49 Pa. Code § 21.369 - General curriculum requirements
(a) The curriculum shall be developed,
implemented and evaluated by the faculty and be based on the philosophy and
objectives of the school.
(b) The
curriculum must be organized and developed to include the knowledge, attitudes,
skills and abilities necessary for practice as a CRNP and in accordance with
this chapter as related to CRNP practice.
(c) The curriculum must provide for both
clinical and theoretical experiences. The curriculum must have the following
components incorporated into each CRNP program:
(1)
Graduate nursing core.
The graduate nursing core must include the following content:
(i) Research.
(ii) Health care policy and
organization.
(iii)
Ethics.
(iv) Professional role
development.
(v) Theoretical
foundations of nursing practice.
(vi) Human diversity and social
issues.
(vii) Health promotion and
disease prevention.
(2)
Advanced nursing practice core. The advanced nursing practice
core must include the following content:
(i)
Advanced health/physical assessment.
(ii) Advanced physiology and
pathophysiology.
(iii) Advanced
pharmacology.
(3)
Specialty content. The CRNP student shall receive sufficient
clinical experience to provide depth and breadth in a given specialty or with
designated populations, geared to nurse practitioner practice. Clinical hours
must meet at least National certification requirements with a minimum of 500.
Additional hours must be provided for specialties that provide care to multiple
age groups (for example, family CRNPs) or for those who will practice in
multiple care settings. When defining additional clinical hours, the complexity
of the specialty content, as well as the need for clinical experience to
enhance retention and skills, shall be considered. The expected graduate
competencies must be the key determinant of the clinical component.
(4)
Advanced pharmacology.
(i) CRNP program graduates shall have a
well-grounded understanding of pharmacologic principles, which includes the
cellular response level. This area of core content must also include both
pharmacotherapeutics and pharmacokinetics of broad categories of pharmacologic
agents. Advanced pharmacology shall be taught in a separate or dedicated
3-credit or 45-hour course. Pharmacology content shall also be integrated into
the other content areas identified in the advanced practice nursing core.
Additional application of this content shall also be presented within the
specialty course content and clinical experiences of the program to prepare the
CRNP to practice within a specialty scope of practice.
(ii) The purpose of this content is to
provide the graduate with the knowledge and skills to assess, diagnose and
manage (including the prescription of pharmacologic agents) a patient's common
health problems in a safe, high quality, manner.
(iii) The course work must provide graduates
with the knowledge and skills to:
(A)
Comprehend the pharmacotherapeutics of broad categories of drugs.
(B) Analyze the relationship between
pharmacologic agents and physiologic/pathologic responses.
(C) Understand the pharmacokinetics and
pharmacodynamics of broad categories of drugs.
(D) Understand the motivations of clients in
seeking prescriptions and the willingness to adhere to prescribed
regimens.
(E) Safely and
appropriately select pharmacologic agents for the management of client health
problems based on client variations, the problem being managed, and cost
effectiveness.
(F) Provide
comprehensive and appropriate client education in relation to prescribed
pharmacologic agents.
(G) Analyze
the effects of single and multiple drug regimens on the client's health and
functioning.
(H) Understand the
variety of State legal requirements for CRNP prescriptive authority.
(5)
Professional role content. The course work must provide
graduates with curriculum in:
(i) Management
of client health/illness status.
(ii) The nurse-client relationship.
(iii) The teaching-mentoring
function.
(iv) Professional
role.
(v) Managing and negotiating
health care delivery systems.
(vi)
Monitoring and ensuring the quality of health care
practice.
(d)
The instructional strategies must be appropriate and consistent with the
program's philosophy, mission and objectives.
(e) The clinical facilities of the CRNP
program must provide a variety of experiences with sufficient quality and
quantity. Clinical experiences must be consistent with the scope of
practice.
(f) CRNP courses and
curriculum must be organized to continue the development of values,
understandings, knowledge and skills needed in all aspects of practice as a
CRNP and emphasize specialty areas.
(g) The ratio of students to faculty must
insure optimal learning opportunities in clinical laboratory sessions, be
consistent with the objectives of the CRNP courses, and comply with §
21.373(c)(3)(ii)
(relating to facility and resource requirements).
(h) The curriculum for CRNP programs must
give evidence of providing learning experiences which will prepare graduates
for CRNP practice. The standards of practice are defined and delineated by the
profession and §§
21.18 and
21.284 (relating to standards of
nursing conduct; and prescribing and dispensing parameters).
(i) Course syllabi that identify all aspects
of each course must be developed and readily available.
Notes
The provisions of this § 21.369 issued under sections 6.1 and 8.1 of The Professional Nursing Law (63 P.S. §§ 216.1 and 218.1).
This section cited in 49 Pa. Code § 21.363 (relating to approval process).
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