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Florida Statute 464.003 - Full Text and Legal Analysis
Florida Statute 464.003 | Lawyer Caselaw & Research
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The 2025 Florida Statutes

Title XXXII
REGULATION OF PROFESSIONS AND OCCUPATIONS
Chapter 464
NURSING
View Entire Chapter
464.003 Definitions.As used in this part, the term:
(1) “Accredited program” means a program for the prelicensure education of professional or practical nurses that is conducted in the United States at an educational institution, whether in this state, another state, or the District of Columbia, and that is accredited by a specialized nursing accrediting agency that is nationally recognized by the United States Secretary of Education to accredit nursing education programs.
(2) “Advanced or specialized nursing practice” means, in addition to the practice of professional nursing, the performance of advanced-level nursing acts approved by the board which, by virtue of postbasic specialized education, training, and experience, are appropriately performed by an advanced practice registered nurse. Within the context of advanced or specialized nursing practice, the advanced practice registered nurse may perform acts of nursing diagnosis and nursing treatment of alterations of the health status. The advanced practice registered nurse may also perform acts of medical diagnosis and treatment, prescription, and operation as authorized within the framework of an established supervisory protocol. The department may, by rule, require that a copy of the protocol be filed with the department along with the notice required by s. 458.348.
(3) “Advanced practice registered nurse” means any person licensed in this state to practice professional nursing and who is licensed in an advanced nursing practice, including certified nurse midwives, certified nurse practitioners, certified registered nurse anesthetists, clinical nurse specialists, and psychiatric nurses.
(4) “Approved program” means a program for the prelicensure education of professional or practical nurses that is conducted in the state at an educational institution and that is approved under s. 464.019. The term includes such a program placed on probationary status.
(5) “Autonomous practice” means advanced nursing practice by an advanced practice registered nurse who is registered under s. 464.0123 and who is not subject to supervision by a physician or a supervisory protocol.
(6) “Board” means the Board of Nursing.
(7) “Clinical preceptor” means a registered nurse or licensed practical nurse who is employed by a clinical training facility to serve as a role model and clinical resource person for a specified period to students enrolled in an approved program.
(8) “Clinical simulation” means a strategy used to replicate clinical practice as closely as possible to teach theory, assessment, technology, pharmacology, and skills.
(9) “Clinical training” means direct nursing care experiences with patients or clients, or clinical simulation of such experiences, which offer the student the opportunity to integrate, apply, and refine specific skills and abilities based on theoretical concepts and scientific principles.
(10) “Community-based clinical experience” means activities consistent with the curriculum and involving individuals, families, and groups with the intent of promoting wellness, maintaining health, and preventing illness.
(11) “Curriculum” means a planned sequence of course offerings and learning experiences that comprise a nursing education program.
(12) “Department” means the Department of Health.
(13) “Educational institution” means a school, college, or university.
(14) “Graduate passage rate” means the percentage of a program’s graduates who, as first-time test takers, pass the National Council of State Boards of Nursing Licensing Examination during a calendar year, as calculated by the contract testing service of the National Council of State Boards of Nursing.
(15) “Licensed practical nurse” means any person licensed in this state or holding an active multistate license under s. 464.0095 to practice practical nursing.
(16) “Nursing diagnosis” means the observation and evaluation of physical or mental conditions, behaviors, signs and symptoms of illness, and reactions to treatment and the determination as to whether such conditions, signs, symptoms, and reactions represent a deviation from normal.
(17) “Nursing treatment” means the establishment and implementation of a nursing regimen for the care and comfort of individuals, the prevention of illness, and the education, restoration, and maintenance of health.
(18) “Practice of practical nursing” means the performance of selected acts, including the administration of treatments and medications, in the care of the ill, injured, or infirm; the promotion of wellness, maintenance of health, and prevention of illness of others under the direction of a registered nurse, a licensed physician, a licensed osteopathic physician, a licensed podiatric physician, or a licensed dentist; and the teaching of general principles of health and wellness to the public and to students other than nursing students. A practical nurse is responsible and accountable for making decisions that are based upon the individual’s educational preparation and experience in nursing.
(19) “Practice of professional nursing” means the performance of those acts requiring substantial specialized knowledge, judgment, and nursing skill based upon applied principles of psychological, biological, physical, and social sciences which shall include, but not be limited to:
(a) The observation, assessment, nursing diagnosis, planning, intervention, and evaluation of care; health teaching and counseling of the ill, injured, or infirm; and the promotion of wellness, maintenance of health, and prevention of illness of others.
(b) The administration of medications and treatments as prescribed or authorized by a duly licensed practitioner authorized by the laws of this state to prescribe such medications and treatments.
(c) The supervision and teaching of other personnel in the theory and performance of any of the acts described in this subsection.

