1 CALIFORNIA BOARD OF REGISTERED NURSING . Understanding the Role of the REGISTERED nurse and Interim Permittee According to the NURSING Practice Act, the CALIFORNIA Code of Regulations, and Selected Sections of Title XXII. NURSING Practice Act Standards Of Competent Performance CALIFORNIA Code of Regulations Business & Professions Code CALIFORNIA Code Of Regulations Title 22. Chapter 6 NURSING Title 16 Section 70215. Section 2725 Section (a) In amending this section at the 1973-74 session, the Section (1) 70215. (a) (1). Legislature recognizes that NURSING is a dynamic field, the A REGISTERED nurse shall be considered to be A REGISTERED nurse shall directly provide: practice of which is continually evolving to include more competent when he/she consistently demonstrates sophisticated patient care activities.
2 It is the intent of the the ability to transfer scientific knowledge from Ongoing patient assessments as defined in the Legislature in amending this section at the 1973-74 session social, biological and physical sciences in applying Business and Professions Code, Section 2725(d). to provide clear legal authority for functions and procedures that have common acceptance and usage. It is the NURSING process, as follows: Such assessments shall be performed, and the the legislative intent also to recognize the existence of formulates a NURSING diagnosis through findings documented in the patient's medical overlapping functions between physicians and REGISTERED observation of the client's physical record, for each shift and upon receipt of the nurses and to permit additional sharing of functions within condition and behavior and patient when he/she is transferred to another organized health care systems that provide for patient care area.
3 Collaboration between physicians and REGISTERED nurses. through interpretation of information These organized health care systems include, but are not obtained from the client and others, limited to, health facilities licensed pursuant to Chapter 2 including the health team (commencing with Section 1250) of Division 2 of the Health and Safety Code, clinics, home health agencies, physicians' offices, and public or community health services. Comments/Notes: Comments/Notes: RN must assess every patient every shift to direct See 2725 (b) (2) comments related to the patient care (Title 22). assessment component of this section.
4 RN performs NURSING process functions independently, dependently, and interdependently and knows when each type of function should be used. RN independently initiates and performs complex thinking strategies in all phases of the NURSING process. This includes the ability to formulate a patient specific set of diagnoses when there is uncertain, inconsistent, unique and conflicting patient information. 1. NURSING Practice Act Standards Of Competent Performance CALIFORNIA Code of Regulations Business & Professions Code CALIFORNIA Code Of Regulations Title 22. Chapter 6 NURSING Title 16 Section 70215. Section 2725 Section (b) The practice of NURSING within the meaning of this Section (2) 70215.
5 (a) (2). chapter means those functions, including basic health care, A REGISTERED nurse shall be considered to be competent A REGISTERED nurse shall directly provide: that help people cope with difficulties in daily living that when he/she consistently demonstrates the ability to are associated with their actual or potential health or illness transfer scientific knowledge from social, biological and The planning, supervision, implementation, and problems or the treatment thereof, and that require a physical sciences in applying the NURSING process, as evaluation of the NURSING care provided to each patient. substantial amount of scientific knowledge or technical follows: The implementation of NURSING care may be delegated skill, including all of the following: formulates a care plan in collaboration with the by the REGISTERED nurse responsible for the patient to client, which ensures that direct and indirect other licensed staff, or may be assigned to unlicensed NURSING care services provide for the client's staff, subject to any limitation of their licensure.
6 Safety, comfort, hygiene, and protection, and for the disease prevention and restorative measures. Comments/Notes: Comments/Notes: Comments/Notes: RN is accountable for an ongoing comprehensive RN role necessitates rapid information processing and Refer to BPC 2725 and CCR (4). assessment that includes data collection, analysis, application of scientific knowledge to coordinate, delegate and supervise the delivery of safe, timely care. This includes and drawing conclusions/making judgments in knowledge, skill, and ability to: order to: Check accuracy/reliability of information;. formulate diagnoses and update diagnoses Identify patterns by case type, standards of treatment, formulate or change the plan of care familiar circumstances, and relevance of data.
7 Decide on specific activities to implement the Recognize inconsistencies and missing information;. Search for additional information;. plan of care (immediate and long-term). Cluster clues;. prioritize and coordinate delivery of care Generate a hypothesis about disease conditions, health delegate to NURSING care competent staff to problems, patient needs;. deliver required care Make predictions about findings, needs, use of anticipate discharge planning/teaching needs interventions, outcomes;. advocate for the patient as needed Set priorities for implementation of NURSING care, priorities regarding urgency of patient concerns.
8 RN uses scientific knowledge and experience to Evaluate and revise based on review of new make clinical judgments about observed information;. abnormalities and changes based on a series of LVN is not prepared by formal education to make RN level complex, independent and collaborative decision NURSING judgments that include independent analysis, synthesis, making activities. and decision-making. RN is responsible for collecting, analyzing, and collaborating with all information sources to ensure a comprehensive written plan of care that is based on current standards of safe practice. 2. NURSING Practice Act Standards Of Competent Performance CALIFORNIA Code of Regulations Business & Professions Code CALIFORNIA Code Of Regulations Title 22.
9 Chapter 6 NURSING Title 16 Section 70215. Section 2725 Section (1) Direct and indirect patient care services that Section (3) 70215. (a) (3). ensure the safety, comfort, personal hygiene, and A REGISTERED nurse shall be considered to be A REGISTERED nurse shall directly provide: protection of patients; and the performance of disease competent when he/she consistently demonstrates prevention and restorative measures. the ability to transfer scientific knowledge from The assessment, planning, implementation, and social, biological and physical sciences in applying evaluation of patient education, including ongoing the NURSING process, as follows: discharge teaching of a patient.
10 Any assignment performs skills essential to the kind of of specific patient education tasks to patient care NURSING action to be taken personnel shall be made by the REGISTERED nurse responsible for the patient. explains the health treatment to the client and family teaches the client and family how to care for the client's health needs Comments/Notes: Comments/Notes: Comments/Notes: This section of the NPA authorizes many of the Also, see pg. 2, (2), comments for detailed Refer to BPC Section 2725(6) and CCR. independent NURSING functions the RN performs based strategies used by the RN. (3). on pre-licensure educational preparation and RN.