reglab/statecodes huggingface dataset:
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 47 - STANDARDS FOR REGISTERED NURSE DELEGATION PROCESS › Section 851-047-0060 - Delegation Process - Rescinding a UAP's Authorization to Perform a Nursing Procedure on a Client

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The RN is
			 responsible for rescinding their authorization of the UAP's performance of a
			 nursing procedure for their client in any of the following situations:
(a) The client's response to their condition
			 for which the nursing procedure is ordered becomes unstable or
			 unpredictable;
(b) The UAP
			 demonstrates the inability to adhere to the written instructions for
			 performance of the nursing procedure for the client;
(c) The nursing procedure cannot be performed
			 by the UAP at a frequency that allows for its continued safe
			 performance;
(d) The nursing
			 procedure is discontinued;
(e) The
			 UAP no longer works with the client;
(f) The client's environment of care is not
			 safe for performance of the nursing procedure by a UAP;
(g) The RN is no longer able to provide
			 ongoing evaluation of the safety of the delegation; or
(h) The RN ends their therapeutic
			 relationship with the client.
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 47 - STANDARDS FOR REGISTERED NURSE DELEGATION PROCESS › Section 851-047-0065 - Rescinding the delegation for a client and UAP

Current through Register Vol. 63, No. 7, July 1, 2024
(1) For the delegation of the procedure
			 performed for the client by a UAP (s) to no longer be considered under the
			 accountability of the RN's license, the delegation must be rescinded. The act
			 of transferring the delegation to another RN still requires the rescinding RN
			 to formally end their nursing relationship with the Client and the UAP(s). A
			 synchronous hand off must be done between the RN rescinding the delegation and
			 the RN accepting the delegation, except in the following circumstances:
(a) The current RN has resigned their
			 position with their employer and there is no other RN within the organization
			 qualified to accept the delegation, this would include regional and other RNs
			 within the organizational hierarchy.
(b) School nurses who have delegations at
			 multiple school sites and the care for the K-12 child is well established and
			 the UAP performing the procedure has shown continued competency in performing
			 the procedure.
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 47 - STANDARDS FOR REGISTERED NURSE DELEGATION PROCESS › Section 851-047-0070 - Requirements of a Synchronous Hand Off by the Accepting RN

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The RN may consider the acceptance of a
			 hand off of nursing services provision and delegation process responsibilities
			 for a client and a UAP from another RN under the following conditions:
(a) The responsibilities of the hand off are
			 within the RN's individual scope of practice;
(b) The hand off occurs synchronously from
			 the RN who currently provides nursing services for the client and has currently
			 authorized the UAP to perform the client's procedure;
(c) The RN synchronously meets, and generates
			 a record of meeting, with the RN making the hand off to receive a transfer of
			 knowledge about the client and their situation.
(d) The RN determines, based on the analysis
			 of evidence and data, that the client's situation meets all the following
			 outcomes:
(A) The client's response to the
			 condition for which the procedure is ordered is stable and
			 predictable;
(B) The client does
			 not require assessment related to the procedure's performance;
(C) The performance of the procedure does not
			 require interpretation or independent decision-making;
(D) The results of performing the procedure
			 are reasonably predictable;
(E) The
			 selected client and circumstances of the delegation are such that the
			 consequences of performing the procedure are not life- threatening, and
			 delegation of the procedure's performance to the UAP poses minimal risk to the
			 client;
(F) The client's
			 environment of care supports the safe performance of the procedure by the
			 UAP;
(G) The procedure will be
			 performed by the UAP at a frequency that would allow for the procedure's
			 continued safe performance; and
(H)
			 The UAP's documentation of their performance of the procedure demonstrates
			 adherence to the written instructions.
(I) The RN has the appropriate resources
			 necessary to fulfill nursing practice and delegation process responsibilities
			 with the client and the UAP including:
(i)
			 Availability to provide ongoing assessment of the client at the frequency
			 deemed necessary by the RN to determine the ongoing stability and
			 predictability of the client's responses to their condition; and
(ii) Availability to provide ongoing
			 competency validation of the authorized UAP's performance of the procedure for
			 the client.
(e)
			 The teaching content on the client's condition and performance of the procedure
			 meets the requirements of these rules;
(f) The written instructions for the UAP's
			 performance of the procedure for the client meet the requirements of these
			 rules;
(g) The RN provides a
			 one-on-one experience with the UAP and the client that includes:
(A) Address questions the UAP and client may
			 have;
(B) Amendment of the written
			 instructions as deemed appropriate by the RN; and
(C) Direct observation of the UAP in their
			 performance of the procedure on the client.
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 48 - STANDARDS FOR THE REGISTERED NURSE WHO TEACHES A DESIGNATED CAREGIVER HOW TO EXECUTE A MEDICAL ORDER › Section 851-048-0010 - Statement of Purpose and Intent

