1. (1) Performance of acts in basic patient situations. In the performance of acts in basic patient situations, the L.P.N. shall, under the general supervision of an R.N. or the direction of a provider:

   1. (a) Accept only patient care delegated acts which the L.P.N. is competent to perform.
   2. (b) Provide basic nursing care.
   3. (c) Record nursing care given and report to the appropriate person changes in the condition of a patient.
   4. (d) Consult with a provider in cases where an L.P.N. knows or should know a delegated act may harm a patient.

   5. (e) Perform the following other acts when applicable:

      1. 1. Assist with the collection of data.
      2. 2. Assist with the development and revision of a nursing care plan.
      3. 3. Reinforce the teaching provided by an R.N. or other provider and provide basic health care instruction.
      4. 4. Participate with other health team members in meeting basic patient needs.

2. (2) Performance of acts in complex patient situations. In the performance of acts in complex patient situations the L.P.N. shall do all of the following:

   1. (a) Meet standards under sub. (1) under the general supervision of an R.N., physician, podiatrist, dentist or optometrist.
   2. (b) Perform delegated acts beyond basic nursing care under the direct supervision of an R.N. or provider. An L.P.N. shall, upon request of the board, provide documentation of his or her nursing education, training or experience which prepares the L.P.N. to competently perform these delegated acts.

3. (3) Assumption of charge nurse position in nursing homes. In assuming the position of charge nurse in a nursing home as defined in s. 50.04 (2) (b), Stats., an L.P.N. shall do all of the following:

   1. (a) Follow written protocols and procedures developed and approved by an R.N.
   2. (b) Manage and direct the nursing care and other activities of L.P.N.s and nursing support personnel under the general supervision of an R.N.
   3. (c) Accept the charge nurse position only if prepared for the responsibilities of charge nurse based upon education, training and experience beyond the practical nurse curriculum. The L.P.N. shall, upon request of the board, provide documentation of the nursing education, training or experience which prepared the L.P.N. to competently assume the position of charge nurse.

History

History: Cr. Register, May, 1983, No. 329, eff. 6-1-83; CR 00-167: am. (1) (intro.), (d), (e) 3., (2) (a) and (b), Register August 2001 No. 548, eff. 9-1-01; CR 15-099: am. (1) (intro.), (a) to (d), (e) (intro.), 1. to 3., am. (2) (intro.), (b), (3) (intro.), (a), (b), r. and recr. (3) Register August 2016 No. 728; CR 24-031: am. (1) (a), (e) 3., (2) (b) Register June 2025 No. 834, eff. 7-1-25.