Rules and Regulations of the State of Georgia
 

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charset=UTF-16"> </HEAD> <div id="infobar"><a href="javascript:;" accesskey="r" Name="Route" title="Route" class="quickkey"><em class="mnemonic">R</em>oute </a>:<div class="searchtips" style="float:right;margin-right:10px;color: rgb(47, 79, 79);"> <a style="text-decoration:none;color: rgb(47, 79, 79);" title="search tips" name="searchtip" href="../help.aspx#searching" target="_blank"><em class="mnemonic">S</em>earch tips</a></div><ul class="breadcrumb"> <li><a href="/GAC" name="GAC" title="GAC">GA R&amp;R</a></li> <li>&raquo; <a href="/GAC/410" title="410">Department 410</a></li> <li>&raquo; Chapter 410-10</li> </ul> </div> </div><div id="doc" class="container"> <div id="doc-content" class="content"> <h1><nllchapter>Chapter 410-10 STANDARDS OF PRACTICE AND UNPROFESSIONAL CONDUCT</nllchapter></h1> <h2><a href="/GAC/410-10-.01" name="410-10-.01" title="410-10-.01">Rule 410-10-.01 Standards of Practice for Registered Professional Nurses</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(1)">(1)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The Georgia Board of Nursing defines the minimal standards of acceptable and prevailing nursing practice as including, but not limited to the following enumerated standards of competent practice.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)">(2)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The Board recognizes that assessment, nursing diagnosis, planning, intervention, evaluation, teaching, and supervision are the major responsibilities of the registered nurse in the practice of nursing. The Standards of Practice for Registered Professional Nurses delineate the quality of nursing care which a patient/client should receive regardless of whether it is provided solely by a registered nurse or by a registered nurse in collaboration with other licensed or unlicensed personnel. The Standards are based on the premise that the registered nurse is responsible for and accountable to the patient/client for the quality of nursing care rendered. The Standards of Practice for Registered Professional Nurses shall establish a baseline for quality nursing care; be derived from the Georgia Nurse Practice Act; apply to the registered nurse practicing in any setting; and, govern the practice of the licensee at all levels of competency. <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Standards related to the registered nurse's responsibility to apply the nursing process (adapted from American Nurses' Association <I>Code for Nurses and Standards of Practice</I>). The registered nurse shall: <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(a)1.">1.</a></td> <td valign="top" style="text-align:left" class="leftalign">Assess the patient/client in a systematic, organized manner;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(a)2.">2.</a></td> <td valign="top" style="text-align:left" class="leftalign">Formulate a nursing diagnosis based on accessible, communicable and recorded data (which is collected in a systematic and continuous manner);</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(a)3.">3.</a></td> <td valign="top" style="text-align:left" class="leftalign">Plan care which includes goals and prioritized nursing approaches or measures derived from the nursing diagnoses;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(a)4.">4.</a></td> <td valign="top" style="text-align:left" class="leftalign">Implement strategies to provide for patient/client participation in health promotion, maintenance and restoration;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(a)5.">5.</a></td> <td valign="top" style="text-align:left" class="leftalign">Initiate nursing actions to assist the patient/client to maximize her/his health capabilities;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(a)6.">6.</a></td> <td valign="top" style="text-align:left" class="leftalign">Evaluate with the patient/client the status of goal achievement as a basis for reassessment, reordering of priorities, new goal-setting and revision of the plan of nursing care;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(a)7.">7.</a></td> <td valign="top" style="text-align:left" class="leftalign">Seek educational resources and create learning experiences to enhance and maintain current knowledge and skills appropriate to her/his area of practice.</td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Standards related to the registered nurse's responsibilities as a member of the nursing profession. The registered nurse shall: <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(b)1.">1.</a></td> <td valign="top" style="text-align:left" class="leftalign">Function within the legal boundaries of nursing practice based upon knowledge of statutes and regulations governing nursing;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(b)2.">2.</a></td> <td valign="top" style="text-align:left" class="leftalign">Accept responsibility for individual nursing actions and continued competence;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(b)3.">3.</a></td> <td valign="top" style="text-align:left" class="leftalign">Communicate, collaborate and function with other members of the health team to provide optimum care;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(b)4.">4.</a></td> <td valign="top" style="text-align:left" class="leftalign">Seek education and supervision as necessary when implementing nursing practice techniques;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(b)5.">5.</a></td> <td valign="top" style="text-align:left" class="leftalign">Respect the dignity and rights of the patient/client regardless of socioeconomic status, personal attributes or nature of health problems;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(b)6.">6.</a></td> <td valign="top" style="text-align:left" class="leftalign">Maintain each patient/client's right to privacy by protecting confidential information unless obligated, by law, to disclose the information;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(b)7.">7.</a></td> <td valign="top" style="text-align:left" class="leftalign">Provide nursing care without discrimination on the basis of diagnosis, age, sex, race, creed or color;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(b)8.">8.