Section 172-99-005 - STANDARDS FOR DIRECTIONRegistered nurses, licensed practical nurses, and licensed practitioners may provide direction in the provision and management of consumer care. The method and degree of direction may vary based upon consumer condition, the interventions to be applied, and the qualification and competency of the person providing the interventions.
005.01REGISTERED NURSES. Registered nurses can provide direction to the following: (A) Licensed practical nurses;(B) Care teams which may include other licensed health care professionals; and005.02LICENSED PRACTICAL NURSES. Licensed practical nurses provide direction to unlicensed persons providing auxiliary patient care services.005.03STANDARDS FOR DIRECTION TO A LICENSED PRACTICAL NURSE. A licensed practical nurse receives direction from either a registered nurse or licensed practitioner, based on the following standards: 005.03(A) INSTRUCTION OR GUIDANCE. Direction must be sufficient to assure the provision of safe nursing care can be provided, meeting consumer needs;005.03(B) ASSESSMENT. Direction may include identification of any specific assessment data to be collected relative to consumer condition, consumer diagnosis, and presenting signs and symptoms of the consumer;005.03(C)INTERVENTIONS. Direction may include identification of specific interventions to be applied based upon the collected assessment data and consumer response to interventions; and005.03(D)SUPERVISION. Direction must include the provision of supervision to a licensed practical nurse. Supervision may include direct, indirect, or a combination of both methods. Indirect supervision can be provided through protocols.005.04LICENSED PRACTICAL NURSE REQUIREMENTS. A licensed practical nurse must practice nursing only under circumstances in which direction is provided by a registered nurse or licensed practitioner. 005.04(A)COMPETENCE. A license practical nurse must exercise competence in providing and directing nursing interventions;005.04(B)CONSULTATION OR COLLABORATION. A licensed practical nurse must initiate consultation or collaboration according to observed signs and symptoms of deviations from normal health status, and according to the directions specified by a registered nurse or licensed practitioner; and005.04(C) DIRECTION. A licensed practical nurse must provide nursing interventions according to the direction and instructions identified by a registered nurse or licensed practitioner. Direction can be provided by protocols.172 Neb. Admin. Code, ch. 99, § 005
Amended effective 10/5/2020