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Board recognizes that there are
			 situations where an immediate family member, such as a father, mother,
			 grandfather, grandmother, husband, wife, son, daughter, sister, brother, other
			 person related by blood, by marriage, by domestic partnership, or through legal
			 adoption may not be available to execute medical orders for another family
			 member.
(2) In such a situation,
			 the Board believes that friend or neighbor who is chosen by the person
			 requiring care will act in the best interest of that person in the execution of
			 the medical order on their behalf.
(3) These rules provide scope of practice
			 standards for the registered nurse (RN) who teaches the person designated by,
			 or on behalf of, the person requiring care, how to execute the medical
			 order.
(4) These rules apply to the
			 Oregon RN license holder which includes the nurse practitioner, the clinical
			 nurse specialist, and the certified registered nurse anesthetist.
(5) These rules further interpret ORS
			 678.010(8)(c)
			 definition of practice of nursing which states that the practice of nursing
			 does not include the execution of medical orders by a person designated by, or
			 on behalf of a person requiring care, if the person executing the order is not
			 licensed under ORS 678.010 to
			 678.410.
Statutory/Other Authority: HB 2779, 1997 & ORS
				  678.150
Statutes/Other Implemented: ORS
				  678.010
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 48 - STANDARDS FOR THE REGISTERED NURSE WHO TEACHES A DESIGNATED CAREGIVER HOW TO EXECUTE A MEDICAL ORDER › Section 851-048-0020

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  678.150 & HB 2779, 1997
Stats. Implemented: ORS
				  678.010
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 48 - STANDARDS FOR THE REGISTERED NURSE WHO TEACHES A DESIGNATED CAREGIVER HOW TO EXECUTE A MEDICAL ORDER › Section 851-048-0030

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  678.150 & HB 2779, 1997
Stats. Implemented: ORS
				  678.010
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 48 - STANDARDS FOR THE REGISTERED NURSE WHO TEACHES A DESIGNATED CAREGIVER HOW TO EXECUTE A MEDICAL ORDER › Section 851-048-0040

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  678.150 & HB 2779, 1997
Stats. Implemented: ORS
				  678.010
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 48 - STANDARDS FOR THE REGISTERED NURSE WHO TEACHES A DESIGNATED CAREGIVER HOW TO EXECUTE A MEDICAL ORDER › Section 851-048-0050

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  678.150 & HB 2779, 1997
Stats. Implemented: ORS
				  678.010
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 48 - STANDARDS FOR THE REGISTERED NURSE WHO TEACHES A DESIGNATED CAREGIVER HOW TO EXECUTE A MEDICAL ORDER › Section 851-048-0060 - Responsibilities of the Registered Nurse

Current through Register Vol. 63, No. 7, July 1, 2024
The RN who teaches the designated caregiver how to execute a
				medical order shall:
(1) Adhere to
			 Chapter 851 Division 45 Oregon administrative rules.
(2) Ensure competency in one's own execution
			 of the medical order prior to teaching its performance to the designated
			 caregiver.
(3) Verify that:
(a) The person for whom the order is written
			 has directly chosen their designated caregiver; or
(b) When designation of a person to execute a
			 medical order has been made by a third party on behalf of the person requiring
			 the order, determine that the third party holds the legal authority to make the
			 designation.
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 49 - STANDARDS FOR LICENSED NURSE PROTOCOL DEVELOPMENT AND UTILIZATION, COMMUNICATING A PRESCRIBER'S RE-AUTHORIZATION OF A PRESCRIPTION AND RN DISPENSING › Section 851-049-0000 - Rule Summary, Statement of Purpose and Intent

Current through Register Vol. 63, No. 7, July 1, 2024
(1) ORS
			 678.150 establishes the Board's
			 authority to supervise the practice of nursing and to determine the scope of
			 nursing practice. Pursuant ORS
			 678.010(8)(b)(A),
			 the practice of nursing includes executing medical orders prescribed by a
			 physician, dentist, clinical nurse specialist, nurse practitioner, certified
			 registered nurse anesthetist or other health care provider licensed or
			 certified by this state and authorized by the board by rule to issue orders for
			 medical treatment.
(2) When
			 engaging in registered nursing practice, the RN may encounter a medical order
			 for a treatment or a medication that contains inclusion or exclusion criteria
			 that has been pre-identified by the prescriber. As defined by chapter 851
			 division 006, a medical order for a treatment or a medication that contains
			 inclusion or exclusion criteria pre-identified by the prescriber is a
			 protocol.
(3) These rules identify
			 acceptable levels of safe nursing practice for:
(a) The RN who practices in an environment
			 where a protocol is used in the execution of a medical order for a
			 client;
(b) The LPN who accepts an
			 assignment to execute a medical order contained within a protocol;
(c) The RN and the LPN who communicate a
			 prescriber's reauthorization of a client's prescription to a pharmacy;
			 and
(d) The RN who dispenses
			 medication in a setting certified by the Board of Pharmacy as a Community
			 Health Clinic.
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 49 - STANDARDS FOR LICENSED NURSE PROTOCOL DEVELOPMENT AND UTILIZATION, COMMUNICATING A PRESCRIBER'S RE-AUTHORIZATION OF A PRESCRIPTION AND RN DISPENSING › Section 851-049-0005 - Scope of Practice Standards for RN Participation in Protocol Development

