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N 6.02 History History: Cr. Register, May, 1983, No. 329, eff. 6-1-83; reprinted to correct error in (7), Register, July, 1983, No. 331; am. (5) and (12), Register, May, 1990, No. 413, eff. 6-1-90; CR 00-167: am. (2) (intro.), (3) (intro.) and (4), Register August 2001 No. 548, eff. 9-1-01.
N 6.03 N 6.03 Standards of practice for registered nurses.
N 6.03(1)(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:
N 6.03(1)(a) (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.
N 6.03(1)(b) (b) Planning. Planning is developing a nursing plan of care for a patient which includes goals and priorities derived from the nursing diagnosis.
N 6.03(1)(c) (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.
N 6.03(1)(d) (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.
N 6.03(2) (2)Performance of delegated medical acts. In the performance of delegated medical acts an R.N. shall:
N 6.03(2)(a) (a) Accept only those delegated medical acts for which there are protocols or written or verbal orders;
N 6.03(2)(b) (b) Accept only those delegated medical acts for which the R.N. is competent to perform based on his or her nursing education, training or experience;
N 6.03(2)(c) (c) Consult with a physician, podiatrist, dentist or optometrist in cases where the R.N. knows or should know a delegated medical act may harm a patient; and,
N 6.03(2)(d) (d) Perform delegated medical acts under the general supervision or direction of a physician, podiatrist, dentist or optometrist.
N 6.03(3) (3)Supervision and direction of delegated nursing acts. In the supervision and direction of delegated nursing acts an R.N. shall:
N 6.03(3)(a) (a) Delegate tasks commensurate with educational preparation and demonstrated abilities of the person supervised;
N 6.03(3)(b) (b) Provide direction and assistance to those supervised;
N 6.03(3)(c) (c) Observe and monitor the activities of those supervised; and,
N 6.03(3)(d) (d) Evaluate the effectiveness of acts performed under supervision.
N 6.03 History History: Cr. Register, May, 1983, No. 329, eff. 6-1-83; am. (1) (c) and (2) (intro.), Register, May, 1990, No. 413, eff. 6-1-90; CR 00-167: am. (2) (c) and (d), Register August 2001 No. 548, eff. 9-1-01.
N 6.04 N 6.04 Standards of practice for licensed practical nurses.
N 6.04(1)(1)Performance of acts in basic patient situations. In the performance of acts in basic patient situations, the L.P.N. shall, under the general supervision of an R.N. or the direction of a physician, podiatrist, dentist or optometrist:
N 6.04(1)(a) (a) Accept only patient care assignments which the L.P.N. is competent to perform;
N 6.04(1)(b) (b) Provide basic nursing care;
N 6.04(1)(c) (c) Record nursing care given and report to the appropriate person changes in the condition of a patient;
N 6.04(1)(d) (d) Consult with an R.N., physician, podiatrist, dentist or optometrist in cases where an L.P.N. knows or should know a delegated nursing or medical act may harm a patient; and,
N 6.04(1)(e) (e) Perform the following other acts when applicable:
N 6.04(1)(e)1. 1. Assist with the collection of data;
N 6.04(1)(e)2. 2. Assist with the development and revision of a nursing care plan;
N 6.04(1)(e)3. 3. Reinforce the teaching provided by an R.N., physician, podiatrist, dentist or optometrist and provide basic health care instruction; or,
N 6.04(1)(e)4. 4. Participate with other health team members in meeting basic patient needs.
N 6.04(2) (2)Performance of acts in complex patient situations. In the performance of acts in complex patient situations the L.P.N. shall:
N 6.04(2)(a) (a) Meet standards under sub. (1) under the general supervision of an R.N., physician, podiatrist, dentist or optometrist.
N 6.04(2)(b) (b) Perform delegated nursing or medical acts beyond basic nursing care under the direct supervision of an R.N., physician, podiatrist, dentist or optometrist. An L.P.N. shall, upon request of the board, provide documentation of his or her nursing education, training or experience which prepare the L.P.N. to competently perform these assignments.
N 6.04(3) (3)Assumption of charge nurse position in nursing homes. In assuming the position of charge nurse in a nursing home as defined in s. 50.04 (2) (b), Stats., an L.P.N. shall:
N 6.04(3)(a) (a) Follow written protocols and procedures developed and approved by an R.N.;
N 6.04(3)(b) (b) Manage and direct the nursing care and other activities of L.P.N.s and nursing support personnel under the general supervision of an R.N.; and,
N 6.04(3)(c) (c) Accept the charge nurse position only if prepared to competently perform this assignment based on his or her nursing education, including education, training or experience or active involvement in education or training for responsibilities not included in the basic L.P.N. curriculum.
N 6.04 History History: Cr. Register, May, 1983, No. 329, eff. 6-1-83; CR 00-167: am. (1) (intro.), (d), (e) 3., (2) (a) and (b), Register August 2001 No. 548, eff. 9-1-01.
N 6.05 N 6.05 Violations of standards. A violation of the standards of practice constitutes unprofessional conduct or misconduct and may result in the board limiting, suspending, revoking or denying renewal of the license or in the board reprimanding an R.N. or L.P.N.
N 6.05 History History: Cr. Register, May, 1983, No. 329, eff. 6-1-83; am. Register, May, 1990, No. 413, eff. 6-1-90.
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