A professional nurse is responsible and accountable for making decisions that are based upon the individual’s educational preparation and experience in nursing.

(20) “Probationary status” means the status of an approved program that is placed on such status pursuant to s. 464.019.
(21) “Registered nurse” means any person licensed in this state or holding an active multistate license under s. 464.0095 to practice professional nursing.
(22) “Required passage rate” means the graduate passage rate required for an approved program pursuant to s. 464.019(5)(a).
History.ss. 1, 6, ch. 79-225; ss. 2, 3, ch. 81-318; ss. 3, 4, ch. 82-32; ss. 3, 17, 18, ch. 86-284; s. 18, ch. 88-392; s. 58, ch. 91-137; s. 5, ch. 91-156; s. 4, ch. 91-429; s. 121, ch. 94-218; s. 1, ch. 96-274; s. 76, ch. 97-264; s. 210, ch. 98-166; s. 121, ch. 2000-318; s. 1, ch. 2007-167; s. 82, ch. 2008-6; s. 1, ch. 2009-168; s. 2, ch. 2010-37; s. 1, ch. 2014-92; s. 3, ch. 2016-139; s. 11, ch. 2016-224; ss. 1, 55, ch. 2018-106; s. 22, ch. 2020-9.

F.S. 464.003 on Google Scholar

F.S. 464.003 on CourtListener

Amendments to 464.003


Annotations, Discussions, Cases:

Cases Citing Statute 464.003

Total Results: 15  |  Sort by: Relevance  |  Newest First

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Nam Dang Ex Rel. Dang v. Sheriff, Seminole Cnty. Florida, 871 F.3d 1272 (11th Cir. 2017).

Cited 165 times | Published | Court of Appeals for the Eleventh Circuit | 2017 WL 4230552, 2017 U.S. App. LEXIS 18494

...administration of treatments and medications, in the care of the ill, injured, or infirm” and “the promotion of wellness, maintenance of health, and prevention of illness of others under the direction of a registered nurse [or] a licensed physician . . . .” Fla. Stat. § 464.003(19)....
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Apostolico v. Orlando Reg'l Health Care Sys., Inc., 871 So. 2d 283 (Fla. 5th DCA 2004).

Cited 13 times | Published | Florida 5th District Court of Appeal | 2004 Fla. App. LEXIS 3847, 2004 WL 587660

...However, based on Nurse Headley's extensive training and experience in critical care and cardiovascular services, she was a "medical expert" qualified to render opinion as to both the nursing staff's standard of care as well as the resulting death from the nursing staff's negligence. See § 464.003(3)(c), Fla....
...o offer testimony at trial. See Faber v. Wrobel, 673 So.2d 871, 872-73 (Fla. 2d DCA 1995). This conclusion is buttressed by the legislative aim of preventing frivolous lawsuits while not unreasonably denying a claimant's access to court. See id. [5] § 464.003(3)(a), Fla....
...he ill, injured, or infirm; the administration of medications and treatments as prescribed or authorized by a duly licensed practitioner and the supervision and teaching of other personnel in the theory and performance of any of the above acts). [6] § 464.003(3)(d) & (e), Fla....
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Baptist Med. Ctr. of the Beaches, Inc. v. Rhodin, 40 So. 3d 112 (Fla. 1st DCA 2010).

Cited 12 times | Published | Florida 1st District Court of Appeal | 2010 Fla. App. LEXIS 10454, 2010 WL 2795380

...The administration of medications and treatment as prescribed or authorized by a duly licensed practitioner authorized by the laws of this state to prescribe such medications and treatments. 3. The supervision and teaching of other personnel in the theory and performance of any of the above acts. § 464.003(3)(a)1.-3., Fla. Stat. (2009); see § 464.003(3)(d)-(e), Fla....
...(2009) (defining "advanced or specialized nursing practice" and "nursing diagnosis," respectively); Apostolico, 871 So.2d at 288 & nn. 5-6. The Rhodins note that the practice of professional nursing includes nursing diagnosis and treatment, see section § 464.003(3)(a)-(b), and that "[a]dvanced or specialized nursing practice" can include "medical diagnosis and treatment," depending on the practitioner's qualifications. See § 464.003(3)(d)....
...chool or program. Respondents' interpretation of the statutes avoids a conflict *120 between the statutes by reconciling the "devoted professional time" requirement of section 766.102(5)(c) and the definition of "practice of professional nursing" in section 464.003(3)(a)3., the latter of which defines the practice to include "supervision and teaching" of nursing....
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Florida Ass'n of Nurse Anesthetists v. DEPT. OF PROF. REG., 500 So. 2d 324 (Fla. 1st DCA 1986).

