reglab/statecodes huggingface dataset:
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-02 - Standards of Practice for Registered Nurses › Section 54-05-02-07 - Standards related to registered nurse responsibility to organize, manage, and supervise the practice of nursing

Current through Supplement No. 393, July, 2024
In the administration and management of nursing care,
				  registered nurses may assign and delegate the responsibility for performance of
				  nursing interventions to other persons. Assigning of nursing interventions may
				  be made by registered nurses to others who are authorized to provide nursing
				  care through licensure as a registered nurse or licensed practical nurse. The
				  registered nurse shall:
1. Assign to
				another only those nursing interventions that are included within that nurse's
				scope of practice, education, experience, and competence including:
a. Assigning nursing care within the
				registered nurse scope of practice to other registered nurses;
b. Assigning nursing care to a licensed
				practical nurse within the licensed practical nurse scope of practice based on
				the registered nurse's assessment of the client and the licensed practical
				nurse's ability; and
c. Supervise,
				monitor, and evaluate the care assigned to a licensed practical
				nurse.
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-02 - Standards of Practice for Registered Nurses › Section 54-05-02-08 - Dispensing in title X clinic

Current through Supplement No. 393, July, 2024
A registered nurse may dispense oral contraceptive pills,
				  transdermal contraceptive patches, and vaginal contraceptive rings, pursuant to
				  an order of an authorized prescriber, in the course of working in a title X
				  clinic.
General Authority:
NDCC 43-12.1, 43-15
Law Implemented:
NDCC
					 43-15-02(7)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.1 - Advanced Practice Registered Nurse › Section 54-05-03.1-01 - Statement of intent

Current through Supplement No. 393, July, 2024
The 1977 legislative assembly enacted legislation that
				  recognized the performance of additional acts to be performed by registered
				  nurses practicing in expanded roles and gave the board of nursing the power to
				  set standards for nurses practicing in specialized roles. From 1980 to 1991,
				  the board licensed advanced practitioners in nursing as nurse clinicians, nurse
				  practitioners, clinical nurse specialists, certified nurse midwives, and
				  certified registered nurse anesthetists. The 1991 legislative assembly added
				  prescriptive practices to the acts an advanced practice registered nurse may
				  perform, if qualified. The 1995 legislative assembly further defined the
				  educational requirements for the advanced practice registered nurse.
The scope of practice for a registered nurse with advanced
				  licensure is based upon an understanding that a broad range of health care
				  services can be appropriately and competently provided by a registered nurse
				  with validated knowledge, skills, and abilities in specific practice areas. The
				  health care needs of citizens in North Dakota require that nurses in advanced
				  practice roles provide care to the fullest extent of their scope of practice.
				  The advanced practice registered nurse retains the responsibility and
				  accountability for that scope of practice and is ultimately accountable to the
				  patient within the Nurse Practices Act.
The advanced practice registered nurse is responsible and
				  accountable to practice according to the standards of practice prescribed by
				  the board and the profession. The purpose of the standards is:
1. To establish practice parameters for safe
				nursing practice.
2. To serve as a
				guide for the board to regulate the practice of the advanced practice
				registered nurse.
General Authority:
NDCC
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-02(1
					 )(7)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.1 - Advanced Practice Registered Nurse › Section 54-05-03.1-02 - Board authority - Title - Abbreviation

Current through Supplement No. 393, July, 2024
The board shall authorize advanced nursing practice to a
				  registered nurse who has submitted evidence of advanced knowledge, skills, and
				  abilities in a defined area of nursing practice. Individuals are licensed as
				  advanced practice registered nurses in the roles of certified nurse
				  practitioner, certified registered nurse anesthetist, certified nurse midwife,
				  or certified clinical nurse specialist and in the population foci of family
				  across the lifespan, adult-gerontology, neonatal, pediatrics, women's health or
				  gender related or psychiatric mental health. Each advanced practice registered
				  nurse shall use the designation APRN and applicable role designation for
				  purposes of identification and documentation. No person may use the advanced
				  practice registered nurse (APRN) title plus the person's respective role title
				  without the express authority of the board of nursing to do
				  so.
General Authority:
NDCC
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-08(1)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.1 - Advanced Practice Registered Nurse › Section 54-05-03.1-03.1 - Standards of practice for the advanced practice registered nurse

