legal scope practice

8/13/2019 Legal Scope Practice

1/13

Board of Registrationin Nursing


2/13

Module:

Legal Scope ofRN, LPN, and APRN Practice


3/13

244 CMR 3.00: Registered Nurse

and Licensed Practical Nurse3.01: Registered Nurse

Graduate of a Board approved school

Holds ultimate responsibility for care

Scope includes: nursing care, healthmaintenance, teaching, counseling,plans and restoration for optimalfunctioning & comfort


4/13

244 CMR 3.00

3.02: Responsibilities & Functions (RN)

Systematically assess health status of

individuals or groupsAnalyze & interpret data; and make

informed judgements

Plan & implement care - prescribedmedical or therapeutic regimes,scientific principles, recent advances

& current research


5/13

3.02 - continued

Provide & coordinate health teaching

Evaluate outcomes Collaborate, communicate and

cooperates to ensure quality and

continuity of care Serves as a patient advocate within the

limits of the law

MAY DELEGATE . . .


6/13

244 CMR 3.00

3.03: Practical Nurse

Graduate of a Board approved school

Bears full responsibility for the qualityof health care she/he provides

Scope includes: participation in nursing

care, health maintenance, teaching,counseling, collaborative planning andrehabilitation, to the extent of his/her

education


7/13

244 CMR 3.00

3.04: Responsibilities & Function (PN)

Assess individuals basic health status

Participates in analyzing data & makinginformed judgements

Participates in planning & implementing

interventions including recent advances& current knowledge in the field

Incorporates medical regimes


8/13

3.04continued

Participates in health teaching

When appropriate, evaluatesoutcomes, initiates or encourageschange in the plan

Collaborates, cooperates,communicates to ensure quality andcontinuity of care

MAY DELEGATE . . .


9/13

244 CMR 4.00: The Practice ofNursing in the Expanded Role

Establishes the conditions under whichRNs may practice in the advanced role.

Governs education & practicerequirements.

Criteria for authorization to practice.

Criteria for prescriptive authority.

Requirements for guidelines

Details Scope of Practice


10/13


11/13

Determining Scope of Practice

Describe nursing practice or activity.

Is it supported by statute or regulation?

Does entry into practice educationprovide the necessary knowledge/skill/ability? Or Continuing Education?

Is this a practice that is consistent withthe nursing literature and/or research?

Does the nurse have a documented

competence?


12/13

Scope of Practice - continued

Is this within a standard of care thatanother reasonable & prudent would

do? Is the patients safety assured?

Is the nurse prepared to accept

accountability for performing theactivity?


13/13

Scope of Practice - continued

Apply the Boards DecisionmakingGuidelinesto a clinical situation to

determine if the selected activity iswithin the nurses scope of practice.

legal scope practice

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