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The RN who
			 holds a nurse administrator practice position within an organization shall
			 participate in the development of any protocol that describes the
			 decision-making and actions of the RN. The RN shall ensure that the protocol:
(a) Is developed considering input from
			 nurses practicing within the organization;
(b) Is based on nationally recognized
			 evidence-based guidelines and recommendations;
(c) Includes client inclusion or exclusion
			 criteria in the protocol;
(d)
			 Identifies alternative actions or exceptions that allow for individual client
			 circumstances as assessed and interpreted by the RN; and
(e) Identifies a pathway for the RN to notify
			 the prescriber when the RN's assessment and interpretation of evidence and data
			 leads to the clinical decision that the client does not meet protocol
			 inclusion; and
(f) Does not impede
			 the individual nurse from fulfilling nursing practice responsibilities
			 identified in the Nurse Practice Act.
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 49 - STANDARDS FOR LICENSED NURSE PROTOCOL DEVELOPMENT AND UTILIZATION, COMMUNICATING A PRESCRIBER'S RE-AUTHORIZATION OF A PRESCRIPTION AND RN DISPENSING › Section 851-049-0010 - Scope of Practice Standards for RN Protocol Utilization

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The RN shall
			 make an independent clinical judgment to utilize or to not utilize a protocol
			 for a client based on the analysis of data and evidence relevant to:
(a) The prescriber's plan for the
			 client;
(b) The medical order
			 contained within the protocol:
(c)
			 The client's response to their health situation; and
(d) The protocol pre-identified
			 criteria;
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 49 - STANDARDS FOR LICENSED NURSE PROTOCOL DEVELOPMENT AND UTILIZATION, COMMUNICATING A PRESCRIBER'S RE-AUTHORIZATION OF A PRESCRIPTION AND RN DISPENSING › Section 851-049-0015 - Scope of Practice Standards for LPN Protocol Utilization

Current through Register Vol. 63, No. 7, July 1, 2024
(1) An LPN
			 practicing under the clinical direction of an RN or LIP may execute a medical
			 order contained within a protocol if:
(a) The
			 LPN has been assigned execution of the medical order within a protocol by and
			 RN or LIP;
(b) The LPN verifies
			 that the RN or LIP making the assignment has determined that the client meets
			 the protocol inclusion criteria; and
(c) The LPN adheres to the scope and
			 standards of practice identified in chapter 851, division 45, including, but
			 not limited to, OAR 851-045-0040(5)(c) and
			 (f).
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 49 - STANDARDS FOR LICENSED NURSE PROTOCOL DEVELOPMENT AND UTILIZATION, COMMUNICATING A PRESCRIBER'S RE-AUTHORIZATION OF A PRESCRIPTION AND RN DISPENSING › Section 851-049-0020 - Scope of Practice Standards Related to Communicating a Re-authorization of a Client's Prescription

Current through Register Vol. 63, No. 7, July 1, 2024
(1) As
			 identified in Oregon Board of Pharmacy in OAR 855-041, after one year from date
			 of issue, a prescription for a non-controlled substance becomes invalid and
			 must be re-authorized by the prescriber.
(2) Prior to an RN or an LPN communicating a
			 prescriber's re-authorization of a client's prescription, the nurse must
			 confirm that:
(a) The prescriber has
			 authorized the continuing of the medication for the client through a new
			 prescription order; or
(b) The
			 prescriber's plan of care or treatment plan for the client:
(A) Identifies the client's ongoing
			 medication needs;
(B) Authorizes
			 ongoing renewal of the prescription for the client; and
(C) Identifies exceptions to prescription
			 reauthorization for the client.
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 49 - STANDARDS FOR LICENSED NURSE PROTOCOL DEVELOPMENT AND UTILIZATION, COMMUNICATING A PRESCRIBER'S RE-AUTHORIZATION OF A PRESCRIPTION AND RN DISPENSING › Section 851-049-0025 - Standards Related to the Responsibility of the RN Dispensing

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The rule that
			 designates the RN's ability to dispense a medication is found in Board of
			 Pharmacy OAR chapter 855, division 043 practitioner dispensing rules.
(2) The RN who dispenses shall comply with
			 OAR 855-043-0700 through OAR
			 855-043-0750.
Statutory/Other Authority: ORS
				  678.150
Statutes/Other Implemented: ORS
				  678.150 & ORS
				  678.010
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 50 - NURSE PRACTITIONERS (REPEALED) › Section 851-050-0001

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  678.380 &
				  678.150
Statutes/Other Implemented: ORS
				  678.380 &
				  678.150
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 50 - NURSE PRACTITIONERS (REPEALED) › Section 851-050-0002

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  678.375,
				  678.380 &
				  678.390
Statutes/Other Implemented: ORS
				  678.380 &
				  390
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 50 - NURSE PRACTITIONERS (REPEALED) › Section 851-050-0004

