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7/30/2019 Links to State Boards of Nursing Diagnosis Language
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Links to Nurse Practice Acts and State RegulationsBoards of Nursing in the US and its Territories
State or
Territory Diagnosis Language Forensic Nursing Language
Alabama Diagnosis is not mentioned Sexual Assault Nurse Examiner (SANE): A registered
nurse who, through additional education and
supervised clinical practice, has acquired knowledge,
skills, and judgment specific to providing health services
to sexual assault or rape victims including a forensics
examination.
610X7.05 Sexual Assault Nurse Examiner (SANE).
(1) A registered nurse may practice as a sexual assault
nurse examiner with appropriate additional education,
including supervised clinical practice and demonstrated
clinical competence.
(a) The educational program for a sexual assault nurse
examiner shall comply with the education standards of
the International Association of Forensic Nurses. The
educationalNursing program shall be specific to the
population examined by the sexual assault nurse
examiner: adult/adolescent or pediatric.
(b) Supervised clinical practice shall occur with one of
the following:
(i) A physician licensed to practice medicine in Alabama
(ii) An advanced practice nurse with experience as asexual assault nurse examiner.
(iii) Another registered nurse with experience as a
sexual assault nurse examiner.
(c) The registered nurse shall demonstrate clinical
competence with all aspects of the examination.
(2) A registered nurse who practices as a sexual
assault nurse examiner shall:
https://www.ncsbn.org/contactbon.htmhttps://www.ncsbn.org/contactbon.htmhttp://www.abn.state.al.us/Content.aspx?id=116http://www.abn.state.al.us/Content.aspx?id=116https://www.ncsbn.org/contactbon.htm -
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Links to Nurse Practice Acts and State Regulations(a) Practice according to a written protocol signed by
a physician licensed in Alabama or an advanced practice
nurse with prescriptive authority prior to administering
medications for prophylaxis of sexually transmitted dise
ases or pregnancy.(b) Conduct examinations of sexual assault or rape
victims in accordance with accepted principles of
forensic nursing, including, but not limited to, chain of
custody, photodocumentation, colposcopy,
documentation, confidentiality, and evidence integrity.
(c) Maintain documentation of appropriate initial and
continuing education, supervised clinical practice, and
demonstrated clinical competence.
Alaska (9) *P+ractice of registered nursing means the
performance for compensation or personal profit of
acts of professional service that requires substantial
specialized knowledge, judgment, and skill based on
the principles of biological, physiological, behavioral,
and sociological sciences in assessing and responding to
the health needs of individuals, families, or
communities through services that include
(A) assessment of problems, counseling, and teaching
(i) clients to maintain health or prevent illness; and
(ii) in the care of the ill, injured, or infirm;
(B) administration, supervision, delegation, and
evaluation of nursing practice;(C) teaching others the skills of nursing;
(D) execution of a medical regimen as prescribed by a
person authorized by the state to practice medicine;
(E) performance of other acts that require education
and training that are recognized by the nursing
profession as properly performed by registered nurses;
(F) performance of acts of medical diagnosis and the
prescription of medical therapeutic or corrective
http://www.commerce.state.ak.us/occ/pub/NursingStatutes.pdfhttp://www.commerce.state.ak.us/occ/pub/NursingStatutes.pdfhttp://www.commerce.state.ak.us/occ/pub/NursingStatutes.pdf -
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Links to Nurse Practice Acts and State Regulationsmeasures under regulations adopted by the board.
American Samoa
Arizona Registered nursing includes the following:
(a) Diagnosing and treating human responses to actual
or potential health problems. (p. 7)Board of Nursing has a test for nurses to take on the
Nurse Practice Act:
https://www.azbn.gov/MyServices/NursePracticeActEx
am.asp
Arkansas Not specifically within the Nurse Practice Act, but
within the Board of Nursings Position Statement on
Scopes of Practiceit states: The delivery of healthcare
services which require assessment, diagnosis,
intervention, and evaluation fall within the professional
nurse scope of practice. (p.2)
California The Medical Practice Act authorizes physicians to
diagnose mental and physical conditions, to use drugs
in or upon human beings, to sever or penetrate the
tissues of human beings and to use other methods in
the treatment of diseases, injuries, deformities or other
physical or mental conditions. As a general guide, the
performance of any of these by a registered nurse
requires a standardized procedure; however, activities
within each of these categories have already becomecommon nursing practice and therefore do not require
standardized procedures; for example, the
administration of medication by injection requires
penetration of human tissue, and registered nurses
have performed this function through the years.
