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 nursing process is cyclical in nature so that the nurse's actions respond to the patient's changing status throughout the process. The licensed practical nurse is directed in providing nursing care by the established nursing plan. The following standards shall be used by a licensed practical nurse in utilization of the nursing process:

(1) Contribution to assessment of patient health status:

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

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

(b) Report objective and subjective data to the directing registered nurse or health care provider, and 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 plan of care and all authorized 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) Providing nursing interventions;

(b) Collecting and reporting patient data as directed;

(c) 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;

(d) Providing basic nursing care as directed by a registered nurse, advanced practice registered nurse, or licensed physician, dentist, optometrist, chiropractor or podiatrist;

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

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

(4) Contributing to evaluation:

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

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

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

(c) Communicate the patient's responses to nursing interventions to the directing registered nurse or health care provider, and members of the health care team; and

(d) Contribute to the reassessment of the patient's health status and to the modifications of any aspect of the nursing plan of care as set forth in this rule.

Replaces: Replaces former 4723-4-08

Effective: 02/01/2014
R.C. 119.032 review dates: 10/15/2018
Promulgated Under: 119.03
Statutory Authority: 4723.07
Rule Amplifies: 4723.01 , 4723.28(B)(19)
Prior Effective Dates: 12/01/1995, 04/01/1997, 04/01/1999, 02/01/2002, 02/01/2003, 02/01/2004, 02/01/2009