N 6.02 (10m) “Provider” means a physician, podiatrist, dentist, optometrist or advanced practice nurse provider.
Section 8. N 6.02 (11) and (12) are amended to read:
N 6.02 (11) “R.N.” means a registered nurse licensed under ch. 441, Stats. or a nurse who has a privilege to practice in Wisconsin under s. 441.50, Stats. (12) “L.P.N.” means a licensed practical nurse licensed under ch. 441, Stats. or a nurse who has a privilege to practice in Wisconsin under s. 441.50, Stats. Section 9. N 6.03 (2) and (3) are amended to read:
N 6.03 (2) Performance of delegated medical acts. In the performance of delegated medical acts an R.N. shall do all of the following:
(a) Accept only those delegated medical acts for which there are protocols or written or verbal orders;.
(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;.
(c) Consult with a physician, podiatrist, dentist, or optometrist provider in cases where the R.N. knows or should know a delegated medical act may harm a patient; and,.
(d) Perform delegated medical acts under the general supervision or direction of a physician, podiatrist, dentist or optometrist provider.
(3) Supervision and direction of delegated nursing acts. In the supervision and direction of delegated nursing 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; and,.
(d) Evaluate the effectiveness of acts performed under supervision.
Section 10. N 6.04 (1) is amended to read:
N 6.04 Standards of practice for licensed practical nursing. (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 provider:
(a) Accept only patient care assignments which the L.P.N. is competent to perform;.
(b) Provide basic nursing care;.
(c) Record nursing care given and report to the appropriate person changes in the condition of a patient;.
(d) Consult with an R.N., physician, podiatrist, dentist, optometrist a provider in cases where an L.P.N. knows or should know a delegated nursing or medical act may harm a patient; and.
(e) Perform the following other acts when applicable:
1. Assist with the collection of data;.
2. Assist with the development and revision of a nursing care plan;.
3. Reinforce the teaching provided by an R.N., physician, podiatrist, dentist or optometrist provider and provide basic health care instruction; or.
4. Participate with other health team members in meeting basic patient needs.
Section 11. N 6.04 (2) (intro) is amended to read:
N 6.04 (2) Performance of acts in complex patient situations. In the performance of acts in complex patient situations the L.P.N. shall do all of the following:
Section 12. N 6.04 (2) (b) is amended to read:
N 6.04 (2) (b) Perform delegated nursing or medical acts beyond basic nursing care under the direct supervision of an R.N., physician, podiatrist, dentist or optometrist a provider. An L.P.N. shall, upon request of the board, provide documentation of his or her nursing education, training or experience which prepares the L.P.N. to competently perform these assignments.
Section 13. N 6.04 (3) (intro), (a) and (b) are amended to read:
N 6.04 (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 do all of the following: (a) Follow written protocols and procedures developed and approved by an R.N.;.
(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,.
Section 14. N 6.04 (3) (c) is repealed and recreated to read:
N 6.04 (3) (c) Accept the charge nurse position only if prepared for the responsibilities of charge nurse based upon education, training and experience beyond the practical nurse curriculum. The L.P.N. shall, upon request of the board, provide documentation of the nursing education, training or experience which prepared the L.P.N. to competently assume the position of charge nurse.
Section 15. EFFECTIVE DATE. The rules adopted in this order shall take effect on the first day of the month following publication in the Wisconsin administrative register, pursuant to s. 227.22 (2) (intro.), Stats. ---------------------------------------------------------------------------------------------------------------------
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