Board of Nursing
Chapter 851
Division 55
SCOPE AND STANDARDS OF PRACTICE FOR THE ADVANCED PRACTICE REGISTERED NURSE
851-055-0010
Scope and Standards of Practice for All Licensed Advanced Practice Registered Nurses
(1) The APRN independently provides healthcare services within the scope of practice for which the APRN is educationally prepared and clinically trained with competency maintained in accordance with any other applicable rules, regulations, and prevailing standards. All standards and scope of practice found in OAR 851-045 related to the practice of Registered Nursing are applicable to APRNs.
(2) The APRN scope of practice must be congruent with population foci of educational preparation and content of the corresponding Board recognized national certification examination.
(3) Within the context of the APRN role, the APRN is responsible for utilizing the nursing process which includes:
(a) Assessment;
(b) Reasoned Conclusion;
(c) Development of an appropriate treatment plan;
(d) Intervention; and
(e) Evaluation.
(4) The APRN is independently responsible and accountable for the continuous and comprehensive management of health care, which may include:
(a) Assessment of clients, synthesis and analysis of data, and application of nursing principles and therapeutic modalities;
(b) For NPs and CNSs with prescriptive authority, formulating a health or illness diagnosis;
(c) Promotion and maintenance of health;
(d) Prevention of illness and disability;
(e) Management of health care during acute and chronic phases of illness to include palliative and end of life care;
(f) Counseling;
(g) Consultation and collaboration with other healthcare providers and community resources;
(h) Referral to other healthcare providers and community resources;
(i) Management and coordination of care; and
(j) Prescribing, dispensing, and administration of medications, therapeutic devices and measures.
(5) The APRN must document services provided according to professional standards and assure that documentation requirements for client care are in accordance with OAR 851-045-0060.
(6) The APRN scope of practice includes teaching, research, coaching, mentoring, and providing leadership using the professional standards of APRN practice.
(7) The APRN may practice with nurses and other members of the interprofessional healthcare team to advance the practice of nursing and improve client care. This practice includes, but is not limited to:
(a) Consulting and collaborating to identify and manage healthcare issues;
(b) Providing leadership in evidence-based practice and research;
(c) Promoting professional practice;
(d) Identifying learning needs of the healthcare team; and
(e) Developing, providing and evaluating educational and other programs that enhance the practice of nursing personnel and other members of the healthcare team.
(8) The APRN may practice with organizations to provide clinical expertise and guidance. This practice includes, but is not limited to:
(a) Using system-wide change strategies;
(b) Facilitating interprofessional practice; and
(c) Creating, advising, and influencing system-level policy that affects programs of care.
(9) The APRN has the professional responsibility for initiating consultation, collaboration, referral or a transfer of client care when deemed prudent.
(10) The APRN is responsible for recognizing limits of knowledge and experience, and for resolving situations beyond their APRN expertise by consulting with or referring clients to other healthcare providers.
(11) Utilization of imaging modalities to guide interventions must be in accordance with the statute and rules of the Oregon Board of Medical Imaging or other state authorized entity.
Statutory/Other Authority: ORS 678.150, ORS 678.255, ORS 678.265, ORS 678.275, ORS 678.278, ORS 678.282, ORS 678.285, ORS 678.370, ORS 678.372, ORS 678.375, ORS 678.380 & ORS 678.390
Statutes/Other Implemented: ORS 678.150, ORS 678.255, ORS 678.265, ORS 678.275, ORS 678.278, ORS 678.282, ORS 678.285, ORS 678.370, ORS 678.372, ORS 678.375, ORS 678.380 & ORS 678.390
History:
BN 6-2023, amend filed 09/26/2023, effective 10/01/2023
BN 13-2021, adopt filed 06/24/2021, effective 07/01/2021