Kentucky law holds the “registered nursing practice” includes the performance of acts that require specialized knowledge, judgment and skill
KRS 314.011(6) and includes:
- Care, counsel and health teaching of the ill, injured or infirm;
- Maintenance of health or prevention of illness of others;
- Administration of medication and treatment as prescribed by a physician, physician assistant, advanced practice registered nurse or dentist;
- Supervision, teaching of, and delegation to other personnel in the performance of activities related to nursing care; and
- Performance of other acts which are authorized or limited by the Board and are consistent either with the ANA standards of practice or with Standards of practice established by nationally accepted organizations or registered nurses.
It is
NOT within the scope of practice for the RN to independently practice, order products or prescribe treatments.
Determining Scope of Practice
The Kentucky Board of Nursing issues Advisory Opinion Statements (AOS) as guidelines to assist nurses in providing safe effective care to the public. An opinion is not a regulation of the Board and does not have the force and effect of law. The AOS index can be located: Advisory Opinion Statements Index. Additionally, and as part of the AOS index, the RN can utilize the RN/LPN Scope of Practice Determination Guidelines when a question arises that may not be addressed elsewhere.
Acquiring New Skills
A RN may have the opportunity to work in multiple settings over the course of a career. In each setting the RN may have the opportunity to acquire new skills. Each nurse is individually responsible and accountable for their individual's acts based upon the nurse's education and experience KRS 314.021(2). One method for demonstrating educational preparation and clinical competence for acquiring new skills is through obtaining relevant certifications within a specialty area. Another method would be to create a portfolio of trainings, workshops, and continuing education that demonstrates the acquisition of additional knowledge and clinical competency in the specialty area.
RN Scope of Practice Topics of Frequent Concern