Ariz. Admin. Code § 4-19-514

Current through Register Vol. 30, No. 45, November 8, 2024

Section R4-19-514 - Standards Related to Clinical Nurse Specialist Scope of Practice

In addition to the functions of a registered nurse, a CNS, according to A.R.S. § 32-1601(7), may perform one or more of the following for an individual, family, or group within the population focus of certification and for which competency has been maintained:

1. Conduct an advanced assessment, analysis, and evaluation of a patient's complex health needs;

2. Establish primary and differential health status diagnoses;

3. Direct health care as an advanced clinician;

4. Develop, implement, and evaluate a treatment plan according to a patient's need for specialized nursing care;

5. Establish nursing standing orders, algorithms, and practice guidelines related to interventions and specific plans of care;

6. Manage health care according to written protocols;

7. Facilitate system changes on a multidisciplinary level to assist a health care facility and improve patient outcomes cost-effectively;

8. Consult with the public and professionals in health care, business, and industry in the areas of research, case management, education, and administration;

9. Perform psychotherapy if certified as a clinical nurse specialist in psychiatric and mental health nursing;

10. Prescribe, order, administer, and dispense therapeutic measures including pharmacologic agents and devices if authorized under R4-19-511, and within the limitations of A.R.S. § 32-1651; and

11. Perform additional acts that the clinical nurse specialist is qualified to perform.

Ariz. Admin. Code § R4-19-514

Adopted effective November 25, 1996 (Supp. 96-4). Section R4-19-514 renumbered from R4-19-512 and amended by final rulemaking at 11 A.A.R. 3804, effective November 12, 2005 (Supp. 05-3). Pursuant to authority of A.R.S. § 41-1011(C), Laws 2012, Ch. 152, §1, provides for A.R.S. references to be corrected to reflect the renumbering of definitions. Therefore the A.R.S. citation in the opening subsection was updated. Agency request filed July 12, 2012, Office File No. M12-242 (Supp. 12-3). Amended by final rulemaking at 19 A.A.R. 1438, effective July 6, 2013 (Supp. 13-2). Amended by final rulemaking at 26 A.A.R. 3289, effective 12/2/2020.