In Section 2725(a), the Legislature referred to the
dynamic quality of the nursing profession. This means,
among other things, that some functions which today
http://www.azbn.gov/NursePracticeAct.aspxhttps://www.azbn.gov/MyServices/NursePracticeActExam.asphttps://www.azbn.gov/MyServices/NursePracticeActExam.asphttp://www.arsbn.arkansas.gov/lawsRules/Pages/nursePracticeAct.aspxhttp://www.arsbn.arkansas.gov/lawsRules/Documents/95_1.pdfhttp://www.arsbn.arkansas.gov/lawsRules/Documents/95_1.pdfhttp://www.rn.ca.gov/pdfs/regulations/npr-b-03.pdfhttp://www.rn.ca.gov/pdfs/regulations/npr-b-03.pdfhttp://www.arsbn.arkansas.gov/lawsRules/Documents/95_1.pdfhttp://www.arsbn.arkansas.gov/lawsRules/Pages/nursePracticeAct.aspxhttps://www.azbn.gov/MyServices/NursePracticeActExam.asphttps://www.azbn.gov/MyServices/NursePracticeActExam.asphttp://www.azbn.gov/NursePracticeAct.aspx -
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Links to Nurse Practice Acts and State Regulationsare considered medical practice will become common
nursing practice and no longer require standardized
procedures. Examples of medical functions which have
evolved into common nursing functions are the
measurement of cardiac output pressures, and the
insertion of PICC lines. (p. 2)
Colorado (5) "Diagnosing", within the terms of this article, means
the use of professional nursing knowledge and skills in
the identification of, and discrimination between,
physical and psychological signs or symptoms to arrive
at a conclusion that a condition exists for which nursing
care is indicated or for which referral to appropriate
medical or community resources is required. (p. 1)
Connecticut Section 20-87a. Definition of "nursing", "advanced
nursing practice" and "practical nursing".
(a) The practice of nursing by a registered nurse is
defined as the process of diagnosing human responses
to actual or potential health problems, providing
supportive and restorative care, health counseling and
teaching, case finding and referral, collaborating in the
implementation of the total health care regimen and
executing the medical regimen under the direction of a
licensed physician, dentist or advanced practice
registered nurse. (p. 1)
Delaware Standards of Nursing Practice are those standards
adopted by the Board that interpret the legaldefinitions of nursing, as well as provide criteria against
which violations of the law can be determined. Such
standards shall not be assumed the only evidence in
civil malpractice litigation, nor shall they be given a
different weight than any other evidence
Nursing Process includes assessment, diagnosis,
outcome identification, planning, implementation and
evaluation.
http://www.dora.state.co.us/nursing/statutes/NursePracticeAct.pdfhttp://www.dora.state.co.us/nursing/statutes/NursePracticeAct.pdfhttp://www.ct.gov/dph/lib/dph/practitioner_licensing_and_investigations/plis/nursing/chapter_378_nursing.pdfhttp://www.ct.gov/dph/lib/dph/practitioner_licensing_and_investigations/plis/nursing/chapter_378_nursing.pdfhttp://regulations.delaware.gov/AdminCode/title24/index.shtml#TopOfPagehttp://regulations.delaware.gov/AdminCode/title24/index.shtml#TopOfPagehttp://www.ct.gov/dph/lib/dph/practitioner_licensing_and_investigations/plis/nursing/chapter_378_nursing.pdfhttp://www.dora.state.co.us/nursing/statutes/NursePracticeAct.pdf -
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Links to Nurse Practice Acts and State RegulationsDistrict of Columbia 5414.1 The practice of registered nursing means the
performance of acts requiring substantial specialized
knowledge, judgment, and skill based upon the
principles of the biological, physical, behavioral, and
social sciences in the following:
a) The observation, comprehensive assessment,
evaluation and recording of physiological and
behavioral signs and symptoms of health, disease, and
injury, including the performance of examinations and
testing and their evaluation for the purpose of
identifying the needs of the client and family;
(b) The development of a comprehensive nursing plan
that establishes nursing diagnoses, sets goals to meet
identified health care needs, and prescribes and
implements nursing interventions of a therapeutic,
preventive, and restorative nature in response to anassessment of the clients requirements;
Florida (3)(a) "Practice of professional nursing" means the
performance of those acts requiring substantial
specialized knowledge, judgment, and nursing skill
based upon applied principles of psychological,
biological, physical, and social sciences which shall
include, but not be limited to:
1. The observation, assessment, nursing diagnosis,
planning, intervention, and evaluation of care; health
teaching and counseling of the ill, injured, or infirm;and the promotion of wellness, maintenance of health,
and prevention of illness of others.
