N.D. Admin. Code 54-05-02-07

Current through Supplement No. 394, October, 2024

Section 54-05-02-07 - Standards related to registered nurse responsibility to organize, manage, and supervise the practice of nursing

In the administration and management of nursing care, registered nurses may assign and delegate the responsibility for performance of nursing interventions to other persons. Assigning of nursing interventions may be made by registered nurses to others who are authorized to provide nursing care through licensure as a registered nurse or licensed practical nurse. The registered nurse shall:

1. Assign to another only those nursing interventions that are included within that nurse's scope of practice, education, experience, and competence including:

a. Assigning nursing care within the registered nurse scope of practice to other registered nurses;

b. Assigning nursing care to a licensed practical nurse within the licensed practical nurse scope of practice based on the registered nurse's assessment of the client and the licensed practical nurse's ability; and

c. Supervise, monitor, and evaluate the care assigned to a licensed practical nurse.

2. Delegate to another only those nursing interventions for which that person has the necessary skills and competence to accomplish safely. The delegation of the intervention must pose minimal risk to the client and consequences of performing the intervention improperly are not life-threatening. Unlicensed assistive persons complement the licensed nurse in the performance of nursing interventions but may not substitute for the licensed nurse. A licensed nurse may delegate an intervention to a technician who may perform limited nursing functions within the ordinary, customary, and usual roles in the individual's field.

In maintaining accountability for the delegation of nursing interventions, the licensed registered nurse shall:

a. Ensure that the unlicensed assistive person is on a registry and has the education and demonstrated competency to perform the delegated intervention;

b. Ensure that results of interventions are reasonably predictable;

c. Ensure that interventions do not require assessment, interpretation, or independent decisionmaking during its performance or at completion;

d. Provide clear directions and guidelines regarding the delegated intervention or routine interventions on stable clients;

e. Verify that the unlicensed assistive person follows each written facility policy or procedure;

f. Provide supervision, observation, and feedback to the unlicensed assistive person;

g. Observe, evaluate, and communicate the outcomes;

h. Monitor performance, progress, and outcomes and assure documentation of the delegated intervention;

i. Intervene and provide followup as needed;

j. Revise plan of care as needed; and

k. Retain professional accountability for the nursing care as provided.

3. The registered nurse administrator shall select nursing service delivery models for the provisions of nursing care, which does not conflict with this chapter and includes the following:

a. Assess the health status of groups of clients, analyze the data, and identify collective nursing care needs, priorities, and necessary resources.

b. Be responsible to determine that licensed nurses have the required competencies expected for the nurses' current nursing practice roles.

c. Establish training, supervision, and competency requirements of all individuals providing nursing care.

d. Shall identify nursing personnel by a position title, job description, and qualifications.

e. Ensure that the unlicensed assistive person is on a registry and has the education and demonstrated competency to perform the delegated intervention.

N.D. Admin Code 54-05-02-07

Amended by Administrative Rules Supplement 2014-352, April 2014, effective April 1, 2014. .

General Authority: NDCC 43-12.1-08

Law Implemented: NDCC 43-12.1-08(1)