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  678.375, ORS
				  678.380 & ORS
				  678.390
Statutes/Other Implemented: ORS
				  678.380 & ORS
				  390
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 50 - NURSE PRACTITIONERS (REPEALED) › Section 851-050-0035

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  678.150, ORS
				  678.390, ORS
				  678.440
Statutes/Other Implemented: ORS
				  678.150, ORS
				  678.390, ORS
				  678.440
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 51 - STANDARDS FOR APPROVAL OF EDUCATION PROGRAMS PREPARING NURSES FOR ADVANCED PRACTICE › Section 851-051-0020 - Oregon-based Educational Programs Requirements for Board Approval

Current through Register Vol. 63, No. 7, July 1, 2024
The Board's curriculum and faculty standards for all
				Oregon-based advanced practice registered nurse (APRN) programs are as
				follows:
(1) Educational programs
			 preparing APRNs must be nationally accredited by a nursing program accrediting
			 body approved by the United States Department of Education (USDE). For the
			 purpose of licensure, students who graduate from a program which was accredited
			 at the time of their completion must be considered to have graduated from an
			 accredited program regardless of the current program status. The Board retains
			 the authority to access and review all accreditation documents and the option
			 to participate simultaneously in the accrediting survey.
(2) The curriculum content must contain
			 theory and clinical experience in the APRN role and population focus specified
			 in OAR 851-055-0020 preparing graduates
			 to meet all competencies within the scope including graduate level courses
			 encompassing concepts in:
(a) Advanced health
			 assessment which includes assessment of all human systems, advanced assessment
			 techniques, concepts and approaches;
(b) Advanced physiology and pathophysiology,
			 including general principles that apply across the lifespan;
(c) Advanced pharmacology, which includes
			 pharmacodynamics, pharmacokinetics and pharmacotherapeutics of all broad
			 categories of agents;
(d) Health
			 promotion, health maintenance, differential diagnosis and management of
			 diseases across all practice settings appropriate to program focus;
			 and
(e) Basic understanding of the
			 principles of independent decision making in the identified
			 role.
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 51 - STANDARDS FOR APPROVAL OF EDUCATION PROGRAMS PREPARING NURSES FOR ADVANCED PRACTICE › Section 851-051-0030 - Approval of a New Oregon Based APRN Educational Program

Current through Register Vol. 63, No. 7, July 1, 2024
Any university or college wishing to establish an APRN
				education program that prepares students for APRN licensure must submit a
				letter of intent and application to the Board at least one year before proposed
				enrollment of students.
(1) The
			 following information must be included with the initial letter of intent along
			 with supporting documentation:
(a) Purpose for
			 establishing the nursing education program;
(b) State needs and studies made as the basis
			 for establishing a nursing education program;
(c) Type of program including clear
			 identification of proposed licensure role, degree awarded and population foci
			 for graduates;
(d) Accreditation
			 status, relationship of educational program to parent institution;
(e) Financial provision for the educational
			 program;
(f) Potential student
			 enrollment;
(g) Provision for
			 qualified faculty;
(h) Proposed
			 program physical facilities;
(i)
			 Proposed time schedule for initiating the program. If initial approval is
			 denied, the applicant may request a hearing before the Board and the provisions
			 of the Administrative Procedures Act must apply.
(j) Exit level for an APRN program must be a
			 Board-approved clinical nursing doctorate for:
(A) CNS programs: by January 1,
			 2031
(B) NP programs: by January 1,
			 2025
(C) CRNA programs: by January
			 1, 2025
(k) The Board,
			 after timely review and consideration of the information contained in the
			 letter of intent and any supplementary information, must either grant or deny
			 permission to begin development of a program, including rationale for the
			 decision in the notification to the program.
(l) The Board must provide notice to the
			 nurse administrator and academic administrator of all existing Oregon APRN
			 programs within 30 days of development approval. The existing programs must
			 submit information to the Board regarding the impact of the proposed program to
			 their programs within 30 days of receipt of Board notification.
(m) If the Board denies permission to begin
			 development of the program, the program may submit a revised letter of intent
			 and application no earlier than six months from previous submission.
(n) If the Board denies program development
			 based upon the revised documents, a hearing may be requested, and the
			 provisions of the Administrative Procedures Act apply.
(o) If the program receives initial approval
			 and is authorized to begin the developmental plan, the plan must be submitted
			 within 12 months of the approval date or the initial plan approval will expire.
			 At that point, the program must restart the process beginning with submitting
			 the letter of intent.
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 51 - STANDARDS FOR APPROVAL OF EDUCATION PROGRAMS PREPARING NURSES FOR ADVANCED PRACTICE › Section 851-051-0040 - Continuing Accreditation Requirements and Board Notification Process for Oregon-based APRN Programs