Current through Supplement No. 393, July, 2024
The standards of practice for the registered nurse found in
				  chapter 54-05-02 are the core standards of practice for all categories of
				  advanced practice registered nurses. The advanced practice registered nurse has
				  evolved into the roles of certified nurse practitioner, certified registered
				  nurse anesthetist, certified nurse midwife, or certified clinical nurse
				  specialist.
The advanced practice registered nurse functions in any
				  setting as a member of the interdisciplinary team and provides care to the
				  fullest extent of the scope of practice which includes:
1. Complete the assessment of the health
				status and health needs based on interpretation of health-related data and
				preventive health practices;
2.
				Analyze multiple sources of data, identify alternative possibilities as to the
				nature of a health care problem and select appropriate treatment;
3. Coordinate human and material resources
				for the provision of care;
4.
				Maintain accountability and responsibility for the quality of nursing care
				provided; and
5. Collaborate with
				the interdisciplinary team.
General Authority:
NDCC
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-08(1)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.1 - Advanced Practice Registered Nurse › Section 54-05-03.1-03.2 - Scope of practice as an advanced practice registered nurse

Current through Supplement No. 393, July, 2024
The scope of practice must be consistent with the nursing
				  education and advanced practice certification.
1. Practice as an advanced practice
				registered nurse may include:
a. Perform a
				comprehensive assessment of clients and synthesize and analyze data within a
				nursing framework;
b. Identify,
				develop, plan, and maintain evidence-based, client-centered nursing
				care;
c. Prescribe a therapeutic
				regimen of health care, including diagnosing, prescribing, administering, and
				dispensing legend drugs and controlled substances;
d. Evaluate prescribed health care
				regimen;
e. Assign and delegate
				nursing interventions that may be performed by others;
f. Promote a safe and therapeutic
				environment;
9- Provide health teaching and counseling to promote, attain,
				  and maintain the optimum health level of clients;
h. Communicate and collaborate with the
				interdisciplinary team in the management of health care and the implementation
				of the total health care regimen;
i. Manage and evaluate the clients' physical
				and psychosocial health-illness status;
j. Manage, supervise, and evaluate the
				practice of nursing;
k. Utilize
				evolving client information management systems;
I. Integrate quality improvement principles
				in the delivery and evaluation of client care;
m. Teach the theory and practice of
				nursing;
n. Analyze, synthesize,
				and apply research outcomes in practice; and
o. Integrate the principles of research in
				practice.
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.1 - Advanced Practice Registered Nurse › Section 54-05-03.1-04 - Initial requirements for advanced practice registered nurse licensure

Current through Supplement No. 393, July, 2024
Applicants for advanced practice registered nurse licensure
				  must:
1. Possess a current license to
				practice as a registered nurse in North Dakota or in a compact state;
2. Submit evidence of completion of an
				accredited graduate level advanced practice registered nurse program in one of
				the four roles and with at least one population focus;
3. Submit evidence of current certification
				by a national nursing certifying body in the advanced practice registered nurse
				role and population foci appropriate to educational preparation. Primary source
				verification of certification is required;
4. Not have an encumbered license or
				privilege to practice in any state or territory;
5. Submit a completed notarized application
				and pay the fee of one hundred twenty-five dollars;
6. Certify that scope of practice is
				consistent with their nursing education and nursing certification;
				and
7. After December 31, 2015, all
				applicants for advanced practice registered nurse licensure must meet the
				licensure requirements in this chapter.
General Authority:
NDCC 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-09(2)(c)(d)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.1 - Advanced Practice Registered Nurse › Section 54-05-03.1-05 - Temporary permit

Current through Supplement No. 393, July, 2024
An applicant for advanced licensure who possesses a current
				  registered nurse license, and has submitted a complete application, the
				  required fee, and evidence of meeting all educational requirements, may be
				  issued a ninety-day temporary advanced practice registered nurse permit for
				  practice in an advanced practice registered nurse category if the
				  applicant:
1. Is applying for
				licensure under section 54-05-03.1 -04;
2. Has applied as a first-time candidate to
				the next national nursing certification examination for the advanced practice
				registered nurse category;
3. Is
				awaiting certification results based upon initial application; or
4. Temporary permit will not include
				prescriptive authority.
General Authority:
NDCC
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-09(2)(c)(d)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.1 - Advanced Practice Registered Nurse › Section 54-05-03.1-06 - Requirements for advanced practice registered nurse licensure renewal

