TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.10 DEFINITIONS
Section 1300.10 Definitions
The following definitions shall apply to this Part:
"Act" means the Nurse
Practice Act [225 ILCS 65].
"Address of Record"
means the address recorded by the Division in the applicant's or licensee's
application file or license file, as maintained by the Division's licensure
maintenance unit.
"Advanced Practice Registered
Nurse" or "APRN" means a person who has met the qualifications
for a:
certified nurse midwife (CNM);
certified nurse practitioner
(CNP);
certified registered nurse
anesthetist (CRNA); or
clinical nurse specialist (CNS)
and has been licensed by the Division.
All advanced practice registered
nurses licensed and practicing in the State of Illinois shall use the title APRN
and may use specialty credentials after their name.
"APRN Practice Pending
Licensure" means practice by an APRN, under a temporary permit, who is
scheduled to take the National Certification Examination. This period of
practice cannot exceed 6 months from date of application for the license. APRN
Practice Pending Licensure does not include prescriptive authority.
"Board" means the Board
of Nursing.
"Collaboration" means
a process involving 2 or more health care professionals working together, each
contributing one's respective area of expertise to provide more comprehensive
patient care. (Section 50-10 of the Act)
"Consultation" means
the process by which an advanced practice registered nurse seeks the
advice or opinion of another health care professional. (Section 50-10 of
the Act)
"Dentist" means a
person licensed to practice dentistry under the Illinois Dental Practice Act [225
ILCS 25]. (Section 50-10 of the Act)
"Department" means the
Department of Financial and Professional Regulation.
"Direction" means to
give authoritative instruction to another regarding nursing interventions
and/or professional responsibilities.
"Director" means the Director
of the Division of Professional Regulation, with the authority delegated by the
Secretary.
"Division" means the
Department of Financial and Professional Regulation-Division of Professional
Regulation.
"Impaired Nurse"
means a nurse licensed under the Act who is unable to practice with reasonable
judgment, skill and safety because of a physical or mental disability, as
evidenced by a written determination or written consent based on clinical
evidence, including loss of motor skills, abuse of drugs or alcohol, or a
psychiatric disorder, of sufficient degree to diminish his or her ability to
deliver competent patient care. (Section 50-10 of the Act)
"Licensed Practical
Nurse" or "LPN" means a person who is licensed as a practical
nurse under the Act and practices pratical nursing as defined by the Act. (Section
50-10 of the Act)
"Nursing Intervention"
means any treatment, based on clinical nursing judgment or knowledge, that a
nurse performs. An individual or entity shall not mandate that a registered
professional nurse delegate a nursing intervention if the registered
professional nurse determines it is inappropriate to do so. A nurse shall not
be subject to disciplinary or any other adverse action for refusing to delegate
a nursing intervention based on patient safety. (Section 5-10 of the Act)
"Physician" means a
person licensed to practice medicine in all its branches under the Medical
Practice Act of 1987 [225 ILCS 60]. (Section 50-10 of the
Act)
"Physician Assistant"
means a person licensed under the Physician Assistant Practice Act of 1987
[225 ILCS 95]. (Section 50-10 of the Act)
"Podiatrist" or
"Podiatric Physician" means a person licensed to practice podiatry
under the Podiatric Medical Practice Act of 1987 [225 ILCS 100]. (Section
50-10 of the Act)
"Professional
Responsibility" includes making decisions and judgments requiring use of
knowledge acquired by completion of an approved program for licensure as a
practical, professional or advanced practice registered nurse.
"Registered Nurse",
"Registered Professional Nurse", or "RN" means a
person who is licensed as a professional nurse under the Act and practices
nursing as defined by the Act.
"Secretary" means the
Secretary of the Department of Financial and Professional Regulation.
(Source: Amended at 45 Ill. Reg. 228,
effective January 4, 2021)
 | TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.20 NURSING DELEGATION BY A REGISTERED PROFESSIONAL NURSE
Section 1300.20 Nursing Delegation by a Registered
Professional Nurse
a) For the purposes of
this Section:
"Community-Based Setting"
means facilities within the community where individuals, groups and populations
may seek or receive assistance and/or care. These include, but are not limited
to, schools, assisted living facilities, physicians' and APRNs' offices,
clinics, home health, and residences where individuals receive services under
the Home Health, Home Services, and Home Nursing Licensing Act [210 ILCS 55] or
Hospice Program Licensing Act [210 ILCS 60]. Community-based setting does not
include Home Services Agencies and Home Service Placement Agencies.
"Delegation" means
transferring to a specific individual the authority to perform a specific
nursing intervention, in a specific situation.
"Predictability of
outcomes" means that a registered professional nurse or advanced practice
registered nurse has determined that the patient's or individual's clinical
status is stable and expected to improve or the patient's or individual's
deteriorating condition is expected to follow a known or expected course."
"Stability" means a
registered professional nurse or advanced practice registered nurse has
determined that the individual's clinical status and nursing care needs are
consistent. (Section 50-75(a) of the Act)
b) A
registered professional nurse may:
1) Delegate
nursing interventions to other registered professional nurses, licensed
practical nurses, and other unlicensed personnel. The delegation should be
based on the comprehensive nursing assessment that includes, but is not
limited to:
A) The
stability and condition of the patient;
B) The
potential for harm;
C) The
complexity of the nursing intervention to be delegated;
D) The
predictability of outcomes; and
E) The
competency of the person to whom the nursing intervention is delegated. To
ensure competency, the RN may have to provide instruction to the individual or
evaluate the individual's experience, training and/or education.
2) Delegate
medication administration to other licensed nurses.
3) Refuse
to delegate, stop, or rescind a previously authorized delegation. (Section
5-75(b) of the Act)
c) In community-based or
in-home care settings, an RN may:
1) Delegate
medication administration (limited to oral or subcutaneous dosage and topical
or transdermal application) to unlicensed personnel, if the conditions of
delegations set forth in subsection (b) are met.
2) Delegate,
guide and evaluate the implementations of nursing interventions as a component of
patient care coordination after completion of the comprehensive patient
assessment based on analysis of the comprehensive nursing assessment data. Care
coordination may occur in person, by telecommunication, or by electronic
communication. (Section 5-75(b) of the Act)
d) The following actions
are prohibited by this Section:
1) Mandating
an RN to delegate nurse interventions when the RN has determined that it is not
appropriate to do so.
2) Delegating
medication administration to unlicensed personnel in any institutional or
long-term facility, including but not limited to those facilities licensed by
the Hospital Licensing Act [210 ILCS 85], the University of Illinois
Hospital Act [110 ILCS 330], State-operated mental health hospitals, or
State-operated developmental centers.
3) Delegating
nursing judgement, the comprehensive patient assessment, development of a plan
of care, and evaluations of care to licensed or unlicensed personnel;
4) Allowing
a licensed practical nurse or unlicensed personnel to re‑delegate a
nursing intervention that had been delegated to him or her by the RN.
(Section 50-75(b) of the Act)
e) Practice
in End Stage Renal Dialysis Facilities
1) For
the purposes of this Section only, an individual working as a dialysis
technician in a Medicare-certified End Stage Renal Dialysis Facility or a
facility regulated under the End Stage Renal Disease Facility Act [210 ILCS 62]
shall be considered a licensed individual for the purposes of delegation only
under Section 50-75 of the Act. A person working to acquire the experience
necessary to obtain certification under subsection (e)(2) may practice in
accordance with this subsection (e) for a period of no more than 18 months so
long as his or her practice is in compliance with the experience standards set
forth by the entities listed in subsection (e)(2).
2) Delegation
under this subsection (e) shall only be allowed if the individual receiving
delegation currently holds, or is in the process of acquiring, the necessary
experience to apply for and achieve one of the following certifications:
A) Certified
Clinical Hemodialysis Technician (CCHT) by the Nephrology Nursing Certification
Commission (NNCC);
B) Certified
Hemodialysis Technician (CHT) by the Board of Nephrology Examiners Nursing and
Technology (BONENT);
C) Certified
in Clinical Nephrology Technology (CCNT) by the National Nephrology
Certification Organization (NNCO).
3) Delegation
under this subsection (e) shall not include medication administration except
for saline flushes and application of topical anesthetics. All patient care
provided by a certified dialysis technician practicing under this subsection (e)
shall be under the direct and immediate on-site supervision of a licensed
physician, advanced practice registered nurse, physician assistant or
registered nurse.
4) Delegation
under this subsection (e) shall also comply with any rules adopted under the
End Stage Renal Disease Facility Act.
5) Nothing
in this subsection (e) shall be construed to apply to any other facility or
practice setting. This subsection (e) shall not be construed as granting a
license under the Act and shall not allow individuals receiving delegation
under this subsection (e) to use any title regulated by the Act.
f) The
delegation of medication administration in a community-based setting shall be
rescinded upon the discharge of the patient from the home health, home nursing,
or hospice agency, or when the nurse who delegated the nursing intervention is
no longer providing or coordinating the nursing clinical care.
g) An RN
who has delegated a nursing intervention does not have to be physically present
while the individual is performing the delegation so long as the RN has
satisfied the conditions of delegation set forth in subsection (b) and is
available to assist in person or by telecommunications.
(Source: Amended at 45 Ill.
Reg. 228, effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.30 FEES
Section 1300.30 Fees
The following fees shall be paid to the Department and are
not refundable:
a) Application
Fees
1) The
fee for application for a license as a registered professional nurse, and a
licensed practical nurse is $50. In addition, applicants for an examination
shall be required to pay, either to the Division or to the designated testing
service, a fee covering the cost of determining an applicant's eligibility and
providing the examination. Failure to appear for the examination on the
scheduled date, at the time and place specified, after the applicant's
application for examination has been received and acknowledged by the Division
or the designated testing service, shall result in the forfeiture of the
examination fee.
2) The
fee for a temporary restoration or endorsement permit for a license as an advanced
practice registered nurse, a registered professional nurse and a licensed
practical nurse is $25.
3) The
fee for application for a license as an advanced practice registered nurse or
as an advanced practice registered nurse with full practice authority is $125.
4) The
fee for application as an approved continuing education sponsor is $500.
b) Renewal Fees
1) The
fee for the renewal of a practical nurse license shall be calculated at the
rate of $40 per year.
2) The
fee for the renewal of a registered professional nurse license shall be
calculated at the rate of $40 per year.
3) The
fee for the renewal of a license as an advanced practice registered nurse or an
advanced practice registered nurse with full practice authority shall be
calculated at the rate of $40 per year.
4) The
fee for renewal of an APRN, LPN or RN continuing education sponsor approval is
$250 for 2 years.
c) General Fees
1)
The fee for the restoration of a license other than from inactive status
is $50 plus payment of all lapsed renewal fees, but not to exceed $250.
2) The
fee for a certification of a licensee's record for any purpose is $20.
3) The
fee to have the scoring of an examination authorized by the Division reviewed
and verified is $20 plus any fees charged by the applicable testing service.
4) The
fee for processing a fingerprint card by the Department of State Police is the
cost of processing, which shall be made payable to the State Police Services
Fund and shall be remitted to the State Police for deposit into the Fund.
(Source: Amended at 45 Ill.
Reg. 228, effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.40 RENEWALS
Section 1300.40 Renewals
a) Every
APRN license issued under the Act, including APRNs granted full practice
authority, shall expire on May 31 of each even-numbered year. The holder of a
license may renew the license during the month preceding the expiration date by
paying the fee required by Section 1300.30. During every renewal, a renewal
applicant will be required to complete 80 hours of continuing education as set
forth in Section 1300.130. A licensee's registered nurse license shall be
renewed in order to renew the advanced practice registered nurse license. At
the time of renewal, APRNs shall attest to continued, current national
certification in their specialty, except an advanced practice registered nurse
who has continuously held an unencumbered license under the Act since 2001 and
does not meet the educational requirements necessary to obtain national
certification as provided in Section 65-15(c) of the Act.
b) Every
registered professional nurse license issued under the Act shall expire on May
31 of each even-numbered year. The holder of a license may renew the license
during the month preceding the expiration date by paying the fee required by Section
1300.30. During every renewal, a renewal applicant will be required to
complete 20 hours of continuing education as set forth in Section 1300.130.
c) Every
licensed practical nurse license issued under the Act shall expire on January
31 of each odd-numbered year. The holder of a license may renew the license
during the month preceding the expiration date by paying the fee required by
Section 1300.30. During every renewal, a renewal applicant will be required to
complete 20 hours of continuing education as set forth in Section 1300.130.
d) It is
the responsibility of each licensee to notify the Division of any change of
address or email address. Failure to receive a renewal form from the Division
shall not constitute an excuse for failure to pay the renewal fee.
e) Practice
on a license that has expired is the unlicensed practice of nursing and shall
be grounds for discipline pursuant to Section 70-5 of the Act.
(Source:
Amended at 43 Ill. Reg. 6924, effective June 14, 2019)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.50 RESTORATION
Section 1300.50 Restoration
a) A
licensee seeking restoration of a license that has expired for 5 years or less
shall have the license restored upon completion of all forms required by the
Division, payment of the fees required by Section 1300.30, and completion of his
or her CE requirement.
b) A
licensee seeking restoration of a license that has been placed on inactive
status for 5 years or less shall have the license restored upon completion of
all forms required by the Division, payment of the current renewal fee set
forth in Section 1300.30(b), and completion of his or her CE requirement.
c) A
licensee seeking restoration of his or her license shall submit verification of
fingerprint processing from the Illinois State Police (ISP), or its designated
agent. Applicants shall contact an Illinois-licensed fingerprint vendor for
fingerprint processing. Out-of-state residents may have their fingerprints
taken by an out-of-state vendor but the fingerprints must be processed by an
Illinois Livescan Vendor. Fingerprints shall be taken within the 60 days prior
to application.
d) A
licensee seeking restoration of a licensed practical nurse license after it has
expired or been placed on inactive status for more than 5 years shall file an
application, on forms supplied by the Division, together with the restoration
fee specified in Section 1300.30(c)(1), when restoring an expired license, or
the current renewal fee set forth in Section 1300.30(b), when restoring an
inactive license. The licensee shall also submit proof of completion of his or
her current CE requirement set forth in Section 1300.130(a). The licensee
shall also submit proof of fitness to practice, which includes one of the
following:
1) Certification
of active practice in another jurisdiction. This certification shall include a
statement from the appropriate board or licensing authority in the other
jurisdiction that the licensee was authorized to practice during the term of
the active practice; or
2) An
affidavit attesting to military service as provided in Section 55-20(c) of the
Act. If application is made within 2 years after discharge, and if all other
provisions of Section 55-10 of the Act are satisfied, the applicant will be
required to pay the current renewal fee, but not the restoration fee; or
3) Proof
of successful completion of one of the following:
A) A Division-approved LPN
licensure examination;
B) A refresher course
subject to Division approval.
e) A
licensee seeking restoration of an RN license after it has expired or been
placed on inactive status for more than 5 years shall file an application, on
forms supplied by the Division, together with the restoration fee specified in
Section 1300.30(c)(1), when restoring an expired license, or the current
renewal fee set forth in Section 1300.30(b), when restoring an inactive
license. The licensee shall also submit proof of completion of his or her
current CE requirement as set forth in Section 1300.130(b). The licensee shall
also submit proof of fitness to practice, which includes one of the following:
1) Certification
of active practice in another jurisdiction. This certification shall include a
statement from the appropriate board or licensing authority in the other
jurisdiction that the licensee was authorized to practice during the term of
the active practice;
2) An
affidavit attesting to military service as provided in Section 60-25(c) of the
Act. If application is made within 2 years after discharge, and if all other
provisions of Section 60-10 of the Act are satisfied, the applicant will be
required to pay the current renewal fee, but not the restoration fee; or
3) Proof
of the successful completion of one of the following:
A) A Division-approved RN
licensure examination;
B) A refresher course
subjected to Division approval.
f) A
licensee seeking restoration of an APRN license after it has expired or been
placed on inactive status for more than 5 years shall file an application, on
forms supplied by the Division, together with the restoration fee specified in
Section 1300.30(c)(1), when restoring an expired license, or the current
renewal fee set forth in Section 1300.30(b), when restoring an inactive
license. The licensee shall also submit proof of completion of his or her
current CE requirements as set forth in Section 1300.130(c). The licensee
shall also submit proof of fitness to practice, which includes one of the
following:
1) Certification
of active practice in another jurisdiction. This certification shall include a
statement from the appropriate board or licensing authority in the other
jurisdiction that the licensee was authorized to practice during the term of
the active practice; or
2) An
affidavit attesting to military service as provided in Section 65-20(c) of the
Act. If application is made within 2 years after discharge, and if all other
provisions of Section 65-5 of the Act are satisfied, the applicant will be
required to pay the current renewal fee, but not the restoration fee; or
3) Verification
of continued, current certification in the APRN's specialty prior to
restoration.
g) Individuals
applying for restoration of an inactive or non-renewed license may apply to the
Division, on forms provided by the Division, to receive a temporary restoration
permit that allows the applicant to work pending the issuance of a license by
restoration.
1) The
temporary restoration permit application shall include:
A) A
completed signed restoration application, along with the restoration fee
required by Section 1300.30(c)(1). All supporting documents shall be submitted
to the Division before a permanent license by restoration shall be issued;
B) Either:
i) Photocopies
of all current active nursing licenses and/or temporary permits/licenses from
other jurisdictions (current active licensure in at least one United
States jurisdiction is required); or
ii) Verification
of employment in nursing practice within the last 5 years in a United States jurisdiction;
C) Verification
that fingerprints have been submitted to the Division or the ISP or its
designated agent; and
D) The
temporary restoration permit fee required by Section 1300.30(a)(2).
2) The
Division will issue a temporary restoration permit no later than 14 days after
receipt of a completed application as set forth in this Section.
3) Temporary
permits shall be terminated upon:
A) The issuance of a
permanent license by restoration;
B) Failure
to complete the application process within 6 months from the date of issuance
of the permit;
C) A
finding by the Division that the applicant has been convicted within the last 5
years of any crime under the laws of any jurisdiction of the United
States that is:
i) A felony; or
ii) A misdemeanor directly
related to the practice of nursing;
D) A
finding by the Division that, within the last 5 years, the applicant has had a
license or permit related to the practice of nursing revoked, suspended or
placed on probation by another jurisdiction, if at least one of the grounds is
substantially equivalent to grounds in Illinois; or
E) Upon
notification that the Division intends to deny restoration of licensure for any
reason.
4) The
Division will notify the applicant by certified or registered mail of the
intent to deny licensure pursuant to subsections (g)(3)(C) and (D) of this
Section and/or Section 70-5 of the Act.
