Board Position Statements perform not have the pressure of law, however are a way of offering direction for nurses on concerns of issue to the Board pertinent to defense of the public. Each place statement is intended to carry out guidance in the context of the totality of the position statement. Board place statements are reperceived every year for relevance and accuracy to current practice, the Nursing Practice Act, and Board rules. The Board"s last review was performed January 2020.

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PDF format, at this link: derekwadsworth.com Board of Nursing Position Statement Summary Document.

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derekwadsworth.com BOARD OF NURSING POSITION STATEMENTS


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# Title Description Summary
15.1Nurses Carrying out Orders from Physician AssistantsNurses may carry out medical professional orders relayed by a physician assistant (PA) when the PA is compliant with regulations regulating the exercise of the PA. The nurse is supposed to clarify any type of order the nurse questions by interacting via the PA or the medical professional.
15.2The Role of the Licensed Vocational Nurse in the Pronouncement of Death LVNs should initiate CPR in the absence of a clear do-not-resuscitate (DNR) order. Laws concerning the pronouncement of death are not in the NPA or Board Rules. LVNs cannot pronounce death. The LVN may accept a physician’s order concerning post-mortem treatment, but cannot accept a verbal order to pronounce fatality.
LVNs Engaging in Intravenous Therapy, Venipuncture, or Peripherally Inserted Central Catheter (PICC) LinesThe LVN have to finish post-licencertain training to connect in IV Therapy/Venipuncture (not typically had in LVN curriculum). Insertion and also removal of PICC lines is past the scope of practice for LVN.
Educational MobilityThe Board supports educational mobility for nurse’s ready at LVN, Diploma, ADN, and also BSN levels without needmuch less repetition of clinical experiences or time penalties. The Board likewise supports educational mobility for military personnel and also veterans.
Nurses via Responsibility for Initiating Physician Standing Orders Nurses may initiate physician’s standing medical orders or standing delegation orders by choosing particular jobs or features for patient administration. The nurse is accountable to ascertain his/her actions are in accordance via the NPA and Board Rules, consisting of that the standing orders execute not require the nurse to communicate in independent medical judgment. NOTE: RN’s who absence Cutting edge Practice licensure and LVNs might not utilize “protocols” intfinished for use by APRN’s or PA’s (check out meanings of protocols from the derekwadsworth.com Medical Board in this position statement).
Board Rules Associated with Alleged Patient "Abandonment" Differentiates employment vs. licensure issues; addresses appropriate Board rules once a nurse engperiods in unskilled conduct via regard to being uneasily accessible to provide care to assigned patients (such as resting on the project.Provides guidance for nurses in relation to emergency preparedness (including disasters, infectious illness outbreaks, or bioterrorism).
15.7The Role of LVNs and also RNs in Management and/or Administration of Medications by means of Epidural or Intrathecal Catheter Routes LVNs might provide nursing treatment to patients with epidural or intrathecal catheters, but have to not be responsible for catheter management, consisting of adminstration of drugs by means of these paths.Epidural & Intrathecal catheter management may be within the RN"s scope of practice if the RN has existing comptency in both the expertise and skills required, through particular restrictions recommfinished in the obstetrical setting. Suitable Nursing policies and procedures have to also be in place.
15.8Role of the Nurse in Modeprice Sedation LVNs cannot administer pharmacologic agents for the purpose of achieving moderate sedation to or monitor patients receiving moderate sedation.The administration of drugs and also security of patients for modeprice sedation might be within the RN"s scope of exercise. If an RN elects to engage in administration of pharmacologic agents classified as "anesthetic" agents to induce moderate sedation, the RN must either be skilled in, or have immediate availcapability of other practitioners experienced in progressed airmethod monitoring in addition to appropriate tools that might be essential to rescue a patient from unintended deep sedation. The facility or physician"s office demands to have plans and procedures to guide the RN. See evidence-based practice criteria of experienced anesthesia association guidelines provided in the place statement.
15.9 Performance of Laser Therapy by RN’s or LVNs A nurse need to have the proper education and learning, understanding, and also endure to communicate in laser treatment. Tright here are criteria to be followed by the nurse who accepts physician delegation in the usage of non-ablative laser treatment and also tbelow are certain regulations and educational requirements for a certificate regarded laser hair removal (from the derekwadsworth.com Department of Licensing and Regulation).
Continuing Education: Limitations for Expanding Scope of PracticeClarifies that development of an individual nurse’s scope of practice has actually licensure-related restrictions. Informal continuing nursing education and learning or on-the job training cannot be substituted for formal education and learning leading to the following level of practice/licensure. A nurse functions under his/her own nursing license and as such has a duty to patients that is sepaprice from an employment partnership.
Delegated Medical ActsSpecifies criteria which should be met for a nurse to carry out a delegated medical act. This has documentation of individual training and competency, actions to be performed, doctor order to initiate, and also correct clinical and nursing ago up.
Use of American Psychiatric Association Diagnoses by LVN, RNs, or APRNsLVNs and RNs cannot determine clinical diagnoses. Use of these multi-disciplinary psychiatric diagnoses is permitted by advanced practice nurses designated as Clinical Nurse Specialists (CNS) or Nurse Practitioners (NP’s) whose population focus area is psych/mental wellness. Patient problems beyond the scope of training and also education of the psychiatric mental health and wellness CNS/NP are to be referred to an proper psychiatric psychological wellness or medical provider.
Role of LVNs and RNs in School HealthDiscusses the duty of the LVN and RN in institution wellness. The derekwadsworth.com Education Code (TEC) defines a college nurse as a RN. The RN might delegate program, recurring work in the institution setting in compliance through the derekwadsworth.com’s Delegation Rules discovered in Chapters (§224 & §225). Also addresses the RN’s supervisory relationship to LVNs that provide nursing services in a college establishing.
