4723-4-08 Standards for applying the nursing process as a licensed practical nurse.

(A) The licensed practical nurse shall contribute to the nursing process in the practice of nursing as set forth in division (F) of section 4723.01 of the Revised Code and in the rules of the board. The steps of the nursing process are cyclical in nature so that the nurse's actions are directed by the client's changing status throughout the process. The nurse may collaborate with the client, family, significant others, and other members of the health care team in applying the steps of the nursing process. The following standards shall be used by a licensed practical nurse in utilization of the nursing process:

(1) Assessment:

The licensed practical nurse shall contribute to the nursing assessment of the client. The licensed practical nurse shall, in an accurate and timely manner:

(a) Collect and document objective and subjective data related to the client's health status; and

(b) Report objective and subjective data to other members of the health care team;

(2) Planning:

The licensed practical nurse shall, in an accurate and timely manner:

(a) Contribute to the development, maintenance, or modification of the nursing component of the care plan;

(b) Communicate the nursing component of the care plan and all modifications of the plan to members of the health care team.

(3) Implementation:

The licensed practical nurse shall, in an accurate and timely manner, implement the nursing plan of care, which may include:

(a) Administering medications and treatments prescribed by an individual who is authorized to practice in this state and is acting within the course of the individual's professional practice;

(b) Providing direct basic nursing care at the direction of:

(i) A registered nurse;

(ii) A licensed physician, dentist, optometrist, chiropractor, or podiatrist; or

(iii) A certified nurse-midwife, certified nurse practitioner, certified registered nurse anesthetist, or clinical nurse specialist;

(c) Assisting with care of the client at the direction of:

(i) A registered nurse;

(ii) A licensed physician, dentist, optometrist, chiropractor, or podiatrist; or

(iii) A certified nurse-midwife, certified nurse practitioner, certified registered nurse anesthetist, or clinical nurse specialist;

(d) Collaborating with other nurses and other members of the health care team; and

(e) Delegating nursing tasks, including medication administration, only in accordance with Chapter 4723-13, 4723-23, 4723-26, or 4723-27 of the Administrative Code; and

(4) Evaluation:

The licensed practical nurse shall, in an accurate and timely manner:

(a) Contribute to the evaluation of the client's response to nursing interventions;

(b) Document the client's responses to nursing interventions;

(c) Communicate the client's responses to nursing interventions to members of the health care team; and

(d) Contribute to the revision of the nursing component of the client's plan of care on the basis of the evaluation.

Effective: 02/01/2009
R.C. 119.032 review dates: 10/16/2008 and 10/01/2013
Promulgated Under: 119.03
Statutory Authority: 4723.07
Rule Amplifies: 4723.01, 4723.28(B)(19)
Prior Effective Dates: 12/1/1995, 4/1/1997, 4/1/1999, 2/1/2000, 2/1/2002, 2/1/2003, 2/1/2004