5) A
temporary permit shall be extended beyond the 6-month period, upon recommendation
of the Board and approval of the Director, due to hardship, defined as:
A) Serving full-time in the
Armed Forces;
B) An
incapacitating illness as documented by a currently licensed physician;
C) Death of an immediate
family member; or
D) Extenuating
circumstances beyond the applicant's control, as approved by the Secretary.
h) When
the accuracy of any submitted documentation, or the relevance or sufficiency of
the course work or experience is questioned by the Division because of lack of
information, discrepancies or conflicts in information given, or a need for
clarification, the licensee will be requested to:
1) Provide information as
may be necessary; and/or
2) Appear
for an oral interview before the Board to explain the relevance or sufficiency,
clarify information, or clean up any discrepancies or conflicts in
information. Upon recommendation of the Board and approval by the Division, an
applicant shall have the license restored.
(Source: Amended at 45 Ill. Reg. 228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.60 GRANTING VARIANCES
Section 1300.60 Granting Variances
The Director may grant variances from this Part in
individual cases when he or she finds that:
a) The provision from which
the variance is granted is not statutorily mandated;
b) No party will be injured
by the granting of the variance; and
c) The
rule from which the variance is granted would, in the particular case, be
unreasonable or unnecessarily burdensome.
(Source: Amended at 45 Ill. Reg. 228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.70 FINES (REPEALED)
Section 1300.70 Fines
(Repealed)
(Source: Repealed at 45 Ill. Reg. 228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.80 PUBLIC ACCESS TO RECORDS AND MEETINGS (REPEALED)
Section 1300.80
Public Access to Records and Meetings (Repealed)
(Source:
Repealed at 45 Ill. Reg. 228, effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.90 UNETHICAL OR UNPROFESSIONAL CONDUCT
Section 1300.90
Unethical or Unprofessional Conduct
a) The Division may suspend or revoke a
license, refuse to issue or renew a license or take other disciplinary or
non-disciplinary action based upon its findings of unethical or unprofessional
conduct (see Section 70-5(b)(7) of the Act), which is interpreted to include,
but is not limited to, the following acts or practices:
1) Engaging in conduct likely to deceive,
defraud or harm the public, or demonstrating a willful disregard for the
health, welfare or safety of a patient. Actual injury need not be established.
2) A departure from or failure to conform
to the standards of practice as set forth in the Act or this Part. Actual
injury to a patient need not be established.
3) Engaging in behavior that crosses
professional boundaries (such as signing wills or other documents not related
to client health care).
4) Engaging in sexual conduct with a
patient or conduct that may reasonably be interpreted by a patient as sexual,
or in any verbal behavior that is sexually harassing to a patient.
5) Demonstrating actual or potential
inability to practice nursing with reasonable skill, safety or judgment by
reason of illness, use of alcohol, drugs, chemicals or any other material, or
as a result of any mental or physical condition.
6) Engaging in activities that constitute
a breach of the nurse's responsibility to a patient;
7) Engaging in activities that are
violative of ethical standards of the profession (such as failing to safeguard
patient confidentiality and records within the constraints of law; not respecting
the rights of patients, colleagues and other health professionals; not
observing requirements under the Act and any rules pertaining to any relevant
specialty; and failing to provide service with compassion and respect for human
dignity);
8) Engaging in activities that result in
the assumption by the nurse of responsibility for delivery of patient care that
the nurse was not properly qualified or competent to render;
9) Engaging in activities that result in a
delegation of responsibility for delivery of patient care when the delegated
intervention could not be monitored or the follow up and evaluation of outcomes
is not possible;
10) Engaging in activities that cause
actual harm to any member of the public; or
11) Misrepresenting educational background,
training, credentials or competence.
b) The Division hereby incorporates by
reference the "Code for Nurses with Interpretive Statements", July 2015,
American Nurses Association, 8515 Georgia Avenue, Suite 400, Silver Spring MD
20910, with no later amendments or editions.
c) The Division hereby incorporates by
reference the "Standards of Practice and Educational Competencies of
Graduates of Practical/Vocational Nursing Programs", National Association
for Practical Nurse Education and Service, Inc., May 6, 2007, 1940
Duke Street, Suite 200, Alexandria VA 22314, with no later amendments or
editions.
(Source: Amended at 45 Ill. Reg. 228, effective January
4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.100 REFUSAL TO ISSUE A LICENSE BASED ON CRIMINAL HISTORY RECORD (REPEALED)
Section 1300.100 Refusal to Issue a License Based on
Criminal History Record (Repealed)
(Source: Repealed at 45 Ill. Reg. 228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.110 MANDATORY REPORTING OF IMPAIRED LICENSEES
Section 1300.110 Mandatory Reporting of Impaired Licensees
a) Any
nurse who is an administrator or officer in any hospital, nursing home, other
health care agency or facility, or nurse agency and has knowledge of any action
or condition which reasonably indicates that a licensee under the Act:
1) is
impaired due to the use of alcohol or mood altering drugs to the extent that
the impairment adversely affects the licensee'sprofessional performance;
or
2) unlawfully
possesses, uses, distributes or converts mood altering drugs (Section 70-10(a)
of the Act) shall report the individual to the Division or designee of the
Division unless the licensee participates in a course of remedial professional
counseling or medical treatment for substance abuse.
b) The
administrator need not report the licensee in question so long as the nurse
actively pursues treatment under monitoring by the administrator or officer or
by the hospital, nursing home, health care agency or facility, or nurse agency
and the licensee continues to be employed by that hospital, nursing home,
health care agency or facility, or nurse agency.
c) However,
if the licensee fails to comply with treatment or leaves employment of the
institution for any reason, the administrator shall report the licensee to the
Division.
d) Notwithstanding
any other Section or provisions of the Nurse Practice Act, if the Division
verifies habitual intoxication or drug addiction that adversely affects
professional performance or the unlawful possession, use, distribution or
conversion of habit forming drugs by the reported licensee, the Division may
seek to discipline the licensee pursuant to Section 70-5 of the Act.
(Source: Amended
at 39 Ill. Reg. 15764, effective November 24, 2015)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.120 CARE COUNSELING AND TREATMENT AGREEMENT
Section 1300.120 Care Counseling and Treatment Agreement
a) The Division may offer a care,
counseling and treatment agreement to an impaired nurse in accordance with this
Section.
b) Eligibility for consideration for a
care, counseling and treatment agreement will include but not be limited to the
following:
1) Licensee must have no prior
disciplinary action in any jurisdiction concerning practice issues related to
substance abuse;
2) Licensee has not been convicted
criminally of any felony or drug-related misdemeanor, nor is any such criminal
action pending;
3) Licensee acknowledges a substance use
disorder or impairment; and
4) Licensee has appeared for and submitted
to an assessment by a physician who is a certified addictionist or an advanced
practice registered nurse with specialty certification in addiction and has
followed the recommendations of the assessment. Evaluations submitted from
another state may be accepted if the evaluator was approved by the nursing
board of that state. Evaluations that satisfy court orders will also be
accepted.
c) Pursuant
to Section 70-5(e) of the Act, all substance-related allegations mandate an
automatic substance abuse assessment.
1) The Department
will direct a licensee to complete and submit to the Department an approved
substance abuse assessment within 30 days. The licensee shall be responsible
for the expense of the substance abuse assessment. A licensee's failure to
timely complete a substance abuse assessment in the manner prescribed by the
Department shall result in an automatic suspension pursuant to Section 70‑5(e)
of the Act.
2) A
licensee subject to a suspension under this subsection (c) may request a
hearing to contest the grounds for the suspension by submitting a written
request to the Department within 30 days after the effective date of the
suspension. A hearing must be convened by the Department within 15 days after
receipt of the written request and completed without appreciable delay.
3) A
licensee subject to a suspension under this subsection (c) may request a
hearing to terminate the suspension by submitting a written request to the
Department. A suspension may be terminated provided that the licensee
establishes the ability to practice with reasonable judgment, skill, and safety
and warrants the public trust. When determining whether a licensee is able to
practice with reasonable judgement, skill, and safety and warrants public
trust, the Department will consider, but is not limited to, a drug evaluation
and any recommendations or opinion made by the professional completing the
evaluation.
(Source: Amended at 49 Ill. Reg. 6052,
effective May 9, 2025)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.130 CONTINUING EDUCATION
Section 1300.130 Continuing Education
a) Continuing Education (CE)
Requirements
1) As
required by the Act, all nurses shall complete continuing education as follows:
A) All
licensed practical nurses shall complete 20 hours of approved continuing
education per 2-year license renewal cycle.
B) All
registered nurses shall complete 20 hours of approved continuing education per 2-year
license renewal cycle.
C) All
advanced practice registered nurses shall complete 80 hours of approved
continuing education in the advanced practice registered nurse's specialty per 2-year
license renewal cycle. Completion of the 80 hours under this subsection (a)(1)(C)
shall satisfy the continuing education requirements for renewal of a registered
professional nurse license. An APRN holding more than one APRN license is
required to complete 80 hours of continuing education total per license renewal
period. The 80 hours of continuing education required shall be completed as
follows:
i) A
minimum of 50 hours of the continuing education
shall be obtained in continuing
education programs that shall include no less than 20 hours of
pharmacotherapeutics, including 10 hours of opioid prescribing or substance
abuse education.
ii) A
maximum of 30 hours of credit may be obtained by presentations in the APRN's
clinical specialty, evidence-based practice, or quality improvement projects,
publications, research projects, or preceptor hours.
2) The following
time equivalencies shall apply:
|
1 contact hour
|
=
|
60 minutes
|
|
1 academic semester hour
|
=
|
15 contact hours
|
|
1 academic quarter hour
|
=
|
12.5 contact hours
|
|
1 CME
|
=
|
1 contact hour
|
|
1 CNE
|
=
|
1 contact hour
|
|
1 AMA
|
=
|
1 contact hour
|
3) All
CE must be completed in the 24 months preceding expiration of the license.
4) A
renewal applicant shall not be required to comply with CE requirements for the
first renewal of an Illinois license.
5) Nurses
licensed in Illinois but residing and practicing in other states shall comply
with the CE requirements set forth in this Section.
6) Continuing
education hours used to satisfy the CE requirements of another jurisdiction may
be applied to fulfill the CE requirements of the State of Illinois pursuant to
the provisions set forth in subsection (e).
b) Approved Continuing
Education
1) CE
hours shall be earned by verified attendance at (e.g., certificate of
attendance or certificate of completion) or participation in a program or
course (program) that is offered or sponsored by an approved CE sponsor who
meets the requirements set forth in subsection (c), except for those activities
provided in subsections (b)(2), (3) and (4).
2) Independent
study that is approved for CE credits as set forth in subsection (c) may be
used, i.e., home study programs, articles from journals, and other health
discipline independent study modules.
3) Academic
credits may be used to fulfill CE requirements if the course content is consistent
with subsection (c)(3). CE hours are awarded as outlined in subsection (a)(4).
A) College/university
courses that are audited may not be used for CE credit.
B) Degree
"core" or general education credits such as English, literature, history,
math, music and physical education may not be used.
4) Presenter/lecturer
presentations made to other health professionals on topics related to the
certification area may be used for CE credit. Each different individual,
non-repetitive 60-minute lecture may be used for 5 CE hours. Full-time educators may not use
presentations/lectures that are part of their job expectations- but may use
guest lectures and other presentations made outside the duties of their job.
5) CE
hours may be earned for authoring papers, publications, articles,
dissertations, book chapters or research projects. These must be applicable to
the practice area. The research project must be completed during the prerenewal
period. Authoring a paper or publishing articles may be used for 10 CE hours.
Authoring a book chapter, dissertation or research project may be used for 20
CE hours. APRNs may obtain a maximum of 30 CE hours earned under this
subsection (b)(5).
6) Up to
5 CE hours may be earned for completion of skills certification courses. A
maximum of 2 hours in cardiopulmonary resuscitation certified by the American
Red Cross, American Heart Association, Health and Safety Institute (HSI), or
other qualified organization may be accepted, while a maximum of 3 hours may be
accepted for certification or recertification in Basic Life Support for
Healthcare Providers (BLS), Advanced Cardiac Life Support (ACLS), or Pediatric
Advanced Life Support (PALS) or their equivalent.
7) CE Options for APRNs
A) CE
hours may be earned through preceptorship of an APRN student. Preceptors must
provide clinical supervision and education to the APRN student. Documentation
must be provided from the school of nursing in which the student is enrolled.
Precepting one student for an academic semester or quarter may be used for 10
CE hours. Not more than 30 CE hours in each renewal period may come from
precepting.
B) Successful
completion, during the prerenewal period, of a recertification exam in the APRN's
area of specialty as recognized in Section 1300.10 may be used for 60 CE hours.
c) Approved CE Sponsors and
Programs
1) Sponsor,
as used in this Section, shall mean:
A) Approved
providers of recognized certification bodies as outlined in Section 1300.400(a).
B) Any
conference that provides approved Continuing Medical Education (CME) as
authorized by the Illinois Medical Practice Act.
C) American
Nurses Credentialing Center (ANCC) accredited or approved providers.
D) Illinois Society for Advanced Practice Nursing (ISAPN).
E) American Association of
Nurse Practitioners (AANP).
F) Nurse
Practitioner Association for Continuing Education (NPACE).
G) American
Association of Nurse Anesthetists (AANA), or National Board of Certification
and Recertification for Nurse Anesthetists (NBCNA).
H) National Association of
Clinical Nurse Specialists (NACNS).
I) American
College of Nurse Midwives (ACNM).
J) American
Nurses Association-Illinois (ANA-Illinois).
K) Illinois
Nurse Association or its affiliates.
L) Providers
approved by another state's board of nursing.
M) Nursing
education programs approved under Section 1300.230 or 1300.340 wishing to offer
CE courses or programs.
N) Employers
licensed under the Hospital Licensing Act [210 ILCS 85] or the Ambulatory
Surgical Treatment Center Act [210 ILCS 5].
O) Any
other accredited school, college or university, State agency, federal agency,
county agency or municipality that provides CE in a form and manner consistent
with this Section.
2) An
entity seeking approval as a CE sponsor, not specifically listed in subsection
(c)(1), shall submit an application, on forms supplied by the Division, along
with the application fee specified in Section 1300.30(a)(5). The application
shall include:
A) Certification:
i) That
all programs offered by the sponsor for CE credit will comply with the criteria
in subsection (c)(3) and all other criteria in this Section;
ii) That
the sponsor will be responsible for verifying full-time continuous attendance
at each program and provide a certificate of attendance as set forth in
subsection (c)(7);
iii) That,
upon request by the Division, the sponsor will submit evidence (e.g.,
certificate of attendance or course material) necessary to establish compliance
with this Section. Evidence shall be required when the Division has reason to
believe that there is not full compliance with the statute.
B) A copy
of a sample program with faculty, course materials and syllabi.
3) All
programs shall:
A) Contribute
to the advancement, extension and enhancement of the professional skills and
scientific knowledge of the licensee in the practice of nursing;
B) Foster
the enhancement of general or specialized nursing practice and values;
C) Be
developed and presented by persons with education and/or experience in the
subject matter of the program;
D) Specify
the course objectives, course content and teaching methods to be used; and
E) Specify
the number of CE hours that may be applied to fulfilling the Illinois CE
requirements for license renewal.
4) Each
CE program shall provide a mechanism for evaluation of the program and
instructor by the participants. The evaluation may be completed on-site
immediately following the program/presentation, or an evaluation questionnaire
may be distributed to participants to be completed and returned by mail. The
sponsor and instructor, together, shall review the evaluation outcome and
revise subsequent programs accordingly.
5) A
sponsor approved pursuant to subsection (c)(1) may subcontract with individuals
or organizations to provide approved programs. All advertising, promotional
materials and certificates of attendance must identify the approved sponsor.
The presenter of the program may also be identified but should be identified as
a presenter. When an approved sponsor subcontracts with a presenter, the
sponsor retains all responsibility for monitoring attendance, providing certificates
of attendance and ensuring the program meets all of the criteria established by
the Act and this Part, including the maintenance of records.
6) To
maintain approval as a sponsor approved under subsection (c)(2), each sponsor
shall submit to the Division by May 31 of each even-numbered year a renewal
application and the renewal fee specified in Section 1300.30(b).
7) Certification
of Attendance. It shall be the responsibility of a sponsor to provide each
participant in a program with a certificate of attendance or participation.
The sponsor's certificate of attendance shall contain:
A) The sponsor's name and,
if applicable, sponsor approval number;
B) The name of the
participant;
C) A brief statement of the
subject matter;
D) The number of hours
attended in each program;
E) The date and place of
the program; and
F) The signature of the
sponsor.
8) The sponsor shall
maintain attendance records for not less than 5 years.
9) The
sponsor shall be responsible for assuring that no renewal applicant will
receive CE credit for time not actually spent attending the program.
10) Upon
the failure of a sponsor to comply with any of the requirements of this
subsection (c), the Division, after notice to the sponsor and hearing before
and recommendation by the Board (see 68 Ill. Adm. Code 1110), shall thereafter
refuse to accept for CE attendance at or participation in any of that sponsor's
CE programs until such time as the Division receives assurances of compliance
with this Section.
11) Notwithstanding
any other provision of this Section, the Division or Board may evaluate any
sponsor of any approved CE program at any time to ensure compliance with
requirements of this Section.
d) Certification of
Compliance with CE Requirements
1) Each
renewal applicant shall certify, on the renewal application, full compliance
with the CE requirements set forth in subsections (a) and (b).
2) The
Division may require additional evidence demonstrating compliance with the CE
requirements (e.g., certificates of attendance). This additional evidence
shall be required in the context of the Division's random audit. It is the
responsibility of each renewal applicant to retain or otherwise produce
evidence of compliance.
3) When
there appears to be a lack of compliance with CE requirements, an applicant
shall be notified in writing and may request an interview with the Board. At
that time the Board may recommend that steps be taken to begin formal
disciplinary proceedings as required by Section 10-65 of the Illinois
Administrative Procedure Act [5 ILCS 100].
e) Continuing Education
Earned in Other Jurisdictions
1) If a
licensee has earned CE hours offered in another jurisdiction not given by an
approved sponsor for which the licensee will be claiming credit toward full
compliance in Illinois, the applicant shall submit an individual program
approval request form, along with a $25 processing fee, prior to participation
in the program or within 90 days prior to expiration of the license. The Board
shall review and recommend approval or disapproval of the program using the
criteria set forth in subsection (c)(3).
2) If a
licensee fails to submit an out-of-state CE approval form within the required
time frame, late approval may be obtained by submitting the approval request
with the $25 processing fee plus a late fee of $50 per CE hour, not to exceed
$300. The Board shall review and recommend approval or disapproval of the
program using the criteria set forth in subsection (c)(3).
f) Waiver of CE
Requirements
1) Any
renewal applicant seeking renewal of a license without having fully complied
with these CE requirements shall file with the Division a renewal application,
along with the required fee set forth in Section 1300.30(b), a statement
setting forth the facts concerning noncompliance and a request for waiver of
the CE requirements on the basis of these facts. A request for waiver shall be
made prior to the renewal date. If the Division, upon the written
recommendation of the Board, finds from the affidavit or any other evidence
submitted that extreme hardship has been shown for granting a waiver, the
Division will waive enforcement of CE requirements for the renewal period for
which the applicant has applied.