</a></td> <td valign="top" style="text-align:left" class="leftalign">Assign and supervise only those nursing measures which the nurse knows, or should know, that another person is prepared, qualified, or licensed to perform;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(b)9.">9.</a></td> <td valign="top" style="text-align:left" class="leftalign">Retain professional accountability for nursing care when delegating nursing intervention;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(b)10.">10.</a></td> <td valign="top" style="text-align:left" class="leftalign">Respect and safeguard the property of clients, family, significant others and the employer;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(b)11.">11.</a></td> <td valign="top" style="text-align:left" class="leftalign">Notify the appropriate party of any unprofessional conduct which may jeopardize patient/client safety;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(b)12.">12.</a></td> <td valign="top" style="text-align:left" class="leftalign">Participate in the periodic review and evaluation of the quality and appropriateness of nursing care.</td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Standards related to the registered nurse's responsibilities in assignment of patient activities to unlicensed assistive personnel (UAP). The registered nurse shall: <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(c)1.">1.</a></td> <td valign="top" style="text-align:left" class="leftalign">Determine that the care and/or activity to be performed would be based upon orders or directions of a licensed physician, licensed dentist, licensed podiatrist or person licensed to practice nursing as a registered professional nurse.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(c)2.">2.</a></td> <td valign="top" style="text-align:left" class="leftalign">Assign only care and activities that do not require the skills and knowledge of a person practicing nursing as a registered professional nurse or licensure of another health care professional. The care and activities to be assigned must meet all of the following criteria: <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(c)2.a.">a.</a></td> <td valign="top" style="text-align:left" class="leftalign">The care and/or activities do not require complex observations or critical decisions.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(c)2.b.">b.</a></td> <td valign="top" style="text-align:left" class="leftalign">The care and/or activities can be safely performed according to exact, unchanging directions.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(c)2.c.">c.</a></td> <td valign="top" style="text-align:left" class="leftalign">The outcome and/or results of the activities are reasonably predictable.</td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(c)3.">3.</a></td> <td valign="top" style="text-align:left" class="leftalign">Verify that the UAP has the necessary knowledge and skills to accept the assignment.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(c)4.">4.</a></td> <td valign="top" style="text-align:left" class="leftalign">Periodically evaluate and review the quality and appropriateness of the care provided by the UAP.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.01(2)(c)5.">5.</a></td> <td valign="top" style="text-align:left" class="leftalign">Not assign activities which require licensure to an unlicensed assistive personnel.</td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <h2><a href="/GAC/410-10-.02" name="410-10-.02" title="410-10-.02">Rule 410-10-.02 Standards of Practice for Licensed Practical Nurses</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.02(1)">(1)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The practice of licensed practical nursing means the provision of care for compensation, under the supervision of a physician practicing medicine, a dentist practicing dentistry, a podiatrist practicing podiatry, or a registered nurse practicing nursing in accordance with applicable provisions of law. Such care shall relate to the promotion of health, the prevention of illness and injury, and the restoration and maintenance of physical and mental health through acts authorized by the board, which shall include, but not be limited to the following: <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.02(1)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Participating in patient assessment activities and the planning, implementation, and evaluation of the delivery of health care services and other specialized tasks when appropriately educated and consistent with board rules and regulations;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.02(1)(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Providing direct personal patient observation, care, and assistance in hospitals, clinics, nursing homes, or emergency treatment facilities, or other health care facilities in areas of practice including, but not limited to: coronary care, intensive care, emergency treatment, surgical care and recovery, obstetrics, pediatrics, outpatient services, dialysis, specialty labs, home health care, or other such areas of practice;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.02(1)(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Performing comfort and safety measures;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.02(1)(d)">(d)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Administering treatments and medications by various routes;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.02(1)(e)">(e)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Participating in the management and supervision of unlicensed personnel in the delivery of patient care; and</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.02(1)(f)">(f)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Performing other specialized tasks as appropriately educated.</td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.02(2)">(2)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Responsibility: Each individual is responsible for personal acts of negligence under the law. Licensed practical nurses are liable if they perform functions for which they are not prepared by education and experience and for which supervision is not provided.