South Dakota Administrative Rules
Title 20 - PUBLIC SAFETY
Article 20:48 - NURSES
Chapter 20:48:04.01 - Delegation of nursing tasks
Section 20:48:04.01:01 - Scope of nursing practice for the registered nurse

Universal Citation: SD Admin Rules 20:48:04.01:01

Current through Register Vol. 50, page 114, March 25, 2024

The registered nurse is responsible to organize, manage, and supervise the practice of nursing and retains professional accountability for nursing care. The registered nurse, in accordance with 20:48:04:01, uses the nursing process in the execution of nursing responsibilities, activities, or tasks for the promotion or maintenance of client health, prevention of illness or injury, or provision of nursing services. The registered nurse may:

(1) Conduct a comprehensive nursing assessment including initiating the collection and analysis of pertinent objective and subjective data and analyzing the data regarding the health status of a client;

(2) Conduct ongoing assessments to anticipate and recognize changes or potential changes in client status, including assimilation of data gathered from licensed practical nurses and other members of the health care team;

(3) Identify client problems using decision-making and clinical judgement to make independent nursing decisions and nursing diagnosis;

(4) Develop a nursing plan of care that may include interventions for health maintenance, patient teaching, counseling, prevention of illness, rehabilitation, or discharge planning;

(5) Administer independent nursing interventions;

(6) Administer medications and treatments prescribed or ordered by a legally authorized prescriber, including:

(a) Determining which medication to administer when a prescriber orders more than one medication for the same therapeutic indication, including pain management medication; and

(b) Determining the dose to administer when a prescriber orders an as needed medication with a range of doses;

(7) Execute delegated medical treatment, therapy, or regimen according to an approved medical protocol, standardized procedure, or standing order; including the performance of conservative sharp wound debridement, if the registered nurse holds current wound care certification with a national certification body approved by the board;

(8) Determine and place durable medical equipment or therapeutic devices when providing preventive, restorative, and supportive care, to implement the overall plan of care;

(9) Evaluate client response to nursing interventions and modify the nursing plan of care consistent with intended outcomes;

(10) Provide monitoring to identify changes in a client's health status and take appropriate action, to include preventive measures to protect the client, self, and others;

(11) Assess client learning needs, develop a plan to meet the learning needs, implement the teaching plan, and evaluate the outcome;

(12) Delegate in accordance with 20:48:04.01:01 to include only tasks or activities that the nurse has the necessary skills and competence to accomplish safely; and

(13) Provide supervision of licensed providers in accordance with 20:48:04:01.03 and unlicensed providers in accordance with 20:48:04.01:02.

General Authority: SDCL 36-9-21.

Law Implemented: SDCL 36-9-1.1, 36-9-3.

Disclaimer: These regulations may not be the most recent version. South Dakota may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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