2) Extreme
hardship shall be determined on an individual basis by the Board and be defined
as an inability to devote sufficient hours to fulfilling the CE requirements
during the applicable prerenewal period because of:
A) Full-time
service in the Armed Forces of the United States during a substantial part of
the prerenewal period;
B) An
incapacitating illness documented by a currently licensed health care provider;
C) A
physical inability to access the sites of approved programs documented by a
currently licensed health care provider; or
D) Any other similar
extenuating circumstances.
3) When
the licensee is requesting a waiver due to physical or mental illness or
incapacity, the licensee shall provide a current fitness to practice statement
from a currently licensed health care provider familiar with the licensee's
medical history.
4) Any
renewal applicant who, prior to the expiration date of the license, submits a
request for a waiver, in whole or in part, pursuant to the provisions of this
Section shall be deemed to be in good standing until the final decision on the
application is made by the Division.
(Source:
Amended at 45 Ill. Reg. 228, effective January 4, 2021)
SUBPART B: LICENSED PRACTICAL NURSE
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.200 APPLICATION FOR EXAMINATION OR LICENSURE
Section 1300.200 Application for Examination or
Licensure
a) Each
applicant shall file with the Division or the testing service designated by the
Division a completed, signed application, on forms supplied by the Division,
that includes:
1) Proof
of graduation from a licensed practical nursing education program that meets
the requirements of Section 1300.230;
2) Verification
of fingerprint processing from ISP or its designated agent. (Practical nurses
licensed in Illinois are not required to be fingerprinted when applying for a
license as a registered professional nurse.) Applicants shall contact an
Illinois-licensed fingerprint vendor for fingerprint processing. Out-of-state
residents may have their fingerprints taken by an out-of-state vendor but the
fingerprints must be processed by an Illinois Livescan Vendor. Fingerprints
shall be taken within the 60 days prior to application;
3) The
required fees set forth in Section 1300.30(a)(1);
4) For
applicants educated outside the United States or its territories, the
following:
A) A
credentials evaluation report of the applicant's foreign nursing education from
the Commission on Graduates of Foreign Nursing Schools (CGFNS), Credentials
Evaluation Service (CES), the Educational Records Evaluation Service (ERES), or
another credentialing service approved by the Division. However, the Division
shall not accept a credential report that does not evaluate the educational
program of the applicant based upon receipt and review of official transcripts
from the nursing education program bearing the school seal. In order to be
accepted by the Division, credential reports shall be in a form and manner
acceptable to the Division.
B) If the
applicant's first language is not English, certification of passage of the Test
of English as a Foreign Language (TOEFL), the Occupational English Test (OET),
Pearson PET Academic, or the International English Language Testing System
(IELTS) General Training Module or another English test approved by the
Division. For TOEFL, the minimum passing score on the paper-based test is 560,
computer-based test is 220, and internet-based test is 83. For the IELTS
General Training Module, the minimum passing score shall be 6.0 (overall score)
and 7.0 (spoken band). For the Occupational English Test (OET), the minimum
passing score is 300 for Reading, Writing, and Listening and 350 for Speaking.
For the Pearson PET Academic, the minimum passing score is 55 overall, with a
50 minimum for Reading, Listening, and Writing Sections and a 63 minimum for
Speaking. The Division may, upon recommendation from an approved credentials
evaluation service, waive the requirement that the applicant pass a board
approved English proficiency examination if the applicant submits verification
of the successful completion of a nursing education program conducted in English
or the passage of an approved licensing examination given in English;
5) Official
transcripts of theory and clinical education prepared by an official of the
military for a practical nurse applicant who has received practical nursing
education in the military service. This education must meet the standards set
forth in Section 1300.230; and
6) Verification
from the jurisdictions in which the applicant was originally licensed, current
state of licensure and any other jurisdiction in which the applicant has been
actively practicing within the last 5 years, if applicable, stating:
A) The
time during which the applicant was licensed in that jurisdiction, including
the date of original issuance of the license; and
B) Whether
the file on the applicant contains any record of disciplinary actions taken or
pending.
b) Any
applicant who fails to demonstrate fulfillment of the education requirements
shall be notified in writing and must satisfy the deficiency before being
granted temporary authority to practice nursing, as permitted by Section 60-10
of the Act, or being admitted to the examination. Deficiencies in nursing
theory and/or clinical practice may be removed by taking the required courses
in an approved nursing education program.
(Source:
Amended at 49 Ill. Reg. 6052, effective May 9, 2025)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.210 LPN LICENSURE EXAMINATION
Section 1300.210 LPN Licensure Examination
a) The
Board shall make recommendations to the Division regarding content, design and
contractor for a licensure examination. A licensure examination contract shall
be negotiated and approved by the Division.
b) Licensed
Practical Nurse Examination
1) The
passing grade on the National Council Licensure Examination (NCLEX) for LPNs
shall be based on an ability scale designed to measure minimum LPN competency.
A pass/fail grade will be assigned.
2) An LPN
applicant who fails the examination is not eligible for licensure.
3) If
the examination is not passed within 3 years from the date of the first
examination taken, regardless of the jurisdiction in which the examination was
written, the applicant shall not be permitted to retake the examination until the
applicant has enrolled in a NLCEX review course. The applicant shall submit
proof to the Division. This subsection (b)(3) does not apply to applicants
licensed in another jurisdiction.
4) If 3
years from the date of original application has lapsed, the applicant shall be
required to submit a new application to the Division pursuant to Section 55-10
of the Act.
c) Eligibility
for Licensed Practical Nurse Examination
Any candidate who is unable to
pass the registered professional nurse examination will not be permitted to
write the practical nurse examination until or unless that applicant has
graduated from an approved practical nursing education program.
(Source: Amended at 45 Ill. Reg. 228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.220 LPN LICENSURE BY ENDORSEMENT
Section 1300.220 LPN Licensure by Endorsement
a) Each
applicant who is licensed in another jurisdiction shall file a completed,
signed application for licensure on the basis of endorsement, on forms supplied
by the Division. The application shall include:
1) The fee required by
Section 1300.30(a)(1);
2) Proof
of graduation from an LPN nursing education program that meets the requirements
of Section 1300.230;
3) Proof
of passage of an examination recognized by the Division, upon recommendation of
the Board (i.e., National Council Licensure Examination for practical nurses,
or State Board Test Pool Examination for practical nurses);
4) Verification
of fingerprint processing from ISP or its designated agent. (Practical nurses
licensed in Illinois are not required to be fingerprinted when applying for a
license as a registered professional nurse.) Applicants shall contact an
Illinois-licensed fingerprint vendor for fingerprint processing. Out-of-state
residents may have their fingerprints taken by an out-of-state vendor but the
fingerprints must be processed by an Illinois Livescan Vendor. Fingerprints
shall be taken within the 60 days prior to application;
5) Official
transcripts of theory and clinical education prepared by an official of the
military for a practical nurse applicant who has received his/her education in
the military service. Education must meet the standards for education set
forth in Section 1300.230;
6) Verification
of licensure status from the jurisdiction in which the applicant was originally
licensed, current licensure and any other jurisdiction in which the applicant
has been actively practicing within the last 5 years; and
7) A
certified translation for all credentials of education and licensure, if not in
English.
8) For
LPN applicants who received education outside of the United States, a
credentials evaluation report of the applicant's foreign nursing education from
the Commission on Graduates of Foreign Nursing Schools (CGFNS) Credentials
Evaluation Service (CES), the Educational Records Evaluation Service (ERES) or
another credentialing service approved by the Division. This requirement can
be satisfied by providing proof of licensure in a state that requires such a
report for initial licensure.
b) After
filing the original application, any change of name must be supported by an
affidavit satisfactory to the Division.
c) Compliance
with the provisions of Section 1300.210(b)(3) for each practical nurse
applicant shall be a requirement for Illinois practical nurse licensure by
endorsement.
d) Eligibility for
Practical Nurse Endorsement
A candidate who is unable to pass
the LPN examination in another jurisdiction and is allowed to write the
practical nurse examination in that jurisdiction and is subsequently licensed
as a practical nurse in that jurisdiction is not eligible for endorsement in
Illinois unless and until the candidate has graduated from an approved
practical nursing education program.
e) Individuals
applying for licensure by endorsement may apply to the Division, on forms
provided by the Division, to receive a Temporary Endorsement Permit pursuant to
Section 55-10 of the Act. The permit shall allow the applicant to work
pending the issuance of a license by endorsement.
1) The temporary
endorsement permit application shall include:
A) A
completed, signed endorsement application, along with the required endorsement
licensure fee set forth in Section 1300.30(a)(2). All supporting documents
shall be submitted to the Division before a permanent license by endorsement is
issued;
B) Photocopies
of all current active nursing licenses and/or temporary permits/licenses from
other jurisdictions. Current active licensure in at least one United States jurisdiction is required. Each applicant's license will be checked on the
Nurse System (NURSYS) disciplinary data bank to determine if any disciplinary
action is pending on the applicant's file;
C) Verification
that fingerprints have been submitted to the Division or the Illinois
Department of State Police or its designated agent; and
D) The
fee for a temporary permit as required in Section 1300.30(a)(2).
2) The
Division shall issue a temporary endorsement permit no later than 14 days after
receipt of a completed application as set forth in subsection (e)(1).
3) Temporary permits shall
be terminated upon:
A) The issuance of a
permanent license by endorsement;
B) Failure
to complete the application process within 6 months from the date of issuance
of the permit;
C) A
finding by the Division that the applicant has been convicted of any crime
under the laws of any jurisdiction of the United States that is:
i) A felony; or
ii) A misdemeanor
directly related to the practice of nursing, within the last 5 years;
D) A
finding by the Division that, within the last 5 years, the applicant has had a
license or permit related to the practice of nursing revoked, suspended or
placed on probation by another jurisdiction, if at least one of the grounds is
substantially equivalent to grounds in Illinois; or
E) A
finding by the Division that the applicant does not meet the licensure
requirements for endorsement set forth in this Section. The Division shall
notify the applicant in writing of the termination.
4) The
Division shall notify the applicant by certified or registered mail of the
intent to deny licensure pursuant to subsections (e)(3)(D) and (E) of this
Section and/or Section 70-5 of the Act.
5) A
temporary permit shall be renewed beyond the 6-month period, upon
recommendation of the Board and approval of the Director, due to hardship,
defined as:
A) Serving full-time in the
Armed Forces;
B) An
incapacitating illness as documented by a currently licensed health care
provider;
C) Death of an immediate
family member; or
D) Extenuating
circumstances beyond the applicant's control, as approved by the Director.
(Source: Amended at 45 Ill. Reg. 228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.230 APPROVAL OF PROGRAMS
Section 1300.230 Approval of Programs
a) Program Approval
Institutions desiring to establish
a new nursing program that would lead to meeting requirements for licensure,
change the level of educational preparation of the program, or establish an
extension of an existing program shall:
1) Submit a letter of intent
to the Division.
2) Provide
a feasibility study to the Division, on forms provided by the Division, that
includes, at least, documentation of:
A) Need for the program in
the community;
B) Need for graduates of
the proposed program;
C) Availability of
students;
D) Impact
on existing nursing programs in a 50 mile radius of the proposed program;
E) Potential
for qualified faculty, including the curriculum vitae of any potential faculty
members;
F) Adequacy of clinical
practicum and academic resources;
G) Financial
commitment to support the initial and continuing program;
H) Community support of the
scope and philosophy of the program;
I) Authorization
by the appropriate education agency of the State of Illinois; and
J) A
timetable for development of the program and the intended date of the first
class beginning.
3) Identify
a qualified nurse administrator with a minimum of a master's degree in nursing
and with experience as a nurse educator and provide a curriculum vitae of the
proposed nurse administrator.
4) Submit a curriculum
proposal including:
A) Program philosophy and
objectives;
B) A plan of organization
that is logical and internally consistent;
C) Proposed
plans of study, including requisite and elective courses with rationale;
D) Course outlines or
syllabi for all nursing courses;
E) Student handbook;
F) Faculty qualifications;
G) Instructional approaches
to be employed;
H) Evaluation plans for
progress, faculty and students;
I) Facilities and
utilization plan; and
J) Budget plan.
5) Coordinate
with the Division and/or the DPR Nursing Coordinator for a site visit to be
conducted prior to program approval.
b) Continued Program
Approval
1) Nursing
education programs shall submit annual evaluation reports to the Division on
forms provided by the Division. These reports shall contain information
regarding curriculum, faculty and students and other information deemed
appropriate by the Division.
2) Full
routine site visits may be conducted by the Division for periodic evaluation.
The visits will be utilized to determine compliance with the Act. Unannounced
site visits may be conducted when the Division obtains evidence that would
indicate the program is not in compliance with the Act or this Part.
3) A
pass rate of graduates on the National Council Licensing Examination (NCLEX)
shall be included in the annual evaluation of nursing education programs.
A) A pass
rate of 75% of first time examinees will be required for a school to remain in
good standing.
B) A
nursing education program having an annual pass rate of less than 75% of first
time examinees for one year will receive a written warning of noncompliance
from the Division.
C) A
nursing education program having an annual pass rate of less than 75% of first
time examinees for 2 consecutive years will receive a site visit for evaluation
and recommendation by the Division and will be placed on probation for program
revision. This determination may be contested by filing a petition for hearing
in accordance with 68 Ill. Adm. Code 1110.
D) The
nursing education program will have 2 years to demonstrate evidence of
implementing strategies to correct deficiencies and bring the pass rate in line
with the 75% criteria.
E) If, 2
years after implementing the strategies to correct deficiencies in the program,
the annual pass rate is less than 75%, the program will be reevaluated. The
program may be allowed to continue to operate on a probationary status or approval
may be withdrawn and the program removed from the list of Illinois approved
nursing programs in accordance with subsection (l) of this Section. When
determining whether a program will be allowed to continue to operate on a
probationary status or approval, the Division will, but is not limited to,
consider: whether the program's pass rate has trended upward; how close the
program is to the 75% goal; and the program's adherence to the remediation
plan.
c) Major Curricular
Revision
Nursing education programs
desiring to make a major curricular revision, i.e., addition or deletion of
content, a substantive change in philosophy or conceptual framework, or length
of program, shall:
1) Submit a letter of
intent to the Division; and
2) Submit
a copy of the proposed changes and new material to the Division, at least one
term prior to implementation, for Board recommendation and Division approval in
accordance with the standards set forth in subsection (f).
d) Minor Curricular
Revisions
Nursing education programs
desiring to make curricular revisions involving reorganization of current
course content but not constituting a major curriculum revision shall submit
the proposed changes to the Division in their annual report.
e) Organization and
Administration
1) An
institution responsible for conducting a nursing education program shall be
authorized by the appropriate agency of the State of Illinois (e.g., Illinois
Board of Higher Education, Illinois Community College Board).
2) The
relationship of the nursing education program to other units within the
sponsoring institution shall be clearly delineated with organizational charts
on file with the Division.
3) Nursing
education programs shall have clearly defined lines of authority,
responsibility and communication.
4) Student
input into determination of academic policies and procedures, curriculum
planning and evaluation of faculty effectiveness shall be assured as evidenced
by information such as student membership on policy and evaluation committees,
policy statements and evaluation procedures.
5) Nursing
education program policies and procedures shall be in written form, congruent
with those of the sponsoring institution, and reviewed by members of the
program on a regular schedule.
6) The
philosophy, purpose and objectives of the nursing education program shall be
stated in writing and shall be consistent with the sponsoring institution and
current social, nursing and educational trends and the Act.
f) Curriculum and
Instruction
1) The
curriculum shall be based upon the stated program purpose, philosophy and
outcomes.
2) Levels
of progression in relation to the stated program outcomes shall be established.
3) Coordinated
clinical and theoretical learning experiences shall be consistent with the
program outcomes.
4) Curricular
content shall reflect contemporary nursing practice encompassing major health
needs of all age groups.
5) The
entire curriculum shall be based on sound nursing, education and instructional
principles.
6) The
curriculum shall be evaluated by faculty with student input, according to a
stated plan.
7) The program shall be
approved by the appropriate educational agency.
8) Curriculum for the
practical nursing programs shall:
A) Include,
at a minimum, basic concepts of anatomy, physiology, chemistry, microbiology,
physics, communications, growth and development, interpersonal relationships,
psychology, sociology, cultural diversity, pharmacology (pharmacology course
standards are set forth in Section 1300.240), nutrition and diet therapy and vocational,
legal and ethical aspects of nursing;
B) Not
preclude a flexible curriculum that would provide appropriate integration of
the nursing subject areas;
C) Provide
basic theoretical and clinical instruction in all areas of nursing practice in
the promotion, prevention, restoration and maintenance of health in individuals
and groups across the life span and in a variety of clinical settings;
D) Incorporate
the nursing process as an integral part of the curriculum;
E) Prepare
the student to assume entry level practical nursing positions to assist clients
with normal and common health problems through use of basic nursing skills;
F) Be at least one
academic year in length; and
G) If a
military program, consist of a minimum of 36 to 40 weeks of theory and clinical
instruction incorporating the curriculum outlined in subsection (f)(8)(A).
g) Nursing Administrator
and Nursing Faculty
1) The
institution responsible for conducting the nursing program and the nurse administrator
of the nursing education program shall be responsible for ensuring that the
individual faculty members are academically and professionally qualified.
2) Nursing
education programs shall be administered by the nurse administrator of the
nursing education program.
3) The nurse
administrator and faculty of a nursing education program shall be currently
licensed as registered professional nurses in Illinois.
4) The nurse
administrator of a nursing education program shall have at least:
A) 2 years' experience in
clinical nursing practice;
B) 2 years'
experience as a nurse educator; and
C) A master's degree or
higher with a major in nursing.
5) The
nurse faculty of a practical nursing program shall have at least:
A) 2 years' experience in
clinical nursing practice; and
B) A baccalaureate degree
or higher with a major in nursing.
6) The
requirements of subsections (g)(4) and (5) shall not affect incumbents as of
the original date these requirements were adopted, January 14, 1980.
7) Nurse
administrators of nursing education programs shall be responsible for:
A) Administration of the
nursing education program;
B) Liaison with other units
of the sponsoring institution;
C) Preparation and
administration of the budget;
D) Facilitation of faculty
development and performance review;
E) Facilitation
and coordination of activities related to academic policies, personnel
policies, curriculum, resource facilities and services and program evaluation; and
F) Notification to the
Division of program changes.
8) Nurse
faculty shall be responsible for:
A) Development,
implementation and evaluation of the purpose, philosophy and objectives of the
nursing education program;
B) Design,
implementation and evaluation of curriculum for the nursing education program;
C) Participation in
academic advising of students;
D) Development and
evaluation of student policies; and
E) Evaluation
of student performance in meeting the objectives of the program.
9) Nurse
faculty shall participate in:
A) Selection, promotion and
tenure activities;
B) Academic activities of
the institution;
C) Professional and health
related community activities;
D) Self-development
activities for professional and personal growth;
E) Research and other
scholarly activities for which qualified; and
F) Activities
that maintain educational and clinical expertise in areas of teaching.