Cited 7 times | Published | Florida 1st District Court of Appeal

...t's personal use of anesthesia, but to encompass as well the use of anesthesia by a nurse anesthetist under the dentist's direct supervision. With all due respect to the outstanding qualifications of its members, appellant's construction of sections 464.003(3)(c) and 464.012(4)(a) as permitting a dentist with no specialized training in the administration of anesthesia to supervise directly a nurse anesthetist merely by his presence alone is unreasonable. [3] Since they relate to similar subject matter, those sections must be read in pari materia with sections 466.017(3)(c), 466.002(2), and 466.003(8). Indeed, by their own terms, sections 464.003(3)(c) and 464.012(4)(a) mandate the observation of the dental profession's established protocol....
...ork performed before dismissal of the patient. [2] Section 466.002(2) exempts from the operation of chapter 466 "[t]he giving by a qualified anesthetist of an anesthetic for a dental operation under the direct supervision of a licensed dentist." [3] Section 464.003(3)(c) provides in relevant part: Unless otherwise specified by the joint committee, such acts [of advanced level nursing] shall be performed under the general supervision of a practitioner licensed under chapter 458, chapter 459, or c...
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In Re Amendments to the Fl. Evidence Code, 960 So. 2d 762 (Fla. 2007).

Cited 5 times | Published | Supreme Court of Florida | 32 Fla. L. Weekly Supp. 500, 2007 Fla. LEXIS 1231, 2007 WL 2002629

...d nurses whose primary practice is the diagnosis or treatment of mental or emotional conditions. See ch. 2006-204, § 1, Laws of Fla. Under section 90.503(1)(a)(5), the privilege now applies to "advanced registered nurse practitioners" as defined by section 464.003(6), Florida Statutes (2006), who are "certified" pursuant to section 464.012, Florida Statutes (2006), and whose primary practice is the diagnosis or treatment of mental or emotional conditions, including chemical abuse, limited to ac...
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Siegel v. Husak, 943 So. 2d 209 (Fla. 3d DCA 2006).

Cited 4 times | Published | Florida 3rd District Court of Appeal | 2006 WL 3019595

...P). The plaintiff was John S. Husak, a marketing director for Celebrity Cruise Lines. Broadly speaking, there are three types of nursing licensure recognized by the laws of this state — licensed practical nurses, registered nurses, and ARNPs. See §§ 464.003(4)-(6), Fla....
...(2003). ARNPs are registered nurses who have achieved further training and certification, after which they can perform additional supervised medical procedures and tasks that normally cannot be lawfully performed by other types of licensed nurses. See § 464.003(3)(e), Fla. Stat. (2003). Florida law requires these procedures and tasks be "identified and approved" under the auspices of the State Board of Nursing, see § 464.003(3)(c), Fla....
...(2003)(certification of ARNPs); § 64B8-35.002, Fla. Admin. Code (2003). When operating within the context of an advanced or specialized nursing practice and supervised as required by law, "[an] advanced registered nurse practitioner may perform acts of nursing diagnosis. . . ." § 464.003(3)(c)(emphasis added)....
...ithstanding the *213 verdict, we need not consider Husak's other grounds for error. DISCUSSION At the outset, it is important to recognize that Florida law does not permit ARNPs to perform acts of medical diagnosis and treatment without supervision. Section 464.003(3)(c), Florida Statutes (2003), provides "[an] advanced registered nurse practitioner may perform acts of nursing diagnosis and nursing treatment of alterations of the health status." [2] (Emphasis added)....
...ness, and reactions to treatment and the determination as to whether such conditions, signs, symptoms, and reactions to treatment and the determination as to whether such conditions, signs, symptoms, and reactions represent a deviation from normal." § 464.003(3)(d), Fla. Stat. (2003). "Nursing treatment" is defined in section 464.003(3)(e), Fla....
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Tarpon Springs Hosp. Found., Inc. v. Anderson, 34 So. 3d 742 (Fla. 2d DCA 2010).

Cited 3 times | Published | Florida 2nd District Court of Appeal | 2010 Fla. App. LEXIS 5257, 2010 WL 1563544

...944 So.2d at 313. Here, unlike in Cason, the ALJ could not use the Nurse Practice Act or rule 64B9-4.010 for guidance when interpreting section 766.314(4)(c) because the Nurse Practice Act and the rule do not define the term "prearranged plan of treatment." See § 464.003; Fla....
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Ortiz v. Dep't of Health, 882 So. 2d 402 (Fla. 4th DCA 2004).

