ................................................................70

Laws, Rules and Regulations Specific to Nursing ..............................................................74

Laws, Rules and Regulations Applicable to All Professions ..............................................96

FOR FUTURE REFERENCE

IN THE EVENT OF AN EMERGENCY that impacts the licensed professions, the Office of the Professions will provide important information, specific to the situation, through our Web site (op.), our automated phone system (518-474-3817), and/or our regional offices. This information will include emergency provisions for professional practice as well as updates on scheduled events and services (licensing examinations, professional discipline proceedings, examination reviews, etc.).

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