10) Clinical
experience must be under direct supervision of qualified faculty as set forth
in this subsection (g) or with a registered nurse preceptor. The nurse
preceptor shall be approved by the parent institution and shall work under the
direction of a nurse faculty member.
11) The
ratio of students to faculty in the clinical area shall be appropriate to the
clinical learning experience:
A) When
under direct supervision of the faculty, the ratio shall not exceed 10 to 1.
B) When a
registered nurse preceptor is used, the ratio of students to faculty member
shall not exceed 12 to 1.
h) Financial Support,
Facilities, Records
1) Adequate
financial support for the nursing education program, faculty and other
necessary personnel, equipment, supplies and services shall be in evidence in
the program budget.
2) The
faculty of the nursing education program and the staff of cooperating agencies
used as sites for additional theory and clinical experience shall work together
for quality of patient care.
3) Articles of Affiliation
A) The
nursing education program shall have Articles of Affiliation between the
nursing education program and each clinical facility that define the rights and
responsibilities of each party, including agreements on the role and authority
of the governing bodies of both the clinical site and the nursing education
program.
B) If
portions of the required clinical or theoretical curriculum are offered at
different geographical sites or by distance learning, the curriculum must be
planned, supervised, administered and evaluated in concert with appropriate
faculty committees, department chairmen and administrative officers of the
parent school.
4) There
shall be adequate facilities for the nursing program for both academic and
clinical experiences for students.
5) There
shall be access to learning resource facilities, including library and
multi-media technology, that are reasonably sufficient for the curriculum and
the number of students enrolled in the nursing education programs.
6) Cooperating
agencies shall be identified to the Division and shall be suitable to meet the
objectives of the program.
7) Addition
or deletion of cooperating agencies shall be reported in writing to the
Division on the program annual report.
8) The
nursing program's policies and procedures shall not violate constitutional
rights and shall be written and available to faculty and students.
9) Permanent
student records that summarize admissions, credentials, grades and other
records of performance shall be maintained by the program.
i) Preceptors
A program of licensed
professional nursing that uses the personnel of a clinical facility as
preceptors to instruct the clinical experience must:
1) Require
each preceptor to have demonstrated competencies with patient populations to
which the student is assigned;
2) Require
each preceptor to be approved by the faculty of the program of nursing;
3) Require
the faculty of the program to provide to each preceptor an orientation
concerning the roles and responsibilities of students, faculty and preceptors;
4) Require
the faculty of the program to develop written competencies/outcomes and provide
a copy of these to each preceptor before the preceptor begins instruction of
the students;
5) Designate
a member of the faculty to serve as a liaison between the preceptor and each
student who participates in the clinical experience;
6) Require
that each preceptor be present in the clinical facility or at the location of
point of care and available to the students at all times when the student
provides nursing care or services to patients/clients;
7) Require
that each preceptor have a current registered professional nurse license in the
state where the student is practicing.
j) Denial of Approval of
Nursing Program
If the Division, in the course of
reviewing an application for approval of a nursing program, determines that an
applicant program has failed to comply with the application criteria or
procedures outlined in this Part, or receives information that indicates that
the applicant program will not be able to comply with the conditions set forth
in subsection (b), the Division may deny the application for approval. When determining
whether to deny an application for approval, the Division will, but is not
limited, consider whether: more information from a program is needed; problems
with the proposed administrator remain unresolved; and space and resources for
the program and students is adequate.
k) Discontinuance of a
Nursing Program
1) Prior to terminating a
nursing education program, the program shall:
A) Notify
the Division, in writing, of its intent to discontinue its program;
B) Continue
to meet the requirements of the Act and this Part until the official date of
termination of the program;
C) Notify
the Division of the date on which the last student will graduate and the
program will terminate; and
D) Assume
responsibility for assisting students to continue their education in the event
of closing of the school prior to the final student graduating.
2) Upon
closure of the nursing education program, the institution shall notify the
Division, in writing, of the location of student and graduate records storage.
l) Withdrawal of Program
Approval
1) The
following are grounds for withdrawal of program approval of a nursing education
program:
A) A violation of any
provision of the Act;
B) Fraud
or dishonesty in applying for approval of a nursing education program;
C) Failure
to continue to meet criteria of an approved nursing education program set forth
in this Section;
D) Failure
to comply with recommendations made by the Division as a result of a site visit;
or
E) Failure
to correct a non-compliant annual pass rate pursuant to subsection (b) of this
Section.
2) Upon
written notification of the Division's proposed action, the nursing education
program may:
A) Submit a written
response; or
B) Request
an appearance before the Board to provide a response.
3) Upon
written notification that the Director has withdrawn the program approval of a
nursing education program, the program may request a hearing to contest the
Director's action in accordance with 68 Ill. Adm. Code 1110.
m) Out-of-State
Education Programs Seeking Student Nurse Clinical Placement in Illinois
1) Out-of-state
nursing education programs offering clinical experiences in Illinois are
expected to maintain the standards for approved nursing education programs set
forth in this Section.
2) Programs
desiring to seek approval for student nurse clinical placement in Illinois shall submit the following documents:
A) Evidence
of approval/accreditation by the Board of Nursing or other appropriate approval
bodies in the state in which the institution is located.
B) A
letter requesting approval to provide the clinical offering that indicates the
time-frame during which the clinical experience will be conducted, the clinical
agencies and the clinical units to be utilized.
C) A
course syllabus for the clinical experiences to be offered that specifies the
related objectives of the offering.
D) A copy
of the executed contractual agreement between the academic institution and the
clinical facility.
E) A
faculty qualification and/or preceptor form for individuals providing
instruction in Illinois.
3) Nursing
Faculty
A) The
institution responsible for conducting the nursing program and the
administrator of the nursing education program shall be responsible for
ensuring that the individual faculty members are academically and
professionally qualified.
B) Nurse faculty of a
practical nursing program shall have:
i) At
least 2 years' experience in clinical nursing practice; and
ii) A baccalaureate degree
or higher with a major in nursing.
C) The
faculty shall be currently licensed as registered professional nurses in Illinois.
D) Clinical
experience must be under direct supervision of qualified faculty as set forth
in subsection (g) or with a registered nurse preceptor. The nurse preceptor
shall be approved by the parent institution and shall work under the direction
of a nurse faculty member.
E) The
ratio of nursing students to nurse faculty in the clinical area shall be
appropriate to the clinical learning experience.
i) When
under direct supervision of the nursing faculty, the ratio shall not exceed 10
to 1.
ii) When
a registered nurse preceptor is used, the ratio of students to nursing faculty
member shall not exceed 12 to 1.
4) Approval
for clinical offerings by out-of-state nursing programs shall be approved for a
period of 2 years. A program representative may request renewal of the
approval every 2 years. In order to renew, the program shall submit a written
report that provides updated and current data as required by this subsection (m).
5) A
written report of current clinical offerings and current data shall be
submitted to the Division annually. Nursing faculty qualification and
preceptor forms shall be submitted when instructors are added or changed.
6) Failure
to comply with the requirements set forth in this Part shall result in the
immediate withdrawal of approval of the clinical experience offering.
n) If
the name of the program is changed or the institution in which the program is
located or with which it is affiliated changes its name, the program shall
notify the Division within 30 days after the name change. If the Division is
not notified within the 30 days, the program's approval may be withdrawn.
o) The
Division has determined that nationally accredited nurse programs meet the
requirements set forth in this Section, except for those programs whose
curriculums do not include a concurrent theory and clinical practice education
component as required by Section 50-70 of the Act.
(Source: Amended at 49 Ill. Reg. 6052,
effective May 9, 2025)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.240 STANDARDS FOR PHARMACOLOGY/ADMINISTRATION OF MEDICATION COURSE FOR PRACTICAL NURSES
Section 1300.240 Standards for
Pharmacology/Administration of Medication Course for Practical Nurses
a) Approved
licensed practical nursing programs shall include a course designed to educate
practical nursing students and/or licensed practical nurses to administer
medications via oral, topical, subcutaneous, intradermal and intramuscular
routes under the direction of a registered professional nurse, advanced
practice registered nurse, physician assistant, physician, dentist or podiatric
physician that contains the following minimum components:
1) Prerequisites
A) Basic
computational math and high school algebra with proficiency in the following
concepts, including, but not limited to, ratios and proportions and metric,
apothecary and household measurements as documented via examination and/or
coursework completed.
B) Basic
scientific knowledge, including, but not limited to, microbiology/asepsis and
anatomy and physiology with a basic understanding of fluid and electrolytes,
the inflammatory response, the immune response, and body systems as documented
via examination or coursework.
2) Pharmacology
A) An introduction to
pharmacology, including the areas of:
i) Terminology and
abbreviations
ii) Federal
and State laws related to pharmacology (e.g., Illinois Controlled Substances
Act [720 ILCS 570]; federal Food, Drug and Cosmetic Act (21 USC 360))
iii) Drug
standards and references (i.e., United States Pharmacopoeia/National Formulary)
iv) Generic versus brand
name drugs
v) Misuse/abuse of drugs
B) Classifications
of drugs (with commonly used examples), including:
i) Action/Physiological
effect
ii) Interactions
iii) Side effects and
contraindications
iv) Dosages and routes
v) Nursing implications
(including legal implications)
3) Administration
of Medication
A) Following
procedures of safety as described in subsections (a)(3)(C), (D), (E) and (F) in
administering medications.
B) Developmental
adaptations for administering medications to patients of all ages.
C) Assessment of patient
condition.
D) Planning for
administration of medication, including:
i) Checking
for an order from an advanced practice registered nurse, physician assistant,
physician, dentist or podiatric physician
ii) Securing proper
equipment
iii) Verifying proper
packaging of medication
E) Implementation
of administration of medication, including:
i) Site selection
ii) Verifying route of
administration
iii) Administering the
medication
iv) Recording medication
administration
v) Patient education for
compliance
F) Evaluation
of patient response, including:
i) Effects/side
effects/allergic responses
ii) Recording/reporting of
effects
b) This
Section does not preclude a flexible curriculum that would provide appropriate
integration into other practical nursing courses.
c) The
course/instruction shall include at least 32 hours of theory and 64 hours of
lab and clinical with administration of medication to patients performed under
direct supervision of qualified faculty as set forth in subsection (d).
d) Nurse
faculty of pharmacology and administration of medication courses shall have:
1) At least 2 years
experience in clinical nursing practice;
2) A baccalaureate degree
with a major in nursing;
3) A current Illinois
Registered Professional Nurse license.
e) Approved
licensed practical nursing programs shall include a curriculum designed to
educate practical nursing students and/or licensed practical nurses to perform
the following activities related to intravenous therapy under the supervision
of a registered professional nurse, advanced practice registered nurse,
physician assistant, physician, dentist or podiatric physician:
1) Monitoring the flow
rate of existing intravenous lines.
2) Regulating
peripheral fluid infusion rates for a continuous infusion of fluids or for intermittent
infusions, through an IV access device. A peripheral IV line is defined as a
short catheter inserted through the skin terminating in a peripheral vein.
3) Observing
sites for local reaction and reporting results to the registered nurse.
4) Discontinuing
intravenous therapy with an order from an advanced practice registered nurse,
physician assistant, physician, dentist or podiatric physician.
5) Adding pharmacy
pre-mixed antibiotic solutions to existing patent lines.
6) Changing peripheral
intravenous tubings and dressings.
7) Monitoring existing
transfusions of blood and blood components.
8) Documenting intravenous
procedures performed and observations made.
f) This
curriculum shall prepare the LPN to start peripheral intravenous therapy that
consists of a short catheter inserted through the skin into a peripheral vein.
g) The curriculum shall not
include the following procedures:
1) Administering
chemotherapeutic agents via intravenous routes.
2) Starting or adding
blood or blood components.
3) Administering
medications via intravenous push or administering heparin in heparin locks.
(Source: Amended at 43 Ill. Reg. 6924,
effective June 14, 2019)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.250 LPN SCOPE OF PRACTICE
Section 1300.250 LPN Scope of Practice
Practice as a licensed practical nurse means a scope of
basic nursing practice, with or without compensation, as delegated by a
registered professional nurse or an advanced practice registered nurse or as
directed by a physician assistant, physician, dentist or podiatric
physician, and includes all of the following and other activities
requiring a like skill level for which the LPN is properly trained:
a) Conducting
a focused nursing assessment and contributing to the ongoing comprehensive
nursing assessment of the patient performed by the RN.
b) Collaborating
in the development and modification of the RN's or APRN's comprehensive nursing
plan of care for all types of patients.
c) Implementing aspects
of the plan of care.
d) Participating
in health teaching and counseling to promote, attain, and maintain the optimum
health level of patients.
e) Serving
as an advocate for the patient by communicating and collaborating with other
health service personnel.
f) Participating in the
evaluation of patient responses to interventions.
g) Communicating
and collaborating with other health care professionals.
h) Providing
input into the development of policies and procedures to support patient
safety. (Section 55-30 of the Act)
(Source: Amended at 45 Ill. Reg. 228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.260 STANDARDS FOR PROFESSIONAL CONDUCT FOR LPNS
Section 1300.260 Standards for Professional Conduct for
LPNs
a) The
licensed practical nurse shall, but is not limited to, upholding the following
professional standards:
1) Practice
in accordance with the Act and this Part;
2) Practice
nursing only when in functional physical and mental health;
3) Be
accountable for his or her own nursing actions and competencies;
4) Practice
or offer to practice, including delegated nursing activities, only within the
scope permitted by law and within the licensee's own educational preparation
and competencies;
5) Perform
nursing interventions as delegated;
6) Seek
instruction from a registered professional nurse or advanced practice registered
nurse when implementing new or unfamiliar nursing activities;
7) Report
unsafe, unethical or illegal health care practice or conditions to appropriate
authorities and to the Division;
8) Assume
responsibility for continued growth and education to reflect knowledge and
understanding of current nursing care practice.
b) Violations
of this Section may result in discipline as specified in Section 70-5 of the
Act.
(Source: Amended at 45 Ill. Reg. 228,
effective January 4, 2021)
SUBPART C: REGISTERED NURSE
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.300 APPLICATION FOR EXAMINATION OR LICENSURE
Section 1300.300 Application for Examination or
Licensure
a) Each
applicant shall file, with the Division or the testing service designated by
the Division, a completed, signed application, on forms supplied by the
Division, that includes:
1) Proof
of graduation from a nursing education program that meets the requirements of
Section 1300.40;
2) Verification
of fingerprint processing from ISP or its designated agent. (Practical nurses
licensed in Illinois are not required to be fingerprinted when applying for a
license as a registered professional nurse.) Applicants shall contact an
Illinois-licensed fingerprint vendor for fingerprint processing. Out-of-state
residents may have their fingerprints taken by an out-of-state vendor but the
fingerprints must be processed by an Illinois Livescan Vendor. Fingerprints shall
be taken within the 60 days prior to application;
3) The
fees required by Section 1300.30(a)(1);
4) For
applicants educated outside the United States or its territories, the
following:
A) A
credentials evaluation report of the applicant's foreign nursing education from
either the Commission on Graduates of Foreign Nursing Schools (CGFNS)
Credentials Evaluation Service (CES), the Educational Records Evaluation
Service (ERES), or another credentialing service approved by the Division. To
be accepted, the report must:
i) Verify
that the applicant has successfully completed nursing education equivalent to
education received in a US state or territory as determined by the Department,
based upon receipt and review of official transcripts from the nursing
education program bearing the school seal;
ii) Indicate any subject
matter deficiencies; and
iii) Be
in a form and manner acceptable to the Division. The Division will not accept
a credential report until it receives all relevant information required by this
Section; and
B) If the
applicant's first language is not English, certification of passage of either
the Test of English as a Foreign Language (TOEFL) or the International English
Language Testing System (IELTS) Academic Module. For TOEFL the minimum passing
score on the paper-based test is 560, computer-based test is 220, and
internet-based test is 83. For the IELTS Academic Module, the minimum passing
score shall be 6.5 (overall score) and 7.0 (spoken band). The Division may,
upon recommendation from an approved credentials evaluation service, waive the
requirement that the applicant pass the TOEFL or IELTS examination if the
applicant submits verification of the successful completion of a nursing
education program conducted in English.
b) Any
applicant who fails to demonstrate fulfillment of the education requirements
shall be notified in writing and must satisfy the deficiency before being
granted temporary authority to practice nursing, as permitted by Section 60-10
of the Act, or being admitted to the examination. Deficiencies in nursing
theory and/or clinical practice may be removed by taking the required courses
in an approved nursing education program.
c) When
the applicant has completed the nursing education program in less than the
usual length of time through advanced standing or transfer of credits from one
institution to another, the director of nursing education shall include an
explanation in the certification.
d) Pursuant
to Section 50-70 of the Act, when an applicant has completed a nonapproved
program that is a correspondence course or a program of nursing that does not
require coordinated or concurrent theory and clinical practice, the Division
may grant a license to an applicant who has applied in accordance with
subsection (a) and who has received an advanced graduate degree in nursing from
an approved program with concurrent theory and clinical practice or who is
currently licensed in another state and has been actively practicing in
clinical nursing for a minimum of 2 years. Clinical practice for purposes of
this Section means nursing practice that involves direct physical (psychomotor
and psychosocial) patient (client) care within an acute care facility.
1) Clinical
practice areas that would meet the requirements for clinical practice include
the following:
A) Adult
Medical Surgical Nursing
B) Pediatric
Nursing
C) Maternity
Nursing
D) Emergency
Nursing
E) Critical
Care Nursing
F) Post-Anesthesia
Care Nursing
G) Psychiatric
Nursing
H) Medicare/Skilled
Nursing in a Long-Term Care Facility
2) Clinical
practice shall not include:
A) Telephone
or Triage Nursing
B) Case
Management
3) A
year of clinical practice consists of not less than 1500 hours of direct
patient care.
4) The
Board of Nursing will review clinical practice documentation that does not meet
the requirements of this subsection (d).
e) Credentials
of education and licensure, if not in English, shall be accompanied by a
certified translation.
f) After
filing the original application, any change of name must be supported by an
affidavit satisfactory to the Division.
g) If an
applicant has taken and passed the National Council Licensure Examination (NCLEX)
in accordance with Section 1300.310, the applicant shall file an application in
accordance with subsection (a) and shall have the examination scores submitted
to the Division directly from the testing entity or from the state of original
licensure.
(Source:
Amended at 45 Ill. Reg. 228, effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.310 RN LICENSURE EXAMINATION
Section 1300.310 RN Licensure Examination
a) The
Board shall make recommendations to the Division regarding content, design and
contractor for a licensure examination. A licensure examination contract shall
be negotiated and approved by the Division.
b) Registered Professional
Nurse Examination
1) The
passing grade on the National Council Licensure Examination (NCLEX) for
registered professional nurses shall be based on an ability scale designed to
measure minimum RN competency. A pass/fail grade will be assigned.
2) An RN
applicant who fails the examination is not eligible for licensure
3) If
the examination is not passed within 3 years from the date of application,
regardless of jurisdiction in which the examination was written, the applicant
shall not be permitted to retake the examination until the applicant has enrolled
in a NCLEX review course. The applicant shall submit proof to the Division.