Current through Register Vol. 63, No. 7, July 1, 2024
Institutions accredited by national nursing education
				accrediting agencies, preparing APRNs for licensure under these rules and
				requirements, must submit to the Board:
(1) The institution's most recent
			 self-evaluation report;
(2) Any
			 report of non-compliance with accreditation standards;
(3) Current and interim accreditation and
			 survey reports from the institutional national nursing accrediting
			 agency.
(4) Documents must be
			 submitted to the Board within 30 days of completion or receipt of report from
			 the accrediting agencies and, in the case of non-compliance, the program must
			 report this to the Board within five business days.
Statutory/Other Authority: ORS
				  678.150, ORS
				  678.285, ORS
				  678.372 & ORS
				  678.380
Statutes/Other Implemented: ORS
				  678.150, ORS
				  678.285, ORS
				  678.372 & ORS
				  678.380
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 51 - STANDARDS FOR APPROVAL OF EDUCATION PROGRAMS PREPARING NURSES FOR ADVANCED PRACTICE › Section 851-051-0050 - Approval Periods, Reports, and Special Conditions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Initial full program approval must be for
			 a period of three years with subsequent approvals aligning with the frequency
			 of national program accrediting surveys. Continued approval must be based on
			 any accrediting body reports and site survey visits by Board staff. At the
			 discretion of the Board, the site survey may be adjusted to coincide with
			 program national accrediting survey.
(2) If, in the opinion of the Board, the
			 established standards for a new or existing program are not being met, notice
			 must be made to the program specifying deficiencies and the time frame within
			 which correction must occur.
(3) At
			 the discretion of the Board, the Board may perform an interim site survey to
			 address a specific issue or multiple issues reported to the Board by the
			 program or by complaint. Reasonable notification of site survey must be
			 provided to the program.
(4) The
			 program must cause a report to be submitted to the Board representative for
			 approval at least six months prior to any of the following program changes:
(a) Major curriculum change:
(A) Deletion, addition, and merging of APRN
			 education tracks.
(B) Revision of
			 the length of the program.
(C)
			 Revision of the objectives of the program.
(D) Any revision of the curriculum of a
			 program that affects the ability of the program to comply with the requirements
			 of the curriculum as established in OAR
			 851-051-0020.
(E) A revision of the type or amount of
			 clinical experience approved for the program such as replacing more than 20% of
			 direct patient care hours with simulation.
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 51 - STANDARDS FOR APPROVAL OF EDUCATION PROGRAMS PREPARING NURSES FOR ADVANCED PRACTICE › Section 851-051-0060

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  678.150, ORS
				  678.285, ORS
				  678.372 & ORS
				  678.380
Statutes/Other Implemented: ORS
				  678.150, ORS
				  678.285, ORS
				  678.372 & ORS
				  678.380
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 52 - CERTIFIED REGISTERED NURSE ANESTHETISTS (REPEALED) › Section 851-052-0010

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  678.285
Stats. Implemented: ORS
				  678.255,
				  678.265,
				  678.275 &
				  678.285
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 52 - CERTIFIED REGISTERED NURSE ANESTHETISTS (REPEALED) › Section 851-052-0035

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  678.390, ORS
				  678.440, ORS
				  678.150
Statutes/Other Implemented: ORS
				  678.390, ORS
				  678.440, ORS
				  678.150
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 52 - CERTIFIED REGISTERED NURSE ANESTHETISTS (REPEALED) › Section 851-052-0100

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  678.111 &
				  678.150
Stats. Implemented: ORS
				  678.111
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 53 - STANDARDS FOR LICENSURE AS AN ADVANCED PRACTICE REGISTERED NURSE › Section 851-053-0010 - Prescriptive Privilege and Dispensing Authority for APRNs

Current through Register Vol. 63, No. 7, July 1, 2024
(1) If applying for initial optional
			 prescriptive privilege (PP), the applicant must show:
(a) Completion of initial education program
			 within two years prior to the application date providing at least 45 contact
			 hours of advanced pharmacology concepts; or
(b) Evidence of completion of a 45-hour
			 discrete pharmacology course congruent with the licensure being sought and
			 population foci; or
(c) Current
			 prescriptive privilege in another state or U.S. jurisdiction, including a U.S.
			 federal institution or facility.
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 53 - STANDARDS FOR LICENSURE AS AN ADVANCED PRACTICE REGISTERED NURSE › Section 851-053-0015 - License Renewal

Current through Register Vol. 63, No. 7, July 1, 2024
An APRN may submit a completed application as defined in
				OAR-006-0030(17) to renew their license to practice if:
(1) APRN practice hours count towards RN
			 license renewal, however, practice hours at the RN level cannot be used towards
			 APRN renewal. RN and APRN license renewals may be submitted simultaneously. All
			 completed applications must be timely in accordance with ORS
			 678.101; an Oregon unencumbered
			 RN license must be active in order to renew APRN licensure; and
(2) The APRN meets one of the following
			 qualifications:
(a) Practiced 400 hours at the
			 APRN level in the two years preceding the submission of a completed renewal
			 application; or
(b) Is within two
			 years of graduation of initial APRN education program; or
(c) Is within two years of completion of a
			 Board approved re-entry program; or
(d) If the APRN applicant cannot attest to
			 the above renewal criteria, they must apply for reactivation by
			 re-entry.
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 53 - STANDARDS FOR LICENSURE AS AN ADVANCED PRACTICE REGISTERED NURSE › Section 851-053-0020 - License Reactivation

