Wis. Admin. Code Board of Nursing N 6.03 - Standards of practice for registered nurses
(1) GENERAL NURSING
PROCEDURES. An R.N. shall utilize the nursing process in the execution of
general nursing procedures in the maintenance of health, prevention of illness
or care of the ill. The nursing process consists of the steps of assessment,
planning, intervention and evaluation. This standard is met through performance
of each of the following steps of the nursing process:
(a)
Assessment. Assessment
is the systematic and continual collection and analysis of data about the
health status of a patient culminating in the formulation of a nursing
diagnosis.
(b)
Planning. Planning is developing a nursing plan of care for a
patient which includes goals and priorities derived from the nursing
diagnosis.
(c)
Intervention. Intervention is the nursing action to implement
the plan of care by directly administering care or by directing and supervising
nursing acts delegated to L.P.N.'s or less skilled assistants.
(d)
Evaluation. Evaluation
is the determination of a patient's progress or lack of progress toward goal
achievement which may lead to modification of the nursing diagnosis.
(2) PERFORMANCE OF DELEGATED ACTS.
In the performance of delegated acts an R.N. shall do all of the following:
(a) Accept only those delegated acts for
which there are protocols or written or verbal orders.
(b) Accept only those delegated acts for
which the R.N. is competent to perform based on his or her nursing education,
training or experience.
(c) Consult
with a provider in cases where the R.N. knows or should know a delegated act
may harm a patient.
(d) Perform
delegated acts under the general supervision or direction of
provider.
(3)
SUPERVISION AND DIRECTION OF DELEGATED ACTS. In the supervision and direction
of delegated acts an R.N. shall do all of the following:
(a) Delegate tasks commensurate with
educational preparation and demonstrated abilities of the person
supervised.
(b) Provide direction
and assistance to those supervised.
(c) Observe and monitor the activities of
those supervised.
(d) Evaluate the
effectiveness of acts performed under supervision.
Notes
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