West Virginia Nurse Edition 14 : Page 8
Phone: 304-558-2921 BOO • Board of Osteopathy regulates the practice of osteopathic physicians, surgeons and osteopathic physician assistants. Web site: www.wvbodosteo.org/ Phone: 304-723-4638 BOP • Board of Pharmacy regulates the practice of pharmacists, pharmacy technicians and pharmaceutical services. Web site: www.wvbop.com Phone: 304-558-0558 Nurse Aide Registry • The state agency responsible for the regulation of registry. Web site: http://www.wvdhhr. org/ohflac/NurseAide/ Phone: 304-558-0050 WVNA • West Virginia Nurses Association (WVNA) is the West Virginia chapter of the American Nurses Association (ANA). Web site:www.wvnurses.org Phone: 304-342-1169 ANA • American Nurses Association is the national professional organization for nurses. This association has developed many standards of practice for nursing including the Code of Ethics. Web site:www.nursingworld.org CRITeRIA FoR DeTeRMINING SCoPeoF PRACTICe FoR THe lICeNSeD NURSe You may use the process explained below to determine, on an individual basis, if a specific activity or task is within the scope of practice for a registered professional nurse or a licensed practical nurse. I. DEFINE THE ISSUE Clearly define the activity or task to be performed. Steps essential in this process include: A. CLARIFICATION OF THE ISSUE: What is the issue or problem? Gather facts that may influence the decision. Are there written policies and procedures available that relate to this act? Is this a new expectation or just PAGe 8 certified nurse aides and the abuse new to you? What is the decision to be made and where (in what setting or organization) will it take place? Has the issue been discussed previously? B.ASSESSMENT OF SKILLS AND KNOWLEDGE: What skills and knowledge are required? Do you possess those skills? Is your competence documented? Who is available to assist you? Who has that skill and knowledge? Is that person accessible to you? delivery of nursing care. The Boards receive many questions about the LPN’s role in the assessment component of the nursing process. While the law does not specifically address the issue of the LPN’s role in the assessment process, the rule clearly places the responsibility for the analysis of the data on the RN. It is the responsibility of the LPN to contribute to that data analysis by collecting objective and subjective data at the direction of the RN and by reporting and documenting the information collected (from the OBON SOP brochure 2005). The legislative rules which provide the NursiNg judgmeNt is the esseNtial elemeNt iN every delegatioN or assigNmeNt decisioN.” C. IDENTIFICATION OF OPTIONS: What are possible solutions? What are the risks? What are the implications of your decision: How serious are the consequences? Should you choose to perform an act, you are responsible for performing it accurately and safely. II. REVIEW EXISTING LAWS, POLICIES, AND STANDARDS OF NURSING PRACTICE Both the RN and LPN are responsible for implementing the nursing process in the legal standards of practice for RNs and LPNs in West Virginia are included in this document as appendices F and G. Based on the definitions of practice in the Code, the RN can independently engage in activities including assessing the health status of an individual, teaching, delegating, supervising and evaluating nursing practice. The LPN has a dependent role and provides care only at the direction of the RN, physician or dentist (portions reworded from the OBON SOP brochure 2005). Once the problem has been clearly defined, review existing laws, policies, and standards of nursing practice: A. Definitions of nursing practice (§30- 7-1.b) or advanced nursing practice (19 CSR 7) and the Legal Standards of Practice for the Registered Professional Nurse (19 CSR 10). Link to the Law h t t p : / / w w w. l e g i s . s t a t e . wv.us/WVCODE/code . cfm?chap=30&art=7#1 Link to the Rules http://www.wvrnboard.com/default2. asp?active_page_id=74 Scroll Down to 7 B.Definition of practice for the licensed practical nurse (§30-7A-1.a) and Legal Standards of Practice for the Licensed Practical Nurse (10 CSR 3). Link to Law h t t p : / / w w w. l e g i s . s t a t e . wv.us/WVCODE/Code . cfm?chap=30&art=7A#07A Link to Rules http://www.lpnboard.state.wv.us/ “
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