Current through Register Vol. 63, No. 7, July 1, 2024
(1) An APRN
			 whose license has expired more than 30 days from the timeframe outlined in ORS
			 678.101 are subject to the
			 reactivation process. An APRN must have an active unencumbered RN license prior
			 to their APRN license being reactivated. An applicant must:
(a) Submit a completed application as defined
			 in OAR 851-006-0030(17)
			 for APRN re-activation;
(b) Submit
			 a fingerprint-based national criminal background check as described in OAR
			 851-001-0115;
(c) Verify their practice meets the criteria
			 of at least 400 hours within the two years from the date of application
			 submission;
(d) Has maintained
			 active national certification:
(A) For NPs
			 and CRNAs, active national certification in each area of advanced practice
			 congruent with license type and population foci per OAR 851-053- 0005(1)(g) is
			 required for licensure.
(B) For
			 those NPs initially licensed in Oregon prior to January 1, 2011, national
			 certification is not required for renewal, instead the Board requires a minimum
			 of 45 hours of continuing education in the population foci.
(C) National certification is not required
			 for CNS licensure.
(e)
			 Meet any other licensing criteria as defined by the Board.
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 53 - STANDARDS FOR LICENSURE AS AN ADVANCED PRACTICE REGISTERED NURSE › Section 851-053-0025 - License Reinstatement

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Reinstatement is required for Board ordered revocation or stipulated agreement
			 for voluntary surrender of nursing licensure.
(2) Reinstatement of an APRN license requires
			 prior reinstatement of the RN license if it was also subject to a Board ordered
			 revocation or a stipulated agreement for voluntary surrender per OAR
			 851-031-0055.
(3) An applicant for reinstatement of an APRN
			 license must:
(a) Apply for reinstatement
			 eligibility based upon Board order for revocation or signed stipulation for
			 voluntary surrender and per OAR
			 851-001-0015;
(b) Submit a completed application as defined
			 in OAR 851-006-0030(17)
			 for reinstatement no sooner than three years after initiation of the revocation
			 or voluntary surrender of the APRN license. Applications received prior to the
			 three-year anniversary date of the order or stipulation will not be accepted;
			 and
(c) Submit a fingerprint-based
			 national criminal background check as described in OAR
			 851-001-0115.
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 53 - STANDARDS FOR LICENSURE AS AN ADVANCED PRACTICE REGISTERED NURSE › Section 851-053-0030 - Re-Entry into Practice

Current through Register Vol. 63, No. 7, July 1, 2024
If an applicant cannot verify 400 hours of practice in the
				preceding two years at the level of licensure sought, in Oregon or in any other
				U.S. state, jurisdiction, or foreign country then an applicant must apply for
				re-entry into practice.
(1) The
			 applicant must submit the completed application as defined in OAR
			 851-006-0030(17).
(2) The applicant must hold an active,
			 unencumbered Oregon RN license. If applicable, the RN reentry process must be
			 completed prior to beginning the APRN re-entry process and must not be done
			 simultaneously. Re-entry into APRN practice is a self-defined Board approved
			 process wholly dependent on the applicant for implementation.
(3) APRN re-entry applicants will submit
			 evidence of:
(a) For CNSs without national
			 certification 100 hours of structured continuing education completed prior to
			 being awarded their APRN license. Continuing Education (CE) hours must include
			 an advanced pharmacology course meeting the criteria in OAR
			 851-053-0005(3).
			 Remaining hours of continuing education shall consist of physical assessment,
			 treatment modalities, patient management and laboratory/diagnostic studies with
			 content related to the licensure sought.
(b) For an NP and CRNA, active national
			 certification in each area of advanced practice congruent with license type and
			 population foci per OAR
			 851-053-0005(1)(g)
			 is required for licensure.
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 53 - STANDARDS FOR LICENSURE AS AN ADVANCED PRACTICE REGISTERED NURSE › Section 851-053-0035 - Criteria for Board Recognition of National Certification Exams and Certifications

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 Board or their approved staff delegate(s) must determine whether a national
			 certification examination may be used to fulfill the requirement for licensure
			 based on the following requirements:
(a) The
			 certifying program is accredited by the National Commission on Certifying
			 Agencies or the American Board of Nursing Specialties;
(b) The certifying program provides primary
			 source verification of individual practitioner certification through electronic
			 means or other methods approved by the Board.
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 54 - CLINICAL NURSE SPECIALISTS (REPEALED) › Section 851-054-0015

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  678.370,
				  678.372 &
				  678.150
Statutes/Other Implemented: ORS
				  678.370,
				  678.372 &
				  678.150
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 54 - CLINICAL NURSE SPECIALISTS (REPEALED) › Section 851-054-0021

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  678.370,
				  678.372 &
				  678.150
Stats. Implemented: ORS
				  678.370,
				  678.372 &
				  678.150
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 54 - CLINICAL NURSE SPECIALISTS (REPEALED) › Section 851-054-0030

