Section 4723-4-01 - General information(A) The purpose of this chapter is to establish:(1) Minimal acceptable standards of safe and effective nursing practice for a registered nurse and a licensed practical nurse in any setting;(2) Minimal acceptable standards of safe and effective practice for an advanced practice registered nurse designated as a certified nurse-midwife, certified nurse practitioner, certified registered nurse anesthetist, or clinical nurse specialist in any setting. Additional standards for practice as a certified nursemidwife, certified nurse practitioner, certified registered nurse anesthetist, and clinical nurse specialist are established in Chapters 4723-8 and 4723-9 of the Administrative Code;(B) For purposes of this chapter, the following definitions shall apply: (1) "Certified nurse-midwife" means a registered nurse who has met the requirements of section 4723.41 of the Revised Code, and who holds a current valid advanced practice registered nurse license issued by the board under section 4723.42 of the Revised Code.(2) "Certified nurse practitioner" means a registered nurse who has met the requirements of section 4723.41 of the Revised Code, and who holds a current valid advanced practice registered nurse license issued by the board under section 4723.42 of the Revised Code.(3) "Certified registered nurse anesthetist" means a registered nurse who has met the requirements of section 4723.41 of the Revised Code, and who holds a current valid advanced practice registered nurse license issued by the board under section 4723.42 of the Revised Code.(4) "Clinical judgment" is the application of the nurse's knowledge and reasoning within the context of the clinical environment in making decisions about patient care.(5) "Clinical nurse specialist" means a registered nurse who has met the requirements of section 4723.41 of the Revised Code, and who holds a current valid advanced practice registered nurse license issued by the board under section 4723.42 of the Revised Code.(6) "Direction" means communicating a plan of care to a licensed practical nurse. Direction by a registered nurse is not meant to imply the registered nurse is supervising the licensed practical nurse in the employment context.(7) "Licensed nurse" means a registered nurse or a licensed practical nurse who holds a current valid license to practice nursing in Ohio.(8) "Nursing diagnosis" means the identification of a patient's needs or problems which are amenable to nursing intervention.(9) "Patient" means the recipient of nursing care, which may include an individual, a group, or a community.(C) For purposes of this chapter, with respect to LPN IV therapy, the following definitions shall apply: (1) "Adult" means anyone who is eighteen years of age or older.(2) "Antibiotic" means a medication, including an anti-infective or anti-fungal, administered to inhibit the growth of, or destroy, microorganisms in the treatment or prevention of infectious disease.(3) "Direction" means communication of a plan of care, based upon assessment of the patient by the registered nurse, or licensed physician, physician assistant, dentist, optometrist, or podiatrist, that establishes the parameters for providing care or performing a procedure. Unless otherwise provided by law, the registered nurse, or licensed physician, dentist, optometrist, or podiatrist shall be available on site to assess and evaluate the patient's response to the plan of care.(4) "Initiate" means to start or to begin.(5) "Maintain" means to administer or regulate an intravenous infusion according to the prescribed flow rate.(6) "Piggyback" means an intermittent or secondary intravenous infusion. Replaces: 4723-17-01(A)-(F)
Ohio Admin. Code 4723-4-01
Effective: 2/1/2024
Five Year Review (FYR) Dates: 10/2/2023 and 02/01/2029
Promulgated Under: 119.03
Statutory Authority: 4723.07
Rule Amplifies: 4723.01, 4723.28(B)(19), 4723.18, 4723.181
Prior Effective Dates: 04/01/1993, 12/01/1993, 12/01/1995, 04/01/1999, 02/01/2000, 02/01/2002, 02/01/2003, 02/01/2004, 02/01/2005, 02/01/2009, 02/01/2010, 02/01/2015, 02/01/2019