AND
(d) "Nursing diagnosis" means the observation and
evaluation of physical or mental conditions, behaviors,
signs and symptoms of illness, and reactions to
treatment and the determination as to whether such
conditions, signs, symptoms, and reactions represent a
Declaratory Statement: Registered Nurses as SANEs
http://www.doh.state.fl.us/mqa/declaratory/nursing/fo
_DOH-04-0039.pdf
http://doh.dc.gov/sites/default/files/dc/sites/doh/publication/attachments/registered_nursing.pdfhttp://doh.dc.gov/sites/default/files/dc/sites/doh/publication/attachments/registered_nursing.pdfhttp://archive.flsenate.gov/statutes/index.cfm?m&App_mode=Display_Statute&URL=Ch0464/titl0464.htm&StatuteYear=2002&Title=-%3E2002-%3EChapter%2046http://www.doh.state.fl.us/mqa/declaratory/nursing/fo_DOH-04-0039.pdfhttp://www.doh.state.fl.us/mqa/declaratory/nursing/fo_DOH-04-0039.pdfhttp://www.doh.state.fl.us/mqa/declaratory/nursing/fo_DOH-04-0039.pdfhttp://www.doh.state.fl.us/mqa/declaratory/nursing/fo_DOH-04-0039.pdfhttp://www.doh.state.fl.us/mqa/declaratory/nursing/fo_DOH-04-0039.pdfhttp://archive.flsenate.gov/statutes/index.cfm?m&App_mode=Display_Statute&URL=Ch0464/titl0464.htm&StatuteYear=2002&Title=-%3E2002-%3EChapter%2046http://doh.dc.gov/sites/default/files/dc/sites/doh/publication/attachments/registered_nursing.pdf -
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Links to Nurse Practice Acts and State Regulationsdeviation from normal.
Georgia (6) "Practice nursing" or "practice of nursing" means to
perform for compensation or the performance for
compensation of any act in the care and counsel of the
ill, injured, or infirm, and in the promotion andmaintenance of health with individuals, groups, or both
throughout the life span. It requires substantial
specialized knowledge of the humanities, natural
sciences, social sciences, and nursing theory as a basis
for assessment, nursing diagnosis, planning,
intervention, and evaluation. It includes, but is not
limited to, provision of nursing care; administration,
supervision, evaluation, or any combination thereof, of
nursing practice; teaching; counseling; the
administration of medications and treatments as
prescribed by a physician practicing medicine inaccordance with Article 2 of Chapter 34 of this title, or a
dentist practicing dentistry in accordance with Chapter
11 of this title, or a podiatrist practicing podiatry in
accordance with Chapter 35 of this title.
Guam (2) Establish and document nursing diagnosis
(evaluation/problem) which serves as the basis for the
strategy of care.
(3) Develop the strategy of care based on assessment
and nursing diagnosis (evaluation/problem). This
includes:(A) Identifying priorities in the strategy of care.
(B) Setting realistic and measurable goals to implement
the strategy of care.
(C) Prescribing nursing intervention(s) based on the
nursing diagnosis (evaluation/problem).
(D) Identifying measures to maintain comfort, to
support human functions and responses, to maintain an
environment conducive to well-being, and to provide
http://sos.georgia.gov/acrobat/PLB/laws/38_RN%20Georgia%20Code%20Updated%20-%207-2012.pdfhttp://sos.georgia.gov/acrobat/PLB/laws/38_RN%20Georgia%20Code%20Updated%20-%207-2012.pdfhttp://www.justice.gov.gu/compileroflaws/GAR/25GAR/25GAR001-6.pdfhttp://www.justice.gov.gu/compileroflaws/GAR/25GAR/25GAR001-6.pdfhttp://sos.georgia.gov/acrobat/PLB/laws/38_RN%20Georgia%20Code%20Updated%20-%207-2012.pdf -
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Links to Nurse Practice Acts and State Regulationshealth teaching and counseling. (p. 4-5)
Hawaii Diagnosis is not mentioned
Idaho Diagnosis is not mentioned
Illinois A registered professional nurse provides holistic nursing
care through the nursing process to individuals, groups,families, or communities, that includes but is not
limited to: (1) the assessment of healthcare needs,
nursing diagnosis, planning, implementation, and
nursing evaluation;
ALSO: Within that same section: The foregoing shall not
be deemed to include those acts of medical diagnosis
or prescription of therapeutic or corrective measures.
