Section 3-5 - Scope and Standards of Nursing Practice for the RN (a) RN Standard. The RN has the responsibility to organize, manage, and supervise the practice of nursing.
(b) RN Scope of Practice. The RN shall: - (i) Retain professional accountability for nursing care;
- (ii) Participate as a member of the inter disciplinary healthcare team;
- (iii) Implement the nursing process:
- (A) Conduct a comprehensive assessment;
- (B) Plan nursing care and nursing interventions consistent with the client's overall health care plan;
- (C) Utilize decision-making, critical thinking and clinical judgment to make independent nursing decisions and nursing diagnosis;
- (D) Implement treatment and therapy, including medication administration and delegated medical and independent nursing functions; and
- (E) Evaluate the client's response to nursing care and other therapy.
- (iv) Identify changes in the client's health status and comprehend clinical implications of the client's signs, symptoms and changes as part of expected or unexpected client course and emergent situations;
- (v) Document nursing care;
- (vi) Communicate and consult with other health team members;
- (vii) Provide comprehensive nursing and health care education in which the RN:
- (A) Assesses and analyzes educational needs of learners;
- (B) Plans educational programs based on learning needs and teaching-learning principles;
- (C) Ensures implementation of an educational plan either directly or by delegating selected aspects of the education to other qualified persons; and
- (D) Evaluates the education to meet the identified goals.
- (viii) Provide delegation to the RN, LPN, and UAP. Match the client needs with personnel qualifications, available resources and appropriate supervision using delegation guidelines in this Chapter, Sections nine (9) through eleven (11).