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  678.050,
				  678.150,
				  678.370,
				  678.372
Stats. Implemented: ORS
				  678.050,
				  678.150,
				  678.370,
				  678.372
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 54 - CLINICAL NURSE SPECIALISTS (REPEALED) › Section 851-054-0035

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  678.050,
				  678.150,
				  678.370 &
				  678.372
Statutes/Other Implemented: ORS
				  678.050,
				  678.150,
				  678.370 &
				  678.372
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 54 - CLINICAL NURSE SPECIALISTS (REPEALED) › Section 851-054-0040

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  678.050,
				  678.370 &
				  678.372
Statutes/Other Implemented: ORS
				  678.050,
				  678.370 &
				  678.372
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 54 - CLINICAL NURSE SPECIALISTS (REPEALED) › Section 851-054-0050

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  678.101,
				  678.370 &
				  678.372
Statutes/Other Implemented: ORS
				  678.372
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 54 - CLINICAL NURSE SPECIALISTS (REPEALED) › Section 851-054-0057

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  678.150, ORS
				  678.390, ORS
				  678.440
Statutes/Other Implemented: ORS
				  678.150, ORS
				  678.390, ORS
				  678.440
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 54 - CLINICAL NURSE SPECIALISTS (REPEALED) › Section 851-054-0100

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  678.150
Statutes/Other Implemented: ORS
				  678.150,
				  678.370,
				  678.372,
				  678.385 &
				  678.390
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 55 - SCOPE AND STANDARDS OF PRACTICE FOR THE ADVANCED PRACTICE REGISTERED NURSE › Section 851-055-0000 - Purpose of Scope and Standards of Practice

Current through Register Vol. 63, No. 7, July 1, 2024
Purpose of these rules is to define the scope of practice for
				the group of advanced practice registered nurses collectively known as APRNs.
				The Board does not have legislative authority to issue licenses as an APRN,
				therefore the title of APRN cannot be used by licensees in lieu of their
				license as listed in subsection (1) of this rule. Licensees in Oregon must
				identify themselves to their clients and in all other aspects of their practice
				by their Oregon awarded license type.
(1) The Board recognizes and licenses the
			 APRN in one of the following roles:
(a) Nurse
			 Practitioner (NP), inclusive of NPs specializing in Certified
			 Nurse-Midwifery.
(b) Certified
			 Registered Nurse Anesthetist (CRNA).
(c) Clinical Nurse Specialist
			 (CNS).
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 55 - SCOPE AND STANDARDS OF PRACTICE FOR THE ADVANCED PRACTICE REGISTERED NURSE › Section 851-055-0010 - Scope and Standards of Practice for All Licensed Advanced Practice Registered Nurses

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The APRN
			 independently provides healthcare services within the scope of practice for
			 which the APRN is educationally prepared and clinically trained with competency
			 maintained in accordance with any other applicable rules, regulations, and
			 prevailing standards. All standards and scope of practice found in OAR 851-045
			 related to the practice of Registered Nursing are applicable to
			 APRNs.
(2) The APRN scope of
			 practice must be congruent with population foci of educational preparation and
			 content of the corresponding Board recognized national certification
			 examination.
(3) Within the context
			 of the APRN role, the APRN is responsible for utilizing the nursing process
			 which includes:
(a) Assessment;
(b) Reasoned Conclusion;
(c) Development of an appropriate treatment
			 plan;
(d) Intervention;
			 and
(e) Evaluation.
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 55 - SCOPE AND STANDARDS OF PRACTICE FOR THE ADVANCED PRACTICE REGISTERED NURSE › Section 851-055-0020 - Scope of Practice for Licensed Nurse Practitioners (NP)

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Purpose of
			 Scope of Practice:
(a) To establish
			 acceptable levels of safe practice for the nurse practitioner.
(b) To serve as a guide for the Board to
			 evaluate nurse practitioner practice.
(c) To distinguish the scope of practice of
			 the nurse practitioner from that of the registered nurse.
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 55 - SCOPE AND STANDARDS OF PRACTICE FOR THE ADVANCED PRACTICE REGISTERED NURSE › Section 851-055-0030 - Scope and Standards of Practice for Licensed Certified Registered Nurse Anesthetists

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Scope
			 of practice for the licensed certified registered nurse anesthetist (CRNA)
			 includes advanced assessment related to the relative risks associated with an
			 anesthesia plan and administration of anesthesia care and other medical
			 services, including, but not limited to:
(a)
			 Determining the readiness, preparation and evaluation for a client undergoing a
			 procedure;
(b) Formulating an
			 anesthesia plan for the client;
(c)
			 Establishing a client record;
(d)
			 Implementing and adjusting the client's anesthesia plan based on physiologic
			 status;
(e) Using advanced
			 monitoring or other diagnostic technology to support physiologic
			 status;
(f) Providing necessary or
			 routine post-anesthesia care to facilitate emergence, recovery and discharge
			 from anesthesia care area or facility; and
(g) Performing analgesia, sedative or
			 anesthetic management for a client requiring relief of acute or chronic
			 pain.
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 55 - SCOPE AND STANDARDS OF PRACTICE FOR THE ADVANCED PRACTICE REGISTERED NURSE › Section 851-055-0040 - Scope and Standards of Practice for Licensed Clinical Nurse Specialist