Illinois General Assembly is the only place where there
is statutory language about the role:(c) In this Section, "sexual assault nurse examiner"
means a registered nurse who has completed a sexual
assault nurse examiner (SANE) training program that
meets the Forensic Sexual Assault Nurse Examiner
Education Guidelines established by the International
Association of Forensic Nurses.
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocNa
me=041000700K6.4
Indiana As used in this chapter, "registered nursing" means
performance of services which include but are not
limited to:(2) deriving a nursing diagnosis; (p. 5)
ALSO: (e) As used in this chapter, "nursing diagnosis"
means the identification of needs which are amenable
to nursing regimen. (p. 5)
Iowa As used in this section, nursing diagnosis means to
identify and use discriminatory judgment concerning
physical and psychosocial signs and symptoms essential
to determining effective nursing intervention. (p. 11)
ALSO: The practice of the profession of a registered
nurse means the practice of a natural person who is
licensed by the board to do all of the following: a.Formulate nursing diagnosis and conduct nursing
treatment of human responses to actual or potential
health problems through services, such as case finding,
referral, health teaching, health counseling, and care
provision which is supportive to or restorative of life
and well-being. (p. 12)
Kansas Diagnosis in the context of nursing practice means
that identification of and discrimination between
http://hawaii.gov/dcca/pvl/hrs/hrs_pvl_457.pdfhttp://www.legislature.idaho.gov/idstat/Title54/T54CH14.htmhttp://www.ilga.gov/legislation/ilcs/ilcs5.asp?ActID=1312&ChapterID=24http://www.ilga.gov/legislation/ilcs/ilcs5.asp?ActID=1312&ChapterID=24http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=041000700K6.4http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=041000700K6.4http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=041000700K6.4http://www.in.gov/pla/files/ISBN_2008_EDITION.pdfhttp://www.iowa.gov/nursing/ia_law/Iowa%20Code%20Extracts.pdfhttp://www.iowa.gov/nursing/ia_law/Iowa%20Code%20Extracts.pdfhttp://www.ksbn.org/npa/npa.htmhttp://www.ksbn.org/npa/npa.htmhttp://www.iowa.gov/nursing/ia_law/Iowa%20Code%20Extracts.pdfhttp://www.in.gov/pla/files/ISBN_2008_EDITION.pdfhttp://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=041000700K6.4http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=041000700K6.4http://www.ilga.gov/legislation/ilcs/ilcs5.asp?ActID=1312&ChapterID=24http://www.legislature.idaho.gov/idstat/Title54/T54CH14.htmhttp://hawaii.gov/dcca/pvl/hrs/hrs_pvl_457.pdf -
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Links to Nurse Practice Acts and State Regulationsphysical and psychosocial signs and symptoms essential
to effective execution and management of the nursing
regimen and shall be construed as distinct from a
medical diagnosis. (p. 4)
Kentucky "Nursing process" means the investigative approach to
nursing practice utilizing a method of problem-solving
by means of:
(a) Nursing diagnosis, a systematic investigation of a
health concern, and an analysis of the data collected in
order to arrive at an identifiable problem; and
(b) Planning, implementation, and evaluation based on
nationally accepted standards of nursing practice;
"Sexual assault nurse examiner" means a registered
nurse who has completed the required education and
clinical experience and maintains a current credential
from the board as provided under KRS 314.142 to
conduct forensic examinations of victims of sexual
offenses under the medical protocol issued by the
Justice and Public Safety Cabinet in consultation with
the Sexual Assault Response Team Advisory Committee
pursuant to KRS 216B.400(4);
314.142 Sexual Assault Nurse Examiner Program --
Advisory council.
(1) The Kentucky Board of Nursing shall promulgateadministrative regulations pursuant to KRS Chapter 13A
to create a Sexual Assault Nurse Examiner Program.
These administrative regulations shall address, at a
minimum:
(a) Educational requirements for sexual assault nurse
examiners and statewide standards for provision of the
education;
(b) The application process through which registered
nurses who submit documentation of required
education and clinical experience and who remitthe designated application fee may apply to the board
to be credentialed as a "Sexual Assault Nurse
Examiner";
(c) Continuing education requirements for maintenance
of the sexual assault nurse examiner credential;
(d) Methods of monitoring overall program
implementation; and
(e) Procedures for obtaining input from the Sexual
http://www.kbn.ky.gov/practice/http://www.kbn.ky.gov/practice/ -
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Links to Nurse Practice Acts and State RegulationsAssault Response Team Advisory Committee
established under KRS Chapter 403 prior to proposing
amendments to any provision of the administrative
regulations promulgated under this section or KRS
314.131.
