Nurse Reporter Spring 2009 - Wyoming State Board of Nursing

Scope of Practice Decision Making Model
Define the Activity/Task, Identify, Describe, Clarify Problem/Need.
Can task be
delegated?
Is the activity consistent with
Wyoming Nurse Practice
Act/Advisory Opinion?
No
No
Chapter 9
Stop
Yes
Unsure
Is the activity precluded under
other law, rule or agency policy?
Yes
Stop
No
Is the act supported by Standards
of the Nursing Practice, basic
educational preparation, or scope of
practice statements from professional
Nursing organizations, and research
data in nursing and health related
literature?
No
Stop
Consider
referral to
WSBN
Yes
Has the nurse completed special
education if needed?
No
Stop
Yes
Does the nurse process the
appropriate knowledge?
No
Stop
Yes
Is there documented evidence of experience and initial and continued competence?
Yes
No
Stop
Would a reasonable and prudent nurse perform the act?
Yes
No
Stop
Is patient safety assured?
Yes
No
Stop
Yes
Is the nurse prepared to assume accountability for the act or
delegation and for the outcome of the care?
No
Stop
Nurse may perform the
activity/task according to
acceptable and prevailing standards
of safe nursing care
If you answered NO to any of the above questions, defer to
a professional qualified to do the activity or task.
OR
Defer to the Wyoming State Board of Nursing for an
Advisory Opinion
8 Wy o m i n g Nu r s e Re p o r t e r