</td> </tr> </table> <h2><a href="/GAC/410-10-.03" name="410-10-.03" title="410-10-.03">Rule 410-10-.03 Definition of Unprofessional Conduct</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(1)">(1)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Nursing conduct failing to meet the minimal standards of acceptable and prevailing nursing practice, which could jeopardize the health, safety, and welfare of the public, shall constitute unprofessional conduct. This conduct shall include, but not be limited to, the following:</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(2)">(2)</a></td> <td valign="top" style="text-align:left" class="leftalign"><B>Practice</B> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(2)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Using inappropriate or unsafe judgment, technical skill or interpersonal behaviors in providing nursing care;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(2)(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Performing any nursing technique or procedure for which the nurse is unprepared by education or experience;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(2)(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Disregarding a patient/client's dignity, right to privacy or right to confidentiality;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(2)(d)">(d)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Failing to provide nursing care because of diagnosis, age, gender, race, creed, color or sexual orientation;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(2)(e)">(e)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Abandoning or knowingly neglecting patients/clients requiring nursing care;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(2)(f)">(f)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Continuing to practice after the expiration date of the license.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(2)(g)">(g)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Failing to take appropriate action to safeguard a patient's welfare;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(2)(h)">(h)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Failing to take action in a health care setting to protect a patient whose safety or welfare is at risk from incompetent health care practice, or to report the incompetent health care practice to employment or licensing authorities;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(2)(i)">(i)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Failing to report to the Board a licensed nurse whose work history includes conduct, or a pattern of conduct, that leads to or may lead to an adverse patient outcome;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(2)(j)">(j)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Assuming patient care responsibilities that the nurse lacks the education to perform, for which the nurse has failed to maintain nursing competence, or that are outside the scope of practice of the nurse;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(2)(k)">(k)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Accepting the assignment of nursing functions or a prescribed health function when the acceptance of the assignment could be reasonably expected to result in unsafe or ineffective client care;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(2)(l)">(l)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Failure of a clinical nursing instructor to adequately supervise or to assure adequate supervision of student experiences.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(2)(m)">(m)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Failure to practice within a modified scope of practice or with the required accommodations, as specified by the Board in granting a limited license or any agreement with the Board.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(2)(n)">(n)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Causing or permitting physical, emotional, sexual or verbal abuse or injury or neglect to the client, or failing to report same to the employer, appropriate legal authority and/or the Board;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(2)(o)">(o)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Providing information which was false, deceptive, or misleading in connection with the practice of nursing;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(2)(p)">(p)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Knowingly aiding, assisting, advising, or allowing an unlicensed person to engage in the unlawful practice of practical, registered or advanced practice nursing;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(2)(q)">(q)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Violating an order of the Board, or carelessly or repetitively violating a state or federal law relating to the practice of practical, registered or advanced practice nursing, or violating a state or federal narcotics or controlled substance law;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(2)(r)">(r)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Knowingly aiding, assisting, advising, or allowing a nurse under Board Order to violate the conditions set forth in the Order; or</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(2)(s)">(s)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Failing to report violations of the Nursing Practice Act and/or the Board's rules and regulations.</td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(3)">(3)</a></td> <td valign="top" style="text-align:left" class="leftalign"><B>Documentation</B> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(3)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Failing to maintain a patient record that accurately reflects the nursing assessment, care, treatment, and other nursing services provided to the patient;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(3)(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Falsifying, omitting or making a materially incorrect, inconsistent, or unintelligible entry in any record: <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(3)(b)1.">1.