Oregon Secretary of State Archives Division QUESTIONS ABOUT THE CONTENT OR MEANING OF THIS AGENCY'S RULES? CLICK HERE TO ACCESS RULES COORDINATOR CONTACT INFORMATION DIVISION 4. STANDARDS AND SCOPE OF PRACTICE FORTHE LICENSED PRACTICAL NURSE AND REGISTERED NURSE 8. Purpose of Standards. Scope of Practice and Definitions(1) Purpose of Standards and. Scope of Practice: (a) To establish acceptable. Licensed Practical Nurse (LPN) and Registered Nurse. RN); (b) To serve as a guide for. Board to evaluate safe and effective nursing care as well as a guide to determine. To provide a framework for. These factors may include, but are not limited to, the practice setting. Delegation,”. except as defined in OAR 8. Registered Nurse uses. Focused Assessment. Focused assessment involves identification. Registered Nurse; (g) “Health Education”. Licensed Nurse”. means all Licensed Practical Nurses and Registered Nurses licensed under ORS 6. They describe a client’s actual. Nursing Interventions”. The nursing process includes assessing, making nursing diagnoses, planning. The steps of the nursing process are interrelated and. Oregon Based Graduate. Program” means an academic program accredited by a nursing organization recognized. United States Department of Education or the Council of Higher Education. Accreditation that offers a graduate degree or graduate level certificate to qualified. Oregon which provides clinical experiences. Clinical Nurse. Specialist, Certified Registered Nurse Anesthetist, Nurse Practitioner); (o) “Person- centered Care”. Developing the plan of care. Professional Boundaries”. Supervision”. means the provision of guidance, direction, oversight, evaluation and follow- up. Tasks of Nursing”. Unlicensed Assistive. Personnel” means individuals who are not licensed to practice nursing, medicine. Oregon, but who may carry. For the purpose of these rules, Certified Nursing. Assistants and Certified Medication Aides are not considered unlicensed assistive. Auth.: ORS 6. 78. Stats. Implemented: ORS 6. Hist.: BN 4- 2. 00. BN 5- 2. 01. 2, f. Scope of Practice Standards for All Licensed Nurses(1) Standards related to the licensed nurse’s responsibilities for client advocacy. The licensed nurse: (a) Advocates for the client’s right to receive appropriate care, including person- centered care and end- of- life care, considerate of the client’s needs, choices and dignity; (b) Intervenes on behalf of the client to identify changes in health status, to protect, promote and optimize health, and to alleviate suffering; (c) Advocates for the client’s right to receive appropriate and accurate information; (d) Communicates client’s choices, concerns and special needs to other members of the healthcare team; and (e) Protects clients’ rights to engage in or refuse to engage in research. These orders may be accepted in ambulatory surgical centers, and in hospital settings, as long as independent Certified Registered Nurse Anesthetists practice is consistent with hospital bylaws; (d) May accept and implement orders for client care and treatment from Physician Assistants licensed under ORS 6. At all times the supervising or agent physician must be available to the licensed nurse for direct communication; (e) Prior to implementation of the order or recommendation, must have knowledge that the order or recommendation is within the health care professional's scope of practice and determine that the order or recommendation is consistent with the overall plan for the client's care; and (f) Has the authority and responsibility to question any order or recommendation which is not clear, perceived as unsafe, contraindicated for the client or inconsistent with the plan of care.
