Six Step Decision-Making Model for Determining Nursing Scope of Practice

question

. Is the activity consistent with the Nursing Practice Act (NPA), Board Rules, and Board Position Statements and/or Guidelines? Yes → Continue No → STOP
answer

step 1
question

. Is the activity appropriately authorized by valid order/protocol and in accordance with established policies and procedures? Yes → Continue No → STOP
answer

step 2
question

Is the act supported by either research reported in nursing and health-related literature or in scope of practice statements by national nursing organizations? Yes → Continue No → STOP
answer

step 3
question

Do you possess the required knowledge and have you demonstrated the competency required to carry out this activity safely? Yes → Continue No → STOP
answer

step 4
question

Would a reasonable and prudent nurse perform this activity in this setting? Yes → Continue No → STOP NO → STOP. The act is NOT within your scope of practice
answer

step 5
question

Are you prepared to assume accountability for the provision of safe care and the outcome of the care rendered? Yes → Perform the act-based upon valid order when necessary, and in accordance with appropriately established and current policies and procedures; and Assume accountability for provision of safe care.
answer

step 6

Get instant access to
all materials

Become a Member