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Louisiana Emergency Temporary Suspension: Certain Licensure, Scope of Practice, & Certification Requirements

April 09, 2020

Louisiana Emergency Temporary Suspension: Certain Licensure, Scope of Practice, & Certification Requirements

On March 31, 2020, Proclamation Number 38 JBE 2020 was released and is to remain in effect during the public health emergency unless earlier terminated or extended. It provides for the following.

TEMPORARILY SUSPENDS:

  • LSBME/LSBN collaborative practice agreement requirements for APRNs
  • Requirements that CRNAs provide anesthesia care under the direction/supervision of a physician or dentist, provided the care is within scope of practice and has the education, knowledge, skills, and ability to provide such anesthesia care and ancillary services without supervision or direction
  • Penalties for practicing nursing without a duly issued RN license, provided the individual has an active, unrestricted, unencumbered license to practice registered nursing in any U.S. state, territory, or district, with no charges pending against his or her license and the individual is not enrolled in an ATD program
  • Penalties for practicing practical nursing without a duly issued license so long as the individual is licensed to practice in any U.S. state, territory or district
  • Requirement that licensed home health agencies admit patients for skilled care only on the order of a physician, in order to permit PAs, APRNs, certified nurse practitioners, clinical nurse specialists, and certified nurse midwives to order home health services
  • Requirement that out-of-state RNs/APRNs (including out-of-state CNMs, CRNAs, CNSs, NPs) obtain a license to practice registered nursing or advanced practice registered nursing in Louisiana, provided such person has an active, unencumbered, unrestricted license to practice from any U.S. state, territory, or district, which has been confirmed through the NURSYS System

TEMPORARILY PROVIDES:

  • That an individual physician, physician assistant, or respiratory therapist holding a full, unlimited, and unrestricted license to practice with unrestricted hospital credentials in another U.S. state, territory, or district may practice at a LDH licensed hospital, provided the La. hospital:
    • Verifies all credentials and privileges;
    • Keeps and provides the list of said HCPs to LSBME within 10 days of each HCP starting practice; and
    • Provides 10 days’ written notice to LSBME upon each HCP cessation of practice
  • That an individual APRN holding an active, unencumbered, and unrestricted license to practice with unrestricted hospital credentials and privileges in another U.S. state, territory, or district as confirmed through the NURSYS System, may practice nursing at LDH-licensed hospitals, provided the La. hospital:
    • Verifies all credentials and privileges;
    • Keeps and provides the list of APRNs to LSBN within 10 days of each starting practice; and
    • Provides 10 days’ written notice to LSBN upon each APRNs cessation of practice 

Proclamation Number 38 JBE 2020. Also directs LSBN to issue an emergency rule, i.e., "critical care settings" shall include all healthcare settings in which anesthetic agents have to be administered to intubated patients.

See Proclamation 52 JBE 2020 for an update that renews Proclamation 38 from May 1 to 15, 2020. 

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