Or. Admin. Code § 851-045-0050

Current through Register Vol. 63, No. 8, August 1, 2024

Section 851-045-0050 - Scope of Practice Standards for Licensed Practical Nurses

(1) The LPN's practice of practical nursing occurs at the clinical direction of an RN's plan of care or a licensed independent practitioner's (LIP) treatment plan.

(2) The LPN's clinically directed practice of practical nursing may occur in a variety of roles that can include:

(a) Provision of direct care;

(b) Participation in the development and implementation of health care policy;

(c) Participation in nursing research; and

(d) Participation in teaching health care providers and prospective health care providers.

(3) The LPN's engagement in the practice of nursing must occur through the following actions that are directed by the RN's plan of care or the LIP's treatment plan for a client:

(a) Perform a focused assessment of the client that recognizes the client's priority condition at the time of the interaction;

(b) Develop a focused plan of care that identifies prioritized interventions from the RN's plan of care or the LIP's treatment plan to be carried out with the client;

(c) Implement prioritized focused plan of care interventions;

(d) Evaluate client's:

(A) Response(s) to focused plan of care interventions; and

(B) Progress toward expected outcomes as identified in the RN's plan of care or the LIP's treatment plan for the client;

(e) Communicate client's status, and any concerns or issues regarding the RN's plan of care or the LIP's treatment plan, with the RN or LIP providing clinical direction per the context of care.

(4) Limitations on scope in the practice of nursing for the LPN.

(a) The LPN cannot conduct a focused assessment or generate a focused plan of care outside of the parameters of an RN's plan of care or LIP's treatment plan for a client.

(b) For a situation that presents outside of the parameters of an RN's plan of care or LIP's treatment plan for a client, the LPN may collect client data and must communicate data collected to, and seek direction from, the RN or LIP.

(5) The LPN may assign to an LPN, certified nursing assistant (CNA), certified medication aide (CMA) or unregulated assistive person (UAP) focused plan of care interventions the recipient is authorized by license or certification and organizational position description to perform.

(a) Prior to assigning interventions, the LPN must know the duties, activities or interventions the recipient is authorized to perform in the practice setting.

(b) The LPN who assigns must:

(A) Assign based on their focused plan of care;

(B) Provide supervision of the assignment recipient consistent with the context of care; and

(C) Revise the distribution of focused plan of care interventions as indicated by:

(i) Client safety; and

(ii) Discussion with the RN or LIP.

Or. Admin. Code § 851-045-0050

BN 4-2008, f. &cert. ef. 6-24-08; BN 8-2017, f. 7-7-17, cert. ef. 8/1/2017; BN 3-2024, amend filed 06/20/2024, effective 7/1/2024

Statutory/Other Authority: ORS 678.150

Statutes/Other Implemented: ORS 678.150 & 678.010