(2) Any person in this state who holds a credential as a
Sexual Assault Nurse Examiner as defined in KRS
314.011(14) shall have the right to use the title "Sexual
Assault Nurse Examiner" and the abbreviation "SANE".
No other person shall assume the title or use the
abbreviation or any other words, letters, signs, or
figures to indicate that the person using the same is a
Sexual Assault Nurse Examiner.
http://www.lrc.ky.gov/krs/314-00/142.PDF
Obtaining the SANE credential:
http://kbn.ky.gov/apply/sane.htmLouisiana "Nursing diagnosis" means the identification of actual
or potential responses to health needs or problems
based on collecting, analyzing, and comparing data with
appropriate nursing standards to serve as the basis for
indicating nursing care or for which referral to
appropriate medical or community resources is
necessary.
"Practice of nursing" means the performance, with or
without compensation, by an individual licensed by the
board as a registered nurse, of functions requiringspecialized knowledge and skills derived from the
biological, physical, and behavioral sciences. The
practice of nursing or registered nursing shall not be
deemed to include acts of medical diagnosis or medical
prescriptions of therapeutic or corrective nature.
Board of Nursing motion to recognize SANE function
under the scope of RN practice:
http://www.lsbn.state.la.us/Portals/1/Documents/agen
das/pracmin071503.pdf
Maine 2. Professional nursing. The practice of "professional
nursing" means the performance by a registered
professional nurse for compensation of professional
http://www.lrc.ky.gov/krs/314-00/142.PDFhttp://www.lrc.ky.gov/krs/314-00/142.PDFhttp://kbn.ky.gov/apply/sane.htmhttp://kbn.ky.gov/apply/sane.htmhttp://www.lsbn.state.la.us/Documents/npa/npafull.pdfhttp://www.lsbn.state.la.us/Portals/1/Documents/agendas/pracmin071503.pdfhttp://www.lsbn.state.la.us/Portals/1/Documents/agendas/pracmin071503.pdfhttp://www.lsbn.state.la.us/Portals/1/Documents/agendas/pracmin071503.pdfhttp://www.mainelegislature.org/legis/statutes/32/title32ch31sec0.htmlhttp://www.mainelegislature.org/legis/statutes/32/title32ch31sec0.htmlhttp://www.lsbn.state.la.us/Portals/1/Documents/agendas/pracmin071503.pdfhttp://www.lsbn.state.la.us/Portals/1/Documents/agendas/pracmin071503.pdfhttp://www.lsbn.state.la.us/Documents/npa/npafull.pdfhttp://kbn.ky.gov/apply/sane.htmhttp://www.lrc.ky.gov/krs/314-00/142.PDF -
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Links to Nurse Practice Acts and State Regulationsservices defined as follows:
A. Diagnosis and treatment of human responses to
actual or potential physical and emotional health
problems through such services as case finding, health
teaching, health counseling and provision of care
supportive to or restorative of life and well-being and
execution of the medical regimen as prescribed by a
licensed physician, podiatrist or dentist or otherwise
legally authorized individual acting under the delegated
authority of a physician, podiatrist or dentist:
(1) "Diagnosis" in the context of nursing practice means
that identification of and discrimination between
physical and psychosocial signs and symptoms essential
to effective execution and
management of the nursing regimen. This diagnostic
privilege is distinct from medical diagnosis; (p. 3)Maryland "Practice registered nursing" means the performance of
acts requiring substantial specialized knowledge,
judgment, and skill based on the biological,
physiological, behavioral, or sociological sciences as the
basis for assessment, nursing diagnosis, planning,
implementation, and evaluation of the practice of
nursing in order to:
(i) Maintain health;
(ii) Prevent illness; or
(iii) Care for or rehabilitate the ill, injured, or infirm.
