Board position Statements execute not have actually the pressure of law, yet are a means of offering direction for registered nurses on worries of worry to the Board appropriate to protection of the public. Each place statement is supposed to carry out guidance in the paper definition of the totality of the position statement. Board place statements space reviewed every year for relevance and also accuracy to current practice, the Nursing practice Act, and Board rules. The Board"s last evaluation was perform January 2020.

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# Title Description summary
15.1Nurses delivering out orders from medical professional AssistantsNurses may carry out doctor orders relayed through a doctor assistant (PA) as soon as the PA is compliant with legislations regulating the exercise of the PA. The nurse is supposed to clarify any kind of order the nurse questions by connecting with the PA or the physician.
15.2The function of the licensed Vocational Nurse in the Pronouncement of fatality LVNs need to initiate CPR in the absence of a clear do-not-resuscitate (DNR) order. Laws about the pronouncement of fatality are not in the NPA or plank Rules. LVNs cannot express death. The LVN might accept a physician’s order concerning post-mortem care, however cannot accept a verbal order to express death.
LVNs Engaging in Intravenous Therapy, Venipuncture, or Peripherally Inserted main Catheter (PICC) LinesThe LVN must complete post-licensure training to connect in IV Therapy/Venipuncture (not commonly included in LVN curriculum). Insertion and also removal the PICC present is beyond the scope of exercise for LVN.
Educational MobilityThe board supports educational mobility because that nurse’s all set at LVN, Diploma, ADN, and also BSN level without needless repetition of clinical experiences or time penalties. The Board additionally supports educational mobility for army personnel and veterans.
Nurses with responsibility for Initiating physician Standing assignment Nurses might initiate physician’s standing clinical orders or was standing delegation orders by selecting certain tasks or attributes for patience management. The nurse is accountable to assure his/her actions space in accordance with the NPA and also Board Rules, consisting of that the standing orders execute not require the nurse to connect in independent medical judgment. NOTE: RN’s that lack advanced Practice licensure and LVNs might not make use of “protocols” intended for use by APRN’s or PA’s (see interpretations of protocols native the clinical Board in this position statement).
Board Rules linked with Alleged patience "Abandonment" Differentiates employed vs. Licensure issues; addresses relevant Board rules as soon as a nurse engages in unprofessional conduct with regard to gift unavailable to administer care to assigned patients (such as resting on the job.Provides accuse for nurses in relation to emergency preparedness (including disasters, infectious an illness outbreaks, or bioterrorism).
15.7The role of LVNs and RNs in administration and/or administration of drugs via Epidural or Intrathecal Catheter paths LVNs may provide nursing care to patients v epidural or intrathecal catheters, yet should no be responsible for catheter management, including adminstration of medicine via this routes.Epidural & Intrathecal catheter monitoring may be in ~ the RN"s limit of exercise if the RN has existing comptency in both the understanding and skills required, with particular limitations encourage in the obstetrical setting. Proper Nursing policies and procedures must additionally be in place.
15.8Role of the Nurse in center Sedation LVNs cannot carry out pharmacologic agents for the function of achieving center sedation to or monitor patients receiving moderate sedation.The management of drugs and also monitoring the patients for moderate sedation may be in ~ the RN"s limit of practice. If an RN elects to interact in management of pharmacologic agents classified as "anesthetic" agents come induce moderate sedation, the RN should either be professional in, or have immediate access of various other practitioners expert in progressed airway management in addition to appropriate devices that can be essential to rescue a patience from unintentional deep sedation. The facility or physician"s office demands to have policies and also procedures to guide the RN. Check out evidence-based exercise standards of expert anesthesia combination guidelines noted in the position statement.
15.9 Performance the Laser therapy by RN’s or LVNs A nurse must have the ideal education, knowledge, and experience to interact in laser therapy. There space criteria to be complied with by the nurse who accepts doctor delegation in the usage of non-ablative laser therapy and there are details regulations and also educational needs for a certificate concerned laser hair removed (from the room of Licensing and Regulation).
Continuing Education: limitations for widening Scope of PracticeClarifies that expansion of an separation, personal, instance nurse’s border of practice has actually licensure-related limitations. Informal continuing nursing education and learning or on-the project training cannot be substituted for formal education leading to the next level the practice/licensure. A nurse attributes under his/her own nursing license and as such has a duty come patients the is separate from an employed relationship.
Delegated medical ActsSpecifies criteria which have to be met because that a nurse to lug out a delegated clinical act. This contains documentation of separation, personal, instance training and also competency, steps to be performed, doctor order to initiate, and also appropriate medical and nursing earlier up.
Use of American Psychiatric combination Diagnoses by LVN, RNs, or APRNsLVNs and also RNs cannot determine medical diagnoses. Usage of these multi-disciplinary psychiatric diagnoses is allowed by progressed practice registered nurses designated as Clinical Nurse specialists (CNS) or Nurse Practitioners (NP’s) whose population focus area is psych/mental health. Patience problems beyond the border of training and education the the psychiatric mental health CNS/NP space to be described an proper psychiatric mental health and wellness or clinical provider.
Role the LVNs and also RNs in school HealthDiscusses the function of the LVN and also RN in institution health. The education Code (TEC) defines a college nurse together a RN. The RN may delegate routine, repetitive work in the school setup in compliance v the’s Delegation Rules found in Chapters (§224 & §225). Also addresses the RN’s supervisory connection to LVNs who administer nursing solutions in a school setting.
