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Minnesota Legislature

Office of the Revisor of Statutes

148.261 GROUNDS FOR DISCIPLINARY ACTION.
    Subdivision 1. Grounds listed. The board may deny, revoke, suspend, limit, or condition
the license and registration of any person to practice professional, advanced practice registered,
or practical nursing under sections 148.171 to 148.285, or to otherwise discipline a licensee or
applicant as described in section 148.262. The following are grounds for disciplinary action:
(1) Failure to demonstrate the qualifications or satisfy the requirements for a license
contained in sections 148.171 to 148.285 or rules of the board. In the case of a person applying
for a license, the burden of proof is upon the applicant to demonstrate the qualifications or
satisfaction of the requirements.
(2) Employing fraud or deceit in procuring or attempting to procure a permit, license, or
registration certificate to practice professional or practical nursing or attempting to subvert
the licensing examination process. Conduct that subverts or attempts to subvert the licensing
examination process includes, but is not limited to:
(i) conduct that violates the security of the examination materials, such as removing
examination materials from the examination room or having unauthorized possession of any
portion of a future, current, or previously administered licensing examination;
(ii) conduct that violates the standard of test administration, such as communicating with
another examinee during administration of the examination, copying another examinee's answers,
permitting another examinee to copy one's answers, or possessing unauthorized materials; or
(iii) impersonating an examinee or permitting an impersonator to take the examination
on one's own behalf.
(3) Conviction during the previous five years of a felony or gross misdemeanor reasonably
related to the practice of professional, advanced practice registered, or practical nursing.
Conviction as used in this subdivision includes a conviction of an offense that if committed in
this state would be considered a felony or gross misdemeanor without regard to its designation
elsewhere, or a criminal proceeding where a finding or verdict of guilt is made or returned but the
adjudication of guilt is either withheld or not entered.
(4) Revocation, suspension, limitation, conditioning, or other disciplinary action against
the person's professional or practical nursing license or advanced practice registered nursing
credential, in another state, territory, or country; failure to report to the board that charges
regarding the person's nursing license or other credential are pending in another state, territory, or
country; or having been refused a license or other credential by another state, territory, or country.
(5) Failure to or inability to perform professional or practical nursing as defined in section
148.171, subdivision 14 or 15, with reasonable skill and safety, including failure of a registered
nurse to supervise or a licensed practical nurse to monitor adequately the performance of acts by
any person working at the nurse's direction.
(6) Engaging in unprofessional conduct, including, but not limited to, a departure from or
failure to conform to board rules of professional or practical nursing practice that interpret the
statutory definition of professional or practical nursing as well as provide criteria for violations of
the statutes, or, if no rule exists, to the minimal standards of acceptable and prevailing professional
or practical nursing practice, or any nursing practice that may create unnecessary danger to a
patient's life, health, or safety. Actual injury to a patient need not be established under this clause.
(7) Failure of an advanced practice registered nurse to practice with reasonable skill and
safety or departure from or failure to conform to standards of acceptable and prevailing advanced
practice registered nursing.
(8) Delegating or accepting the delegation of a nursing function or a prescribed health care
function when the delegation or acceptance could reasonably be expected to result in unsafe
or ineffective patient care.
(9) Actual or potential inability to practice nursing with reasonable skill and safety to
patients by reason of illness, use of alcohol, drugs, chemicals, or any other material, or as a result
of any mental or physical condition.
(10) Adjudication as mentally incompetent, mentally ill, a chemically dependent person, or a
person dangerous to the public by a court of competent jurisdiction, within or without this state.
(11) Engaging in any unethical conduct, including, but not limited to, conduct likely to
deceive, defraud, or harm the public, or demonstrating a willful or careless disregard for the
health, welfare, or safety of a patient. Actual injury need not be established under this clause.
(12) Engaging in conduct with a patient that is sexual or may reasonably be interpreted by
the patient as sexual, or in any verbal behavior that is seductive or sexually demeaning to a
patient, or engaging in sexual exploitation of a patient or former patient.
(13) Obtaining money, property, or services from a patient, other than reasonable fees
for services provided to the patient, through the use of undue influence, harassment, duress,
deception, or fraud.
(14) Revealing a privileged communication from or relating to a patient except when
otherwise required or permitted by law.
(15) Engaging in abusive or fraudulent billing practices, including violations of federal
Medicare and Medicaid laws or state medical assistance laws.
(16) Improper management of patient records, including failure to maintain adequate patient
records, to comply with a patient's request made pursuant to sections 144.291 to 144.298, or to
furnish a patient record or report required by law.
(17) Knowingly aiding, assisting, advising, or allowing an unlicensed person to engage in the
unlawful practice of professional, advanced practice registered, or practical nursing.