</a></td> <td valign="top" style="text-align:left" class="leftalign">Regarding a patient at a health care facility, school, institution, or other work place location; or</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(3)(b)2.">2.</a></td> <td valign="top" style="text-align:left" class="leftalign">Pertaining to obtaining, possessing, administering, wasting or returning any controlled substance as defined in the federal Uniform Controlled Substances Act, <a href="https://links.casemakerlegal.com/states/us/books/United_States_Code/browse?ci=25&amp;id=gasos&amp;codesec=801&amp;title=21&amp;getbrowsepage=yes#" target="_newtab">21 U.S.C. 801</a><I>et seq.</I>, or Georgia's Controlled Substances Act;</td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(3)(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Falsifying reports, client documentation, agency records or other documents; or</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(3)(d)">(d)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Falsifying, omitting or destroying documentation of nursing actions on the official patient/client record.</td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(4)">(4)</a></td> <td valign="top" style="text-align:left" class="leftalign"><B>Investigations</B> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(4)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Failing to timely respond to an investigative subpoena issued by the Board;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(4)(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Failing to cooperate with a lawful investigation conducted by the Board; or</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(4)(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Making a written false or inaccurate statement to the Board or the Board's designee in the course of an investigation</td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(5)">(5)</a></td> <td valign="top" style="text-align:left" class="leftalign"><B>Delegation</B> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(5)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Failing to supervise a person to whom nursing functions are delegated;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(5)(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Delegating services that require nursing judgment to an unauthorized person;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(5)(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Delegating or assigning nursing functions or a prescribed health function when the delegation or assignment could reasonably be expected to result in unsafe or ineffective client care; or</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(5)(d)">(d)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Delegating nursing care, functions, tasks or responsibility to others when the nurse knows or should know that such delegation is to the detriment of patient safety;</td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(6)">(6)</a></td> <td valign="top" style="text-align:left" class="leftalign"><B>Drugs</B> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(6)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Removing, without authorization, a narcotic, drug, controlled substance, supply, equipment, or medical record from any health care facility, school, institution, or other work place location;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(6)(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Obtaining, possessing, administering, or using any narcotic, controlled substance, or illegal drug in violation of any federal or state criminal law, or in violation of the policy of any health care facility, school, institution, or other work location at which the nurse practices;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(6)(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Providing or administering any controlled substance or prescription-only drug for other than accepted therapeutic or research purposes;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(6)(d)">(d)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Failing to follow the policy and procedure in place for the wastage of medications at the facility where the nurse was employed or working at the time of the incident(s);</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(6)(e)">(e)</a></td> <td valign="top" style="text-align:left" class="leftalign"> A positive drug screen for which there is no lawful prescription;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(6)(f)">(f)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Obtaining or attempting to obtain or deliver medication(s) through means of misrepresentation, fraud, forgery, deception and/or subterfuge;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(6)(g)">(g)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Failing to practice nursing in accordance with prevailing nursing standards due to physical, psychological or chemical impairment; or</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(6)(h)">(h)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Failing to report to the Board within 30 days of becoming unable to practice nursing with reasonable skill and safety by result of mental or physical condition or use of alcohol, drugs, narcotics, chemicals, or any other type of material.