Current through Supplement No. 393, July, 2024
The advanced practice registered nurse license is valid for
				  the same period of time as the applicant's registered nurse license. Applicants
				  for renewal of the advanced practice registered nurse license must possess a
				  current license to practice as a registered nurse in North Dakota or in a
				  compact state and must comply with the following:
1. Complete the advanced practice registered
				nurse license renewal application;
2. Pay an advanced practice registered nurse
				licensure renewal fee of eighty dollars; and
3. Submit evidence of current national
				certification in the appropriate advanced practice registered nurse role and
				with at least one population focus, or participate in a competence maintenance
				program recognized by the board.
Any individual holding a license to practice nursing as an
				  advanced practice licensee in this state that is valid on December 31, 2015,
				  shall be deemed to be licensed as an advanced practice registered nurse under
				  the provisions of this chapter with the individual's current privileges and
				  shall be eligible for renewal of such license under the conditions and
				  standards prescribed in this chapter.
General Authority:
NDCC 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-10(1)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.1 - Advanced Practice Registered Nurse › Section 54-05-03.1-06.1 - Reactivation of a license

Current through Supplement No. 393, July, 2024
An advanced practice registered nurse previously licensed in
				  North Dakota who applies for reactivation of APRN only must meet board
				  requirements and includes the following:
1. Complete the application and submit to a
				criminal history record check according to section 54-02-12-01;
2. Pay the nonrefundable renewal fee and
				fifty dollar reactivation fee; and
3. Meet the requirements in section
				54-02-05-05.1, practice requirements for license renewal, section 54-02-05-08,
				continuing education requirement for license renewal and section 54-05-03.1-06
				requirements for advanced practice registered nurse licensure renewal;
				or
4. Submit other evidence the
				applicant wishes to submit which would provide proof of nursing competence
				acceptable to the board.
General Authority:
NDCC 12-60-24.2(o),
					 43-12.1-08
Law Implemented:
NDCC 43-12.1-09.1,
					 43-12.1-10(1)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.1 - Advanced Practice Registered Nurse › Section 54-05-03.1-06.2 - Scope of practice

Current through Supplement No. 393, July, 2024
The scope of practice of the advanced practice registered
				  nurse must be consistent with the nursing education and nursing
				  certification.
General Authority:
NDCC
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-10(1)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.1 - Advanced Practice Registered Nurse › Section 54-05-03.1-09 - Requirements for prescriptive authority

Current through Supplement No. 393, July, 2024
Applicants for prescriptive authority shall:
1. Be currently licensed as an advanced
				practice registered nurse in North Dakota.
2. Submit a complete, notarized prescriptive
				authority application and pay the fee of seventy-five dollars.
3. Submit a completed transcript with degree
				posted from an accredited graduate level advanced practice registered nurse
				program and which includes evidence of completion of advanced pharmacotherapy,
				physical assessment, and pathophysiology.
4. Provide evidence of completion of thirty
				contact hours of education or equivalent in pharmacotherapy related to the
				applicant's scope of advanced practice that:
a. Have been obtained within a three-year
				period of time immediately prior to the date of application for prescriptive
				authority; or
b. May otherwise be
				approved by the board.
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.1 - Advanced Practice Registered Nurse › Section 54-05-03.1-10 - Authority to prescribe

Current through Supplement No. 393, July, 2024
The advanced practice registered nurse plans and initiates a
				  therapeutic regimen that includes ordering and prescribing medical devices and
				  equipment, nutrition, diagnostic and supportive services including home health
				  care, hospice, and physical and occupational therapy.
1. A permanent advanced practice registered
				nurse license with the addition of prescriptive authority shall be issued upon
				meeting all requirements.
2. The
				advanced practice registered nurse with prescriptive authority may prescribe
				drugs as defined by chapter 43-15-01 pursuant to applicable state and federal
				laws.
3. A prescriptive authority
				advanced practice registered nurse license does not include drug enforcement
				administration authority for prescribing controlled substances. Each licensee
				must apply for and receive a drug enforcement administration number before
				writing prescriptions for controlled substances.
4. An advanced practice registered nurse with
				prescriptive authority who prescribes controlled substances has access to the
				North Dakota prescription drug monitoring program and shall utilize the
				prescription drug monitoring program in the following manner:
a. Shall evaluate a prescription drug
				monitoring program report for a client in the following situations:
(1) New or unestablished client requiring
				prescription for controlled substance;
(2) Every six months during treatment of
				client with a controlled substance;
(3) Client requests early refills or engages
				in a pattern of taking more than prescribed dosage; and
(4) Upon suspicion or known drug overuse,
				diversion, or abuse by client.
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.1 - Advanced Practice Registered Nurse › Section 54-05-03.1-11 - Prescriptive authority renewal

