Iowa Administrative Code › Agency 655 - Nursing Board › Chapter 6 - Nursing Practice for Registered Nurses/licensed Practical Nurses › Rule 655-6.6 - Specific Nursing Practice for Licensed Practical Nurses

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The licensed practical nurse shall be
			 permitted to provide supportive and restorative care in the home setting under
			 the supervision of a registered nurse, as defined in subrule 6.2(5), or a
			 physician. When the licensed practical nurse provides care under the
			 supervision of the registered nurse, the initial assessment and ongoing
			 application of the nursing process shall be provided by the registered
			 nurse.
(2) The licensed practical
			 nurse shall be permitted to provide supportive and restorative care to a
			 specific student in the school setting in accordance with the student's health
			 plan when under the supervision of and as delegated by the registered nurse
			 employed by the school district.
(3) The licensed practical nurse shall be
			 permitted to provide supportive and restorative care in a Head Start program
			 under the supervision of a registered nurse, as defined in subrule 6.2(5), or a
			 physician if the licensed practical nurse were in this position prior to July
			 1, 1985.
(4) The licensed practical
			 nurse shall be permitted to provide supportive and restorative care in a camp
			 setting under the supervision of a registered nurse, as defined in subrule
			 6.2(5), or a physician. When the licensed practical nurse provides care under
			 the supervision of the registered nurse, the initial assessment and ongoing
			 application of the nursing process are performed by the registered nurse. The
			 licensed practical nurse is responsible for requesting registered nurse
			 consultation as needed.
(5) The
			 licensed practical nurse shall be permitted to provide supportive and
			 restorative care in a county jail facility or municipal holding facility
			 operating under the authority provided by Iowa Code chapter 356. The supportive
			 and restorative care provided by the licensed practical nurse in such
			 facilities shall be performed under the supervision of a registered nurse, as
			 defined in subrule 6.2(5). The registered nurse shall perform the initial
			 assessment and ongoing application of the nursing process. The registered nurse
			 shall be available 24 hours per day by teleconferencing equipment, and the time
			 necessary to be readily available on site to the licensed practical nurse shall
			 be no greater than ten minutes. This exception to the proximate area
			 requirement is limited to a county j ail facility or municipal holding facility
			 operating under the authority of Iowa Code chapter 356 and shall not apply in
			 any other correctional facility.
(6) The licensed practical nurse shall be
			 permitted to conduct height, weight and hemoglobin screening and record
			 responses to health questions asked in a standardized questionnaire under the
			 supervision of a registered nurse in a Women, Infants and Children (WIC)
			 clinic. A registered nurse employed by or under contract to the WIC agency will
			 assess the competency of the licensed practical nurse to perform these
			 functions and will be available for consultation. The licensed practical nurse
			 is responsible for performing under the scope of practice for licensed
			 practical nurses and requesting registered nurse consultation as needed. This
			 exception to the proximate area requirement is limited to WIC clinics and to
			 the services permitted in this subrule.
This rule is intended to implement Iowa Code sections 17A.3 and
				152.1.