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

Current through Supplement No. 394, October, 2024

Section 54-05-02-05 - Standards related to registered nurse scope of practice

The registered nurse utilizes the nursing process to assess, diagnose, establish a plan with outcome criteria, intervene, evaluate, and document health problems in nursing practice settings. The registered nurse shall:

1. Participate in nursing care, health maintenance, client teaching, counseling, collaborative planning, and rehabilitation, to the extent of the registered nurse's basic nursing education and additional skills through subsequent education and experiences;

2. Conduct a comprehensive nursing assessment determined by the knowledge, skills, and abilities of the registered nurse and by the client's immediate condition or needs;

3. Apply nursing knowledge based upon the integration of the biological, psychological, and social aspects of the client's condition;

4. Develop a plan of care based on nursing assessment and diagnoses that prescribe interventions to attain expected outcomes;

5. Revise nursing interventions consistent with the client's overall health care plan;

6. Utilize decisionmaking, critical thinking, and clinical judgment to make independent nursing decisions and nursing diagnoses;

7. Implement the plan of care which includes the nursing interventions, treatment, and therapy, including medication administration and delegated medical and independent nursing functions;

8. Evaluate and document the client's response to nursing care and other therapy;

9. Identify changes in client's health status and comprehend clinical implications of client's signs and symptoms as part of expected, unexpected, and emergent client situations;

10. Communicate, collaborate, and consult with other health team members;

11. Provide comprehensive nursing and health care education in which the registered nurse:

a. Assesses and analyzes educational needs of learners;

b. Plans educational programs based on learning needs and teaching-learning principles;

c. Implements an educational plan either directly or by assigning selected aspects of the education to other qualified persons; and

d. Evaluates the education to meet the identified goals.

12. Participate in quality improvement activities to evaluate and modify practice;

13. Promote a safe and therapeutic environment;

14. Demonstrate knowledge and understanding of the statutes and rules governing nursing and function within the legal boundaries of registered nursing practice; and

15. Observe and follow the duly adopted standards, policies, directives, and orders of the board as they may relate to the registered nurse.

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

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

General Authority: NDCC 43-12.1

Law Implemented: NDCC 43-12.1-02(5)