Current through Supplement No. 393, July, 2024
Prescriptive authority is valid for the same period of time
				  as the applicant's advanced practice registered nurse and registered nurse
				  license. The applicant for renewal must:
1. Renew the applicant's registered nurse
				license.
2. Submit verification of
				current certification by a national nursing certification body in the specific
				area of nursing practice.
3. Submit
				a completed advanced practice registered nurse with prescriptive authority
				renewal application.
4. Pay the
				advanced practice registered nurse renewal fee of eighty dollars and the
				seventy-five dollar renewal fee for prescriptive authority.
5. Provide evidence of completion of fifteen
				contact hours of education during the previous two years in pharmacotherapy
				related to the scope of practice. These contact hours may fulfill the
				registered nurse renewal continuing education requirement. The education or its
				equivalent as approved by the board may include academic credits, attendance at
				approved seminars and courses, or participation in approved correspondence or
				home study continuing education courses.
General Authority:
NDCC 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-10(1)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.1 - Advanced Practice Registered Nurse › Section 54-05-03.1-13 - Suspension or enjoining of prescriptive authority

Current through Supplement No. 393, July, 2024
The prescriptive authority granted to an advanced practice
				  registered nurse may be temporarily suspended or enjoined according to
				  provisions of North Dakota Century Code chapters 28-32 and 32-06, when the
				  advanced practice registered nurse has:
1. Failed to maintain current licensure as an
				advanced practice registered nurse or failed to meet prescriptive authority
				requirements;
2. Prescribed outside
				the scope of practice or for other than therapeutic purposes;
3. Violated any state or federal law or
				regulation applicable to prescriptions; or Following final board action notice
				of suspension or injunctive action regarding prescriptive authority will be
				forwarded to the board of pharmacy.
General Authority:
NDCC
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-10(1)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.1 - Advanced Practice Registered Nurse › Section 54-05-03.1-15 - Recognition at effective date

Current through Supplement No. 393, July, 2024
Any registered nurse with an advanced license as a nurse
				  practitioner, clinical nurse specialist, nurse midwife, or certified registered
				  nurse anesthetist on November 1, 1996, must continue to be recognized as an
				  advanced practice registered nurse, and is eligible for renewal of the advanced
				  practice registered nurse license under the provision of this title. These
				  rules may not be construed to limit or restrict the advanced practice
				  registered nurse's scope of practice statement previously approved by the
				  board.
General Authority:
NDCC
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-08
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.2 - Specialty Practice Registered Nurse › Section 54-05-03.2-01 - Statement of intent

Current through Supplement No. 393, July, 2024
The 1977 legislative assembly enacted legislation that
				  recognized the performance of additional acts to be performed by registered
				  nurses practicing in expanded roles and gave the board of nursing the power to
				  set standards for nurses practicing in specialized roles. The 2001 legislative
				  assembly defined the education requirements for the specialty practice
				  registered nurse.
The scope of practice for a registered nurse with specialty
				  licensure is based upon an understanding that a broad range of health care
				  services can be appropriately and competently provided by a registered nurse
				  with validated knowledge, skills, and abilities in specific practice areas. The
				  health care needs of citizens in North Dakota require that nurses in specialty
				  practice roles provide care to the fullest extent of their scope of practice.
				  The specialty practice registered nurse retains the responsibility and
				  accountability for that scope of practice and is ultimately accountable to the
				  client within the Nurse Practices Act.
General Authority: NDCC
					 43-12.1-08
Law Implemented: NDCC
					 43-12.1-09(7)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.2 - Specialty Practice Registered Nurse › Section 54-05-03.2-02 - Board authority - Title - Abbreviation

Current through Supplement No. 393, July, 2024
The board may authorize specialty nursing practice to a
				  registered nurse who has submitted evidence of knowledge, skills, and abilities
				  in a defined area of nursing practice. Each specialty practice registered nurse
				  may use the applicable category designation for purposes of identification and
				  documentation. No person may use the specialty practice registered nurse title
				  without the express authority of the board to do so.
General Authority: NDCC
					 43-12.1-08
Law Implemented: NDCC
					 43-12.1-09(7)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.2 - Specialty Practice Registered Nurse › Section 54-05-03.2-03 - Standards of practice for the specialty practice registered nurse

Current through Supplement No. 393, July, 2024
1. The standards of practice for the
				registered nurse found in chapter 54-05-02 are the core standards of practice
				for all categories of specialty practice registered nurses.
2. In addition to the core registered nurse
				standards of practice, each specialty practice registered nurse shall practice
				according to national standards acceptable to the board for specialty practice
				registered nurses.
General Authority: NDCC
					 43-12.1-08
Law Implemented: NDCC
					 43-12.1-09(7)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.2 - Specialty Practice Registered Nurse › Section 54-05-03.2-04 - Initial requirements for specialty practice registered nurse licensure