</td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(7)">(7)</a></td> <td valign="top" style="text-align:left" class="leftalign"><B>Boundaries</B> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(7)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Failing to maintain professional boundaries or engaging in a dual relationship with a patient, resident, or any family member of a patient or resident;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(7)(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Removing, without authorization, any money, property, or personal possessions, or requesting payment for services not performed from a patient, employer, co-worker, or member of the public;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(7)(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Violating professional boundaries of the nurse/client relationship including but not limited to physical, sexual, emotional or financial exploitation of the client or the client's significant other(s);</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(7)(d)">(d)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Engaging in sexual conduct with a client, touching a client in a sexual manner, requesting or offering sexual favors, or language or behavior suggestive of the same;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(7)(e)">(e)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Threatening or violent behavior in the workplace; or</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(7)(f)">(f)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Misappropriating, in connection with the practice of nursing, anything of value or benefit, including but not limited to, any property, real or personal of the client, employer, or any other person or entity, or failing to take precautions to prevent such misappropriation.</td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(8)">(8)</a></td> <td valign="top" style="text-align:left" class="leftalign"><B>Fraud</B> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(8)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Engaging in fraud, misrepresentation, or deceit in taking a licensing examination or on an initial or renewal application for a license or certificate;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(8)(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Impersonating a nurse licensed under this O.C.G.A. §43-26;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(8)(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Advertising the practice of nursing with untruthful or misleading statements;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(8)(d)">(d)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Practicing nursing without a current license or while the license is suspended;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(8)(e)">(e)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Providing one's license/temporary permit to another individual for any reason; or</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(8)(f)">(f)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Providing false or misleading documents related to applications, renewals or continuing competency requirements.</td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(9)">(9)</a></td> <td valign="top" style="text-align:left" class="leftalign"><B>Employment</B> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(9)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Making a false or misleading statement on a nursing or health care related employment or credential application concerning previous employment, employment experience, education, or credentials;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(9)(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Failing to answer specific questions or providing false or misleading answers that would have affected the decision to license, employ, certify or otherwise utilize a nurse; or</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(9)(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Providing a false, deceptive or misleading statement(s) as a nursing expert.</td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(10)">(10)</a></td> <td valign="top" style="text-align:left" class="leftalign"><B>Arrests and Convictions</B> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(10)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Failing to notify the Board, in writing, of a conviction for a felony or an undesignated offense within 10 days of the conviction. The nurse or applicant shall include the following in the notification: <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(10)(a)1.">1.</a></td> <td valign="top" style="text-align:left" class="leftalign">Name, address, telephone number, email address, social security number, and license number, if applicable;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(10)(a)2.">2.</a></td> <td valign="top" style="text-align:left" class="leftalign">Date of the conviction; and</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.03(10)(a)3.">3.</a></td> <td valign="top" style="text-align:left" class="leftalign">Nature of the offense.</td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <h2><a href="/GAC/410-10-.04" name="410-10-.04" title="410-10-.04">Rule 410-10-.04 Use of Nurse Protocols Authorized by O.C.G.A Section 43-34-26.1 (Influenza Vaccine Protocol Agreements) by Registered Nurses in Specific Settings</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(1)">(1)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The general purpose of this rule is to protect and safeguard the public by regulating the practice of registered nurses ("RNs") who use protocols in specific settings as authorized by O.C.G.A. § 43-34-26.1.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(2)">(2)</a></td> <td valign="top" style="text-align:left" class="leftalign"> A registered nurse who uses a nurse protocol in specific settings as authorized by O.C.G.A. § 43-34-26.1 shall: <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(2)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Hold a current license to practice as a registered nurse in Georgia;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(2)(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Adhere to a nurse protocol which is a written document mutually agreed upon and signed by the nurse and licensed physician which delegates to the nurse the authority to perform specified medical acts and provides for immediate consultation with the delegating physician or a physician designated in the absence of the delegating physician;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(2)(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Document preparation and performance specific to each medical act authorized under O.C.G.A. § 43-34-26.1, including ordering dangerous drugs, medical treatments, or diagnostic studies and the dispensing of dangerous drugs in accordance with dispensing procedure and under the authority of a physician's order.