Pennsylvania Consolidated & Unconsolidated Statutes
Chapter 81 - Emergency Medical Services System
Section 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. The notice was published October 12, 2013, at 43 Pa.B. 6093.

Structure Pennsylvania Consolidated & Unconsolidated Statutes

Pennsylvania Consolidated & Unconsolidated Statutes

Title 35 - HEALTH AND SAFETY

Chapter 81 - Emergency Medical Services System

Extra - Chapter Notes

Section 8101 - Short title of chapter

Section 8102 - Declaration of policy

Section 8103 - Definitions

Section 8104 - Emergency medical services system programs

Section 8105 - Duties of department

Section 8106 - Emergency medical services patient care reports

Section 8107 - Pennsylvania Trauma Systems Foundation

Section 8107.1 - Accreditation of trauma centers

Section 8107.2 - Submission of list

Section 8107.3 - Funding

Section 8107.4 - Notification of trauma center closure

Section 8107.5 - Reporting

Section 8107.6 - Certification and financial report

Section 8108 - State Advisory Board

Section 8109 - Regional emergency medical services councils

Section 8111 - Comprehensive plan

Section 8112 - Contracts and grants

Section 8112.1 - Scholarships for recruitment, training and retention

Section 8113 - Emergency medical services providers

Section 8114 - Emergency medical responders

Section 8115 - Emergency medical technicians

Section 8116 - Advanced emergency medical technicians

Section 8117 - Paramedics

Section 8118 - Prehospital registered nurses

Section 8119 - Prehospital physician extenders

Section 8120 - Prehospital emergency medical services physicians

Section 8121 - Certification sanctions

Section 8122 - Emergency medical services vehicle operators

Section 8123 - Suspension of certification

Section 8124 - Emergency medical services instructors

Section 8125 - Medical director of emergency medical services agency

Section 8126 - Medical command physicians and facility medical directors

Section 8127 - Medical command facilities

Section 8128 - Receiving facilities

Section 8129 - Emergency medical services agencies

Section 8130 - Advanced life support ambulances

Section 8131 - Air ambulances

Section 8132 - Advanced life support squad vehicles

Section 8133 - Basic life support ambulances

Section 8134 - Basic life support squad vehicles

Section 8135 - Quick response services

Section 8136 - Special operations emergency medical services

Section 8137 - First aid and other services

Section 8138 - Other vehicles and services

Section 8139 - Stretcher and wheelchair vehicles

Section 8140 - Conditional temporary licenses

Section 8141 - Plans of correction

Section 8142 - Emergency medical services agency license sanctions

Section 8151 - Limitations on liability

Section 8152 - Peer review

Section 8153 - Support of emergency medical services

Section 8154 - Prohibited acts

Section 8155 - Surrender of license, accreditation or certification

Section 8156 - Penalties

Section 8157 - Adjudications and judicial review

Section 8158 - Injured police animals