Forensic Nurse Examiner regulatory language:
http://www.dsd.state.md.us/comar/SubtitleSearch.asp
x?search=10.27.21.*
Forensic Nurse Examiner certification via the Maryland
Board of Nursing:
http://www.mbon.org/main.php?v=norm&p=0&c=adv_
prac/rn-fne_instructions.html
Massachusetts Diagnosis is not mentioned
Michigan Diagnosis is not mentioned
Minnesota Diagnosis is not mentioned
Mississippi The practice of nursing by a registered nurse means the
performance for compensation of services which
requires substantial knowledge of the biological,
physical, behavioral, psychological and sociological
sciences and of nursing theory as the basis for
http://www.mbon.org/main.php?v=norm&p=0&c=practice/nurse_practice_act.htmlhttp://www.dsd.state.md.us/comar/SubtitleSearch.aspx?search=10.27.21.*http://www.dsd.state.md.us/comar/SubtitleSearch.aspx?search=10.27.21.*http://www.dsd.state.md.us/comar/SubtitleSearch.aspx?search=10.27.21.*http://www.mbon.org/main.php?v=norm&p=0&c=adv_prac/rn-fne_instructions.htmlhttp://www.mbon.org/main.php?v=norm&p=0&c=adv_prac/rn-fne_instructions.htmlhttp://www.mbon.org/main.php?v=norm&p=0&c=adv_prac/rn-fne_instructions.htmlhttp://www.massnurses.org/files/file/Legislation-and-Politics/np_act.pdfhttp://www.massnurses.org/files/file/Legislation-and-Politics/np_act.pdfhttp://www.legislature.mi.gov/(S(x0bdycaa4jhn4l55opaw1uj1))/mileg.aspx?page=GetObject&objectname=mcl-368-1978-15-172http://www.legislature.mi.gov/(S(x0bdycaa4jhn4l55opaw1uj1))/mileg.aspx?page=GetObject&objectname=mcl-368-1978-15-172http://mn.gov/health-licensing-boards/nursing/laws-and-rules/nurse-practice-act/http://mn.gov/health-licensing-boards/nursing/laws-and-rules/nurse-practice-act/http://www.msbn.state.ms.us/pdf/nsgpracticelaw2010.pdfhttp://www.msbn.state.ms.us/pdf/nsgpracticelaw2010.pdfhttp://www.msbn.state.ms.us/pdf/nsgpracticelaw2010.pdfhttp://mn.gov/health-licensing-boards/nursing/laws-and-rules/nurse-practice-act/http://www.legislature.mi.gov/(S(x0bdycaa4jhn4l55opaw1uj1))/mileg.aspx?page=GetObject&objectname=mcl-368-1978-15-172http://www.massnurses.org/files/file/Legislation-and-Politics/np_act.pdfhttp://www.mbon.org/main.php?v=norm&p=0&c=adv_prac/rn-fne_instructions.htmlhttp://www.mbon.org/main.php?v=norm&p=0&c=adv_prac/rn-fne_instructions.htmlhttp://www.dsd.state.md.us/comar/SubtitleSearch.aspx?search=10.27.21.*http://www.dsd.state.md.us/comar/SubtitleSearch.aspx?search=10.27.21.*http://www.mbon.org/main.php?v=norm&p=0&c=practice/nurse_practice_act.html -
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Links to Nurse Practice Acts and State Regulationsassessment, diagnosis, planning, intervention and
evaluation in the promotion and maintenance of
health; management of individuals' responses to illness,
injury or infirmity; the restoration of optimum
function; or the achievement of a dignified death.
Nursing practice includes, but is not limited to,
administration, teaching, counseling, delegation and
supervision of nursing, and execution of the medical
regimen, including the administration of medications
and treatments prescribed by any licensed or legally
authorized physician or dentist. The foregoing shall not
be deemed to include acts of medical diagnosis or
prescriptions of medical, therapeutic or corrective
measures, except as may be set forth by rules and
regulations promulgated and implemented by the
Mississippi Board of Nursing. (p. 3)Missouri (I) Nothing in these rules shall be construed to permit
medical diagnosis of any condition by an RN pursuant
to a collaborative practice arrangement. (p. 18)
Montana Diagnosis is not mentioned
Nebraska Practice of nursing by a registered nurse, defined. (1)
The practice of nursing by a registered nurse means
assuming responsibility and accountability for nursing
actions. (2) Nursing actions include, but are not limited
to:
(a) Assessing human responses to actual or potentialhealth conditions;
(b) Establishing nursing diagnoses; (p. 2)
Nevada Practice of nursing defined. Practice of nursing
means the general observation, diagnosis and
treatment of changes in a persons health. The term
does not include acts of medical diagnosis or
prescription of therapeutic or corrective measures,
except as authorized by specific statute.
