OAR 851-049-0005: Scope of Practice Standards for RN Participation in Protocol Development

(1) The RN who holds a nurse administrator practice position within an organization shall participate in the development of any protocol that describes the decision-making and actions of the RN. The RN shall ensure that the protocol: (a) Is developed considering input from nurses practicing within the organization; (b) Is based on nationally recognized evidence-based guidelines and recommendations; (c) Includes client inclusion or exclusion criteria in the protocol; (d) Identifies alternative actions or exceptions that allow for individual client circumstances as assessed and interpreted by the RN; and (e) Identifies a pathway for the RN to notify the prescriber when the RN’s assessment and interpretation of evidence and data leads to the clinical decision that the client does not meet protocol inclusion; and (f) Does not impede the individual nurse from fulfilling nursing practice responsibilities identified in the Nurse Practice Act. (2) The RN who practices in a setting or organization where there is no nurse administrator practice position assumes the responsibility for fulfilling the requirements pursuant to OAR 851-049-0005 (1) (a) through (f).