<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s35b69c08-5c59-4174-b725-63e0f3d96ed4P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s35b69c08-5c59-4174-b725-63e0f3d96ed4C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s35b69c08-5c59-4174-b725-63e0f3d96ed4000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:01.01"><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000000">20:48:04:01.01</span></a><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000001">.  Scope of nursing practice -- Registered nurse.</span><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0"> </span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">A registered nurse in accordance with §</span><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:01"><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000002">20:48:04:01</span></a><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0"> shall use the nursing process in the execution of nursing responsibilities, activities, or tasks authorized in SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000002">36-9-3</span></a><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0"> and this article for the promotion or maintenance of client health and the prevention of illness or injury. A registered nurse may</span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">:</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4000003"> </span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    </span><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">(1)  </span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Conduct ongoing assessments to anticipate and recognize changes or potential changes in client status, including assimilation of data gathered from a licensed practical nurse and other members of the health care team</span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">;</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    (2)  </span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Identify client problems and use clinical judgment in accordance with §</span><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:01"><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000002">20:48:04:01</span></a><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0"> to make independent nursing decisions or a nursing diagnosis</span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">;</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    </span><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">(3)  </span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Develop a nursing plan of care that may include interventions for health maintenance, patient teaching, counseling, prevention of illness, rehabilitation, or discharge planning</span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">;</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    (4)  </span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Administer independent nursing interventions</span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">;</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    (5)  </span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Administer medications and treatments prescribed or ordered by a legally authorized prescriber, including</span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">:</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4000003"> </span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">        (a)  </span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Determining which medication to administer when a prescriber orders more than one medication for the same therapeutic indication; and</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">        (b)  </span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Determining the dose to administer when a prescriber orders an as-needed medication with a range of doses;</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4000003"> </span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    (6)  </span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Execute a delegated medical treatment, therapy, or regimen according to an approved medical protocol, standardized procedure, or standing order, including the performance of conservative sharp wound debridement to remove necrotic tissue above the level of viable tissue if the removal is not expected to cause significant blood loss and if the registered nurse holds current wound care certification from a national certification body approved by the board</span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">;</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    (7)  </span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Determine and place durable medical equipment or therapeutic devices when providing preventive, restorative, and supportive care, to implement the overall plan of care</span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">;</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    (8)  </span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Evaluate client response to nursing interventions and modify the nursing plan of care consistent with intended outcomes</span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">;</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    (9)  </span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Monitor changes in a client s health status and take appropriate action, including preventive measures to protect the client, self, and others</span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">;</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    (10)  </span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Assess client learning needs, develop a teaching plan to meet the client s needs, implement the plan, and evaluate the outcome</span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">;</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    (11)  </span><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Delegate only tasks or activities that one can perform safely and in accordance with § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:01"><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000002">20:48:04.01:01</span></a><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">; and</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    (12)  </span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Supervise licensed and unlicensed providers in accordance with this article</span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">.</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4000003"> </span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    </span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000001">Source:</span><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0"> </span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">50 SDR 69, effective December 10, 2023.</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    </span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000001">General Authority:</span><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000002">36-9-21</span></a><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">(3).</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    </span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000001">Law Implemented:</span><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-1.1"><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000002">36-9-1.1</span></a><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000002">36-9-3</span></a><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">(1)(2)(3)(4)(5)(6)(7)(11)</span><span class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">.</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4000003"> </span></p></div></body></html>