Duty the a Nurse in any Practice setup Establishes that a nurse has actually a responsibility and duty to a patient to administer and name: coordinates the distribution of safe, reliable nursing care, through the NPA and also Board Rules. This duty supersedes any kind of facility plan or physician order.
Board"s Jurisdiction over a Nurse"s practice in Any function and use of the parenting TitleIf a RN or LVN features in a role other than current level the licensure, or in an additional area with an overlapping limit of practice, the nurse is still hosted to the level the education and competency that the nurse"s highest possible licensure. Likewise restricts use of the title LVN or RN or any designation implying nursing licensure through non-nurses (NPA ar 301.351 and also NPA section 301.004(a) (5)and rule 217.10).
Development that Nursing education ProgramsJudicious advance of brand-new nursing programs is urged as including programs alone will not attend to the farming nursing shortage. An essential considerations are delineated. plank of Nursing/ plank of Pharmacy Joint place Statement, medication Errors stress the should look in ~ “systems” and also not just “individual competency” in determining root reasons of medicine errors and implementing strategies to properly reduce errors, thus better protecting the public.
Nurses transferring Out order from progressed Practice Registered registered nurses Nurses may bring out order issued through APRN’s as lengthy as the orders space within the APRN’s border of exercise in their duty and populace focus. The nurse is meant to question orders they think are nonefficacious or contraindicated by consulting with the APRN or the physician.
Nurses transporting Out order from pharmacists for medicine Therapy monitoring There are rules that permit pharmacologists to compose orders for drug Therapy management (DTM) while working under physician delegation. A nurse may carry out these orders provided the orders originate native a composed protocol authorized by a physician. The nurse is responsible and also accountable for his/her actions together with any kind of physician order.
Registered registered nurses In the management of an Unwitnessed Arrest in a resident in a long Term treatment Facility guidance is detailed concerning the appropriateness of initiating cardiopulmonary resuscitation (CPR) as soon as the RN encounters an unwitnessed resides arrest there is no a do not resuscitate (DNR) order in the long term care setting only. Presumptive and conclusive indicators of fatality are delineated, to aid the RN in make a decision the CPR would certainly be futile. Documentation, RN duty to the patient, care planning/advanced directives, and RN pronouncement of death are also discussed.
In 2005, the Nursing exercise Act (NPA) broadened to encompass LVNs. This allowed LVNs come be included in the safe harbor provisions removed the require for position Statement 15.21, applications of safe Harbor Peer evaluation to LVNs.
APRNs offering Medical facets of treatment for people with whom there is a Close personal Relationship The is pertained to that when APRNs provide medical elements of care for people with who they have a close personal relationship the APRNs risk enabling their personal feelings to cloud their skilled judgment. For this reason APRNs have to not provide medical treatment or prescribe drugs for individuals with who they have actually a close an individual relationship.
The use of security Modalities by the LVN or RNRegardless of practice setting, nurses who combine complementary modalities into their exercise are accountable and responsible for adherence to the NPA and also Rules and also Regulations. Certain regulations of specific relevance are established in the place statement, consisting of a recommendation to the’s scope of practice Decision-Making version (DMM). Also, a list of criteria is contained in order for registered nurses to present accountability for the care they provide. Lastly, nurses are account to hold suitable credentials (e.g., license, certification, registration) to safely interact in details practices, whereby applicable.
Nurses Engaging In Reinsertion the Permanently put Feeding TubesLVNs & RNs should receive post-licensure training and demonstrate competency in reinsertion of a displaced permanently put feeding tube prior to engaging in this activity. Confirmation of exactly placement is crucial to avoid life-threatening complications. Reinsertion by a nurse is no recommended prior to 8-12 main post-initial insertion; certain physician orders need to be obtained about reinsertion by a nurse.
Administration of medication & therapies by LVNsLVNs room educationally ready to administer medications and also treatments as ordered through a physician, podiatrist, dentist or any practitioner legitimate authorized come prescribe the bespeak medication. LVNs may provide medications and also treatments ordered by physician assistants (PS 15.1) and advanced practice registered registered nurses (PS 15.18). Additionally see NPA 301.002(5), the meaning of vocational nursing.
Guideline 3.8.6.a Simulation in Pre-Licensure Nursing education and learning has replaced position Statement 15.26, Simulation in Prelicensure parenting Education.
The license is granted Vocational Nurse scope of practice The LVN scope of practice is a command scope the practice and requires suitable supervision. The LVN is responsible for providing safe, compassionate, and also focused nursing care to assigned patients with predictable health care needs.
The Registered Nurse limit of practice The RN take away responsibility and also accepts accountability for practicing in ~ the legit scope the practice and also is ready to job-related in all health care settings, and also may interact in independent nursing practice without supervision by an additional health care provider. The RN is responsible for giving safe, compassionate, and comprehensive nursing treatment to patients and their families with complex healthcare needs.
Professional limits including use of social Media by NursesThe function of this place Statement is to carry out guidance come nurses concerning expectations related to professional boundaries, inclusive of social media, and also to provide nurses through guidance to prevent boundary violations.

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Workplace ViolenceAs violence in the workplace has actually the potential come compromisecollaboration and communication, i m sorry may lead to patient careerrors, this position Statement provides evidence-based exercise researchand the criter of parenting practice found in Board dominion 217.11(1) toguide registered nurses in cultivating a safe patient care environment.