Section 848 IAC 4-2-1 - Competent practice of nurse practitionersAuthority: IC 25-23-1-7
Affected: IC 25-23-1-19.4
Sec. 1.
A nurse practitioner shall perform as an independent and interdependent member of the health team as defined in 848 IAC 2-1-3. The following are standards for each nurse practitioner:
(1) Assess clients by using advanced knowledge and skills to:(A) identify abnormal conditions;(B) diagnose health problems;(C) develop and implement nursing treatment plans;(D) evaluate patient outcomes; and(E) collaborate with or refer to a practitioner, as defined in IC 25-23-1-19.4, in managing the plan of care.(2) Use advanced knowledge and skills in teaching and guiding clients and other health team members.(3) Use appropriate critical thinking skills to make independent decisions, commensurate with the autonomy, authority, and responsibility of a nurse practitioner.(4) Function within the legal boundaries of their advanced practice area and shall have and utilize knowledge of the statutes and rules governing their advanced practice area, including the following:(A) State and federal drug laws and regulations.(B) State and federal confidentiality laws and regulations.(C) State and federal medical records access laws.(5) Consult and collaborate with other members of the health team as appropriate to provide reasonable client care, both acute and ongoing.(6) Recognize the limits of individual knowledge and experience, and consult with or refer clients to other health care providers as appropriate.(7) Retain professional accountability for any delegated intervention, and delegate interventions only as authorized by IC 25-23-1 and this title.(8) Maintain current knowledge and skills in the nurse practitioner area.(9) Conduct an assessment of clients and families which may include health history, family history, physical examination, and evaluation of health risk factors.(10) Assess normal and abnormal findings obtained from the history, physical examination, and laboratory results.(11) Evaluate clients and families regarding development, coping ability, and emotional and social well-being.(12) Plan, implement, and evaluate care.(13) Develop individualized teaching plans with each client based on health needs.(14) Counsel individuals, families, and groups about health and illness and promote attention to wellness.(15) Participate in periodic or joint evaluations of service rendered, including, but not limited to, the following:(16) Conduct and apply research findings appropriate to the area of practice.(17) Participate, when appropriate, in the joint review of the plan of care. Indiana State Board of Nursing; 848 IAC 4-2-1; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2875; readopted filed Nov 6, 2001, 4:18 p.m.: 25 IR 940; readopted filed Jul 19, 2007, 12:54 p.m.: 20070808-IR-848070058RFA; readopted filed November 25, 2013, 9:22 a.m.: 20131225-IR-848130284RFAReadopted filed 11/25/2019, 12:21 p.m.: 20191225-IR-848190187RFA