State Nurse Practice Act 

 

1.Complete the following information:
2.What is the composition of your State Board of Nursing?
3.What authority does your State Board of Nursing have in disciplinary action taken against a registered nurs? i.e. fine, loss of license, etc.
4.Advanced Practice RN: Indicate what level of practice is allowed in your state:
Full Practice Authority - generally defined as an APRN's ability to utilize knowledge, skills, and judgment to practice to the full extent of his or her education and training.
Reduced Practice - state practice and licensure law reduces the ability of nurse practitioners to engage in at least one element of NP practice. State law requires a regulated collaborative agreement with an outside health discipline in order for the NP to provide patient care or limits the setting or scope of one or more elements of NP practice.
Restricted Practice - state practice and licensure law restricts the ability of a nurse practitioner to engage in at least one element of NP practice. State requires supervision, delegation, or team-management by an outside health discipline in order for the NP to provide patient care.
5.Identify those tasks only a registered nurse may perform as outlined in state rules and/or regulations, i.e. assessment/evaluation, drug administration, venipunctures, education, prescriptive authority, etc. 
6.Are LPNs/LVNs permitted to:
Yes
Yes, with limitations
(please detail in comments)
No
Administer medications/fluids?
Supervise unlicensed personnel?
Delegate to unlicensed personnel?
Give IV push medications?                 
Access central venous catheters?
Perform venipunctures?
Perform peritoneal dialysis?
7.Does your State Board of Nursing by statute or regulation address RN delegation authority:
Yes
No
To unlicensed personnel?                   
To dialysis technicians in particular?
Is delegation allowed by another profession, for example, physician?
If yes, please specify in comments
8.Are Technicians permitted to:
Yes
No
initiate hemodialysis?
Administer fluids?
Administer oxygen?
Access central venous catheters?
Administer heparin or other medications?
If yes, please specify in Comments
9.Are Technicians permitted to:
Yes
No
Perform peritoneal dialysis procedures?
If yes, please specify in Comments
10.Does your state regulate dialysis technicians?
11.Does your state have staffing requirements in dialysis facilities, the acute care setting, or transplant centers? 
12.Has your State Board of Nursing developed any position statements regarding delegation of tasks, unlicensed personnel, dialysis, dialysis technicians, LPNs/LVNs etc.?
Note: if your answer is YES, please email the position statements to ANNA.  Send to: janet.betts@annanurse.org