1. (a) Standardized procedures shall include a written description of the method used in developing and approving them and any revision thereof.

2. (b) Each standardized procedure shall:

   1. (1) Be in writing, dated and signed by the organized health care system personnel authorized to approve it.
   2. (2) Specify which standardized procedure functions registered nurses may perform and under what circumstances.
   3. (3) State any specific requirements which are to be followed by registered nurses in performing particular standardized procedure functions.
   4. (4) Specify any experience, training, and/or education requirements for performance of standardized procedure functions.
   5. (5) Establish a method for initial and continuing evaluation of the competence of those registered nurses authorized to perform standardized procedure functions.
   6. (6) Provide for a method of maintaining a written record of those persons authorized to perform standardized procedure functions.
   7. (7) Specify the scope of supervision required for performance of standardized procedure functions, for example, immediate supervision by a physician.
   8. (8) Set forth any specialized circumstances under which the registered nurse is to immediately communicate with a patient's physician concerning the patient's condition.
   9. (9) State the limitations on settings, if any, in which standardized procedure functions may be performed.
   10. (10) Specify patient record keeping requirements.
   11. (11) Provide for a method of periodic review of the standardized procedures.

Following are the standardized procedure guidelines jointly promulgated by the Medical Board of California and by the Board of Registered Nursing:

Note: Authority cited: Section 2715, Business and Professions Code. Reference: Section 2725, Business and Professions Code.

History

1. Amendment of first paragraph and new Note filed 2-1-96; operative 3-2-96 (Register 96, No. 5).