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training school for nurses connected with a hospital or sanitarium giving a course of at least two years, and registered by the regents of the university of the state of New York as maintaining in this and other respects proper standards, all of which shall be determined by the said regents, and who shall have received from the said regents a certificate of his or her qualifications to practice as a registered nurse, shall be styled and known as a registered nurse, and no other person shall assume such title, or use the abbreviation R. N. or any other words, letters or figures to indicate that the person using the same is such a registered nurse. Before beginning to practice nursing every such registered nurse shall cause such certificate to be recorded in the county clerk's office of the county of his or her residence with an affidavit of his or her identity as the person to whom the same was so issued and of his or her place of residence within such county. In every thirty-sixth month from the month of January, nineteen hundred and six, every registered nurse shall again cause his or her certificate to be recorded in the said county clerk's office, with an affidavit of his or her identity as the person to whom the same was issued, and of his or her place of residence at the time of such re-registration. Nothing contained in this article shall be considered as conferring any authority to practice medicine or to undertake the treatment or cure of disease in violation of article eight of this chapter.
§ 251. Board of examiners; examination; fees. The board of examiners of nurses appointed pursuant to laws of nineteen hundred and three, chapter two hundred and ninety-three, is continued. The New York state nurses' association at each annual meeting shall nominate for examiners two of their members who have had not less than five years' experience in their profession. Upon the expiration of the term of office of any examiner now in office the regents of the university of the state of New York shall from the candidates so nominated fill the vacancy for a term of five years and until his or her successor is chosen. An unexpired term of an examiner caused by death, resignation or otherwise, shall be filled by the regents in the same manner as an original appointment is made. The said regents, with the advice
of the board of examiners above provided for, shall make rules for the examination of nurses applying for certification under this article, and shall charge for examination and for certification a fee of five dollars to meet the actual expenses, and shall report annually their receipts and expenditures under the provisions of this article, to the state comptroller, and pay the balance of receipts over expenditures to the state treasurer. The said regents may revoke any such certificate for sufficient cause after written notice to the holder thereof and hearing thereon. No person shall thereafter practice as a registered nurse under any such revoked certificate.
§ 252. Waiver of examination. The regents of the university of the state of New York may upon the recommendation of said board of examiners, or upon evidence satisfactory to said regents, waive the examination of any persons possessing the qualifications mentioned in section two hundred and fifty, who shall have been graduated before, or who were in training on the twenty-fourth day of April, nineteen hundred and three, and shall thereafter be graduated, and of such persons now engaged in the practice of nursing and who have had six years' experience in the practice of nursing in a general hospital prior to nineteen hundred and three, who make application in writing for such certificate prior to July first, nineteen hundred and thirteen. amended by chapter 390 of the Laws of 1913.)
§ 253. Violations of this article. Any violation of this article shall be a misdemeanor. When any prosecution under this article is made on the complaint of the New York state nurses' association, the certificate of incorporation of which was filed and recorded in the office of the secretary of state on the second day of April, nineteen hundred and two, the fines collected shall be paid to said association and any excess in the amount of fines so paid over the expenses incurred by said association in enforcing the provisions of this article shall be paid at the end of each year to the treasurer of the state of New York.
The following are the rules of the State Education Department, relating to training schools for nurses:
Special Rules Relating to the Registration of Nurses. Incorporation. The training school for nurses or the institution of which it is a department must be incorporated and will be inspected by the Education Department upon receiving its formal application for registration, showing that it possesses the minimum requirements.
Hospital facilities. For registration, a nurses training school must be connected with a hospital (or sanatorium) having not less than 50 beds and a daily average of 30 patients. Each bed must meet the requirements of the State Board of Charities as to air space. The hospital should provide experience in the following departments of nursing: medical, surgical, obstetrical, and pediatric. Training schools connected with hospitals not providing adequate opportunities for experience in all of the above departments must become affiliated with institutions approved as giving such experience.
