Standards related to licensed practical nurse scope of practice

The licensed practical nurse assists in implementing the nursing process. The licensed practical nurse practices under the supervision of the registered nurse, advanced practice registered nurse, or licensed practitioner. The licensed practical nurse shall: 1. Participate in nursing care, health maintenance, client teaching, counseling, collaborative planning, and rehabilitation, to the extent of the licensed practical nurse's basic nursing education and additional skills through subsequent education and experiences; 2. Conduct a focused nursing assessment and contribute data to the plan of care; 3. Plan for client care, including planning nursing care for a client whose condition is stable or predictable; 4. Participate with other licensed practitioners in the development and modification of the client-centered plan of care; 5. Assist the registered nurse or other licensed practitioner in the identification of client needs, priorities of care, and goals. The licensed practical nurse: a. Demonstrates attentiveness and provides client surveillance and monitoring; b. Assists and contributes in the evaluation of the client-centered health care plan; c. Obtains orientation or training for competency when encountering new equipment and technology or unfamiliar care situations; d. Recognizes client characteristics that may affect the client's health status; e. Implements nursing interventions and prescribed medical regimens in a timely and safe manner; and f. Documents nursing care provided accurately and timely. 6. Collaborate and communicate relevant and timely client information with clients and other health team members to ensure quality and continuity of care; 7. Take preventive measures to promote an environment that is conducive to safety and health for clients, others, and self; 8. Respect client diversity and advocates for the client's rights, concerns, decisions, and dignity; 9. Maintain appropriate professional boundaries; 10. Participate in the health teaching approved by a licensed practitioner; 11. Participate in systems, clinical practice, and client care performance improvement efforts to improve client outcomes; 12. Contribute to evaluation of the plan of care by gathering, observing, recording, and communicating client responses to nursing interventions; 13. Modify the plan of care in collaboration with a registered nurse, advanced practice registered nurse, or licensed practitioner based on an analysis of client responses; 14. Function as a member of the health care team, contributing to the implementation of an integrated client-centered health care plan; 15. Assume responsibility for nurse's own decisions and actions; 16. Promote a safe and therapeutic environment by providing appropriate monitoring and surveillance of the care environment; 17. Participate in quality improvement activities to evaluate and modify practice; 18. Demonstrate knowledge and understanding of the statutes and rules governing nursing and function within the legal boundaries of licensed practical nursing practice; and 19. Observe and follow the duly adopted standards, policies, directives. and orders of the board as they may relate to the licensed practical nurse.