Duty of a Nurse in any kind of Practice Setting Establishes that a nurse has actually a duty and duty to a patient to administer and coordinate the shipment of safe, efficient nursing care, via the NPA and also Board Rules. This duty supersedes any type of facility plan or doctor order.
Board"s Jurisdiction over a Nurse"s Practice in Any Role and also Use of the Nursing TitleIf a RN or LVN features in a function various other than present level of licensure, or in an additional area through an overlapping scope of exercise, the nurse is still hosted to the level of education and learning and competency of the nurse"s highest possible licencertain. Also restricts usage of the titles LVN or RN or any kind of desigcountry implying nursing licencertain by non-registered nurses (NPA Section 301.351 and NPA Section 301.004(a) (5)and also Rule 217.10).
Development of Nursing Education ProgramsJudicious development of brand-new nursing programs is urged as including programs alone will not address the flourishing nursing shortage. Key considerations are delineated.
derekwadsworth.com Board of Nursing/ Board of Pharmacy Joint Position Statement, Medication Errors Stresses the have to look at “systems” and also not simply “individual competency” in determining root reasons of medication errors and also implementing tactics to efficiently reduce errors, therefore better protecting the public.
Nurses Carrying Out Orders from Advanced Practice Registered Nurses Nurses may carry out orders issued by APRN’s as long as the orders are within the APRN’s scope of practice in their duty and population emphasis. The nurse is intended to question orders they believe are nonefficacious or contrashown by consulting with the APRN or the physician.
Nurses Carrying Out Orders from Pharmacists for Drug Therapy Management There are rules that permit pharmacologists to create orders for Drug Therapy Management (DTM) while functioning under physician delegation. A nurse may lug out these orders provided the orders originate from a created protocol authorized by a medical professional. The nurse is responsible and accountable for his/her actions as through any kind of doctor order.
Registered Nurses In the Management of an Unwitnessed Arrest in a Resident in a Long Term Care Facility Guidance is offered concerning the appropriateness of initiating cardiopulmonary resuscitation (CPR) once the RN encounters an unobserved resident arremainder without a perform not resuscitate (DNR) order in the long term treatment setting only. Presumptive and conclusive signs of fatality are delineated, to help the RN in making a decision that CPR would certainly be futile. Documentation, RN responsibility to the patient, care planning/advanced directives, and also RN pronouncement of death are likewise disputed.
In 2005, the Nursing Practice Act (NPA) increased to incorporate LVNs. This permitted LVNs to be consisted of in the safe harbor provisions eliminating the require for Position Statement 15.21, Application of Safe Harbor Peer Rewatch to LVNs.
APRNs Providing Medical Aspects of Care for Individuals with whom tbelow is a Cshed Personal Relationship The derekwadsworth.com is involved that when APRNs administer medical elements of care for individuals via whom they have a cshed individual partnership the APRNs danger permitting their personal feelings to cloud their professional judgment. Hence APRNs have to not provide clinical therapy or prescribe medicines for people with whom they have a cshed personal partnership.
The Use of Complementary Modalities by the LVN or RNRegardmuch less of practice setting, nurses who incorpoprice complementary modalities into their practice are accountable and responsible for adherence to the NPA and derekwadsworth.com Rules and also Regulations. Specific regulations of certain relevance are figured out in the place statement, including a reference to the derekwadsworth.com’s Scope of Practice Decision-Making Model (DMM). Also, a list of criteria is included in order for registered nurses to present accountability for the care they administer. Lastly, nurses are accountable to organize correct credentials (e.g., license, certification, registration) to safely engage in certain practices, wright here applicable.
Nurses Engaging In Reinsertion of Permanently Placed Feeding TubesLVNs & RNs should obtain post-licencertain training and show competency in reinsertion of a disput permanently inserted feeding tube prior to engaging in this activity. Verification of correct placement is important to prevent life-threatening complications. Reinsertion by a nurse is not recommended before 8-12 weeks post-initial insertion; certain doctor orders have to be obtained about reinsertion by a nurse.
Administration of Medication & Treatments by LVNsLVNs are educationally prepared to administer medicines and therapies as ordered by a doctor, podiatrist, dentist or any kind of practitioner legally authorized to prescribe the ordered medication. LVNs may provide medications and treatments ordered by medical professional assistants (PS 15.1) and also advanced practice registered nurses (PS 15.18). Also check out NPA 301.002(5), the interpretation of vocational nursing.
Guideline 3.8.6.a Simulation in Pre-Licensure Nursing Education has actually reinserted Position Statement 15.26, Simulation in Prelicensure Nursing Education.
The Licensed Vocational Nurse Scope of Practice The LVN scope of exercise is a directed scope of practice and requires correct supervision. The LVN is responsible for giving safe, compassionate, and also focused nursing care to assigned patients via predictable wellness treatment requirements.
The Registered Nurse Scope of Practice The RN takes duty and accepts accountcapability for practicing within the legal scope of exercise and also is prepared to occupational in all wellness treatment settings, and may connect in independent nursing exercise without supervision by another wellness treatment provider. The RN is responsible for offering safe, compassionate, and also thorough nursing treatment to patients and their families with facility healthcare needs.
Professional Boundaries consisting of Use of Social Media by NursesThe purpose of this Position Statement is to carry out guidance to registered nurses about expectations regarded experienced limits, inclusive of social media, and also to provide nurses via guidance to prevent boundary violations.

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Worklocation ViolenceAs violence in the workplace has the potential to compromiseteamwork and communication, which may lead to patient careerrors, this Position Statement uses evidence-based practice researchand the standards of nursing exercise discovered in Board Rule 217.11(1) toguide registered nurses in cultivating a safe patient care setting.