1. Ohio Nurse Practice Act & Rules of Board of Nursing
Presented by Terri Durkin Williams, RN

2. objectives
Upon completion the learner will be able to relate the process of nursing law and rule formation in the State of Ohio.
Upon completion the learner will be able to relate the essential components of the Nurse Practice Act and Rules of the Board.
Upon completion the learner will be able to discuss Section of the ORC, offenses.

3. Board of Nursing Members appointed by governor
8 Registered Nurses
One RN must hold a Certificate of Authority
4 Licensed Practical Nurses
1 Consumer
Serve 4 year terms and may be reappointed one time

4. Regulate pre-licensure educational/training programs
Board of Nursing
Regulate pre-licensure educational/training programs
Issues credentials to qualified individuals
Disciplinary action

5. Given rule-making authority
Board of Nursing
Given rule-making authority
Must promulgate rules according to statutory process
Requires public input

6. Laws
Chapter 4723 of the Ohio Revised Code (ORC) General Assembly, the State Legislature.
Nurse Practice Act
Laws regulating nursing practice

7. Chapter 4723-1 through 4723-27 of the Ohio Administrative Code (OAC)
Rules
Chapter through of the Ohio Administrative Code (OAC)
Rules of the Board of Nursing

8. Renewal of License Must renew license every two years
Must complete continuing education
Keep CEU’s for 6 years
Need 24 hours for each licensing period
One hour must be directly related to the laws and rules pertaining to nursing practice, Category A

9. 17 South High Street, Suite 400
Board notification
Change of address
Name change
May contact the Board electronically
17 South High Street, Suite 400
Columbus, Ohio

10. Section Orc offenses
Practice without a license
Misdemeanor committed in the course of practice
Any felony or any crime involving gross immorality or moral turpitude
Selling, giving away, of administrating drugs other then legally

11. Offenses
Habitual or excessive use of controlled substances, habit-forming drugs, alcohol
Impairment of the ability to practice according to acceptable and prevailing standards of safe nursing care
Assaulting or causing harm to a patient

12. Offenses Misappropriation of money or anything of value
Failure to use universal and standard precautions
Activities that exceed the practice of nursing
Sexual contact

13. offenses Verbal behavior that is sexually demeaning
Assisting in suicide

14. Mandatory reporting section 4723.34 ORC
Must report the name of any current of former nurse who engages in conduct that would be grounds for disciplinary action.
Who Must Report:
Nurses
Prosecutors
Nursing Associations

15. Nursing board Must investigate all complaints
Investigations are confidential
Has Subpoena Authority
No statute of limitations
Action is public

16. Practice of Nursing RN LPN Specialized knowledge Judgment
Skill derived from principles of biological, physical, behavioral, social, and nursing science
Application of basic knowledge of the biological, physical, behavioral, social and nursing science at the direction of a licensed physician, dentist, podiatrist, optometrist, chiropractor, or RN

17. RN Scope of Practice
Identifying patterns of human responses to actual or potential health problems amenable to a nursing regimen;
Executing a nursing regimen through the selection, performance, management, and evaluation of nursing actions;
Assessing health status for the purpose of providing nursing care;

18. RN Scope of Practice Providing health counseling and health teaching;
Administering medications, treatments, and executing regimens authorized by an individual who is authorized to practice in the state and is actin within the course of the individual’s professional practice;

19. Rn scope of practice
Teaching, administering, supervising, delegating, and evaluating nursing practice.
RN is authorized to engage in all aspects of nursing practice.
RN determines the data to be collected to determine the patient’s health status.
RN determines the nursing care that should be provided.