Current through Supplement No. 393, July, 2024
The board of nursing shall restrict the issuance of the
				  specialty license to the registered nurse who has submitted evidence of
				  specialization within a defined area of nursing practice.
Applicants for specialty practice registered nurse licensure
				  must:
1. Possess a current license to
				practice as a registered nurse in North Dakota or a compact state;
2. Submit evidence of experiential expertise
				gained through the clinical aspect of coursework or employment or submit
				evidence of additional educational preparation in continuing education programs
				or formal education in a board-approved program;
3. Submit evidence of current certification
				by a national certifying body in the specific area of nursing
				practice;
4. Submit a completed
				notarized application and pay the fee of one hundred twenty-five
				dollars;
5. Submit a scope of
				practice statement for review and approval by the board; and
6. Submit other activities as approved by the
				board.
General Authority:
NDCC 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-09(2)(f)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.2 - Specialty Practice Registered Nurse › Section 54-05-03.2-05 - Requirements for specialty practice registered nurse licensure renewal

Current through Supplement No. 393, July, 2024
The specialty license is valid for the same period of time as
				  the applicant's registered nurse license. Applicants for renewal of the license
				  must:
1. Renew the registered nurse
				license;
2. Complete the specialty
				practice registered nurse license renewal application;
3. Pay the licensure renewal fee of eighty
				dollars;
4. Submit evidence of
				current certification; and
5. Meet
				the requirements in section 54-05-03.2-08.
General Authority:
NDCC 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-09(2)(f)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.2 - Specialty Practice Registered Nurse › Section 54-05-03.2-05.1 - Reactivation of a license

Current through Supplement No. 393, July, 2024
A specialty practice registered nurse previously licensed in
				  North Dakota who applies for reactivation must meet board requirements,
				  including the following:
1. Complete
				the application and submit to a criminal history record check according to
				section 54-02-12-01;
2. Pay the
				nonrefundable renewal fee and fifty dollar reactivation fee; and
3. Meet the requirements in section
				54-02-05-05.1 regarding practice requirements for license renewal, section
				54-02-05-08 regarding continuing education requirements for license renewal,
				section 54-05-03.2-05 regarding requirements for specialty practice registered
				nurse licensure renewal, and section 54-05-03.2-08 regarding change in scope of
				practice; or
4. Submit other
				evidence the applicant wishes to submit which would provide proof of nursing
				competence acceptable to the board.
General Authority:
NDCC 12-60-24(2)(o),
					 43-12.1-08
Law Implemented:
NDCC 43-12.1-09.1,
					 43-12.1-10(1)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.2 - Specialty Practice Registered Nurse › Section 54-05-03.2-06 - Disciplinary action against specialty practice registered nurse licensee

Current through Supplement No. 393, July, 2024
The specialty practice registered nurse licensee may be
				  subject to discipline by the board when the licensee has:
1. Been found in violation of any provision
				of North Dakota Century Code section
				43-12.1-14; or
2. Failed to maintain national nursing
				certification.
General Authority: NDCC
					 43-12.1-08
Law Implemented: NDCC
					 43-12.1-09(7)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.2 - Specialty Practice Registered Nurse › Section 54-05-03.2-07 - Encumbered license

Current through Supplement No. 393, July, 2024
Encumbrances placed on the specialty practice registered
				  nurse license will also be placed on the registered nurse license.
General Authority: NDCC
					 43-12.1-08
Law Implemented: NDCC
					 43-12.1-09(7)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-05 - Standards of Practice › Chapter 54-05-03.2 - Specialty Practice Registered Nurse › Section 54-05-03.2-08 - Change in scope of practice

Current through Supplement No. 393, July, 2024
The specialty practice registered nurse must notify the board
				  in writing of a change in scope of practice within five working days and submit
				  completed scope of practice statement within sixty days of the change.
General Authority: NDCC
					 43-12.1-08
Law Implemented: NDCC
					 43-12.1-09(2)(f)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-07 - Unlicensed Assistive Person › Chapter 54-07-01 - General Provisions › Section 54-07-01-01 - Statement of intent

Current through Supplement No. 393, July, 2024
The 1991 legislative assembly enacted legislation declaring
				  that it is the policy of this state to regulate through the board of nursing
				  the practice of nursing, those engaged in licensed nursing practice, and those
				  persons who assist in the practice of nursing. Other governmental agencies,
				  through implementation of federal standards and regulations, may also be
				  charged with the regulation of those who assist in the practice of nursing. It
				  is the intent of the board to recognize other state registries that may exist,
				  rather than duplicating those services. These rules govern the provision,
				  administration, and management of nursing interventions by licensed nurses and
				  nursing interventions delegated to unlicensed assistive persons. Licensed
				  nurses are accountable and responsible to clients for the nature and quality of
				  nursing interventions. In organizations where direct nursing care is not
				  provided as a specific service, the provisions of this article do not
				  apply.
General Authority:
NDCC
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-08(1)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-07 - Unlicensed Assistive Person › Chapter 54-07-01 - General Provisions › Section 54-07-01-03 - Recognition of other state registries