All such training schools registered by the Regents of the University shall require of all applicants for admission credentials showing that they have had at least a course of one year in a secondary school or its equivalent. Evidence of such training in the case of every pupil admitted must be filed with the Education Department as a basis for the recognition of such pupil as a member of the training school.
Preparation for State examination. Training schools for nurses registered by the Regents shall provide practical and theoretical instruction, approved as adequate, in the following branches of nursing: medical nursing, surgical nursing including gynecology and operative technic, obstetrical nursing, nursing in children's diseases, elementary anatomy and physiology, elementary bacteriology, elementary materia medica, dietetics, and a thorough course of theoretical instruction in contagious nursing accompanied by practical experience when possible.
Training schools for male nurses shall provide instruction in genito-urinary branches instead of gynecological and obstetrical nursing.
In the State Hospital Schools, the thorough training and experience gained in the care and nursing of the insane are accepted instead of the nursing of sick children required of other schools. Theoretical instruction and the examination for registration in this branch are, however, required.
Faculty. The faculty must include a principal or superintendent and two or more assistants, one of whom shall be in charge at night. There should be a staff of paid lecturers and instructors. In schools limited to a two-year course graduate nurses should be placed in charge of departments and wards.
The principal of the school should be a registered nurse with executive experience in training school methods and management. The assistants and all graduate nurses holding permanent positions in the school should be registered nurses.
Professional education. Schools of nursing to be registered by the Regents must be prepared to provide the following opportunities for their pupils: a preliminary course of instruction and probation of not less than four months during which term the pupils receive the theoretical and practical instruction necessary before undertaking any actual nursing in the wards. The schedule as outlined provides for two hours or more of theory daily and from four to six hours in the wards or other departments for demonstration and instruction in household and hospital economics and nursing technic. Institutions unable to provide properly equipped laboratories for instruction in bacteriology, chemistry, dietetics, drugs, etc., should arrange for such courses in some college or technical school in the vicinity. The period of instruction in the training school shall not be less than two full years after the pupil is regularly admitted to the school. Experience must be given in the different services specified in the Regents Rules together with lectures, clinical instruction at the bedside, and recitations in conjunction with these services as outlined in the schedule and for a term not less than specified in the "Division of services."
The question of accepting as adequate the experience in the different services offered by any institution will be determined by the construction, arrangement, equipment and administration of the departments; the clinical material and the teaching force.
In order that the pupils may have due time for rest, recreation and study, the hours on duty should not exceed 56 weekly. Institutions giving a three-year course should provide the additional experience in at least two of the special services as outlined in the "Division of the service for the three-year course." Training
schools may not place their pupils on special cases in the hospital until they have completed their first year nor for a period exceeding three months during the course. Those schools maintaining a three-year course may not permit pupils to nurse private cases outside of the hospital for a period exceeding three months in the third year.
Those desiring further information relative to the establishment of training schools for nurses, should make application to the State Department of Education, Albany, N. Y., for a copy of the bulletin, entitled: "Course of Study and Syllabus for Guidance of Nurse Training Schools."
Preservation of Life and Health; Cadavers for Medical and Surgical Study.
§ 313. Examination and quarantine of children admitted to institutions for orphan, destitute or vagrant children or juvenile delinquents. Every institution in this state, incorporated for the express purpose of receiving or caring for orphan, vagrant or destitute children or juvenile delinquents, except hospitals, shall have attached thereto a regular physician of its selection duly licensed under the laws of the state and in good professional standing whose name and address shall be kept posted conspicuously within such institution near its main entrance. The words "juvenile delinquents" here used shall include all children whose commitment to an institution is authorized by the penal law. The officer of every such institution upon receiving a child therein, by commitment or otherwise, shall, before admitting it to contact with the other inmates, cause it to be examined by such physician, and a written certificate to be given by him, stating whether the child has diphtheria, scarlet fever, measles, whooping cough or any other contagious or infectious