20. Lpn scope of practice
Observation, patient teaching, and care in a diversity of health care settings;
Contributions to the planning, implementation, and evaluation of nursing;
Delegation of nursing tasks as directed by a registered nurse;

21. LPN scope of practice
Administration of medications and treatment authorized by an individual who is authorized t practice in this state and is acting within the course of the individual’s professional practice on the condition that the licensed practical nurse is authorized under section of the Revised Code to administer medications

22. Lpn scope of practice
Administration to an adult of intravenous therapy authorized by an individual who is authorized to practice in this state and is acting within the course of the individual’s professional practice, on the condition that the licensed practical nurse is authorized under section or of the Revised Code to perform intravenous therapy and performs intravenous therapy only in accordance with those sections;

23. Lpn scope of practice
Teaching nursing tasks to licensed practice nurses and Individuals to whom the licensed practical nurse is authorized to delegate nursing tasks as directed by a registered nurse.
LPN has a dependent role and may provide nursing care only at the direction of a RN, physician, dentist, podiatrist, optometrist or chiropractor.

24. Supervision of nursing practice
The RN is supervising the “practice” of nursing as stated in (Section (B)(6), ORC).
Supervision of employee performance and other employment requirements are established by the employer.
RN is not required to be on-site to supervise.

25. Is the activity or task within the scope of practice of the nurse and NOT prohibited or precluded by any other law of rule?
legality
Scope of Practice Decision Making Model

26. Can the nurse perform the activity or task and meet the standards of safe nursing practice as defined in Chapter of Ohio Administrative Code?
Competency
Scope of Practice Decision Making Model

27. Is this activity or task safe and appropriate to perform with this patient/client at this time?
Safety
Scope of Practice Decision Making Model

28. The nurse may perform the activity/task according to acceptable and prevailing standards of safe nursing care and prepare to accept accountability for the nursing action.
Accountability
Scope of Practice Decision Making Model

29. Definition of delegation
The transfer of responsibility for the performance of a selected nursing task from a licensed nurse authorized to perform the task to an individual who does not otherwise have the authority to perform the task.

30. Delegating Nurse
The nurse who delegates a nursing task or assumes responsibility for individuals who are receiving delegated nursing care.

31. Direction
Communicating a plan of care to a licensed practical nurse. Direction by a registered nurse is not meant to imply the registered nurse is supervising the licensed practical nurse in the employment context.

32. Nursing task
Those activities that constitute the practice of nursing as a licensed nurse and may include:
Assistance with ADL’s that are performed to maintain or improve the client’s well-being, when the clients are unable to perform that activity themselves.

33. Key Points for delegation Chapter 4723-13 OAC
That the nursing task is within the training, ability, and skill of the unlicensed person who will be performing the task.
Appropriate resources and support are available
Appropriate supervision

34. Key points for delegation
The nursing task requires no judgment based on nursing knowledge and expertise.
The task can be safely performed according to exact, unchanging directions.
The task does not require repeated performance of nursing assessments.

35. Key points for delegation
The consequences of performing the nursing task improperly are minimal and not life-threatening.
No person to whom a nursing task is delegated shall delegate the nursing task to any other person.
The delegating nurse shall be accountable for the decision to delegate nursing tasks.

36. Professional boundaries
Inspire confidence in patients and families
Professional
Promote independence
Respect patient’s dignity
No personal gain
No personal relationship

37. Evaluation of professional boundaries
Talk about personal life
Give address and phone number
Complain
Accept gifts
Buy or sell items
Feel compelled to “fix” problems more so than patient

38. National council of state boards of nursing
Free Brochure A Nurse’s Guide to Professional Boundaries Web site To order

39. Social networking definition
Web-based services that allow individuals to:
Construct a public or semi-public profile within a bounded system
Articulate a list of other users with whom they share a connection
View and traverse their lists of connections by others in the system

40. Tips to avoid problems Use standards of professionalism online
Do not share or post information or photos gained through the nurse-patient relationship
Maintain professional boundaries online.

41. Tips to avoid problems
Do not make disparaging remarks about patients, employers of co-workers.
Do not take photos or videos of patients on personal devices.
Promptly report a breach of confidentiality or privacy.

42. Questions

43. Terri Durkin Williams, RN, LNHA
Contact Information
Terri Durkin Williams, RN, LNHA