SANE practice decision pursuant to RNs:
http://nevadanursingboard.org/wp-
content/uploads/2011/10/Sexual-assault-nurse-
examiner.pdf
http://pr.mo.gov/nursing-rules-statutes.asphttp://bsd.dli.mt.gov/license/bsd_boards/nur_board/pdf/sp_guide.pdfhttp://dhhs.ne.gov/publichealth/Licensure/Documents/Nursing-NursePracticeAct.pdfhttp://dhhs.ne.gov/publichealth/Licensure/Documents/Nursing-NursePracticeAct.pdfhttp://www.leg.state.nv.us/NRS/NRS-632.htmlhttp://nevadanursingboard.org/wp-content/uploads/2011/10/Sexual-assault-nurse-examiner.pdfhttp://nevadanursingboard.org/wp-content/uploads/2011/10/Sexual-assault-nurse-examiner.pdfhttp://nevadanursingboard.org/wp-content/uploads/2011/10/Sexual-assault-nurse-examiner.pdfhttp://nevadanursingboard.org/wp-content/uploads/2011/10/Sexual-assault-nurse-examiner.pdfhttp://nevadanursingboard.org/wp-content/uploads/2011/10/Sexual-assault-nurse-examiner.pdfhttp://nevadanursingboard.org/wp-content/uploads/2011/10/Sexual-assault-nurse-examiner.pdfhttp://nevadanursingboard.org/wp-content/uploads/2011/10/Sexual-assault-nurse-examiner.pdfhttp://www.leg.state.nv.us/NRS/NRS-632.htmlhttp://dhhs.ne.gov/publichealth/Licensure/Documents/Nursing-NursePracticeAct.pdfhttp://bsd.dli.mt.gov/license/bsd_boards/nur_board/pdf/sp_guide.pdfhttp://pr.mo.gov/nursing-rules-statutes.asp -
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Links to Nurse Practice Acts and State RegulationsNew Hampshire "Registered nursing'' means the application of nursing
knowledge, judgment, and skill drawn from broad in-
depth education in the biological, psychological, social,
and physical sciences in assessing and diagnosing the
health status of a client, and in planning, implementing,
and evaluating client care which promotes the
optimum health, wellness, and independence of the
individual, the family, and the community.
New Jersey The practice of nursing as a registered professional
nurse is defined as diagnosing and treating human
responses to actual or potential physical and emotional
health problems, through such services as casefinding,
health teaching, health counseling, and provision of
care supportive to or restorative of life and well-being,
and executing medical regimens as prescribed by a
licensed or otherwise legally authorized physician ordentist. Diagnosing in the context of nursing practice
means that identification of and discrimination
between physical and psychosocial signs and symptoms
essential to effective execution and management of the
nursing regimen. Such diagnostic privilege is distinct
from a medical diagnosis. (p. 20)
Forensic Nurse-Certified Sexual Assault application
packet:
http://www.njconsumeraffairs.gov/nursing/ForensicNu
rse.pdf
New Mexico "professional registered nursing" means the practice of
the full scope of nursing requiring substantial
knowledge of the biological, physical, social and
behavioral sciences and of nursing theory and mayinclude advanced practice pursuant to the Nursing
Practice Act. This practice includes but is not limited
to:
(2) establishing a nursing diagnosis;
"[N]ursing diagnosis" means a clinical judgment about
individual, family or community responses to actual or
potential health problems or life processes, which
judgment provides a basis for the selection of nursing
http://www.nh.gov/nursing/rules/index.htmlhttp://www.state.nj.us/lps/ca/nursing/nurselaws.pdfhttp://www.njconsumeraffairs.gov/nursing/ForensicNurse.pdfhttp://www.njconsumeraffairs.gov/nursing/ForensicNurse.pdfhttp://www.njconsumeraffairs.gov/nursing/ForensicNurse.pdfhttp://nmbon.sks.com/uploads/files/New%20Mexico%20Nursing%20Practice%20Act.pdfhttp://nmbon.sks.com/uploads/files/New%20Mexico%20Nursing%20Practice%20Act.pdfhttp://nmbon.sks.com/uploads/files/New%20Mexico%20Nursing%20Practice%20Act.pdfhttp://www.njconsumeraffairs.gov/nursing/ForensicNurse.pdfhttp://www.njconsumeraffairs.gov/nursing/ForensicNurse.pdfhttp://www.state.nj.us/lps/ca/nursing/nurselaws.pdfhttp://www.nh.gov/nursing/rules/index.html -
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Links to Nurse Practice Acts and State Regulationsinterventions to achieve outcomes for which the
person making the judgment is accountable;
New York "Diagnosing" in the context of nursing practice means
that identification of and discrimination between
physical and psychosocial signs and symptoms essential
to effective execution and management of the nursing
regimen. Such diagnostic privilege is distinct from a
medical diagnosis.