Current through Supplement No. 393, July, 2024
The board will acknowledge placement on other state
				  registries in lieu of the unlicensed assistive person registry. Criteria for
				  recognition of other state registries is as follows:
1. The registry is open to the public during
				normal business hours.
2. The
				registry contains information about the individual that meets or exceeds the
				requirements for the unlicensed assistive person registry.
3. The registry provides a mechanism for
				removal of the individual for cause, or marking of the registry of disciplinary
				action by the board.
4. The agency
				operating the registry has submitted sufficient documentation to the board of
				nursing to verify compliance with these requirements.
General Authority:
NDCC
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-08(1)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-07 - Unlicensed Assistive Person › Chapter 54-07-01 - General Provisions › Section 54-07-01-04 - Medicaid waiver recipient service providers

Current through Supplement No. 393, July, 2024
A person who provides services authorized by North Dakota
				  Century Code section
				  50-24.1-18.1 to individuals found
				  eligible by the department of human services to direct their own care or to
				  individuals who have designated a legally responsible person to make health
				  care decisions on their behalf shall be required to register as an unlicensed
				  assistive person on a registry recognized by the board and the North Dakota
				  department of human services.
General Authority:
NDCC
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-08(1)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-07 - Unlicensed Assistive Person › Chapter 54-07-01 - General Provisions › Section 54-07-01-05 - Consumer-directed service providers

Current through Supplement No. 393, July, 2024
A nurse licensed under North Dakota Century Code chapter
				  43-12.1 may verify the competence of an unlicensed assistive person to perform
				  nursing interventions for individuals directing their own care or for
				  individuals who have a legally responsible person acting on their behalf, when
				  the licensed nurse is requested to train the unlicensed assistive person to
				  provide services authorized by North Dakota Century Code section
				  50-24.1-18.1 to individuals found
				  eligible by the department of human services to direct their own care or who
				  have designated a legally responsible person to make health care decisions on
				  their behalf.
General Authority:
NDCC
					 43-12.1-02(5)
Law Implemented:
NDCC
					 43-12.1-08(1),
					 50-24.1-18.1
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-07 - Unlicensed Assistive Person › Chapter 54-07-02 - Unlicensed Assistive Person Registry › Section 54-07-02-01 - Application and fee for unlicensed assistive person registration

Current through Supplement No. 393, July, 2024
Applicants for registration as an unlicensed assistive person
				  must meet board requirements, including the following:
1. Submit a completed application;
2. Submit to a criminal history record check
				according to chapter 54-07-02.1;
3.
				Pay a nonrefundable fee of forty dollars; and
4. Submit verification of completion of a
				recognized formal training program or hold a current registration or
				certification by a recognized national body.
General Authority:
NDCC 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-08(2)(h)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-07 - Unlicensed Assistive Person › Chapter 54-07-02 - Unlicensed Assistive Person Registry › Section 54-07-02-01.1 - Renewal of registration

Current through Supplement No. 393, July, 2024
Initial registration will be subject to renewal on or before
				  June thirtieth of the second year following and every two years thereafter.
				  Failure to receive the renewal notification does not relieve the registrant of
				  the obligation to renew the registration by the expiration date.
1. An applicant must submit a completed
				application form.
2. An applicant
				must pay the nonrefundable renewal fee of forty dollars.
3. An applicant shall submit verification of
				competency or verification of current certification or registration by
				board-recognized national bodies.
4. The registration fee for any practicing
				unlicensed assistive person will be doubled for any renewal application
				received in the board office after the expiration date.
General Authority:
NDCC 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-10(2)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-07 - Unlicensed Assistive Person › Chapter 54-07-02 - Unlicensed Assistive Person Registry › Section 54-07-02-01.2 - Unlicensed assistive person registration for students

Current through Supplement No. 393, July, 2024
Students may provide limited nursing interventions consistent
				  with their education.
1. In order to
				meet the requirement for the registry, the nursing student must:
a. Submit evidence of current enrollment in a
				board-approved nursing education program;
b. Be in good academic standing in the
				nursing education program; and
c.
				Provide satisfactory evidence of completion of a course in the fundamentals of
				nursing.
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-07 - Unlicensed Assistive Person › Chapter 54-07-02 - Unlicensed Assistive Person Registry › Section 54-07-02-01.3 - Temporary permit