</td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(3)">(3)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The nurse protocol used by a RN pursuant to the provisions of O.C.G.A. § 43-34-26.1 shall comply with the following criteria: <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(3)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Shall bear a current review date, be available upon request; and specify parameters under which delegated medical acts may be performed;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(3)(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Shall include a schedule for periodic review of patient records by the delegating physician;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(3)(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Shall be reviewed, revised or updated annually;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(3)(d)">(d)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Shall include a provision for immediate consultation with the delegating physician designated in the absence of the delegating physician;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(3)(e)">(e)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Shall comply with provisions for ordering or dispensing drugs under subsection (b) of Code Section <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=26-4-130&amp;title=26#" target="_newtab">26-4-130</a> and the rules and regulations established pursuant thereto by the State Board of Pharmacy and adhere to a written dispensing procedure when dispensing dangerous drugs as required by O.C.G.A. § 43-34-26.1(a) (5).</td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(4)">(4)</a></td> <td valign="top" style="text-align:left" class="leftalign"> A registered nurse may practice under protocol pursuant to the provisions of O.C.G.A. § 43-34-26.1 as an agent or employee of the following: <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(4)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The Georgia Department of Public Health;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(4)(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Any county board of health;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(4)(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Any organization: <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(4)(c)1.">1.</a></td> <td valign="top" style="text-align:left" class="leftalign">Which is exempt from federal taxes pursuant to Section 501(c) (3) of the Internal Revenue Code as defined in Code Section <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=48-1-2&amp;title=48#" target="_newtab">48-1-2</a>, other than an organization which is a hospital, preferred provider organization, health maintenance organization, or similar organization; or</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(4)(c)2.">2.</a></td> <td valign="top" style="text-align:left" class="leftalign">Established under the authority of or receiving funds pursuant to <a href="https://links.casemakerlegal.com/states/us/books/United_States_Code/browse?ci=25&amp;id=gasos&amp;codesec=254&amp;title=42#" target="_newtab">42 U.S.C. Section 254</a> b or 254c of the United States Public Health Service Act.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(4)(c)3.">3.</a></td> <td valign="top" style="text-align:left" class="leftalign">Which organization provides that those medical services and dangerous drugs which are ordered or dispensed by its nurses will be provided at no cost to patient or at a cost based solely upon the patient's ability to pay.</td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(4)(d)">(d)</a></td> <td valign="top" style="text-align:left" class="leftalign"> An outpatient clinic: <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(4)(d)1.">1.</a></td> <td valign="top" style="text-align:left" class="leftalign">Which is owned or operated by a licensed hospital;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(4)(d)2.">2.</a></td> <td valign="top" style="text-align:left" class="leftalign">Which provides such drugs, treatments, or studies free or at a charge to the patient based solely upon the patient's ability to pay; provided, however, such charge shall not exceed the actual cost to the outpatient clinic; and</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="410-10-.04(4)(d)3.">3.</a></td> <td valign="top" style="text-align:left" class="leftalign">Whose services are primarily provided to the medically disadvantaged.</td> </tr> </table> </td> </tr> </table> </td> </tr> </table> </div> </div> </HTML> </div> <div id="toc" class="sidebar noprint"> <ul id="toc-children" class="children"><li><a href="/GAC/410-10-.01" name="410-10-.01" title="410-10-.01">Rule 410-10-.01 Standards of Practice for Registered Professional Nurses</a></li><li><a href="/GAC/410-10-.02" name="410-10-.02" title="410-10-.02">Rule 410-10-.02 Standards of Practice for Licensed Practical Nurses</a></li><li><a href="/GAC/410-10-.03" name="410-10-.03" title="410-10-.03">Rule 410-10-.03 Definition of Unprofessional Conduct</a></li><li><a href="/GAC/410-10-.04" name="410-10-.04" title="410-10-.04">Rule 410-10-.04 Use of Nurse Protocols Authorized by O.C.G.A Section 43-34-26.1 (Influenza Vaccine Protocol Agreements) by Registered Nurses in Specific Settings</a></li></ul> </div> </div> <!--content ends here--> <div id="footer" class="noprint"><span class="footer">Copyright &copy; 2018 Lawriter LLC - All rights reserved.</span>| <a href="mailto:support@casemakerlegal.com?subject=Rules and Regulations of the State of Georgia">Email Us</a> | 844-838-0769 | <a href="http://livechat.casemakerlegal.com/client.php?locale=en" target="_blank" onclick="if(navigator.userAgent.toLowerCase().indexOf('opera') != -1 && window.event.preventDefault)window.event.preventDefault();this.newWindow = window.open('http://livechat.casemakerlegal.com/client.php?locale=en&url='+escape(document.location.href)+'&referrer='+escape(document.referrer), 'webim','toolbar=0,scrollbars=0,location=0,status=1,menubar=0,width=640,height=480,resizable=1');this.newWindow.focus();this.newWindow.opener=window;return false;">Live Chat</a> </div> </div> </body> </html>