Auth.: ORS 6. 78. Stats. Implemented: ORS 6. Hist.: BN 4- 2. Scope of Practice Standards for Licensed Practical Nurses(1) The Board recognizes that the scope of practice for the licensed practical nurse encompasses a variety of roles, including, but not limited to: (a) Provision of client care; (b) Supervision of others in the provision of care; (c) Participation in the development and implementation of health care policy; (d) Participation in nursing research; and (e) Teaching health care providers and prospective health care providers. Under the clinical direction of the RN or other licensed provider who has the authority to make changes in the plan of care, and applying practical nursing knowledge drawn from the biological, psychological, social, sexual, economic, cultural and spiritual aspects of the client’s condition or needs, the Licensed Practical Nurse shall: (a) Conduct and document initial and ongoing focused nursing assessments of the health status of clients by: (A) Collecting objective and subjective data from observations, examinations, interviews, and written records in an accurate and timely manner as appropriate to the client's health care needs and context of care; (B) Distinguishing abnormal from normal data, sorting, selecting, recording, and reporting the data; (C) Detecting potentially inaccurate, incomplete or missing client information and reporting as needed; (D) Anticipating and recognizing changes or potential changes in client status; Identifying signs and symptoms of deviation from current health status; and (E) Validating data by utilizing available resources, including interactions with the client and health team members. This includes: (A) Identifying priorities in the plan of care; (B) Setting realistic and measurable goals to implement the plan of care in collaboration with the client and the healthcare team; and (C) Selecting appropriate nursing interventions and strategies; (d) Implement the plan of care by: (A) Implementing treatments and therapy, appropriate to the context of care, including, but not limited to, medication administration, nursing activities, nursing, medical and interdisciplinary orders; health teaching and health counseling; and (B) Documenting nursing interventions and responses to care in an accurate, timely, thorough, and clear manner; (e) Evaluating client responses to nursing interventions and progress toward desired outcomes. The Licensed Practical Nurse: (a) Contributes to the formulation, interpretation, implementation and evaluation of the policies, protocols and operating guidelines related to nursing practice, and to the needs of the clients served; (b) Assists with the development and mentoring of other members of the healthcare team; and (c) Identifies changes in clients and changes in the practice environment that require change in policy and/or protocol. Auth.: ORS 6. 78. Stats. Implemented: ORS 6. Hist.: BN 4- 2. Scope of Practice Standards for Registered Nurses(1) The Board recognizes that the scope of practice for the registered nurse encompasses a variety of roles, including, but not limited to: (a) Provision of client care; (b) Supervision of others in the provision of care; (c) Development and implementation of health care policy; (d) Consultation in the practice of nursing; (e) Nursing administration; (f) Nursing education; (g) Case management; (h) Nursing research; (i) Teaching health care providers and prospective health care providers; and (j) Specialization in advanced practice. This includes: (A) Identifying priorities in the plan of care; (B) Setting realistic and measurable goals to implement the plan of care in collaboration with the client and the healthcare team; and (C) Developing nursing orders and identifying nursing strategies, interventions and actions; (d) Implement the plan of care by: (A) Implementing treatments and therapy, appropriate to the context of care, including emergency measures, interpretation of medical orders, medication administration, independent nursing activities, nursing, medical and interdisciplinary orders, health teaching and health counseling; and (B) Documenting nursing interventions and responses to care in an accurate, timely, thorough, and clear manner. The Registered Nurse: (a) Functions as a member of the healthcare team to collaborate in the development, implementation and evaluation of integrated client- centered plans of care; (b) Demonstrates knowledge of roles of members of the interdisciplinary team; (c) Communicates with other relevant personnel regarding integrated client- centered plans of care; and (d) Makes referrals as necessary and ensures follow- up on those referrals. The Registered Nurse: (a) Formulates, interprets, implements and evaluates the policies, protocols and operating guidelines related to nursing practice, and the needs of the clients served; (b) Assumes responsibility for the development and mentoring of other members of the healthcare team; and (c) When available, uses evidence to identify needed changes in practice, standards for policy development, and clinical decision- making. The Registered Nurse: (a) Identifies factors that affect the quality of client care and develops quality improvement standards and processes; (b) Applies the knowledge and tools of continuous improvement in practice to improve the delivery of healthcare; and (c) Measures outcomes of nursing care and overall care at the individual and aggregate level. The Registered Nurse: (a) Develops and implements evidence- based health education plans that address the client’s context of care, learning needs, readiness, ability to learn, and culture, to achieve optimal health; and (b) Evaluates the outcome of health education to determine effectiveness, adjusts teaching strategies, and refers client to another licensed healthcare professional as needed. Participation in Health Professionals’ Services Program. The Oregon State Board of Nursing’s. The Board adopted an update to its policy on Nurse Practitioners and Involuntary Commitment. OSBN NP Memorandum, 2-09 Author: tklein. The Oregon State Board of Nursing (OSBN). If you are enrolled in a non-Oregon based APRN or prelicensure program. Look Up a Nurse or Nursing Assistant.
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