Current through Supplement No. 393, July, 2024
Upon receipt of an application for unlicensed assistive
				  person registration, payment of the fee as set by the board, and evidence that
				  the applicant will meet all of the requirements for registration in North
				  Dakota, the board may issue a temporary permit to practice as an unlicensed
				  assistive person in this state. The temporary permit expires at the end of
				  ninety days.
General Authority:
NDCC
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-08(2)(h)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-07 - Unlicensed Assistive Person › Chapter 54-07-02 - Unlicensed Assistive Person Registry › Section 54-07-02-02.1 - Unlicensed assistive person registry status

Current through Supplement No. 393, July, 2024
Unlicensed assistive persons who carry out delegated nursing
				  interventions must hold current registry status either on the board registry or
				  on another state registry recognized by the board.
General Authority:
NDCC
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-08
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-07 - Unlicensed Assistive Person › Chapter 54-07-02 - Unlicensed Assistive Person Registry › Section 54-07-02-02.2 - Reactivation of a registration

Current through Supplement No. 393, July, 2024
An unlicensed assistive person previously registered in North
				  Dakota who applies for reactivation must meet board requirements and includes
				  the following:
1. Submit a completed
				application;
2. Submit to a
				criminal history record check according to chapter 54-07-02.1;
3. Pay the nonrefundable registry fee and
				thirty dollar reactivation fee; and
4. Submit documentation of competency or
				evidence of current certification or registration by board-recognized national
				bodies acceptable to the board.
General Authority:
NDCC 12-60-24(2)(o),
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-10(2)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-07 - Unlicensed Assistive Person › Chapter 54-07-02 - Unlicensed Assistive Person Registry › Section 54-07-02-03 - Limited registration

Current through Supplement No. 393, July, 2024
The board may initiate the issuance of a limited registration
				  when good cause exists to do so.
General Authority:
NDCC
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-08(2)(h)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-07 - Unlicensed Assistive Person › Chapter 54-07-02.1 - Criminal History Record Checks for Registration › Section 54-07-02.1-01 - Criminal history record checks

Current through Supplement No. 393, July, 2024
Individuals must submit a set of fingerprints to the board or
				  its agent for the purpose of obtaining a state and federal criminal history
				  record check in the manner provided by North Dakota Century Code section
				  12-60-24 and as set forth by the
				  board. An authorization and release form must be signed by the applicant
				  authorizing the release of the criminal history record information to the
				  board. The fingerprint card, authorization and release form, and fee for the
				  criminal history record check must be submitted with the application.
1. The following individuals for registration
				must submit to a criminal history record check:
a. Applicants for initial unlicensed
				assistive person registration.
b.
				Applicants for reactivation or reinstatement of unlicensed assistive person or
				medication assistant III registration.
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-07 - Unlicensed Assistive Person › Chapter 54-07-03.1 - Role of the Unlicensed Assistive Person and Technician › Section 54-07-03.1-01 - Minimum competence requirements for unlicensed assistive persons

Current through Supplement No. 393, July, 2024
Unlicensed assistive person competence means having the
				  required knowledge, skills, and ability to perform delegated nursing
				  interventions safely, accurately, and according to standard procedures. The
				  unlicensed assistive person shall meet the criteria or requirements for their
				  specific roles.
General Authority:
NDCC
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-08(1)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-07 - Unlicensed Assistive Person › Chapter 54-07-03.1 - Role of the Unlicensed Assistive Person and Technician › Section 54-07-03.1-03 - Licensed nurse delegation to unlicensed assistive persons

Current through Supplement No. 393, July, 2024
A licensed nurse may delegate a nursing intervention to an
				  unlicensed assistive person only if all the conditions for delegation set forth
				  in chapters 54-05-01, 54-05-02, and 54-05-03.1 and this article are
				  met.
General Authority:
NDCC
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-08(1)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-07 - Unlicensed Assistive Person › Chapter 54-07-03.1 - Role of the Unlicensed Assistive Person and Technician › Section 54-07-03.1-03.1 - Licensed nurse interventions that may not be delegated