This subsection (b)(3) does not apply to applicants who are licensed in another
jurisdiction.
4) If 3
years from the date of original application has lapsed, the applicant shall be
required to submit a new application to the Division pursuant to Section 60-10
of the Act and provide evidence of meeting the requirements in force at the
time of the new application.
(Source: Amended at 45 Ill. Reg. 228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.320 RN LICENSURE BY ENDORSEMENT
Section 1300.320 RN Licensure by Endorsement
a) Each
applicant who is licensed in another jurisdiction shall file a completed,
signed application for licensure on the basis of endorsement, on forms supplied
by the Division. The application shall include:
1) The fee
required by Section 1300.30(a)(1);
2) Proof
of graduation from a nursing education program that meets the requirements of
Section 1300.340;
3) Proof
of passage of an examination recognized by the Division, upon recommendation of
the Board (i.e., National Council Licensure Examination for professional
nurses, or State Board Test Pool Examination for professional nurses or
practical nurses);
4) Verification
of fingerprint processing from ISP or its designated agent. (Practical nurses
licensed in Illinois are not required to be fingerprinted when applying for a
license as a registered professional nurse.) Applicants shall contact an
Illinois-licensed fingerprint vendor for fingerprint processing. Out-of-state
residents may have their fingerprints taken by an out-of-state vendor but the fingerprints
must be processed by an Illinois Livescan Vendor. Fingerprints shall be taken
within the 60 days prior to application;
5) For RN
applicants who received education outside of the United States, a credentials
evaluation report of the applicant's foreign nursing education from either the
Commission on Graduates of Foreign Nursing Schools (CGFNS) Credentials
Evaluation Service (CES), the Educational Records Evaluation Service (ERES), or
another credentialing service approved by the Division. This requirement can
be satisfied by providing proof of licensure in a state that requires such a
report for initial licensure.
A) To be
accepted, the report must:
i) Verify
that the applicant has successfully completed nursing education equivalent to
education received in a US state or territory as determined by the Department,
based upon receipt and review of official transcripts from the nursing
education program bearing the school seal;
ii) Indicate
any subject matter deficiencies; and
iii) Be
in a form and manner acceptable to the Division. The Division will not accept
a credential report until it receives all relevant information required by this
Section.
B) The requirement
for a credentials evaluation of foreign nursing education may be satisfied by
the submission of proof of a certificate from the Certificate Program or the
VisaScreen Program of the Commission on Graduates of Foreign Nursing Schools,
provided that the certificate was based upon licensure in the applicants
country of education;
C) If the
applicant's first language is not English, the applicant shall provide certification
of passage of either the Test of English as a Foreign Language (TOEFL) or the
International English Language Testing System (IELTS) Academic Module. For
TOEFL, the minimum passing score on the paper-based test is 560, computer‑based
test is 220, and internet-based test is 83. For the IELTS Academic Module, the
minimum passing score shall be 6.5 (overall score) and 7.0 (spoken band). The
Division may waive the requirement that the applicant pass the TOEFL or IELTS
examination if the applicant submits verification of the successful completion
of a nursing education program conducted in English or the passage of an
approved licensing examination given in English;
D) Applicants
that have completed a minimum of 2 years of nursing education and have met the
other requirements for those educated in another country may be approved for
licensure.
6) Official
transcripts of theory and clinical education prepared by an official of the
military for a nurse applicant who has received his/her education in the
military service. Education must meet the standards for education set forth in
Section 1300.340;
7) Verification
of licensure status from the jurisdiction in which the applicant was originally
licensed, current licensure and any other jurisdiction in which the applicant
has been actively practicing; and
8) A
certified translation for all credentials of education and licensure, if not in
English.
b) After
filing the original application, any change of name must be supported by an
affidavit satisfactory to the Division.
c) Deficiencies
in nursing theory and/or clinical practice may be removed by taking the
required courses in an approved nursing education program.
d) Compliance
with the provisions of Section 1300.310(b)(3) for each RN applicant and shall
be a requirement for Illinois nurse licensure by endorsement.
e) Individuals
applying for licensure by endorsement may apply to the Division, on forms
provided by the Division, to receive a Temporary Endorsement Permit pursuant to
Section 60-10 of the Act. The permit shall allow the applicant to work pending
the issuance of a license by endorsement.
1) The
temporary endorsement permit application shall include:
A) A
completed, signed endorsement application, along with the required endorsement
licensure fee set forth in Section 1300.30(a)(3). All supporting documents
shall be submitted to the Division before a permanent license by endorsement is
issued;
B) Photocopies
of all current active nursing licenses and/or temporary permits/licenses from
other jurisdictions. Current active licensure in at least one United States jurisdiction is required. Each applicant's license will be checked on the
Nurse System (NURSYS) disciplinary data bank to determine if any disciplinary
action is pending on the applicant's file;
C) Verification
that fingerprints have been submitted to the Division or the Illinois
Department of State Police or its designated agent; and
D) The
fee for a temporary permit as required in Section 1300.30(a)(3).
2) The
Division shall issue a temporary endorsement permit no later than 14 days after
receipt of a completed application as set forth in subsection (e)(1).
3) Temporary
permits shall be terminated upon:
A) The
issuance of a permanent license by endorsement;
B) Failure
to complete the application process within 6 months from the date of issuance
of the permit;
C) A
finding by the Division that the applicant has been convicted of any crime
under the laws of any jurisdiction of the United States that is:
i) A felony; or
ii) A misdemeanor
directly related to the practice of nursing, within the last 5 years;
D) A
finding by the Division that, within the last 5 years, the applicant has had a
license or permit related to the practice of nursing revoked, suspended or
placed on probation by another jurisdiction, if at least one of the grounds is
substantially equivalent to grounds in Illinois; or
E) A
finding by the Division that the applicant does not meet the licensure
requirements for endorsement set forth in this Section. The Division shall
notify the applicant in writing of the termination.
4) The
Division shall notify the applicant by certified or registered mail of the
intent to deny licensure pursuant to subsections (e)(3)(D) and (E) and/or
Section 70-5 of the Act.
5) A
temporary permit shall be renewed beyond the 6-month period, upon
recommendation of the Board and approval of the Director, due to hardship, defined
as:
A) Serving
full-time in the Armed Forces;
B) An
incapacitating illness as documented by a currently licensed physician;
C) Death
of an immediate family member; or
D) Extenuating
circumstances beyond the applicant's control, as approved by the Director.
(Source: Amended at 45 Ill. Reg. 228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.330 NURSE EXTERNSHIP (REPEALED)
Section 1300.330 Nurse Externship (Repealed)
(Source: Repealed at 45 Ill. Reg. 228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.340 APPROVAL OF PROGRAMS
Section 1300.340 Approval of Programs
a) Program Approval
Institutions desiring to establish
a new nursing program that would lead to meeting requirements for licensure,
change the level of educational preparation of the program, or establish an
extension of an existing program shall:
1) Submit
a letter of intent to the Division.
2) Provide
a feasibility study to the Division, on forms provided by the Division, that
includes, at least, documentation of:
A) Need
for the program in the community;
B) Need
for graduates of the proposed program;
C) Availability
of students;
D) Impact
on existing nursing programs in a 50-mile radius of the proposed program;
E) The
curriculum vitae of identifiable nursing faculty, including the curriculum
vitae of any potential nursing faculty members that will teach in the program;
F) Adequacy
of clinical practicum and academic resources;
G) Financial
commitment to support the initial and continuing program;
H) Community
support of the scope and philosophy of the program;
I) Authorization
by the appropriate education agency of the State of Illinois; and
J) A
timetable for development of the program and the intended date of the first
class beginning.
3) Identify
and provide a curriculum vitae of a qualified nurse administrator with a
minimum of a master's degree in nursing and with experience as a nurse
educator.
4) Submit
a curriculum proposal including:
A) Program
philosophy and objectives;
B) A plan
of organization that is logical and internally consistent;
C) Proposed
plans of study, including requisite and elective courses with rationale;
D) Course
outlines or syllabi for all nursing courses;
E) Student
handbook;
F) Faculty
qualifications;
G) Instructional
approaches to be employed;
H) Evaluation
plans for faculty and students;
I) Facilities
and utilization plan; and
J) Budget
plan.
5) Coordinate
with the Division and/or Nursing Coordinator for a site visit to be conducted
prior to program approval.
b) Continued Program
Approval
1) Nursing
education programs shall submit annual evaluation reports to the Division on
forms provided by the Division. These reports shall contain information
regarding curriculum, faculty and students and other information deemed
appropriate by the Division.
2) Full
routine site visits may be conducted by the Division for periodic evaluation.
The visits will be utilized to determine compliance with the Act. Unannounced
site visits may be conducted when the Division obtains evidence that would
indicate the program is not in compliance with the Act or this Part.
3) Beginning
December 31, 2022, obtaining and maintaining programmatic accreditation by a
national accrediting body for nursing education recognized by the United States
Department of Education and approved by the Department. The Department and
Board of Nursing shall be notified within 30 days if the program loses its
accreditation. (Section 60-5(a)(5) of the Act)
A) The
Board shall issue a warning letter to any program that lost its national
accreditation. This letter shall inform the program of its probationary status
and the corrective actions necessary to be in compliance with the Act.
B) The
program placed on probationary status must:
i) Immediately
notify all enrolled students and applicants that the program has lost its
national accreditation and of corrective actions the program will take to
regain its accreditation; and
ii) Correct
the deficiencies identified by the Board within 12 months unless otherwise
directed by the Board, including regaining its national accreditation. Failure
to correct the deficiencies within the specified time frame shall result in the
Division's withdrawal of the program's approval status.
4) A
pass rate of graduates on the National Council Licensing Examination (NCLEX)
shall be included in the annual evaluation of nursing education programs.
A) A pass
rate of 75% of first-time examinees will be required for a school to remain in
good standing.
B) A
nursing education program having an annual pass rate of less than 75% of first-time
examinees for one year will receive a written warning of noncompliance from the
Division.
C) A
nursing education program having an annual pass rate of less than 75% of first-time
examinees for 2 consecutive years will receive a site visit for evaluation and
recommendation by the Division and will be placed on probation for program
revision. This determination may be contested by filing a petition for hearing
in accordance with 68 Ill. Adm. Code 1110.
D) The
nursing education program will have 2 years to demonstrate evidence of
implementing strategies to correct deficiencies and bring the pass rate in line
with the 75% criteria.
E) If, 2
years after implementing the strategies to correct deficiencies in the program,
the annual pass rate is less than 75%, the program will be reevaluated. The
program may be allowed to continue to operate on a probationary status or approval
may be withdrawn and the program removed from the list of Illinois approved
nursing programs in accordance with subsection (m) of this Section. When determining
whether a program will be allowed to continue to operate on a probationary
status or approval, the Division will, but is not limited to, consider: whether
the program's pass rates has trended upward; how close the program is to the
75% goal; and the program's adherence to the remediation plan.
c) Major Curricular
Revision
Nursing education programs
desiring to make a major curricular revision, i.e., addition or deletion of
content, a substantive change in philosophy or conceptual framework, or length
of program, shall:
1) Submit
a letter of intent to the Division; and
2) Submit
a copy of the proposed changes and new material to the Division, at least one
term prior to implementation, for Board recommendation and Division approval in
accordance with the standards set forth in subsection (f).
d) Minor Curricular
Revisions
Nursing education programs
desiring to make curricular revisions involving reorganization of current
course content but not constituting a major curriculum revision shall submit
the proposed changes to the Division in their annual report.
e) Organization and
Administration
1) An
institution responsible for conducting a nursing education program shall be
authorized by the appropriate agency of the State of Illinois (e.g., Illinois
Board of Higher Education, State Board of Education, Illinois Community College
Board);
2) The
relationship of the nursing education program to other units within the
sponsoring institution shall be clearly delineated with organizational charts
on file with the Division;
3) Nursing
education programs shall have clearly defined lines of authority,
responsibility and communication;
4) Student
input into determination of academic policies and procedures, curriculum
planning and evaluation of faculty effectiveness shall be assured as evidenced
by information such as student membership on policy and evaluation committees,
policy statements and evaluation procedures;
5) Nursing
education program policies and procedures shall be in written form, congruent
with those of the sponsoring institution, and reviewed by members of the
program on a regular schedule;
6) The
philosophy, purpose and objectives of the nursing education program shall be
stated in writing and shall be consistent with the sponsoring institution and
current social, nursing and educational trends and the Act.
f) Curriculum and
Instruction
1) The
curriculum shall be based upon the stated program purpose, philosophy and
objectives;
2) Levels
of progression in relation to the stated program outcomes shall be established;
3) Coordinated
clinical and theoretical learning experiences shall be consistent with the
program outcomes;
4) Curricular
content shall reflect contemporary nursing practice encompassing major health
needs of all age groups;
5) The
entire curriculum shall be based on sound nursing, education and instructional
principles;
6) The
curriculum may include a Nursing Student Internship/Cooperative Education
Course that meets the following minimum requirements:
A) The
course must be available with the nursing major and identified on the
transcript.
B) Faculty
must meet approved nursing education program qualifications and hold faculty
status with the educational unit.
C) Clinical
content must be coordinated with theoretical content.
D) Clinical
experience must be under direct supervision of qualified faculty as set forth
in subsection (g) or with a registered nurse preceptor. The nurse preceptor
shall be approved by the program and shall work under the direction of a nurse
faculty member.
E) Students
shall not be permitted to practice beyond educational preparation or without
faculty supervision.
F) The course
shall be based on program purpose, philosophy, objectives and framework.
G) Course
evaluation shall be consistent with the plan for program evaluation.
H) Articles
of affiliation shall clearly delineate student, educational institution and
health care agency roles and responsibilities;
7) The
curriculum shall be evaluated by nursing faculty with student input, according
to a stated plan;
8) The
program shall be approved by the appropriate educational agency;
9) Curriculum
for professional nursing programs shall:
A) Include,
at a minimum, concepts in anatomy, physiology, chemistry, physics,
microbiology, sociology, psychology, communications, growth and development,
interpersonal relationships, group dynamics, cultural diversity, pharmacology
and the administration of medication, nutrition and diet therapy,
patho-physiology, ethics, nursing history, trends and theories, professional
and legal aspects of nursing, leadership and management in nursing, and
teaching-learning theory;
B) Not
preclude a flexible curriculum that would provide appropriate integration of
the nursing subject matters;
C) Provide
theoretical and clinical instruction in all areas of nursing practice in the
promotion, prevention, restoration and maintenance of health in individuals and
groups across the life span and in a variety of clinical settings;
D) Incorporate
the nursing process as an integral part of the curriculum;
E) Prepare
the student to assume beginning level professional nursing positions;
F) Be at
least 2 academic years in length.
g) Nursing Administrator
and Nursing Faculty
1) The
institution responsible for conducting the nursing program and the nurse administrator
of the nursing education program shall be responsible for ensuring that the
individual faculty members are academically and professionally qualified.
2) Nursing
education programs shall be administered by the nurse administrator of the
nursing education program.
3) The nurse
administrator and faculty of a nursing education program shall be currently
licensed as registered professional nurses in Illinois.
4) The nurse
administrator of a nursing education program shall have at least:
A) 2 years'
experience in clinical nursing practice;
B) 2 years'
experience as a nursing educator; and
C) A
master's degree or higher with a major in nursing.
5) The
nurse faculty of a professional nursing program shall have at least:
A) 2 years'
experience in clinical nursing practice;
B) A
master's degree or higher with a major in nursing.
6) The
requirements of subsections (g)(4) and (5) shall not affect incumbents as of
the original date these requirements were adopted, January 14, 1980.
7) Nurse
administrators of nursing education programs shall be responsible for:
A) Administration
of the nursing education program;
B) Liaison
with other units of the sponsoring institution;
C) Preparation
and administration of the budget;
D) Facilitation
of faculty development and performance review;
E) Facilitation
and coordination of activities related to academic policies, personnel
policies, curriculum, resource facilities and services, and program evaluation;
and
F) Notification
to the Division of program changes.
8) Nursing
faculty shall be responsible for:
A) Development,
implementation and evaluation of the purpose, philosophy and objectives of the
nursing education program;
B) Design,
implementation and evaluation of curriculum for the nursing education program;
C) Participation
in academic advising of students;
D) Development
and evaluation of student policies; and
E) Evaluation
of student performance in meeting the objectives of the program.
9) Faculty
shall participate in:
A) Selection,
promotion and tenure activities;
B) Academic
activities of the institution;
C) Professional
and health related community activities;
D) Self-development
activities for professional and personal growth;
E) Research
and other scholarly activities for which qualified; and
F) Activities
that maintain educational and clinical expertise in areas of teaching.
10) Clinical
experience must be under direct supervision of qualified faculty as set forth
in this subsection (g) or with a registered nurse preceptor. The nurse preceptor
shall be approved by the parent institution and shall work under the direction
of a nurse faculty member.
11) The
ratio of students to faculty in the clinical area shall be appropriate to the
clinical learning experience:
A) When
under direct supervision of the faculty, the ratio shall not exceed 10 to 1.
B) When a
registered nurse preceptor is used, the ratio of students to faculty member
shall not exceed 12 to 1.
h) Financial Support,
Facilities, Records
1) Adequate
financial support for the nursing education program, faculty and other
necessary personnel, equipment, supplies and services shall be in evidence in
the program budget.
2) The
faculty of the nursing education program and the staff of cooperating agencies
used as sites for additional theory and clinical experience shall work together
for quality of patient care.
3) Articles
of Affiliation
A) The
nursing education program shall have Articles of Affiliation between the
nursing education program and each clinical facility that define the rights and
responsibilities of each party, including agreements on the role and authority
of the governing bodies of both the clinical site and the nursing education
program.
B) If
portions of the required clinical or theoretical curriculum are offered at
different geographical sites or by distance learning, the curriculum must be
planned, supervised, administered and evaluated in concert with appropriate
faculty committees, department chairmen and administrative officers of the
parent school.
4) There
shall be adequate facilities for the nursing program for both academic and
clinical experiences for students.
5) There
shall be access to learning resource facilities, including library and
multi-media technology, that are reasonably sufficient for the curriculum and
the number of students enrolled in the nursing education programs.
6) Cooperating
agencies shall be identified to the Division and shall be suitable to meet the
objectives of the program.
7) Addition
or deletion of cooperating agencies shall be reported in writing to the
Division on the program annual report.
8) The
nursing program's policies and procedures shall not violate constitutional
rights and shall be written and available to faculty and students.
9) Permanent
student records that summarize admissions, credentials, grades and other
records of performance shall be maintained by the program.
i) Faculty Waiver
1) Waivers
for faculty with a graduate degree in a field other than nursing may be granted
by the Division based on the following:
A) The
individual has a bachelor's degree in nursing;
B) The
individual has at least 2 years of experience in clinical nursing practice;
C) The
individual has a degree in a field that directly relates to the course he or
she will be teaching;
D) At
least 80% of the school's undergraduate nursing faculty holds a master's degree
in nursing.
