The scope of practice must be consistent with the nursing education and advanced practice certification.

1. Practice as an advanced practice registered nurse may include: a. Perform a comprehensive assessment of clients and synthesize and analyze data within a nursing framework; b. Identify, develop, plan, and maintain evidence-based, client-centered nursing care;

c. Prescribe a therapeutic regimen of health care, including diagnosing, prescribing, administering, and dispensing legend drugs and controlled substances; d. Evaluate prescribed health care regimen; e. Assign and delegate nursing interventions that may be performed by others; f. Promote a safe and therapeutic environment; g. Provide health teaching and counseling to promote, attain, and maintain the optimum health level of clients; h. Communicate and collaborate with the interdisciplinary team in the management of health care and the implementation of the total health care regimen; i. Manage and evaluate the clients' physical and psychosocial health-illness status; j. Manage, supervise, and evaluate the practice of nursing; k. Utilize evolving client information management systems; l. Integrate quality improvement principles in the delivery and evaluation of client care; m. Teach the theory and practice of nursing; n. Analyze, synthesize, and apply research outcomes in practice; and o. Integrate the principles of research in practice.

2. Notwithstanding the above, all services rendered by the licensee shall be commensurate with the academic preparation, knowledge, skills, and abilities of the advanced practice licensed nurse's experience, continuing education, and demonstrated competencies. The nurse must recognize individual limits of knowledge, skills, and abilities and plan for situations beyond the licensee's expertise.

History: Effective April 1, 2004; amended effective March 24, 2004; July 1, 2008; April 1, 2014.

General Authority: NDCC 43-12.1-08

Law Implemented: NDCC 43-12.1-08(1)