Ohio Admin. Code 4723-4-04 - Standards relating to competent practice as a licensed practical nurse
(A) A licensed
practical nurse shall function within the scope of practice of nursing for a
licensed practical nurse as set forth in division (F) of section
4723.01 of the Revised Code and
the rules of the board.
(B) A
licensed practical nurse shall maintain current knowledge of the duties,
responsibilities, and accountabilities for safe nursing practice.
(C) A licensed practical nurse shall
demonstrate competence and accountability in all areas of practice in which the
nurse is engaged which includes, but is not limited to, the following:
(1) Consistent performance of all aspects of
nursing care; and
(2) Recognition,
referral or consultation, and intervention, when a complication
arises.
(D) A licensed
practical nurse may provide nursing care in accordance with division (F) of
section 4723.01 of the Revised Code that
is beyond basic preparation for a licensed practical nurse provided:
(1) The nurse obtains education that emanates
from a recognized body of knowledge relative to the nursing care to be
provided;
(2) The nurse
demonstrates knowledge, skills, and abilities necessary to perform the nursing
care;
(3) The nurse maintains
documentation satisfactory to the board of meeting the requirements set forth
in paragraphs (D)(1) and (D)(2) of this rule;
(4) When the nursing care
is to be provided according to division (F)(3) of
section 4723.01 of the Revised Code, the
nurse has a specific current valid order or direction from an individual who is
authorized to practice in this state and is acting within the course of the
individual's professional practice; and
(5) The nursing care does not involve a
function or procedure that is prohibited by any other law or rule.
(E) A licensed practical nurse
shall, in a timely manner:
(1) Implement any
order or direction for a patient unless the licensed practical nurse believes
or should have reason to believe the order or direction is:
(a) Inaccurate;
(b) Not properly authorized;
(c) Not current or valid;
(d) Harmful, or potentially harmful to a
patient; or
(e) Contraindicated by
other documented information; and
(2) Clarify any order or direction for a
patient when the licensed practical nurse believes or should have reason to
believe the order or direction is:
(a)
Inaccurate;
(b) Not properly
authorized;
(c) Not current or
valid;
(d) Harmful, or potentially
harmful to a patient; or
(e)
Contraindicated by other documented information.
(F) When clarifying an order or
direction, the licensed practical nurse shall, in a timely manner:
(1) Consult with an appropriate licensed
practitioner or directing registered nurse;
(2) Notify the ordering practitioner or
directing registered nurse when the licensed practical nurse makes the decision
not to follow the order or direction or administer the medication or treatment
as prescribed;
(3) Document that
the practitioner or directing registered nurse was notified of the decision not
to follow the direction or order, or administer the medication or treatment,
including the reason for not doing so; and
(4) Take any other action needed to assure
the safety of the patient.
(G) A licensed practical nurse shall, in a
timely manner report to and consult as necessary with other nurses or other
members of the health care team and make referrals as necessary.
(H) A licensed practical nurse shall maintain
the confidentiality of patient information obtained in the course of nursing
practice. The licensed practical nurse shall communicate patient information
with other members of the health care team for health care purposes only, shall
access patient information only for purposes of patient care, or for otherwise
fulfilling the nurse's assigned job responsibilities, and shall not disseminate
patient information for purposes other than patient care, or for otherwise
fulfilling the nurse's assigned job responsibilities, through social media,
texting, emailing or any other form of communication.
(I) To the maximum extent feasible,
identifiable patient health care information shall not be disclosed by a
licensed practical nurse unless the patient has consented to the disclosure of
identifiable patient health care information. A licensed practical nurse shall
report individually identifiable patient information without written consent in
limited circumstances only, and in accordance with an authorized law, rule, or
other recognized legal authority.
(J) When a licensed practical nurse is
directed to observe, advise, instruct, or evaluate the performance of a nursing
task, the licensed practical nurse shall use acceptable standards of safe
nursing care as a basis for that observation, advice, instruction, teaching, or
evaluation and shall communicate information that is consistent with acceptable
standards of safe nursing care.
Notes
Promulgated Under: 119.03
Statutory Authority: 4723.07
Rule Amplifies: 4723.01, 4723.28(B)(19)
Prior Effective Dates: 12/01/1995, 04/01/1997, 04/01/1999, 02/01/2002, 02/01/2003, 02/01/2004, 02/01/2009, 02/01/2010, 02/01/2014, 02/01/2019
Promulgated Under: 119.03
Statutory Authority: ORC 4723.07
Rule Amplifies: ORC 4723.01, 4723.28(B)(19)
Prior Effective Dates: 12/01/1995, 04/01/1997, 04/01/1999, 02/01/2002, 02/01/2003, 02/01/2004, 02/01/2009, 02/01/2010, 02/01/2014
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.