2) Waivers
for faculty without a graduate degree will be granted based on the following:
A) The
faculty member is within one year of completion of the master's in nursing, a Doctorate
of Nursing Practice program or is enrolled in a doctoral degree in nursing
program and has completed all coursework, except for a dissertation/final
project;
B) The
faculty member is continuously enrolled in the graduate degree in nursing
program;
C) A plan
exists for the timely completion of the graduate degree in nursing program; and
D) At
least 80% of the school's undergraduate nursing faculty holds a master's degree
in nursing.
3) A
school that has received a waiver must notify the Board of any changes related
to that faculty member, including notification that the faculty member has
received the graduate degree.
j) Preceptors
A program of registered
professional nursing that uses the personnel of a clinical facility as
preceptors to instruct the clinical experience must:
1) Require
each preceptor to have demonstrated competencies with patient populations to
which the student is assigned;
2) Require
each preceptor to be approved by the faculty of the program of nursing;
3) Require
the faculty of the program to provide to each preceptor an orientation
concerning the roles and responsibilities of students, faculty and preceptors;
4) Require
the faculty of the program to develop written competencies/outcomes and provide
a copy of these to each preceptor before the preceptor begins instruction of
the students;
5) Designate
a member of the faculty to serve as a liaison between the preceptor and each
student who participates in the clinical experience;
6) Require
that each preceptor be present in the clinical facility or at the location of
point of care and available to the students at all times when the student
provides nursing care or services to patients/clients;
7) Require
that each preceptor have a current registered professional nurse license in the
state where the student is practicing.
k) Denial of Approval of
Nursing Program
If the Division, in the course of
reviewing an application for approval of a nursing program, determines that an
applicant program has failed to comply with the application criteria or
procedures outlined in this Part, or receives information that indicates that
the applicant program will not be able to comply with the conditions set forth
in subsection (b), the Division may deny the application for approval. When determining
whether to deny an application for approval, the Division will, but is not
limited, consider whether: more information from a program is needed; problems
with the proposed administrator remain unresolved; and space and resources for
the program and students is adequate.
l) Discontinuance of a
Nursing Program
1) Prior
to termination of a nursing education program, the program shall:
A) Notify
the Division, in writing, of its intent to discontinue its program;
B) Continue
to meet the requirements of the Act and this Part until the official date of
termination of the program;
C) Notify
the Division of the date on which the last student will graduate and the
program terminate; and
D) Assume
responsibility for assisting students to continue their education in the event
of closing of the school prior to the final student graduating.
2) Upon
closure of the nursing education program, the institution shall notify the
Division, in writing, of the location of student and graduate records storage.
m) Withdrawal of Program
Approval
1) The
following are grounds for withdrawal of program approval of a nursing education
program:
A) A
violation of any provision of the Act;
B) Fraud
or dishonesty in applying for approval of a nursing education program;
C) Failure
to continue to meet criteria of an approved nursing education program set forth
in this Section;
D) Failure
to comply with recommendations made by the Division as a result of a site visit;
or
E) Failure
to correct a non-compliant annual pass rate pursuant to subsection (b) of this
Section.
2) Upon
written notification of the Division's proposed action, the nursing education
program may:
A) Submit
a written response; or
B) Request
an appearance before the Board to provide a response.
3) Upon
written notification that the Director has withdrawn the program approval of a nursing
education program, the program may request a hearing to contest the Director's
action in accordance with 68 Ill. Adm. Code 1110.
n) Out-of-State
Education Programs Seeking Student Nurse Clinical Placement in Illinois
1) Out-of-state
nursing education programs offering clinical experiences in Illinois are
expected to maintain the standards for approved nursing education programs set
forth in this Section.
2) Programs
desiring to seek approval for student nurse clinical placement in Illinois shall submit the following documents:
A) Evidence
of approval/accreditation by the Board of Nursing or other appropriate approval
bodies in the state in which the institution is located.
B) A
letter requesting approval to provide the clinical offering that indicates the
time-frame during which the clinical experience will be conducted, the clinical
agencies and the clinical units to be utilized.
C) A
course syllabus for the clinical experiences to be offered that specifies the
related objectives of the offering.
D) A copy
of the executed contractual agreement between the academic institution and the
clinical facility.
E) A
faculty qualification and/or preceptor form for individuals providing
instruction in Illinois.
3) Nursing
Faculty
A) The
institution responsible for conducting the nursing program and the
administrator of the nursing education program shall be responsible for
ensuring that the individual nursing faculty members are academically and
professionally qualified.
B) Nurse
faculty of a professional nursing program shall have at least:
i) 2 years'
experience in clinical nursing practice; and
ii) A
master's degree or higher with a major in nursing.
C) The nursing
faculty shall be currently licensed as registered professional nurses in Illinois.
D) Clinical
experience must be under direct supervision of qualified faculty as set forth
in subsection (g) or with a registered nurse preceptor. The nurse preceptor
shall be approved by the parent institution and shall work under the direction
of a nurse faculty member.
E) The
ratio of students to faculty in the clinical area shall be appropriate to the
clinical learning experience.
i) When
under direct supervision of the faculty, the ratio shall not exceed 10 to 1.
ii) When
a registered nurse preceptor is used, the ratio of students to faculty member
shall not exceed 12 to 1.
4) Approval
for clinical offerings by out-of-state nursing programs shall be approved for a
period of 2 years. A program representative may request renewal of the
approval every 2 years. In order to renew, the program shall submit a written
report that provides updated and current data as required by this subsection (n).
5) A
written report of current clinical offerings and current data shall be
submitted to the Division annually. Faculty qualification and preceptor forms
shall be submitted when instructors are added or changed.
6) Failure
to comply with the requirements set forth in this Part shall result in the
immediate withdrawal of approval of the clinical experience offering.
o) If
the name of the program is changed or the institution in which the program is
located or with which it is affiliated changes its name, the program shall
notify the Division within 30 days after the name change. If the Division is
not notified within the 30 days, the program's approval may be withdrawn.
p) The
Division has determined that nurse programs approved through the Commission on
Collegiate Nursing Education (CCEN), Accreditation Commission for Education
Nursing (ACEN), or the US Department of Education meet the requirements set
forth in this Section, except for those programs whose curriculums do not
include a concurrent theory and clinical practice education component as
required by Section 50-70 of the Act.
(Source: Amended at 49 Ill. Reg. 6052,
effective May 9, 2025)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.350 STANDARDS OF PROFESSIONAL CONDUCT FOR REGISTERED PROFESSIONAL NURSES
Section 1300.350 Standards of Professional Conduct for
Registered Professional Nurses
a) The RN shall:
1) Practice
in accordance with the Act and this Part;
2) Uphold
federal and State regulations regarding controlled substances and alcohol;
3) Practice
nursing only when in functional physical and mental health;
4) Be
accountable for his or her own nursing actions and competencies;
5) Practice
or offer to practice only within the scope permitted by law and within the
licensee's own educational preparation and competencies;
6) Seek
instruction and supervision from qualified individuals when implementing new or
unfamiliar nursing activities;
7) Delegate
nursing interventions only to individuals the licensee knows or has reason to
know are competent by education or experience to perform those nursing
interventions;
8) Delegate
professional responsibilities only to individuals whom the licensee knows or
has reason to know are licensed to perform;
9) Be
accountable for the quality of nursing care delegated to others;
10) Report
unsafe, unethical or illegal health care practice or conditions to appropriate
authorities; and
11) Assume
responsibility for continued professional growth and education to reflect
knowledge and understanding of current nursing care practice.
b) Violations
of this Section may result in discipline as specified in Section 70-5 of the
Act.
(Source: Amended at 45 Ill. Reg. 228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.360 RN SCOPE OF PRACTICE
Section 1300.360 RN Scope of Practice
The RN scope of nursing practice is the protection,
promotion, and optimization of health and abilities, the prevention of illness
and injury, the development and implementation of the nursing plan of care, the
facilitation of nursing interventions to alleviate suffering, care
coordination, and advocacy in the care of individuals, families, groups,
communities, and populations. Practice as an RN means this full scope of
nursing, with or without compensation, that incorporates caring for all
patients in all settings, through nursing standards of practice and
professional performance for coordination of care, and may include, but is not
limited to, all of the following:
a) Collecting
pertinent data and information relative to the patient's health or the
situation on an ongoing basis through the comprehensive nursing assessment.
b) Analyzing
comprehensive nursing assessment data to determine actual or potential
diagnoses, problems, and issues.
c) Identifying
expected outcomes for a plan individualized to the patient or the situation
that prescribes strategies to attain expected, measurable outcomes.
d) Implementing
the identified plan, coordinating care delivery, employing strategies to
promote healthy and safe environments, and administering or delegating
medication administration according to Section 50-75 of the Act.
e) Evaluating
patient progress toward attainment of goals and outcomes.
f) Delegating
nursing interventions to implement the plan of care.
g) Providing
health education and counseling.
h) Advocating
for the patient.
i) Practicing
ethically according to the American Nurses Association Code of Ethics.
j) Practicing
in a manner that recognizes cultural diversity.
k) Communicating
effectively in all areas of practice.
l) Collaborating
with patients and other key stakeholders in the conduct of nursing practice.
m) Participating
in continuous professional development.
n) Teaching
the theory and practice of nursing to student nurses.
o) Leading
within the professional practice setting and the profession.
p) Contributing
to quality nursing practice.
q) Integrating
evidence and research findings into practice.
r) Utilizing
appropriate resources to plan, provide, and sustain evidence-based nursing
services that are safe and effective. (Section 60-35 of the Act)
(Source:
Amended at 45 Ill. Reg. 228, effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.370 PROVISION OF CONSCIOUS SEDATION BY REGISTERED NURSES IN AMBULATORY SURGICAL TREATMENT CENTERS
Section 1300.370 Provision of Conscious Sedation by
Registered Nurses in Ambulatory Surgical Treatment Centers
a) In
accordance with Section 6.7 of the Ambulatory Surgical Treatment Center Act
[210 ILCS 5], nothing in that Act precludes a registered nurse from
administering medications for the delivery of local or minimal sedation ordered
by a physician licensed to practice medicine in all of its branches, podiatrist
or dentist.
b) If
the ASTC policy allows the registered nurse to deliver moderate sedation
ordered by a physician licensed to practice medicine in all its branches,
podiatrist or dentist, the following are required:
1) The
registered nurse must be under the supervision of a physician licensed to
practice medicine in all its branches, podiatrist or dentist during the
delivery or monitoring of moderate sedation and have no other responsibilities
during the procedure.
2) The
registered nurse must maintain current Advanced Cardiac Life Support
certification or Pediatric Advanced Life Support certification as appropriate
to the age of the patient.
3) The
supervising physician licensed to practice medicine in all its branches,
podiatrist or dentist must have training and experience in delivering and
monitoring moderate sedation and possess clinical privileges at the ASTC to
administer moderate sedation or analgesia.
4) The
supervising physician licensed to practice medicine in all its branches,
podiatrist or dentist must remain physically present and available on the
premises during the delivery of moderate sedation for diagnosis, consultation
and treatment of emergency medical conditions.
5) The
supervising physician licensed to practice medicine in all its branches,
podiatrist or dentist must maintain current Advanced Cardiac Life Support
certification or Pediatric Advanced Life Support certification as appropriate
to the age of the patient.
c) Local, minimal and
moderate sedation are defined as follows:
1) "Local
Anesthesia" is numbing medication injected into the skin or other surface
at the site of the procedure. The injection is usually near the surface, but
may be deeper in some cases. The total dose of local anesthesia does not
exceed 50% of the commonly accepted toxic dose on a weight adjusted lean body
mass basis.
2) "Minimal
Sedation" (anxiolysis) is a drug-induced state during which patients
respond normally to verbal commands. Although cognitive function and
coordination may be impaired, respiratory and cardiovascular functions are
unaffected.
3) "Moderate
Sedation Analgesia" (conscious sedation) is a drug-induced depression of
consciousness during which patients respond purposefully to verbal commands,
either alone or accompanied by light tactile stimulation. No interventions are
required to maintain a patient airway and spontaneous ventilation is adequate.
Cardiovascular function is usually maintained.
d) Registered
nurses shall be limited to administering medication for moderate sedation at
doses rapidly reversible pharmacologically. [210 ILCS 5/6.7(c)] Acceptable
medications are opioids, benzodiazepines and reversal agents: Meperidine,
Fentanyl, Diazepam, Midazolam, naloxone and flumazenil. Nothing prohibits RN from
monitoring or adjusting an FDA approved delivery device under the supervision
of a physician.
SUBPART D: ADVANCED PRACTICE REGISTERED NURSE
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.400 APPLICATION FOR LICENSURE
Section 1300.400 Application for Licensure
a) An
applicant for licensure as an advanced practice registered nurse shall file an
application on forms provided by the Division. The application shall include:
1) Current
Illinois registered professional nurse license number.
2) Proof
of current national certification, which includes completion of an examination,
from one of the following:
A) Nurse
Midwife certification from:
i) The
American Midwifery Certification Board (AMCB); or
ii) Other
certifications approved by the Department under subsection (a)(3).
B) Nurse
Practitioner certification from:
i) American
Academy of Nurse Practitioners Certification Program (AANP) as a Nurse
Practitioner;
ii) American
Nurses Credentialing Center (ANCC) as a Nurse Practitioner;
iii) The Pediatric
Nursing Certification Board (PNCB) as a Nurse Practitioner;
iv) American
Association of Critical-Care Nurses (AACN);
v) National
Certification Corporation (NCC): or
vi) Other
certifications approved by the Department under subsection (a)(3).
C) Registered
Nurse Anesthetist certification from:
i) National
Board of Certification & Recertification of Nurse Anesthetists (NBCRNA); or
ii) Other
certifications approved by the Department under subsection (a)(3).
D) Clinical
Nurse Specialist certification from:
i) American
Nurses Credentialing Center (ANCC) as a Clinical Nurse Specialist;
ii) American
Association of Critical Care Nurses (AACN) as a Clinical Nurse Specialist; or
iii) Other
certifications approved by the Department under subsection (a)(3).
3) The
Board, in addition to the certifications listed in subsection (a)(2), may
review and make a recommendation to the Division to accept a certification if
the certifying body meets the following requirements:
A) Is
national in the scope of credentialing;
B) Has no
requirement for an applicant to be a member of any organization;
C) Has an
examination that represents a specialty practice category;
D) Has an
examination that evaluates knowledge, skills and abilities essential for the
delivery of safe and effective specialty nursing care;
E) Has an
examination whose content and distribution are specified in a test plan;
F) Has
examination items reviewed for content validity, cultural sensitivity and
correct scoring, using an established mechanism, both before use and
periodically;
G) Has an
examination evaluated for psychometric performance;
H) Has a
passing standard established using acceptable psychometric methods and is re-evaluated
periodically;
I) Has
examination security maintained through established procedures;
J) Issues
a certification based upon passing the examination;
K) Has
mechanisms in place for communication to boards of nursing for timely
verification of an individual's certification status, changes in certification
status and changes in the certification program, including qualifications, test
plan and scope of practice; and
L) Has an
evaluation process to provide quality assurance in its certification program.
4) Proof
of successful completion of a graduate degree appropriate for national
certification in the clinical advanced practice registered nursing specialty or
a graduate degree or post-master's certificate from a graduate level program in
a clinical advanced practice registered nursing specialty.
5) An
applicant seeking licensure in more than one advanced practice registered nursing
category shall have met the requirements for at least one advanced practice registered
nursing specialty; and
A) Submit
proof of possession of an additional graduate education that results in a
certificate for another clinical APRN category and that meets the requirements
for the national certification from the appropriate nursing specialty; and
B) Submit
proof of a current, national certification from the appropriate certifying body
for that additional advanced practice registered nursing category.
6) Verification
of licensure as an APRN from the state in which an applicant was originally
licensed, current state of licensure or any other state in which the applicant
has been actively practicing as an APRN within the last 5 years, if applicable,
stating:
A) The
time during which the applicant was licensed in that state, including the date
of the original issuance of the license; and
B) Whether
the file on the applicant contains any record of disciplinary actions taken or
pending.
7) The fee
required in Section 1300.30(a)(4).
b) An
applicant for licensure as an APRN under Section 65-5 of the Act may apply to
the Division for a temporary permit, on forms provided by the Division, to
practice as an APRN prior to the issuance of the APRN license. Temporary
permits will not be issued prior to granting an APRN full practice authority under
Section 65-43 of the Act.
1) Application
Requirements
A) The
application shall include a completed, signed application for licensure, as set
forth in subsection (a).
B) The
application shall include documentation from an approved certifying body set
forth in subsection (a)(2) indicating the date the applicant is scheduled to
sit for the examination. Upon successful completion of the examination, proof
of certification shall be submitted to the Division from the certifying body.
C) An APRN
who will be practicing in a hospital or ambulatory surgical treatment center in
accordance with Section 6.5 of the Ambulatory Surgical Treatment Center Act shall
not be required to have prescriptive authority or a written collaborative
agreement pursuant to the Act and this Part.
D) An APRN
applicant who will be practicing outside of a hospital or ambulatory surgical
treatment center shall provide a certifying statement indicating that the APRN
applicant has entered into a written collaborative agreement as required by
Section 65-35 of the Act.
E) The
applicant shall include the processing fee set forth in Section 1300.30(a)(4).
2) Practice
Pending Licensure
A) The
Division will provide a letter to each applicant indicating the ability to
practice pending licensure.
B) Practice
pending licensure shall be terminated upon:
i) The
issuance of a permanent license;
ii) Failure
to complete the application process within 6 months from the date of
application;
iii) A
finding by the Division that the applicant has violated one or more of the
grounds for discipline set forth in Section 70-5 of the Act;
iv) A
finding by the Division that, within the last 5 years, the applicant has had a
license or permit related to the practice of advanced practice registered nursing
revoked, suspended or placed on probation by another jurisdiction, if at least
one of the grounds is substantially equivalent to grounds in Illinois; or
v) A
finding by the Division that the applicant does not meet the licensure
requirements set forth in this Section.
C) The
Division shall notify the applicant in writing of the termination and shall
notify the applicant by email of the intent to deny licensure.
c) When
the accuracy of any submitted documentation or the relevance or sufficiency of
the course work or experience is questioned by the Division or the Board because
of lack of information, discrepancies or conflicts in information given, or a
need for clarification, the applicant seeking licensure shall be requested to:
1) Provide
information as may be necessary; and/or
2) Appear
for an interview before the Board to explain the relevance or sufficiency,
clarify information, or clear up any discrepancies or conflicts in information.
d) An APRN
license may be issued when the applicant meets the requirements set forth in
this Section.
(Source:
Amended at 45 Ill. Reg. 228, effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.410 WRITTEN COLLABORATIVE AGREEMENTS
Section 1300.410 Written Collaborative Agreements
a) A
written collaborative agreement is required for all advanced practice
registered nurses engaged in clinical practice, except for:
1) those
APRNs who practice in a hospital, hospital affiliate or ambulatory surgical
treatment center under Section 65-45 of the Act; and
2) those
APRNs who are granted full practice authority by Section 65-43 of the Act.