Cited 1 times | Published | Florida 4th District Court of Appeal | 2004 WL 1621440

...The Board argues that section 458.303(2) does not apply to CRNAs because the statute refers only to "registered nurses." This argument is without merit. A "`[r]egistered nurse' means any person licensed in this state to practice professional nursing." § 464.003(4), Fla. Stat. (2002). An "advanced registered nurse practitioner" is "any person licensed in this state to practice professional nursing and certified in advanced or specialized nursing practice." § 464.003(6) (emphasis added)....
...dical doctors. Therefore, it created a specific committee to resolve issues of standard of practice and protocol. Section 458.348(2), Florida Statutes (2002), provides: Establishment of standards by joint committee. — The joint committee created by s. 464.003(3)(c) shall determine minimum standards for the content of established protocols pursuant to which an advanced registered nurse practitioner may perform medical acts ......
...[464.012(4)] and shall determine minimum standards for supervision of such acts by the physician.... Such standards shall be based on risk to the patient and acceptable standards of medical care and shall take into account the special problems of medically underserved areas. The Legislature created the joint committee in section 464.003(3)(c), which provides the committee shall consist of three members each from the Board of Nursing and the Board of Medicine....
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Beatty v. State, 606 So. 2d 453 (Fla. Dist. Ct. App. 1992).

Published | District Court of Appeal of Florida | 1992 Fla. App. LEXIS 10357, 1992 WL 259782

...on the criteria of Section 90.702, Florida Statutes (1989). We reject the contention that witness is disqualified by the failure to present a “protocol which identifies] the medical acts to be performed and the conditions for their performance.” Section 464.003(3)(c), Fla.Stat....
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Marie C. Cadet v. Dep't of Health, 255 So. 3d 386 (Fla. Dist. Ct. App. 2018).

Published | District Court of Appeal of Florida

preparation and experience in nursing. § 464.003(19), Fla. Stat. (2016). In Appellant’s case
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Mitchell v. Dep't of Health & Rehabilitative Servs., 439 So. 2d 943 (Fla. 1st DCA 1983).

Published | Florida 1st District Court of Appeal | 1983 Fla. App. LEXIS 22494

. services by the staff of the facility.” Section 464.003 contains definitions of both the “practice
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Dang Ex Rel. Dang v. Sheriff, Seminole Cnty. Florida, 856 F.3d 842 (11th Cir. 2017).

Published | Court of Appeals for the Eleventh Circuit | 2017 WL 1856069, 2017 U.S. App. LEXIS 8224

...administration of treatments and medications, in the care of the ill, injured, or infirm” and “the promotion of wellness, maintenance of health, and prevention of illness of others under the direction of a registered nurse [or] a licensed physician . . . .” Fla. Stat. § 464.003(19)....
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White v. Advanced Neuromodulation Sys., Inc., 51 So. 3d 631 (Fla. 2d DCA 2011).

Published | Florida 2nd District Court of Appeal | 2011 Fla. App. LEXIS 86, 36 Fla. L. Weekly Fed. D 127

...Florida Statutes (2003-2005). The Whites argue that because the Nurse Practice Act defines the practice of professional nursing as including "observation[s]" and "assessment[s]" that require "specialized knowledge, judgment, and nursing skill," see § 464.003(3)(a)(1), Bolin's conduct in observing and assessing Mr....
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Will Twigg v. State of Florida, 254 So. 3d 464 (Fla. 4th DCA 2018).

Published | Florida 4th District Court of Appeal

...(2015) (emphasis added). Chapter 464 governs the regulation of nursing in Florida. Part I of Chapter 464 provides that an LPN is any “person licensed in this state or holding an active multistate license under s. 464.0095 to practice practical nursing.” § 464.003(16), Fla....
...Stat. (2015) (emphasis added). It further delineates that “the practice of practical nursing” is distinct from “the practice of professional nursing” and that only a “registered nurse” is licensed “to practice professional nursing.” § 464.003(19)−(20), (22), Fla. Stat....
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Will Twigg v. State of Florida (Fla. 4th DCA 2018).

Published | Florida 4th District Court of Appeal

...(2015) (emphasis added). Chapter 464 governs the regulation of nursing in Florida. Part I of Chapter 464 provides that an LPN is any “person licensed in this state or holding an active multistate license under s. 464.0095 to practice practical nursing.” § 464.003(16), Fla....
...Stat. (2015) (emphasis added). It further delineates that “the practice of practical nursing” is distinct from “the practice of professional nursing” and that only a “registered nurse” is licensed “to practice professional nursing.” § 464.003(19)−(20), (22), Fla. Stat....

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