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D.C. Municipal Regulations (Last Updated: September 13, 2017) |
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Title 17. BUSINESS, OCCUPATIONS, AND PROFESSIONALS |
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Chapter 17-54. REGISTERED NURSING |
Section 17-5412. SUPERVISED PRACTICE OF GRADUATE NURSES
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5412.1A graduate nurse may practice registered nursing only in accordance with the Act and this chapter.
5412.2An individual may be authorized to engage in the supervised practice of registered nursing, as a graduate nurse, without a District of Columbia license if the individual:
(a)Graduated from a nursing program pursuant to § 5402.1, or has met the requirements set forth in § 5403;
(b)Has never taken the NCLEX-RN exam; and
(b)Has an initial application pending for licensure by examination in the District of Columbia.
5412.3A person who has been denied a license, disciplined, convicted of an offense that bears directly upon his or her fitness to be licensed, or who has such an action pending in the District of Columbia or another jurisdiction shall not practice pursuant to this section unless first authorized by the Board in writing.
5412.4Within five (5) business days after the application for licensure by exam has been received by the Board's staff, the Board's staff shall, at the request of the applicant, issue a supervised practice letter to the applicant to document that his or her application is pending and that he or she is authorized to practice under the Act and this chapter. The practice letter is not renewable and shall expire:
(a)Ninety (90) days from the date of issuance; or
(b)Upon receipt of written notice from the Board that the application for licensure has been denied, whichever date is the earliest.
5412.5Upon receipt of the practice letter, the graduate nurse shall inform employers of the date of expiration of the letter and shall immediately cease professional nursing practice on that date or upon receipt of written notice from the Board that the application for licensure has been denied, whichever date is the earliest. The graduate nurse thereafter may practice in a non-professional healthcare occupation, until receipt of a license or issuance of a license number.
5412.6Only a registered nurse licensed under the Act, who is a supervisor, shall be authorized to supervise the practice of registered nursing by a graduate nurse.
5412.7All supervised practice of a graduate nurse shall take place under general or immediate supervision.
5412.8A graduate nurse who practices pursuant to this section shall only practice at a hospital, long-term care facility, a health facility operated by the District or federal government, academic institution, or other health care facility considered appropriate and approved by the Board.
5412.9A graduate nurse shall not be eligible to practice registered nursing in any of the following settings:
(a)Correctional Facility;
(b)Dialysis Center;
(c)Home Health Agency;
(d)Community Residential Facility;
(e)Nursing Staffing Agency;
(f)Medical Group Practice;
(g)School, (as a school nurse); and
(h)Any other setting that does not meet the requirements of § 5412.8.
5412.10A graduate nurse practicing under this section shall not assume administrative or technical responsibility for the operation of a nursing program, unit, service, or institution.
5412.11A graduate nurse shall identify himself or herself as such before engaging in the supervised practice of registered nursing. A graduate nurse shall wear a picture identification badge with lettering clearly visible to the client bearing the name of the graduate nurse student and the position title.
5412.12A graduate nurse shall not receive compensation of any nature, directly or indirectly, from a client or client's family member, except for a salary based on hours worked under supervision.
5412.13The supervisor shall be fully responsible for the practice by a graduate nurse during the period of supervision and may be subject to disciplinary action for violations of the Act or this chapter by the graduate nurse.
5412.14The Board may deny an application for licensure by, or take other disciplinary action against, a graduate nurse who is found to have violated the Act or this chapter. The Board may, in addition to any other disciplinary actions permitted by the Act, revoke, suspend, or restrict the privilege of the graduate nurse to practice.