(Section 65-35(a))
b) A
written collaborative agreement shall describe the relationship of the advanced
practice registered nurse with the collaborating physician and shall describe
the categories of care, treatment or procedures to be provided by the advanced
practice registered nurse. (Section 65-35(b) of the Act) A written
collaborative agreement with a dentist must be in accordance with Section
65-35(c-10) of the Act. A written collaborative agreement with a podiatric
physician must be in accordance with Section 65-35(c-5) or (c-15) of the Act.
c) The
agreement shall be defined to promote the exercise of professional judgment by
the advanced practice registered nurse commensurate with his or her education
and experience. The written agreement does not require an employment
relationship. Methods of communication shall be available for consultation
with the collaborating physician (for CRNAs, a physician, anesthesiologist,
dentist or podiatric physician) in person or by telecommunications or
electronic communications as set forth in the written agreement. Absent an
employment relationship the written collaborative agreement may not:
1) restrict
the categories of patients within the scope of the APRN training and experience;
2) limit third party
payors or government health programs; or
3) limit
the geographic area or practice location of the APRN. (Section 65-35(b) of
the Act) For nurse practitioners, clinical nurse specialists and nurse
midwives, the collaborative agreement shall not be construed to require the
personal presence of the physician.
d) For
anesthesia services provided by a CRNA, the written collaborative agreement may
be between the CRNA and an anesthesiologist, physician, dentist or podiatric
physician who shall participate through discussion of and agreement with the
anesthesia plan and remain physically present and available on the premises
during the delivery of anesthesia services for diagnosis, consultation and
treatment of emergency medical conditions.
e) For
any APRN who had a written collaborative agreement with a podiatric physician
immediately before September 20, 2017, the APRN may continue in that
collaborative relationship until the collaborative agreement ends or enter into
a new written collaborative relationship with a podiatric physician per Section
65-35(c-15) of the Act.
f) A
copy of the signed, written collaborative agreement must be available to the Department
upon request from both the advanced practice registered nurse and the
collaborating physician, dentist or podiatric physician. An advanced practice registered
nurse shall inform each collaborating physician, dentist or podiatric physician
of all collaborative agreements he or she has signed and provide a copy of
these to any collaborating physician, dentist or podiatric physician, upon
request. (Section 65-35(d) and (f) of the Act)
(Source:
Amended at 43 Ill. Reg. 6924, effective June 14, 2019)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.420 COLLABORATION AND CONSULTATION (REPEALED)
Section 1300.420 Collaboration and Consultation
(Repealed)
(Source:
Repealed at 43 Ill. Reg. 6924, effective June 14, 2019)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.430 WRITTEN COLLABORATIVE AGREEMENT - PRESCRIPTIVE AUTHORITY
Section 1300.430 Written Collaborative Agreement −
Prescriptive Authority
a) A
collaborating physician or podiatric physician who delegates prescriptive
authority to an advanced practice registered nurse shall include that
delegation in the written collaborative agreement. This authority may include
prescription of, selection of, orders for, administration of, storage of,
acceptance of samples of, and dispensing over the counter medications, legend
drugs, medical gases, and controlled substances categorized as any Schedule III
through V controlled substances, as defined in Article II of the Illinois
Controlled Substances Act, and other preparations, including, but not limited
to, botanical and herbal remedies. The collaborating physician or podiatric
physician must have a valid current Illinois controlled substances license and
federal registration to delegate authority to prescribe delegated controlled
substances.
b) Pursuant
to Section 65-40(d) of the Act, a collaborating physician may, but is not
required to, delegate authority to an APRN to prescribe any Schedule II
controlled substances by oral dosage or topical or transdermal application if
all the following conditions apply:
1) The
delegated Schedule II controlled substance is specifically identified by
either brand name or generic name. For the purposes of this Section generic substitution pursuant to Section 25 of the Pharmacy
Practice Act [225 ILCS 85] shall be allowed under this Section when not
prohibited by a prescriber's indication on the prescription that the pharmacist
"may not substitute".
2) The
delegated Schedule II controlled substances are routinely prescribed
by the collaborating physician or podiatric physician.
3) Any
Schedule II controlled substance prescription must be limited to no more
than a 30-day supply, with any continuation authorized only after prior
approval of the collaborating physician or podiatric physician.
4) The
APRN must discuss the condition of any patients for whom a Schedule
II controlled substance is prescribed monthly with the delegating physician
or podiatric physician.
5) The
APRN meets the education requirements of Section 303.05 of the Illinois
Controlled Substances Act [720 ILCS 570].
c) An
APRN who has been given controlled substances prescriptive authority shall be
required to obtain an Illinois mid-level practitioner controlled
substances license in accordance with 77 Ill. Adm. Code 3100. The
physician or podiatric physician shall file a notice of delegation of
prescriptive authority with the Division and the Prescription Monitoring
Program. (Section 65-40(c) of the Act) The delegation of authority form
shall be submitted to the Division and the Prescription Monitoring Program prior
to the issuance of a mid-level controlled substances license.
d) The APRN
may only prescribe and dispense Schedule II controlled substances that the
collaborating physician or podiatric physician prescribes. Licensed dentists
may not delegate prescriptive authority.
e) The APRN
shall sign his/her own name when writing and signing prescriptions. The
collaborating physician's or podiatric physician's signature is not required.
f) An APRN
may receive and dispense samples per the collaborative agreement.
g) Medication
orders shall be reviewed periodically by the collaborating physician.
h) Nothing
in this Section shall be construed to apply to an APRN granted full practice
authority pursuant to Section 65-43.
i) Nothing
in this Section shall apply to any prescribing authority, including Schedule II
controlled substances, of an APRN providing care in a hospital, hospital
affiliate, or ambulatory surgical treatment center (see Section 65-45 of the
Act).
(Source:
Amended at 45 Ill. Reg. 228, effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.440 APRN SCOPE OF PRACTICE
Section 1300.440 APRN Scope of Practice
a) Advanced
practice registered nursing by certified nurse practitioners, certified nurse
anesthetists, certified nurse midwives, or clinical nurse specialists is based
on knowledge and skills acquired throughout an advanced practice registered nurse's
nursing education, training and experience.
b) Practice
as an advanced practice registered nurse means a scope of nursing practice,
with or without compensation, and includes the registered nurse scope of
practice.
c) The
scope of practice of an advanced practice registered nurse includes, but is not
limited to, each of the following:
1) Advanced
nursing patient assessment and diagnosis.
2) Ordering
diagnostic and therapeutic tests and procedures, performing those tests and
procedures when using health care equipment, and interpreting and using the
results of diagnostic and therapeutic tests and procedures ordered by the
advanced practice registered nurse or another health care professional.
3) Ordering
treatments, ordering or applying appropriate medical devices, and using
nursing, medical, therapeutic, and corrective measures to treat illness and
improve health status.
4) Providing
palliative and end-of-life care.
5) Providing
advanced counseling, patient education, health education, and patient advocacy.
6) Prescriptive
authority as defined in Section 65-40 of the Act.
7) Delegating
selected nursing interventions to a licensed practical nurse, a registered
professional nurse, or other personnel. (Section 65-30 of the Act)
d) An
Illinois-licensed advanced practice registered nurse certified as a nurse
practitioner, certified nurse midwife or clinical nurse specialist may be
granted the authority to practice without a written collaborative agreement as
set forth in Section 65-43 of the Act and Section 1300.465 of this Part.
(Source:
Amended at 43 Ill. Reg. 6924, effective June 14, 2019)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.445 STANDARDS OF PROFESSIONAL CONDUCT FOR APRNS
Section 1300.445 Standards of Professional Conduct for
APRNs
APRNs shall:
a) Practice in accordance
with the Act and this Part;
b) Uphold
deferral and State regulations regarding controlled substances and alcohol;
c) Practice
advanced practice nursing only when in functional physical and mental health;
d) Practice
within the scope of his/her education, knowledge, experience, training and
skill;
e) Provide directions and
assistance to those they supervise;
f) Report
unsafe, unethical or illegal health care practice or conditions to appropriate
authorities; and
g) Assume
responsibility for continued professional growth and education to reflect
knowledge and understanding of current care practice.
(Source: Added at 45 Ill. Reg.228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.450 DELIVERY OF ANESTHESIA SERVICES BY A CERTIFIED REGISTERED NURSE ANESTHETIST OUTSIDE A HOSPITAL OR AMBULATORY SURGICAL TREATMENT CENTER
Section 1300.450 Delivery of Anesthesia Services by a
Certified Registered Nurse Anesthetist Outside a Hospital or Ambulatory
Surgical Treatment Center
a) A
certified registered nurse anesthetist (CRNA) who provides anesthesia services
outside of a hospital or ambulatory surgical treatment center shall enter into
a written collaborative agreement with an anesthesiologist or the physician
licensed to practice medicine in all its branches or the podiatric physician performing
the procedure. Outside of a hospital or ambulatory surgical treatment center,
the CRNA may provide only those services that the collaborating podiatric
physician is authorized to provide pursuant to the Podiatric Medical Practice
Act of 1987 and rules adopted under that Act. A certified registered nurse
anesthetist may select, order, and administer medication, including controlled
substances, and apply appropriate medical devices for delivery of anesthesia
services under the anesthesia plan agreed with by the anesthesiologist or the operating
physician or operating podiatric physician.
b) A
certified registered nurse anesthetist may be delegated prescriptive authority
under Section 65-40 of the Act in a written collaborative agreement meeting the
requirements of Section 65-35 of the Act.
c) In a
physician's office, the CRNA may only provide anesthesia services if the
physician has training and experience in the delivery of anesthesia services to
patients. The physician's training and experience shall meet the requirements
set forth in 68 Ill. Adm. Code 1285.340.
d) In
addition, in a physician's office, any CRNA and physician who enter into a
collaborative agreement shall obtain and maintain current Advanced Cardiac Life
Support (ACLS) certification.
e) A CRNA
who provides anesthesia services in a dental office shall enter into a written
collaborative agreement with an anesthesiologist or the physician licensed to
practice medicine in all its branches or the operating dentist performing the
procedure. The agreement shall describe the working relationship of the CRNA
and dentist and shall authorize the categories of care, treatment or procedures
to be performed by the CRNA. In a collaborating dentist's office, the CRNA may
only provide those services that the operating dentist with the appropriate
permit is authorized to provide pursuant to the Illinois Dental Practice Act
and rules adopted under that Act. For anesthesia services, an
anesthesiologist, physician or operating dentist shall participate through
discussion of and agreement with the anesthesia plan and shall remain
physically present and be available on the premises during the delivery of
anesthesia services for diagnosis, consultation and treatment of emergency
medical conditions. A CRNA may select, order and administer medication,
including controlled substances, and apply appropriate medical devices for
delivery of anesthesia services under the anesthesia plan agreed with by the
operating dentist.
f) In a podiatric
physician's office, the CRNA may only provide those services the podiatric
physician is authorized to provide pursuant to the Podiatric Medical Practice
Act of 1987 and 68 Ill. Adm. Code 1360. Podiatric physicians may not
administer general anesthetics.
g) A
CRNA providing anesthesia services in a physician, dental or podiatric
physician office shall do so with the active participation, approval, presence
and availability of the physician, dentist or podiatric physician as well as in
accordance with Standards 1 through 11 of the "Standards for Office Based Anesthesia
Practice", American Association of Nurse Anesthetists, 222 South Prospect
Avenue, Park Ridge, Illinois 60068 (2005), which are hereby incorporated by
reference, with no later editions or amendments. If there is a conflict
between the Nurse Practice Act or this Part and those standards, the Act and
this Part shall prevail.
(Source:
Amended at 43 Ill. Reg. 6924, effective June 14, 2019)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.460 ADVANCED PRACTICE REGISTERED NURSING IN HOSPITALS OR AMBULATORY SURGICAL TREATMENT CENTERS
Section 1300.460 Advanced Practice Registered Nursing in
Hospitals or Ambulatory Surgical Treatment Centers
a) An
advanced practice registered nurse may provide services in a licensed hospital or
hospital affiliate as defined in the Hospital Licensing Act or the University
of Illinois Hospital Act [110 ILCS 330], or a licensed ambulatory surgical
treatment center without prescriptive authority or a written collaborative agreement
pursuant to Section 65-35 of the Act. An APRN must possess clinical privileges
recommended by the hospital medical staff and granted by the hospital or the
consulting medical staff committee and ambulatory surgical treatment center in
order to provide services. The medical staff or consulting medical staff
committee shall periodically review the services of all APRNs granted clinical
privileges. Authority may also be granted to individual APRNs to select, order
and administer medications, including controlled substances as permitted under
the Act and this Part, to provide delineated care. The attending physician
shall determine an APRN's role in providing care for his or her patients,
except as otherwise provided in the medical staff bylaws or consulting
committee policies.
b) An
APRN who does not meet the requirements of Section 65-43 of the Act and who is
privileged to order medications, including controlled substances, may complete
discharge prescriptions provided the prescription is in the name of the APRN
and the attending or discharging physician.
c) An
APRN granted full practice authority by Section 65-43 of the Act may be
privileged to complete discharge orders and prescriptions under the APRN's
name.
d) An
APRN granted full practice authority by Section 65-43 of the Act practicing in
a hospital affiliate may be, but is not required to be, privileged to prescribe
Schedule II through V controlled substances when that authority is recommended
by the appropriate physician committee of the hospital affiliate and granted by
the hospital affiliate. To prescribe controlled substances in a hospital
affiliate, the APRN must obtain a controlled substances license. Medication
orders for controlled substances shall be reviewed periodically by the
appropriate hospital affiliate physicians committee or its physician designee.
e) The
hospital affiliate shall file with the Department notice of a grant of
prescriptive authority and termination of the grant of authority for all APRNs
who do not meet the requirements of Section 65-43 of the Act.
f) For
anesthesia services provided by a certified registered nurse anesthetist, an
anesthesiologist, physician, dentist, or podiatric physician shall participate
through discussion of and agreement with the anesthesia plan and shall remain
physically present and be available on the premises during the delivery of
anesthesia services for diagnosis, consultation and treatment of emergency
medical conditions, unless hospital policy adopted pursuant to Section 10.7(4)(B)
of the Hospital Licensing Act or ambulatory surgical treatment center policy
adopted pursuant to Section 6.5(4)(B) of the Ambulatory Surgical Treatment
Center Act provides otherwise. A CRNA may select, order and administer
medication for anesthesia services under the anesthesia plan agreed to by the
anesthesiologist, physician, podiatric physician or dentist, in accordance with
hospital alternative policy or the medical staff consulting committee policies
of a licensed ambulatory surgical treatment center.
g) An
advanced practice registered nurse who provides services in a hospital shall do
so in accordance with Section 10.7 of the Hospital Licensing Act and the
University of Illinois Hospital Act, and in an ambulatory surgical treatment
center, in accordance with Section 6.5 of the Ambulatory Surgical Treatment
Center Act.
h) Nothing
in this Section shall be construed to require an APRN to have a collaborative
agreement to practice in a hospital, hospital affiliate or ambulatory surgical
treatment center.
(Source:
Amended at 43 Ill. Reg. 6924, effective June 14, 2019)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.465 FULL PRACTICE AUTHORITY
Section 1300.465 Full Practice Authority
a) An
Illinois-licensed advanced practice registered nurse certified as a nurse
practitioner, nurse midwife, or clinical nurse specialist may be granted the
privilege of full practice authority, which provides the ability under this
Section to practice without a written collaborative agreement.
b) An APRN
certified as a nurse midwife, clinical nurse specialist, or nurse practitioner
seeking full practice authority shall submit a form provided by the Department
indicating he/she has met the necessary requirements in Section 65-43 of the
Act. The documentation shall include:
1) Current
APRN license number and current registered professional nurse license number.
Only applicants whose APRN license and registered professional nurse license
are current, active and unrestricted are eligible for full practice authority.
2) Notarized
attestation, signed by the APRN, of completion of at least 250 hours of
continuing education or training. Documentation of successful completion of
this requirement shall be provided to the Department upon request.
A) Continuing
education and training, as used in this Section, shall include, but not be
limited to:
i) Formal
CE hours conducted by approved CE sponsors and programs as set forth in Section
1300.130(c)(1);
ii) Completion
of graduate education at universities or colleges;
iii) CE
programs required for certification or recertification by appropriate
professional associations;
iv) Other
educational opportunities that comply with the continuing education standards
in Section 1300.130.
B) The
continuing education or training hours required shall be in the APRN's area of
certification.
3) Notarized
attestation of completion of at least 4000 hours of clinical experience after
first attaining national certification. The clinical experience must be in the
APRN's area of certification. The clinical experience shall be in
collaboration with a physician or physicians. Completion of the clinical
experience must be attested to by the collaborating physician or physicians and
the APRN. For APRNs working in a hospital setting, the clinical experience may
be attested to by the hospital medical staff committee or designee.
Documentation of successful completion of this requirement shall be provided to
the Department upon request.
