It provides a legal definition of what nurses can and cannot do, legally. Nursing practice management is a complex system based on a theoretical framework that provides support and direction, sets standards, identifies structure and processes in all practice settings and establishes processes for the evaluation, revision and updating of standards, policies and procedures. Rule 104. All nurses have a duty to understand their nurse practice act and regulations and to keep up with ongoing changes. Understanding Regulatory, Legal, and Credentialing Requirements. The nursing Scope of Practice is defined by the American Nurses Association (ANA) as, "the ‘who,' ‘what,' ‘where,' ‘when,' and ‘how' of nursing." With so many different professions in one giant field, it’s important to know the scope of each type of practice. RN Scope of Practice. Protecting and advancing scope of practice for nurses is a major initiative for ANA. It is your legal and professional responsibility to understand your legal scope of practice. In the fast-moving world of health care, it is vital that nurses are able to practice to the full extent of their education and abilities, in order to … If you’ve ever wondered about the different scopes of nursing practice and who is responsible for what, read on for some more information. State laws vary greatly and many states require NPs to practice in collaboration with or under the supervision of another health care professional. Nurse practitioners’ authority to treat patients is regulated through state scope of practice (SOP) acts, state medical and nursing board regulations, professional licensing and other laws. Comments/Notes: It is within the RN scope of practice to perform these ... and advanced practice nursing rules and regulations, or by visiting the NCSBN site ... She cited reforms in scope of practice laws in Colorado that encouraged solutions to long-time tensions over control of practice between organized medicine and nursing. (1) Only a registered nurse may delegate nursing acts, functions, or tasks. Chapter 21. Protecting and advancing scope of practice. Professional societies are the origin of many major laws that govern health professionals. This article from the Journal of Nursing Regulation provides an overview of state nurse practice acts and how they provide the framework for safe, competent nursing practice. 3-4.5 NURSING PRACTICE MANAGEMENT. The Registered Nurse, or RN, is required to follow the Scope of Practice as mandated by each state. Ignorance of the law is not an excuse for violating the practice act. The range of certification and licensure varies extensively, as do the duties they incur. New nurses need to be aware that physicians don’t necessarily understand nursing scope of practice, and some may issue orders that stretch the boundaries of practice past the comfort zone. A registered nurse who delegates nursing acts, functions, or tasks shall do all of the following: (a) Determine whether the act, function, or task delegated is within the registered nurse's scope of practice. The nursing plan for the patient’s care shall be discussed with and developed as a result of the coordination with the patient, the patient’s family, or other representatives, when appropriate, and staff of other disciplines involved in the care of the patient. However, the ability of NPs to provide care to the fullest extent of their education is moderated by state scope-of-practice (SOP) regulations. For example, a professional society may determine that doctors should meet certain educational standards, nurses should work within a prescribed scope of practice, or physician assistants should answer certain questions on a licensure exam. The Oregon Nurse Practice Act is comprised of Oregon Revised Statutes, Chapter 678.010-678.445 (laws) and Oregon …