Pennsylvania Code
Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS
Part I - DEPARTMENT OF STATE
Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS
Chapter 21 - STATE BOARD OF NURSING
Subchapter C - CERTIFIED REGISTERED NURSE PRACTITIONERS
CRNP PRACTICE
Section 21.282a - CRNP Practice
Universal Citation: 49 PA Code § 21.282a
Current through Register Vol. 55, No. 13, March 29, 2025
(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) Perform comprehensive assessments of
patients and establish medical diagnoses.
(2) Order, perform and supervise diagnostic
tests for patients and, to the extent the interpretation of diagnostic tests is
within the scope of the CRNP's specialty and consistent with the collaborative
agreement, may interpret diagnostic tests.
(3) Initiate referrals to and consultations
with other licensed professional health care providers, and consult with other
licensed professional health care providers at their request.
(4) Develop and implement treatment plans,
including issuing orders to implement treatment plans. However, only a CRNP
with current prescriptive authority approval may develop and implement
treatment plans for pharmaceutical treatments.
(5) Complete admission and discharge
summaries.
(6) Order blood and
blood components for patients.
(7)
Order dietary plans for patients.
(8) Order home health and hospice
care.
(9) Order durable medical
equipment.
(10) Issue oral orders
to the extent permitted by the health care facilities' by-laws, rules,
regulations or administrative policies and guidelines.
(11) Make physical therapy and dietitian
referrals.
(12) Make respiratory
and occupational therapy referrals.
(13) Perform disability assessments for the
program providing temporary assistance to needy families (TANF).
(14) Issue homebound schooling
certifications.
(15) Perform and
sign the initial assessment of methadone treatment evaluations, provided that
any order for methadone treatment shall be made only by a physician.
(c) The provisions of this section are subject to limitation as set forth in section 8.2(c.2) of the act (63 P.S. § 218.2(c.2)), regarding the authority of state agencies and health care facilities.
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