Vocational NursingScope of Regulation
Section § 2859
This law defines what vocational nursing is in California, specifying that it involves technical and manual skills learned in nursing school and practiced under the direction of a physician, registered nurse, or naturopathic doctor. A vocational nurse can only perform tasks within the legal boundaries of their license. When working with a naturopathic doctor, they must follow specific supervision protocols, which include written agreements on duties, supervision, communication, and drug protocols. The naturopathic doctor must establish and maintain protocols for supervision, and vocational nurses must adhere to these or face disciplinary action for unprofessional conduct.
Section § 2859.1
This law defines key terms and outlines the rules for naturopathic doctors supervising licensed vocational nurses. It clarifies that supervision doesn't require the doctor to be physically present, but they must be available by phone and adhere to a practice agreement. Naturopathic doctors can't direct nurses to perform certain procedures like injections or cosmetic procedures not within the nurse's scope. Also, they can't supervise nurses with inactive or unlicensed statuses. If a nurse is on probation, the supervising doctor must follow the probation terms strictly.
Section § 2860
This law explains that the chapter doesn't allow someone to practice medicine or surgery, or provide respiratory care services against the law. However, a licensed vocational nurse with the right training and skills, as approved by their employer, can perform certain respiratory tasks if a doctor instructs them and if those tasks are specifically identified by the Respiratory Care Board.
Section § 2860.5
This law allows licensed vocational nurses (LVNs) to perform certain medical tasks under the guidance of a doctor. With guidance from a physician or a naturopathic doctor, LVNs can give injections, draw blood, and start IV fluids if they have proper training or have shown they are competent. If they are working with a naturopathic doctor, the naturopathic doctor must also be qualified to do IV therapy. These tasks must be done according to standardized procedures in a recognized health care setting. Also, LVNs can only do what is allowed in both their scope of practice and the naturopathic doctor's scope of practice. No new actions are permitted beyond what is already allowed by law.
Section § 2860.7
This law allows a licensed vocational nurse (LVN) in California to perform certain medical tasks, like skin tests and immunizations, under the direction of a doctor. If the LVN works with a naturopathic doctor, they must stick to what that type of doctor is allowed to do. The supervising doctor must ensure the LVN is competent in giving shots and prepared to handle emergencies if any arise. Notably, the doctor does not need to be physically present when these tasks are performed, but must provide the needed support and equipment for emergencies. Any changes to this section do not let the LVN do anything outside their or the naturopathic doctor's allowed practices.
Section § 2861
This law section states that people who aren't licensed as vocational nurses can still perform nursing tasks as long as they don't claim to be vocational nurses.
Section § 2861.5
If you're a licensed professional and you provide emergency help outside of work, you can't be sued for any mistakes you make, unless you are seriously careless.
Section § 2862
Students who are enrolled in a certified vocational nursing program can provide nursing services as long as these activities are a part of their educational curriculum.
Section § 2863
This law allows people who follow certain religious beliefs to care for the sick without being professional vocational nurses, as long as they don't claim to be vocational nurses.
Section § 2864
This law says that if you have a license under this chapter, you can officially be called a licensed vocational nurse and you can use the initials 'L.V.N.' after your name.
Section § 2866
If you want to become a licensed vocational nurse in California, you need to follow these rules: be at least 17 years old, finish high school or a similar program approved by the board, complete a course in an approved vocational nursing school or an equivalent program, and ensure there are no reasons for being denied a license, like past issues covered under Section 480.
Section § 2867
If you want to apply for a vocational nursing license in California, you need to fill out a specific form provided by the board and pay a required fee when you submit your application.
Section § 2867.5
If you are getting a new license, you must pay a specified initial fee before the license is issued, along with any other fees that may be required.
Section § 2867.6
Once someone passes the exam and pays the initial license fee, they get a temporary permit or receipt. This allows them to start practicing under the rules of this chapter.
Section § 2868
The board is required to conduct at least two exams every year for those who want to become vocational nurses in the state. They decide when and where to hold these exams.
Section § 2870
The exams for evaluation are mainly written, but the board may also decide to include oral or practical tests on topics they choose. These exams are organized according to the board's rules. After the exams, the board has the final say in passing or rejecting candidates, and their decision cannot be challenged in any court or elsewhere.
Section § 2871
Section § 2872
If you pass the exam, the board will give you a license. The details of what the license looks like are set by another rule.
Section § 2872.1
If you're already a licensed vocational or practical nurse in another state or country, you might be able to get a California nursing license without taking an exam. All you need is to apply, pay the application fee, and fulfill certain other requirements that the board specifies.
Section § 2872.2
If you're applying for a vocational nursing license by examination, you need to submit a written application to the board. If your application is in within four months after finishing a board-approved program, you might get an interim permit to practice while waiting for your exam results, or for nine months, whichever comes first. This interim permit lets you work under the supervision of a licensed nurse. If you pass the exam, your permit stays valid until you get your license, but no longer than six months. If you fail, the permit ends when you get notice. During this time, your title would be 'vocational nurse interim permittee' or 'V.N.I.P.'
Section § 2872.3
This law requires people applying for or renewing certain licenses to give the board a physical mailing address and an email address by July 1, 2022. If they don't say they prefer regular mail, the board will send all important license information, like renewals and notices of missing information, to their email. The board may also contact them once a year to make sure their email address is up-to-date.
Section § 2873
If you have the right education or work experience similar to what's taught in a recognized vocational nursing program, you can become a licensed vocational nurse in California. However, you must prove to the board that you meet all the necessary qualifications and pass any required exams.
Section § 2873.5
Section § 2873.6
If you're working as a medical technical assistant or a senior one for California's Department of Corrections and Rehabilitation, and you've served in the U.S. Armed Forces or Public Health Service with a year spent in patient care, plus some nursing training, you can get a special license. This lets you practice vocational nursing only within that department while you're employed. To practice elsewhere, you'd need to take the regular nursing exam in California. From now on, new hires must be licensed nurses or have served in the medical services of the U.S. military or Public Health Service, meeting specific requirements. Unlicensed hires have up to six months to get their vocational nursing license and can't give medications until they are licensed. These conditions don't affect those who had a restricted license and worked in a psychiatric unit that moved departments back in 1988.