Florida Statutes
Fla. Stat. § 464.003 (2025)
Definitions.
✓ 2025 Florida Statutes — current through the 2025 Regular Session
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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.
Notes of Decisions
Cited in 15
cases, 1983–2018 · leading case: Apostolico v. Orlando Reg'l Health Care Sys., Inc., 871 So. 2d 283 (Fla. 5th DCA 2004).
Apostolico v. Orlando Reg'l Health Care Sys., Inc., 871 So. 2d 283 (Fla. 5th DCA 2004). “[5] § 464.003(3)(a), Fla. Stat. (2002) (defining the practice of professional nursing as the performance of acts requiring substantial specialized knowledge, judgment, and nursing skill based upon applied principles of psychological, biological, physical, and social sciences,…”
Siegel v. Husak, 943 So. 2d 209 (Fla. 3d DCA 2006). “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. Stat. (2003), or conducted pursuant to a protocol developed and agreed to by the supervising physician and the ARNP.”
Nam Dang Ex Rel. Dang v. Sheriff, Seminole Cnty. Florida, 871 F.3d 1272 (11th Cir. 2017). “” Fla. Stat. § 464.003 (19). Indeed, Dang alleges in his complaint that “[a]t all times material hereto” each LPN “was acting under the color of state law within the course and scope of her employment .”
Baptist Med. Ctr. of the Beaches, Inc. v. Rhodin, 40 So. 3d 112 (Fla. 1st DCA 2010). “§ 464.003(3)(a)l.-3., Fla. Stat. (2009); see § 464.”
Ortiz v. Dep't of Health, 882 So. 2d 402 (Fla. 4th DCA 2004). “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.”
In Re Amendments to the Fl. Evidence Code, 960 So. 2d 762 (Fla. 2007). “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.”
Tarpon Springs Hosp. Found., Inc. v. Anderson, 34 So. 3d 742 (Fla. 2d DCA 2010). “” See § 464.003; Fla. Admin. Code R. 64B9-4.010.”
Florida Ass'n of Nurse Anesthetists v. DEPT. OF PROF. REG., 500 So. 2d 324 (Fla. 1st DCA 1986). “" [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 chapter 466 within the…”
Mitchell v. Dep't of Health & Rehabilitative Servs., 439 So. 2d 943 (Fla. 1st DCA 1983). “” Section 464.003 contains definitions of both the “practice of professional nursing,” and the “practice of practical nursing,” and § 440.”
Will Twigg v. State of Florida (Fla. 4th DCA 2018). “” § 464.003(16), Fla. Stat. (2015) (emphasis added).”
Beatty v. State, 606 So. 2d 453 (Fla. 4th DCA 1992). “” Section 464.003(3)(c), Fla.Stat. (1989) (governing the qualifications of nurse practitioners).”
Will Twigg v. State of Florida, 254 So. 3d 464 (Fla. 4th DCA 2018). “” § 464.003(16), Fla. Stat. (2015) (emphasis added).”
— 464.003(16) — 2 cases
Will Twigg v. State of Florida (Fla. 4th DCA 2018). “” § 464.003(16), Fla. Stat. (2015) (emphasis added).”
Will Twigg v. State of Florida, 254 So. 3d 464 (Fla. 4th DCA 2018). “” § 464.003(16), Fla. Stat. (2015) (emphasis added).”
— 464.003(19) — 3 cases
Marie C. Cadet v. Dep't of Health, 255 So. 3d 386 (Fla. 4th DCA 2018).
Will Twigg v. State of Florida (Fla. 4th DCA 2018). “” § 464.003(16), Fla. Stat. (2015) (emphasis added).”
Will Twigg v. State of Florida, 254 So. 3d 464 (Fla. 4th DCA 2018). “” § 464.003(16), Fla. Stat. (2015) (emphasis added).”
— 464.003(3)(a) — 2 cases
Baptist Med. Ctr. of the Beaches, Inc. v. Rhodin, 40 So. 3d 112 (Fla. 1st DCA 2010). “§ 464.003(3)(a)l.-3., Fla. Stat. (2009); see § 464.”
Apostolico v. Orlando Reg'l Health Care Sys., Inc., 871 So. 2d 283 (Fla. 5th DCA 2004). “[5] § 464.003(3)(a), Fla. Stat. (2002) (defining the practice of professional nursing as the performance of acts requiring substantial specialized knowledge, judgment, and nursing skill based upon applied principles of psychological, biological, physical, and social sciences,…”
— 464.003(3)(a)(1) — 1 case
White v. Advanced Neuromodulation Sys., Inc., 51 So. 3d 631 (Fla. 2d DCA 2011).
— 464.003(3)(c) — 5 cases
Siegel v. Husak, 943 So. 2d 209 (Fla. 3d DCA 2006). “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. Stat. (2003), or conducted pursuant to a protocol developed and agreed to by the supervising physician and the ARNP.”
Apostolico v. Orlando Reg'l Health Care Sys., Inc., 871 So. 2d 283 (Fla. 5th DCA 2004). “[5] § 464.003(3)(a), Fla. Stat. (2002) (defining the practice of professional nursing as the performance of acts requiring substantial specialized knowledge, judgment, and nursing skill based upon applied principles of psychological, biological, physical, and social sciences,…”
Florida Ass'n of Nurse Anesthetists v. DEPT. OF PROF. REG., 500 So. 2d 324 (Fla. 1st DCA 1986). “" [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 chapter 466 within the…”
Ortiz v. Dep't of Health, 882 So. 2d 402 (Fla. 4th DCA 2004). “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.”
Beatty v. State, 606 So. 2d 453 (Fla. 4th DCA 1992). “” Section 464.003(3)(c), Fla.Stat. (1989) (governing the qualifications of nurse practitioners).”
— 464.003(3)(d) — 3 cases
Baptist Med. Ctr. of the Beaches, Inc. v. Rhodin, 40 So. 3d 112 (Fla. 1st DCA 2010). “§ 464.003(3)(a)l.-3., Fla. Stat. (2009); see § 464.”
Apostolico v. Orlando Reg'l Health Care Sys., Inc., 871 So. 2d 283 (Fla. 5th DCA 2004). “[5] § 464.003(3)(a), Fla. Stat. (2002) (defining the practice of professional nursing as the performance of acts requiring substantial specialized knowledge, judgment, and nursing skill based upon applied principles of psychological, biological, physical, and social sciences,…”
Siegel v. Husak, 943 So. 2d 209 (Fla. 3d DCA 2006). “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. Stat. (2003), or conducted pursuant to a protocol developed and agreed to by the supervising physician and the ARNP.”
— 464.003(3)(e) — 1 case
Siegel v. Husak, 943 So. 2d 209 (Fla. 3d DCA 2006). “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. Stat. (2003), or conducted pursuant to a protocol developed and agreed to by the supervising physician and the ARNP.”
— 464.003(4) — 2 cases
Ortiz v. Dep't of Health, 882 So. 2d 402 (Fla. 4th DCA 2004). “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.”
Siegel v. Husak, 943 So. 2d 209 (Fla. 3d DCA 2006). “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. Stat. (2003), or conducted pursuant to a protocol developed and agreed to by the supervising physician and the ARNP.”
— 464.003(6) — 2 cases
In Re Amendments to the Fl. Evidence Code, 960 So. 2d 762 (Fla. 2007). “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.”
Ortiz v. Dep't of Health, 882 So. 2d 402 (Fla. 4th DCA 2004). “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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