Current through August 30, 2021

In addition to providing hands-on nursing care, licensed registered nurses work and serve in a broad range of capacities including, but not limited to, regulation, delegation, management, administration, teaching, and case management. Licensed registered nurses, also referred to as registered nurses or as "RNs," are expected to exercise competency in judgment, decision making, implementation of nursing interventions, delegation of functions or responsibilities, and administration of medications and treatments prescribed by legally authorized persons. (7-1-21)T

01. Standards of Practice. A licensed registered nurse adheres to the decision-making model set forth in Section 400 of these rules. (7-1-21)T
02. Functions. A partial listing of tasks within the licensed registered nurse's function follows. This listing is for illustrative purposes only, it is not exclusive. The licensed registered nurse: (7-1-21)T
a. Assesses the health status of individuals and groups; (7-1-21)T
b. Utilizes data obtained by assessment to identify and document nursing diagnoses which serve as a basis for the plan of nursing care; (7-1-21)T
c. Collaborates with the patient, family, and health team members; (7-1-21)T
d. Develops and documents a plan for nursing intervention based on assessment, analysis of data, identified nursing diagnoses and patient outcomes; (7-1-21)T
e. Is accountable and responsible for implementation of planned and prescribed nursing care; (7-1-21)T
f. Maintains safe and effective nursing care by: (7-1-21)T
i. Maintaining a safe environment; (7-1-21)T
ii. Evaluating patient status and instituting appropriate therapy or procedures which might be required in emergency situations to stabilize the patient's condition or prevent serious complications in accordance with standard procedures established by the policy-making body in the health care setting, including but not limited to administration of intravenous drugs and starting intravenous therapy based on protocols if the patient has been assessed and determined to be in peril; (7-1-21)T
iii. Acting as a patient's advocate; (7-1-21)T
iv. Applying principles of asepsis and infection control and universal standards when providing nursing care; (7-1-21)T
v. Implementing orders for medications and treatments issued by an authorized prescriber; and (7-1-21)T
vi. Providing information and making recommendations to patients and others in accordance with employer policies; (7-1-21)T
g. Utilizes identified goals and outcomes to evaluate responses to interventions; (7-1-21)T
h. Collaborates with other health professionals by: (7-1-21)T
i. Communicating significant changes in a patient's status or responses to appropriate health team professionals; (7-1-21)T
ii. Coordinating the plan of care with other health team professionals; and (7-1-21)T
iii. Consulting with nurses and other health team members as necessary; (7-1-21)T
i. Teaches the theory and practice of nursing; and (7-1-21)T
j. Facilitates, mentors and guides the practice of nursing formally and informally in practice settings. (7-1-21)T
k. Engages in other interfaces with healthcare providers and other workers in settings where there is not a structured nursing organization and in settings where health care plays a secondary role, where the nurse needs to identify the nursing role and responsibility for the particular type of interface, for example, teaching, supervising, consulting, advising, etc. (7-1-21)T
03. Chief Executive Role. A licensed registered nurse functioning in a chief executive role is accountable and responsible for: (7-1-21)T
a. Prescribing, directing and evaluating the quality of nursing services including, but not limited to, staff development and quality improvement; (7-1-21)T
b. Assuring that organizational policies and procedures, job descriptions and standards of nursing practice conform to the Nursing Practice Act and nursing practice rules; (7-1-21)T
c. Assuring that the knowledge, skills and abilities of nursing care staff are assessed and that nursing care activities do not exceed the legally defined boundaries of practice; and (7-1-21)T
d. Assuring that documentation of all aspects of the nursing organization is maintained. (7-1-21)T
04. Management Role. A licensed registered nurse functioning in a management role is accountable and responsible for: (7-1-21)T
a. The quality and quantity of nursing care provided by nursing personnel under their supervision; (7-1-21)T
b. Managing and coordinating nursing care in accordance with established guidelines for delegation; and (7-1-21)T
c. Providing leadership in formulating, interpreting, implementing, and evaluating the objectives and policies of nursing practice. (7-1-21)T


Idaho Admin. Code r.

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