Current through Supplement No. 393, July, 2024
Interventions that require nursing knowledge, skill, and
				  judgment may not be delegated by the licensed nurse to an unlicensed assistive
				  person. These interventions include, but are not limited to:
1. Physical, psychological, and social
				assessment which requires professional nursing judgment, intervention,
				referral, orfollowup.
2.
				Development of nursing diagnosis and care goals.
3. Formulation of the plan of nursing
				care.
4. Evaluation of the
				effectiveness of the nursing care provided.
5. Teaching except for that related to
				promoting independence in activities of daily living.
6. Counseling, except that the unlicensed
				assistive person may be instructed to recognize and report basic deviations
				from healthy behavior and communication patterns, and may provide listening,
				empathy, and support.
7.
				Coordination and management of care, including collaborating, consulting, and
				referring.
8. Triage.
9. Medication administration may not be
				delegated unless the unlicensed assistive person has met the requirements of
				chapters 54-07-02 and 54-07-05 or has met the requirements of section
				54-07-01-03. The exception is when
				a licensed nurse specifically delegates to a specific unlicensed assistive
				person the administration of a specific medication for a specific client
				according to 54-07-08.
10.
				Receiving or transmitting verbal or telephone orders.
General Authority:
NDCC
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-08(1)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-07 - Unlicensed Assistive Person › Chapter 54-07-03.1 - Role of the Unlicensed Assistive Person and Technician › Section 54-07-03.1-04 - Unlicensed assistive person's contribution to the nursing process [Repealed]

Current through Supplement No. 393, July, 2024
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-07 - Unlicensed Assistive Person › Chapter 54-07-03.1 - Role of the Unlicensed Assistive Person and Technician › Section 54-07-03.1-05 - Requirements for unlicensed assistive person and technician

Current through Supplement No. 393, July, 2024
The unlicensed assistive person and technician shall meet the
				  following requirements:
1. Competently
				performs nursing interventions and functions as delegated by the nurse and as
				authorized by the board.
2.
				Demonstrates honesty and integrity.
3. Performs nursing interventions based on
				education, training, and the direction of the supervising nurse.
4. Accepts accountability for one's behavior
				and actions while assisting the nurse and providing services to
				clients.
5. Assists in observing
				clients and identifying client needs.
6. Communicates progress toward completing
				delegated nursing interventions, as well as any problems or changes in a
				client's status.
7. Seeks
				clarification if unsure of expectations.
8. Uses educational and training
				opportunities as available.
9.
				Takes preventive measures to protect clients, others, and self.
10. Respects client's rights, concerns,
				decisions, and dignity.
11.
				Functions as a member of the health care team, contributing to the
				implementation of an integrated health care plan.
12. Respects patient property and the
				property of others.
13. Protects
				confidential information unless obligated by law to disclose the
				information.
General Authority:
NDCC
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-08(1)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-07 - Unlicensed Assistive Person › Chapter 54-07-05 - Medication Administration by a Medication Assistant III › Section 54-07-05-01 - Statement of intent

Current through Supplement No. 393, July, 2024
North Dakota Century Code chapter 43-12.1 allows the licensed
				  nurse to delegate and supervise nursing interventions to individuals authorized
				  by the board to perform those functions. Medication administration is a nursing
				  intervention. Medication administration is the responsibility of licensed
				  nurses and requires the knowledge, skills, and abilities of the licensed nurse
				  to ensure public safety and accountability. The medication assistant III may
				  perform the intervention of administering medications to the client in an
				  ambulatory health care setting. The licensed nurse must be available to monitor
				  the client's progress and effectiveness of the prescribed medication regimen.
				  Delegation of medication administration for individuals with unstable or
				  changing nursing care needs is specifically precluded by these
				  rules.
General Authority:
NDCC
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-08(1)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-07 - Unlicensed Assistive Person › Chapter 54-07-05 - Medication Administration by a Medication Assistant III › Section 54-07-05-03 - Medication management regimen

Current through Supplement No. 393, July, 2024
When the licensed nurse is responsible for the management of
				  the medication regimen, then any delegation must conform to the provisions of
				  this chapter.
General Authority:
NDCC
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-08(1)
North Dakota Administrative Code › Title 54 - Board of Nursing › Article 54-07 - Unlicensed Assistive Person › Chapter 54-07-05 - Medication Administration by a Medication Assistant III › Section 54-07-05-04 - Requirements for supervision

Current through Supplement No. 393, July, 2024
A licensed nurse who delegates medication administration to a
				  medication assistant III must provide supervision as follows:
1. In a licensed nursing facility or acute
				care setting, the licensed nurse must be on the unit and available for
				immediate direction.
2. In an
				ambulatory health care setting where the licensed nurse delegates the
				intervention of giving medications to another individual, the licensed nurse
				must be available for direction.
3.
				In any other setting where the licensed nurse delegates the intervention of
				giving medications to another individual, the licensed nurse must follow
				facility policy for providing the supervision in order to provide the recipient
				of the medication appropriate safeguards.
General Authority:
NDCC
					 43-12.1-08
Law Implemented:
NDCC
					 43-12.1-08(1)