Current through September 17, 2024
Registered nurses, licensed practical nurses, and licensed
practitioners may provide direction in the provision and management of consumer
care. The method and degree of direction may vary based upon consumer
condition, the interventions to be applied, and the qualification and
competency of the person providing the interventions.
005.01
REGISTERED
NURSES. Registered nurses can provide direction to the following:
(A) Licensed practical nurses;
(B) Care teams which may include other
licensed health care professionals; and
(C) Unlicensed persons.
005.02
LICENSED PRACTICAL NURSES.
Licensed practical nurses provide direction to unlicensed persons
providing auxiliary patient care services.
005.03
STANDARDS FOR DIRECTION TO
A LICENSED PRACTICAL NURSE. A licensed practical nurse receives
direction from either a registered nurse or licensed practitioner, based on the
following standards:
005.03(A)
INSTRUCTION OR GUIDANCE. Direction must be sufficient to assure
the provision of safe nursing care can be provided, meeting consumer
needs;
005.03(B)
ASSESSMENT. Direction may include identification of any specific
assessment data to be collected relative to consumer condition, consumer
diagnosis, and presenting signs and symptoms of the consumer;
005.03(C)
INTERVENTIONS.
Direction may include identification of specific interventions to
be applied based upon the collected assessment data and consumer response to
interventions; and
005.03(D)
SUPERVISION. Direction must include the provision of
supervision to a licensed practical nurse. Supervision may include direct,
indirect, or a combination of both methods. Indirect supervision can be
provided through protocols.
005.04
LICENSED PRACTICAL NURSE
REQUIREMENTS. A licensed practical nurse must practice nursing
only under circumstances in which direction is provided by a registered nurse
or licensed practitioner.
005.04(A)
COMPETENCE. A license practical nurse must exercise
competence in providing and directing nursing interventions;
005.04(B)
CONSULTATION OR
COLLABORATION. A licensed practical nurse must initiate
consultation or collaboration according to observed signs and symptoms of
deviations from normal health status, and according to the directions specified
by a registered nurse or licensed practitioner; and
005.04(C)
DIRECTION. A licensed practical nurse must provide nursing
interventions according to the direction and instructions identified by a
registered nurse or licensed practitioner. Direction can be provided by
protocols.