(18) Violating a rule adopted by the board, an order of the board, or a state or federal law
relating to the practice of professional, advanced practice registered, or practical nursing, or a
state or federal narcotics or controlled substance law.
(19) Knowingly providing false or misleading information that is directly related to the care
of that patient unless done for an accepted therapeutic purpose such as the administration of
a placebo.
(20) Aiding suicide or aiding attempted suicide in violation of section 609.215 as established
by any of the following:
(i) a copy of the record of criminal conviction or plea of guilty for a felony in violation of
section 609.215, subdivision 1 or 2;
(ii) a copy of the record of a judgment of contempt of court for violating an injunction
issued under section 609.215, subdivision 4;
(iii) a copy of the record of a judgment assessing damages under section 609.215, subdivision
5
; or
(iv) a finding by the board that the person violated section 609.215, subdivision 1 or 2. The
board shall investigate any complaint of a violation of section 609.215, subdivision 1 or 2.
(21) Practicing outside the scope of practice authorized by section 148.171, subdivision
5
, 10, 11, 13, 14, 15, or 21.
(22) Practicing outside the specific field of nursing practice for which an advanced practice
registered nurse is certified unless the practice is authorized under section 148.284.
(23) Making a false statement or knowingly providing false information to the board, failing
to make reports as required by section 148.263, or failing to cooperate with an investigation
of the board as required by section 148.265.
(24) Engaging in false, fraudulent, deceptive, or misleading advertising.
(25) Failure to inform the board of the person's certification status as a nurse anesthetist,
nurse-midwife, nurse practitioner, or clinical nurse specialist.
(26) Engaging in clinical nurse specialist practice, nurse-midwife practice, nurse practitioner
practice, or registered nurse anesthetist practice without current certification by a national nurse
certification organization acceptable to the board, except during the period between completion
of an advanced practice registered nurse course of study and certification, not to exceed six
months or as authorized by the board.
(27) Engaging in conduct that is prohibited under section 145.412.
(28) Failing to report employment to the board as required by section 148.211, subdivision
2a
, or knowingly aiding, assisting, advising, or allowing a person to fail to report as required
by section 148.211, subdivision 2a.
    Subd. 2.[Repealed, 1976 c 222 s 209]
    Subd. 3.[Repealed, 1989 c 194 s 22]
    Subd. 4. Evidence. In disciplinary actions alleging a violation of subdivision 1, clause (3)
or (4), a copy of the judgment or proceeding under the seal of the court administrator or of the
administrative agency that entered the same shall be admissible into evidence without further
authentication and shall constitute prima facie evidence of the violation concerned.
    Subd. 5. Examination; access to medical data. The board may take the following actions
if it has probable cause to believe that grounds for disciplinary action exist under subdivision
1, clause (9) or (10):
(a) It may direct the applicant or nurse to submit to a mental or physical examination or
chemical dependency evaluation. For the purpose of this subdivision, when a nurse licensed under
sections 148.171 to 148.285 is directed in writing by the board to submit to a mental or physical
examination or chemical dependency evaluation, that person is considered to have consented and
to have waived all objections to admissibility on the grounds of privilege. Failure of the applicant
or nurse to submit to an examination when directed constitutes an admission of the allegations
against the applicant or nurse, unless the failure was due to circumstances beyond the person's
control, and the board may enter a default and final order without taking testimony or allowing
evidence to be presented. A nurse affected under this paragraph shall, at reasonable intervals,
be given an opportunity to demonstrate that the competent practice of professional, advanced
practice registered, or practical nursing can be resumed with reasonable skill and safety to
patients. Neither the record of proceedings nor the orders entered by the board in a proceeding
under this paragraph, may be used against a nurse in any other proceeding.
(b) It may, notwithstanding sections 13.384, 144.651, 595.02, or any other law limiting
access to medical or other health data, obtain medical data and health records relating to a
registered nurse, advanced practice registered nurse, licensed practical nurse, or applicant for a
license without that person's consent. The medical data may be requested from a provider, as
defined in section 144.291, subdivision 2, paragraph (h), an insurance company, or a government
agency, including the Department of Human Services. A provider, insurance company, or
government agency shall comply with any written request of the board under this subdivision
and is not liable in any action for damages for releasing the data requested by the board if the
data are released pursuant to a written request under this subdivision unless the information is
false and the provider giving the information knew, or had reason to believe, the information was
false. Information obtained under this subdivision is classified as private data on individuals
as defined in section 13.02.
History: 1945 c 242 s 10; 1975 c 360 s 9; 1976 c 222 s 55; 1986 c 444; 1989 c 194 s 12;
1992 c 464 art 1 s 56; 1992 c 559 art 1 s 4; 1992 c 577 s 3; 1993 c 88 s 5; 1999 c 172 s 6,7,18;
1999 c 227 s 22; 2002 c 272 s 2; 2007 c 147 art 10 s 15