(a) The Advanced Practice Registered Nurse Committee’s (“Committee”) purpose is to:
(1) Recommend and draft regulations regarding the practice of advance practice registered nurses; and
(2) Review collaborative agreements upon submission to the Board; and
(4) Review collaborative agreements of advanced practice registered nurses (APRNs) who seek independent practice to determine if independent practice may be granted.
Terms Used In Delaware Code Title 24 Sec. 1934
- Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
- Quorum: The number of legislators that must be present to do business.
- Year: means a calendar year, and is equivalent to the words "year of our Lord. See Delaware Code Title 6 Sec. 4307
(b) The Committee shall have 9 members and consist of the following:
(1) Four advanced practice registered nurses representing each category of APRN role with a variety of population foci, appointed by the Board of Nursing. Each APRN member of the Committee shall have at least the equivalent of 3 years of full-time experience in their APRN role.
(2) One pharmacist, appointed by the Board of Pharmacy.
(3) Four physicians who work with APRNs, appointed by the Board of Medical Licensure and Discipline.
(4) The first Committee Chair shall be 1 of the 2 APRNs who are members of the Board of Nursing and shall serve for 1 year, not to succeed himself or herself for more than 2 consecutive terms. The position of committee chair shall then rotate among Committee members.
(c) Appointments shall be for 3-year terms, provided that the terms of newly-appointed members will be staggered so that no more than 5 appointments shall expire annually. Members may be appointed for less than 3 years to ensure that members’ terms expire on a staggered basis.
(d) A majority of members appointed to the Committee shall constitute a quorum to conduct official business.
(e) A Committee member may be removed at any time for gross inefficiency, neglect of duty, malfeasance, misfeasance, or nonfeasance in office. A member who is absent from 3 consecutive committee meetings without good cause or who attends less than 50% of committee meetings in a calendar year shall be deemed in neglect of duty.
(f) The Committee shall:
(1) Draft rules and regulations regarding competencies, benchmarks, and metrics within each of the 4 roles and 6 population foci that must be accomplished during the collaborative agreement period for review by the Board.
(2) Review emerging practices and advise the Board of Nursing on APRN licensure and practice standards, including prescribing trends and provide recommendations to the Board of Nursing regarding APRN practice.
(3)a. Make recommendations to the Board of Nursing whether to grant or deny requests for independent practice. The Committee may also recommend that individual collaborative agreement periods be extended for additional time.
b. The Committee shall make its recommendation after evaluating evidence that a graduate advanced practice registered nurse or APRN has:
1. Practiced under a collaborative agreement within a hospital or integrated clinical setting for at least 2 years and a minimum of 4,000 full-time hours. The physician, podiatrist, or health-care delivery system party to the collaborative agreement must practice in an area substantially related to the population and focus of the APRN’s education, certification, and planned independent practice. The 2-year collaboration will not commence until the collaborative agreement is submitted to the Committee and Board of Nursing.
2. Submitted written evidence that the collaborators have satisfactorily completed 2 years and a minimum of 4,000 full-time hours of collaboration in compliance with the Board of Nursing’s rules and regulations regarding competencies, benchmarks, and metrics within the APRN’s role and population focus. Such written evidence shall be submitted after the completion of the practice hours required in this chapter and prior to the granting of independent practice.
(4)a. The Board of Nursing shall provide to the Board of Medical Licensure and Discipline a monthly list of APRNs who were granted prescriptive authority.
b. When an APRN who has been granted independent practice comes before the Board of Nursing for discipline related to a deviation from the standard of care, the Board of Nursing’s decision must be approved by the Board of Medical Licensure and Discipline.