OFFICE OF THE PROFESSIONS ONEW YORK STATEP 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 www.op.nysed.gov (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 MUÑOZ 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 www.op.nysed.gov. 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 (www.op.nysed.gov), 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.). WELCOME FROM THE ASSOCIATE COMMISSIONER Dear New Professional Licensee: On behalf of the New York State Board of Regents and the Education Department, I welcome you into the community of New York State licensed professionals. You have worked hard to earn your new professional license. Congratulations on your achievement! In New York State, through the Education Department's Office of the Professions, the Board of Regents licenses and