OAR 851-049-0010: Scope of Practice Standards for RN Protocol Utilization

(1) The RN shall make an independent clinical judgment to utilize or to not utilize a protocol for a client based on the analysis of data and evidence relevant to: (a) The prescriber’s plan for the client; (b) The medical order contained within the protocol: (c) The client’s response to their health situation; and (d) The protocol pre-identified criteria; (2) The RN shall not execute the medical order contained in the protocol for the client when the RN reaches the independent clinical judgment that: (a) The medical order within the protocol is unsafe or is not appropriate for the client; or (b) The client does not meet the protocol inclusion criteria; or (c) The client meets the protocol exclusion criteria. (3) The RN may execute the medical order contained in the protocol for the client when the RN arrives at the independent clinical judgment that: (a) The medical order within the protocol is safe and appropriate for the client; (b) The client meets the protocol inclusion criteria; and (c) The client does not meet the protocol exclusion criteria. (4) If the RN determines, in accordance with subsection (3) of this rule, that the protocol may be used for the client, the RN may assign execution of the medical order contained within the protocol to an LPN or unregulated assistive person as appropriate to the context of care. (5) The RN shall document all actions and decisions required by these rules as identified in OAR Chapter 851 Division 45.