2010 Pennsylvania Code
Title 35 - HEALTH AND SAFETY
Chapter 81 - Emergency Medical Services System
8118 - Prehospital registered nurses.

     § 8118.  Prehospital registered nurses.
        (a)  Scope of practice.--A PHRN is a higher-level EMS
     provider than an advanced EMT. A PHRN performs for an EMS agency
     basic and advanced EMS skills and, as authorized by the
     department, additional nursing skills within the scope of
     practice of a registered nurse under the act of May 22, 1951
     (P.L.317, No.69), known as The Professional Nursing Law, or a
     successor act, as follows:
            (1)  As a member of the crew of an ambulance.
            (2)  As a member of a QRS to stabilize and improve a
        patient's condition in an out-of-hospital emergency until an
        ambulance arrives at the scene and then may assist the
        ambulance crew.
            (3)  As a first aid or safety officer, or in a similar
        capacity, as prescribed by regulation of the department.
            (4)  In another capacity as authorized by regulation of
        the department.
        (b)  Certification.--The department shall certify as a PHRN
     an individual who meets all of the following:
            (1)  Has a current license as a registered nurse with the
        State Board of Nursing.
            (2)  Is at least 18 years of age.
            (3)  Has a current certificate evidencing successful
        completion of a CPR course acceptable to the department.
            (4)  Has passed a PHRN skills practical examination
        approved by the department.
            (5)  Has passed a written PHRN certification examination
        approved by the department.
        (c)  Biennial registration.--A PHRN's certification is deemed
     registered when the certification is issued. The initial
     registration shall expire as set forth in section 8113(n)
     (relating to emergency medical services providers). Except for
     the initial registration period, a PHRN must register the PHRN
     certification at two-year intervals by completing an application
     for biennial registration on a form or through an electronic
     process, as prescribed by regulation of the department. The
     following shall apply:
            (1)  The department shall issue a biennial registration
        of a PHRN certification to a PHRN who meets all of the
        following:
                (i)  Has a current registration and applies for a new
            registration no later than:
                    (A)  30 days before the current registration is
                to expire; or
                    (B)  a lesser time established by regulation of
                the department.
                (ii)  Has current registration of a registered nurse
            license.
                (iii)  Successfully secures continuing education
            credits for a PHRN biennial registration as required by
            the department in continuing education programs approved
            by the department.
            (2)  A PHRN whose registration of a PHRN certification
        has expired must qualify for a biennial registration of the
        certification as prescribed by regulation of the department.

        Effective Date.  Section 9(1) of Act 37 of 2009 provided that
     section 8118 shall take effect 180 days after the publication of
     the notice in section 7.