Current through Register Vol. 63, No. 7, July 1, 2024
(1) CNS practice is
			 consistently directed toward achieving quality, cost-effective, client focused
			 outcomes across three spheres of impact: direct care, nurses and nursing
			 practice, and organization and system.
(2) The CNS uses clinical expertise to:
(a) Enhance nursing practice to impact
			 outcomes for entire client populations and individual clients; or
(b) Assist the interprofessional team to
			 attain identified outcomes; or
(c)
			 Influence health care organizations to improve identified outcomes;
			 or
(d) Work as a system level
			 change agent to impact clinical practice and outcomes through evidenced based
			 intervention; or
(e) Provide direct
			 care as a licensed independent provider; or
(f) Impact direct care through nursing or
			 system interventions.
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 55 - SCOPE AND STANDARDS OF PRACTICE FOR THE ADVANCED PRACTICE REGISTERED NURSE › Section 851-055-0050 - Expanding Scope of Practice within OSBN Issued APRN License

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The role of the
			 APRN expands in response to societal demand and new knowledge gained through
			 research, educational preparation and clinical experience.
(2) The APRN must ensure practice is at the
			 same level of safety and competency as required by all other Oregon state
			 licensing boards whose licensees perform similar interventions and
			 procedures.
(3) Acceptable
			 educational preparation includes academic coursework, workshops and seminars
			 when theory and clinical experience are applicable.
(4) Evidence of the APRN's preparation for
			 expanded scope through educational preparation and clinical experience are
			 subject to review at the request of the Board. The Board has statutory
			 authority to determine competency of licensees.
(5) To expand outside of the initial
			 population foci, an APRN must seek additional education and qualify for
			 licensure in that population foci.
(6) The APRN must not advertise themselves to
			 the public as practicing within another population foci unless licensed by the
			 Board in that foci.
Statutory/Other Authority: ORS
				  678.150, ORS
				  678.255, ORS
				  678.265, ORS
				  678.275, ORS
				  678.278, ORS
				  678.282, ORS
				  678.285, ORS
				  678.370, ORS
				  678.375, ORS
				  678.380 & ORS
				  678.390
Statutes/Other Implemented: ORS
				  678.150, ORS
				  678.255, ORS
				  678.265, ORS
				  678.275, ORS
				  678.278, ORS
				  678.282, ORS
				  678.285, ORS
				  678.370, ORS
				  678.375, ORS
				  678.380 & ORS
				  678.390
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 55 - SCOPE AND STANDARDS OF PRACTICE FOR THE ADVANCED PRACTICE REGISTERED NURSE › Section 851-055-0060

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  678.150, ORS
				  678.255, ORS
				  678.265, ORS
				  678.275, ORS
				  678.278, ORS
				  678.282, ORS
				  678.370, ORS
				  678.375, ORS
				  678.380 & ORS
				  678.390
Statutes/Other Implemented: ORS
				  678.150, ORS
				  678.255, ORS
				  678.265, ORS
				  678.275, ORS
				  678.278, ORS
				  678.282, ORS
				  678.370, ORS
				  678.375, ORS
				  678.380 & ORS
				  678.390
Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 55 - SCOPE AND STANDARDS OF PRACTICE FOR THE ADVANCED PRACTICE REGISTERED NURSE › Section 851-055-0070 - Standards for Prescriptive Privilege

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Prescribing, procuring or authorizing use
			 of legend drugs, controlled substances, therapeutic devices, and other
			 measures, and dispensing drugs must be consistent with the individual's scope
			 of specialty practice and competency.
(2) All APRNs who provide pharmacological
			 management for clients must have prescriptive privilege.
(3) Prescriptions must be written per the
			 following standards:
(a) A written
			 prescription must include the date, printed name, legal signature, specialty
			 category/title, business address, and telephone number of the prescribing APRN,
			 in addition to the required client and drug information.
(b) An electronically transmitted
			 prescription as defined in OAR 855 of the Pharmacy Act must include the name
			 and immediate contact information of the prescriber and be electronically
			 encrypted or in some manner protected by up-to-date technology from
			 unauthorized access, alteration or use. Controlled substances have additional
			 restrictions as defined by the Drug Enforcement Administration (DEA) which must
			 be followed.
(c) A tamper resistant
			 prescription must meet criteria as defined in OAR 855 of the Pharmacy
			 Act.
(d) Prescriptions may be
			 written for over-the-counter drugs, durable medical equipment (DME) and
			 therapeutic devices.
(e) The APRN
			 must comply with all applicable laws and rules in prescribing, administering,
			 and distributing drugs, including compliance with the labeling requirements of
			 ORS 689.
(f) An APRN must only
			 prescribe controlled substances in conjunction with their own valid and current
			 (DEA) registration number appropriate to the classification level of the
			 controlled substance.