4) The
fee required by Section 1300.30(a)(5).
c) The
scope of practice of an APRN granted full practice authority includes:
1) All
matters included in Section 65-30(c) of the Act;
2) Practicing
without a written collaborative agreement in all practice settings consistent
with national certification;
3) Authority
to prescribe both legend drugs and Schedule II through V controlled substances,
except as provided in Section 1300.465(c)(4). This authority includes
prescription of, selection of, orders for, administration of, storage of,
acceptance of samples of, and dispensing over the counter medications, legend
drugs, and controlled substances categorized as any Schedule II through V
controlled substances, as defined in Article II of the Illinois Controlled
Substances Act, and other preparations, including, but not limited to,
botanical and herbal remedies;
4) Prescribing
benzodiazepines or Schedule II narcotic drugs, such as opioids, only in a
consultation relationship with a physician;
A) This
consultation relationship shall be recorded in the Prescription Monitoring
Program website, pursuant to Section 316 of the Illinois Controlled Substances
Act, by the physician and advanced practice registered nurse with full practice
authority;
B) Consultation
is not required to be filed with the Department;
C) The
specific Schedule II narcotic drug must be identified by either brand name or
generic name;
D) May be
administered by oral dosage or topical or transdermal application;
E) Delivery
by injection or other route of administration is not permitted;
F) At
least monthly, the APRN and the physician must discuss the condition of any
patients for whom a benzodiazepine or opioid is prescribed;
G) Nothing
in this subsection (c)(4) shall be construed to require a prescription by an APRN
granted full practice authority to indicate a physician's name on the
prescription; and
H) All
consultation records shall be available to the Department upon request;
5) Authority
to obtain an Illinois controlled substances license and a federal Drug
Enforcement Administration number;
6) Use
of only local anesthetic; and
7) The
scope of practice of an APRN does not include operative surgery.
d) Upon
issuance of an APRN license with full practice authority, the regular APRN
license will go inactive.
e) Prior
to prescribing as an APRN granted full practice authority, the APRN must apply
for a practitioner license under the Illinois Controlled Substances Act.
f) Nothing
in the Act shall be construed to authorize an advanced practice registered
nurse with full practice authority to provide health care services required by
law or rule to be performed by a physician, including, but not limited to,
those acts to be performed by a physician in Section 3.1 of the Illinois
Abortion Law of 1975 [720 ILCS 510]. (Section 65-43(e) of the Act)
(Source: Amended at 45 Ill. Reg. 228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.466 FULL PRACTICE AUTHORITY DISPENSING
Section 1300.466 Full Practice Authority Dispensing
a) Except
when dispensing manufacturers' samples or other legend drugs in a maximum
72-hour supply, APRNs shall maintain a book or file of prescriptions as
required in the Pharmacy Practice Act. Any person licensed under that Act who
dispenses any drug or medicine shall dispense the drug or medicine in good
faith and shall affix to the box, bottle, vessel or package containing the drug
or medication a label indicating the:
1) Date
on which the drug or medicine is dispensed;
2) Name
of the patient;
3) Last
name of the person dispensing the drug or medicine;
4) Directions
for use of the drug or medication; and
5) Proprietary
name or names or, if there are none, the established name or names, of the drug
or medicine and the dosage and quantity, except as otherwise authorized by
regulation of the Department.
b) The
labeling requirements set forth in subsection (a) shall not apply to drugs or
medicines in a package that bears a label of the manufacturer containing
information describing its contents that is in compliance with requirements of
the Federal Food, Drug, and Cosmetic Act (21 USC 301) and the Illinois Food,
Drug, and Cosmetic Act [410 ILCS 620]. "Drug" and
"medicine" have the meanings ascribed to them in the Pharmacy
Practice Act. "Good faith" has the meaning ascribed to it in Section
102(u) of the Illinois Controlled Substances Act.
c) Prior
to dispensing a prescription to a patient, the APRN shall offer a written
prescription to the patient that the patient may elect to have filled by the APRN
or any licensed pharmacy.
d) APRNs
must indicate on their prescription orders that they have been granted full
practice authority.
e) A
violation of any provision of this Section shall constitute a violation of the
Act and shall be grounds for disciplinary action provided for in the Act.
(Source: Amended at 45 Ill. Reg. 228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.470 ADVERTISING
Section 1300.470 Advertising
a) Advertising
shall contain all information necessary to make the communication informative
and not misleading. Advertising shall identify the type of license held by the
licensee whose services are being promoted. The form of advertising shall be
designed to communicate information to the public in a direct, dignified and
readily comprehensible manner.
b) If an
advertisement is communicated to the public over television or radio, it shall
be prerecorded and approved for broadcast by the advanced practice registered nurse
and a recording of the actual transmission, including videotape, shall be
retained, for at least 5 years, by the advanced practice registered nurse.
c) If an
advanced practice registered nurse has a doctorate degree, when identifying himself
or herself as "doctor" in a clinical setting, the APRN must clearly
state that his or her educational preparation is not in medicine and that he or
she is not a medical doctor or physician.
d) Advertising
shall otherwise comply with Section 65-55 of the Act.
(Source:
Amended at 43 Ill. Reg. 6924, effective June 14, 2019)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.480 REPORTS RELATING TO APRN PROFESSIONAL CONDUCT AND CAPACITY
Section 1300.480 Reports Relating to APRN Professional
Conduct and Capacity
a) All
reports filed under Section 65-65 of the Act must contain sufficient current
information to enable the Division to evaluate the impairment and determine the
appropriateness of the supervision or the program of rehabilitation. If the
Board finds the supervision or treatment plan submitted by the institution is
not sufficient to meet the needs of the individual, the Board may direct the
facility to work with the Division to revise the plan or treatment to meet the
specific objections.
b) Contents
of Reports. Reports under this Section shall be submitted in writing on forms
provided by the Division that shall include but not be limited to the following
information:
1) The
name, address, telephone number and title of the person making the report;
2) The
name, address, telephone number and type of health care institution where the
maker of the report is employed;
3) The
name, address, telephone number and professional license number of the person
who is the subject of the report;
4) A
brief description of the facts that gave rise to the issuance of the report,
including but not limited to the dates of any occurrences deemed to necessitate
the filing of the report;
5) If
court action is involved, the identity of the court in which the action is
filed, the docket number, and the date of filing of the action;
6) Any
further pertinent information that the reporting party deems to be an aid in
the evaluation of the report.
(Source: Amended at 43 Ill. Reg. 6924,
effective June 14, 2019)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.490 ADVERSE OCCURRENCE REPORTING FOR CERTIFIED NURSE MIDWIVES
Section 1300.490 Adverse Occurrence Reporting for
Certified Nurse Midwives
a) "Adverse
occurrence" shall be defined for purposes of this Section as:
1) The
death of a neonate under the licensee's care within 48 hours of delivery or
attempted delivery, not including a still birth or miscarriage;
2) The
death of a pregnant or postpartum patient under the licensee's care within 48
hours of delivery or attempted delivery;
3) The
in-patient emergency hospitalization of a neonate under the licensee's care
within 48 hours of delivery or attempted delivery; or
4) The
in-patient emergency hospitalization of a patient under the licensee's care
within 48 hours of delivery or attempted delivery.
b) "Emergency
hospitalization" shall be defined for the purposes of this Section as a
hospitalization of a neonate or patient suffering an acute injury or illness
that poses an immediate risk to life or long-term health requiring immediate
medical attention and that is related to delivery or attempted delivery.
c) Maternal emergency
hospitalization events reportable under this Section include:
1) Acute myocardial
infarction;
2) Aneurysm;
3) Acute renal failure;
4) Adult respiratory
distress syndrome;
5) Amniotic fluid
embolism;
6) Cardiac arrest/ventricular
fibrillation;
7) Conversion of cardiac
rhythm;
8) Disseminated
intravascular coagulation;
9) Eclampsia;
10) Heart failure/arrest;
11) Puerperal
cerebrovascular disorders;
12) Pulmonary edema/acute
heart failure;
13) Severe anesthesia
complications;
14) Sepsis;
15) Shock;
16) Sickle cell disease with
crisis;
17) Air and thrombotic
embolism;
18) Blood products
transfusion;
19) Hysterectomy;
20) Temporary tracheostomy;
21) Ventilation;
22) Hemorrhage or excessive laceration
bleeding requiring repair;
23) Retained placenta;
24) Cord prolapse; or
25) Other adverse conditions
or occurrences equivalent to listed above.
d) Neonatal emergency
hospitalization events reportable under this Section include:
1) Severe birth trauma
2) Severe
hypoxia/asphyxia;
3) Severe shock and
resuscitation;
4) Neonatal severe
respiratory complications;
5) Neonatal severe
infection;
6) Neonatal severe
neurological complications;
7) Severe shock and
resuscitation procedures;
8) Neonatal severe
respiratory procedures;
9) Neonatal severe
neurological procedures;
10) Sepsis; or
11) Other adverse conditions
or occurrences equivalent to those listed above.
e) A
licensee shall report to the Division within 24 hours each adverse occurrence
that involves the death of a neonate or a patient. The report shall be
submitted to the Division on a form provided by the Division and mailed to the
Division or submitted electronically.
f) A
licensee shall report to the Division within 14 days each adverse occurrence
that involves the in-patient emergency hospitalization of a neonate or
patient. The report shall be submitted to the Division on a form provided by
the Division and mailed to the Division or submitted electronically.
g) The adverse occurrence
report shall be in writing and include:
1) The licensee's name and
license number;
2) The date and time of
the occurrence;
3) The
location of the occurrence, including the name and address of the birth center,
if applicable;
4) The name of the
patient;
5) The name of the
hospital involved in the occurrence, if any; and
6) The circumstances
involved in such occurrence.
h) The
adverse occurrence report is required by the Division to assist in its mission
of protecting the public. The filing of such a report by a licensee shall not
constitute an admission by the licensee of any wrongdoing, malpractice, error
or omission in treatment, or even that the death or in-patient emergency
hospitalization is related to the licensee's care. A licensee shall be
responsible for filing an adverse occurrence report only for those adverse
occurrences of which the licensee has knowledge or should reasonably have been
expected to have knowledge. In the event that a licensee does not have
knowledge or cannot reasonably be expected to have knowledge, but subsequently
obtains actual knowledge of an adverse occurrence, then such licensee shall
file an adverse occurrence report within 24 hours after obtaining knowledge of
the death of a neonate or patient or within 14 days of obtaining knowledge of
the in-patient emergency hospitalization of a neonate or patient. An adverse
occurrence report is an investigatory record and is confidential under Section
70-81 of the Act.
i) Failure
to provide such a report to the Division shall be grounds for discipline (See
Section 70-5(b)(7) of the Act and Section 1300.90).
j) This Section 1300.490 only
applies to certified nurse midwives.
k) A Certified
Nurse Midwife shall be deemed to be in compliance with the reporting
requirements of this Section if the Certified Nurse Midwife is employed by or
is practicing at a birth center and the birth center submits the report
required by this Section.
(Source: Added
at 49 Ill. Reg. 6052, effective May 9, 2025)
SUBPART E: MEDICATION AIDE
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.600 PILOT PROGRAM (REPEALED)
Section 1300.600 Pilot Program (Repealed)
(Source: Repealed at 45 Ill. Reg. 228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.610 APPLICATION FOR EXAMINATION OR LICENSURE AS A MEDICATION AIDE (REPEALED)
Section 1300.610 Application for Examination or
Licensure as a Medication Aide (Repealed)
(Source:
Repealed at 45 Ill. Reg. 228, effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.620 MEDICATION AIDE LICENSURE EXAMINATION (REPEALED)
Section 1300.620 Medication Aide Licensure Examination
(Repealed)
(Source: Repealed at 45 Ill. Reg. 228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.630 QUALIFIED EMPLOYERS AND FACILITIES (REPEALED)
Section 1300.630 Qualified Employers and Facilities
(Repealed)
(Source:
Repealed at 45 Ill. Reg. 228, effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.640 STANDARDS FOR TERMINATION (REPEALED)
Section 1300.640 Standards for Termination (Repealed)
(Source: Repealed at 45 Ill. Reg. 228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.650 SITE VISITS (REPEALED)
Section 1300.650 Site Visits (Repealed)
(Source: Repealed at 45 Ill. Reg. 228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.660 APPROVED CURRICULUM (REPEALED)
Section 1300.660 Approved Curriculum (Repealed)
(Source: Repealed at 45 Ill. Reg. 228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.670 MEDICATION AIDE SCOPE OF PRACTICE (REPEALED)
Section 1300.670 Medication Aide Scope of Practice
(Repealed)
(Source: Repealed at 45 Ill. Reg. 228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.680 REQUIRED REPORTS OF QUALIFIED FACILITIES (REPEALED)
Section 1300.680 Required Reports of Qualified
Facilities (Repealed)
(Source: Repealed at 45 Ill. Reg. 228,
effective January 4, 2021)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.APPENDIX A ADDITIONAL CERTIFICATIONS ACCEPTED FOR LICENSURE AS AN ADVANCED PRACTICE NURSE (REPEALED)
Section 1300.APPENDIX A Additional Certifications
Accepted for Licensure as an Advanced Practice Nurse (Repealed)
(Source: Repealed at 43 Ill. Reg. 6924,
effective June 14, 2019)
| TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1300
NURSE PRACTICE ACT
SECTION 1300.EXHIBIT A SAMPLE WRITTEN COLLABORATIVE AGREEMENT
Section 1300.EXHIBIT A Sample Written Collaborative
Agreement
ADVANCED PRACTICE REGISTERED
NURSING
WRITTEN COLLABORATIVE
AGREEMENT
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A.
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ADVANCED PRACTICE REGISTERED NURSE INFORMATION
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1.
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NAME:
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2.
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ILLINOIS RN LICENSE NUMBER:
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ILLINOIS APRN LICENSE NUMBER:
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ILLINOIS CONTROLLED SUBSTANCES LICENSE NUMBER:
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FEDERAL MID-LEVEL PRACTITIONER DEA NUMBER:
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3.
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AREAS OF CERTIFICATION:
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4.
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CERTIFYING ORGANIZATION:
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5.
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CERTIFICATION EXPIRATION DATE:
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6.
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CERTIFICATION NUMBER:
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7.
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PRACTICE SITES: (Attach List of Sites)
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8.
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CONTACT NUMBER:
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FACSIMILE NUMBER:
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EMERGENCY NUMBER:
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9.
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ATTACHMENTS:
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Copy of Certification/Recertification
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Copies of RN & APRN License
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Copy of Certificate of Insurance
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Copy of Controlled Substances License
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B.
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COLLABORATING PHYSICIAN/PODIATRIC PHYSICIAN/DENTIST INFORMATION
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1.
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NAME:
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2.
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ILLINOIS MEDICAL LICENSE NUMBER:
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3.
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PRACTICE AREA OR CONCENTRATION:
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4.
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BOARD CERTIFICATION (if any):
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5.
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CERTIFYING ORGANIZATION:
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6.
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PRACTICE SITES: (Attach List of Sites)
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7.
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CONTACT NUMBER:
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FAX NUMBER:
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EMERGENCY NUMBER:
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C. ADVANCED
PRACTICE REGISTERED NURSE COLLABORATING PHYSICIAN/ PODIATRIC PHYSICIAN/DENTIST
WORKING RELATIONSHIP
1. WRITTEN
COLLABORATIVE AGREEMENT REQUIREMENT
A written collaborative agreement
is required for all Advanced Practice Registered Nurses (APRNs) engaged in
clinical practice outside of a hospital, hospital affiliate, or ambulatory surgical
treatment center (ASTC) except for those APRNs granted full practice authority.
An APRN may provide services in a licensed hospital, hospital affiliate, or
ASTC without a written collaborative agreement or delegated prescriptive
authority.
2. SCOPE
OF PRACTICE
Under this agreement, the APRN will
collaborate with the collaborating physician, dentist or podiatric physician in
an active practice to deliver health care services. This agreement includes,
but is not limited to, advanced nursing patient assessment and diagnosis,
ordering diagnostic and therapeutic tests and procedures, performing those
tests and procedures when using health care equipment, interpreting and using
the results of diagnostic and therapeutic tests and procedures ordered by the APRN
or another health care professional, ordering treatments, ordering or applying
appropriate medical devices, using nursing, medical, therapeutic and corrective
measures to treat illness and improve health status, providing palliative and
end-of-life care, providing advanced counseling, patient education, health
education and patient advocacy, prescriptive authority, and delegating nursing
activities or tasks to a LPN, RN or other personnel.
If applicable, the APRN shall
maintain privileges at the following hospitals for the designated services:
Hospitals: _____________________________________________________________
A copy of this written
collaborative agreement shall remain on file at all sites where the APRN renders
service and shall be provided to the Illinois Department of Financial and
Professional Regulation upon request.
3. COLLABORATION
AND CONSULTATION
(A) Collaboration
and consultation between a certified nurse midwife, certified nurse
practitioner, or certified nurse specialist and the collaborating physician
includes the following:
(i) The
APRN seeking the advice or opinion of the collaborating physician through the
mutually agreeable methods of communication, which may be in person or through
telecommunications or electronic communications (see 225 ILCS 60/54.5(b)(3) and
225 ILCS 65/65-35(b));
(ii) Discussing
the condition of any patients for whom a controlled substance has been
prescribed under delegated prescriptive authority at least once a month for Schedule
II controlled substances (see 225 ILCS 65/65-40(b) and (d)(4)); and
(iii) The
APRN informing each collaborating physician of all written collaborative
agreements he or she has signed with other physicians and providing a copy of
these to any collaborating physician, upon request.
(B) Collaboration
and consultation between a certified registered nurse anesthetist (CRNA) and
the collaborating physician, dentist or podiatric physician includes the
following:
(i) A
licensed CRNA may provide anesthesia services pursuant to the order of a
licensed physician, podiatric physician or dentist.
(ii) For
anesthesia services, an anesthesiologist, physician, podiatric physician or
dentist participates through discussion of, and agreement with, the anesthesia
plan and is physically present and available on the premises during the
delivery of anesthesia services for diagnosis, consultation and treatment of
emergency medical conditions.
(iii) A
CRNA may select, order and administer medications, including controlled
substances, and apply appropriate medical devices for delivery of anesthesia
services under the anesthesia plan agreed to by an anesthesiologist, or the
operating physician, operating podiatric physician or operating dentist. (See
225 ILCS 65/65-35(c-5) and (c-10).)
(iv) In a
physician's office, the CRNA may only provide anesthesia services if the
physician has training and experience in the delivery of anesthesia services to
patients.
(v) In a
podiatric physician's office, the CRNA may only provide those services the podiatric
physician is authorized to provide pursuant to the Podiatric Medical Practice
Act.
(vi) A
collaborative agreement between a CRNA and a dentist must be in accordance with
225 ILCS 65/65-35(c-10). In a dentist's office, the CRNA may only provide
those services the dentist is authorized to provide pursuant to the Illinois
Dental Practice Act.
4. DELEGATION
OF PRESCRIPTIVE AUTHORITY
As the collaborating physician/podiatric
physician, any prescriptive authority delegated to the APRN is set forth in an
attached document, which must be filed with the Department of Financial and
Professional Regulation and the Department of Human Services Prescription
Monitoring Program.
NOTE: ADVANCED PRACTICE REGISTERED
NURSES MAY ONLY PRESCRIBE CONTROLLED SUBSTANCES UPON RECEIPT OF A FEDERAL DEA
REGISTRATION AND AN ILLINOIS MID-LEVEL PRACTITIONER CONTROLLED SUBSTANCES
LICENSE. (See 225 ILCS 65/65-40(a) and 68 Ill. Adm. Code 1300.430(c).)
|
WE THE UNDERSIGNED AGREE TO THE TERMS AND CONDITIONS OF
THIS WRITTEN COLLABORATIVE AGREEMENT.
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Collaborating
Physician/Podiatric Physician /Dentist
Signature/Date
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Advanced Practice Registered
Nurse
Signature/Date
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(Physician's/Podiatric
Physician's /Dentist's
Typed Name)
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(Advanced Practice Registered
Nurse's Typed Name)
|
(Source: Amended at 43 Ill. Reg. 6924,
effective June 14, 2019)
AUTHORITY: Implementing the Nurse Practice Act [225 ILCS 65] and authorized by Section 2105-15(7) of the Civil Administrative Code of Illinois (Department of Professional Regulation Law) [20 ILCS 2105].
SOURCE: Adopted at 34 Ill. Reg. 14012, effective September 17, 2010; amended at 37 Ill. Reg. 9467, effective July 5, 2013; amended at 38 Ill. Reg. 15988, effective August 1, 2014; amended at 39 Ill. Reg. 15764, effective November 24, 2015; Subpart D recodified at 42 Ill. Reg. 17955; amended at 43 Ill. Reg. 6924, effective June 14, 2019; amended at 45 Ill. Reg. 228, effective January 4, 2021; amended at 49 Ill. Reg. 6052, effective May 9, 2025.
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