The practice of the profession of nursing as a registered
professional nurse is defined as diagnosing and treating
human responses to actual or potential health
problems through such services as casefinding, health
teaching, health counseling, and provision of care
supportive to or restorative of life and well-being, and
executing medical regimens prescribed by a licensed
physician, dentist or other licensed health care providerlegally authorized under this title and in accordance
with the commissioner's regulations. A nursing regimen
shall be consistent with and shall not vary any existing
medical regimen.
Department of Health SAFE Examiner Standards:
http://www.health.ny.gov/professionals/safe/docs/safe
_examiner_standards.pdf
Northern Mariana Islands
North Carolina Formulation of a nursing diagnosis includes:
(A) describing actual or potential responses to health
conditions. Such responses are those for which nursing
care is indicated, or for which referral to medical or
community resources is appropriate; and(B) developing a statement of a client problem
identified through interpretation of collected data. (p.
1)
SANE laws and regulations:
http://www.ncbon.com/content.aspx?id=34
North Dakota "Nursing" means the performance of acts utilizing
specialized knowledge, skills, and abilities for people in
a variety of settings. The term includes the following
acts, which may not be deemed to include acts of
medical diagnosis or treatment or the practice of
http://www.op.nysed.gov/prof/nurse/article139.htmhttp://www.op.nysed.gov/prof/nurse/article139.htmhttp://www.health.ny.gov/professionals/safe/docs/safe_examiner_standards.pdfhttp://www.health.ny.gov/professionals/safe/docs/safe_examiner_standards.pdfhttp://www.health.ny.gov/professionals/safe/docs/safe_examiner_standards.pdfhttp://www.ncbon.com/content.aspx?id=666http://www.ncbon.com/content.aspx?id=34http://www.ncbon.com/content.aspx?id=34http://www.legis.nd.gov/cencode/t43c12-1.pdfhttp://www.legis.nd.gov/cencode/t43c12-1.pdfhttp://www.legis.nd.gov/cencode/t43c12-1.pdfhttp://www.ncbon.com/content.aspx?id=34http://www.ncbon.com/content.aspx?id=666http://www.health.ny.gov/professionals/safe/docs/safe_examiner_standards.pdfhttp://www.health.ny.gov/professionals/safe/docs/safe_examiner_standards.pdfhttp://www.op.nysed.gov/prof/nurse/article139.htm -
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Links to Nurse Practice Acts and State Regulationsmedicine as defined in chapter 43-17:
a. The maintenance of health and prevention of illness.
b. Diagnosing human responses to actual or potential
health problems.
c. Providing supportive and restorative care and
nursing treatment, medication administration, health
counseling and teaching, case finding and referral
of individuals who are ill, injured, or experiencing
changes in the normal health processes.
d. Administration, teaching, supervision, delegation,
and evaluation of health and nursing practices.
e. Collaboration with other health care professionals in
the implementation of the total health care regimen
and execution of the health care regimen prescribed by
a health care practitioner licensed under the laws of
this state. (p. 1)Ohio 4723.151 Unlicensed practice.
(A) Medical diagnosis, prescription of medical
measures, and the practice of medicine or surgery or
any of its branches by a nurse are prohibited.
Oklahoma "The practice of nursing" means the performance of
services provided for purposes of nursing diagnosis and
treatment of human responses to actual or potential
health problems consistent with educational
preparation. Knowledge and skill are the basis for
assessment, analysis, planning, intervention, andevaluation used in the promotion and maintenance of
health and nursing management of illness, injury,
infirmity, restoration or optimal function, or death with
dignity. Practice is based on understanding the human
condition across the human lifespan and understanding
the relationship of the individual within the
environment. This practice includes execution of the
medical regime including the administration of
Board of Nursing declaration to recognize SANE role
within the scope of RN practice:
http://www.ok.gov/nursing/rnsassualt.pdf
http://www.nursing.ohio.gov/Law_and_Rule.htmhttp://www.ok.gov/nursing/act.pdfhttp://www.ok.gov/nursing/rnsassualt.pdfhttp://www.ok.gov/nursing/rnsassualt.pdfhttp://www.ok.gov/nursing/rnsassualt.pdfhttp://www.ok.gov/nursing/act.pdfhttp://www.nursing.ohio.gov/Law_and_Rule.htm -
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Links to Nurse Practice Acts and State Regulationsmedications and treatments prescribed by any person
authorized by state law to so prescribe; (p. 3)
Oregon Nursing Diagnostic Statements means the nursing
diagnoses or reasoned conclusions which are
developed as a result of nursing assessment. They
describe a clients actual or potential health problems
which are amenable to resolution by means of nursing
strategies, interventions or actions;
"Nursing process" means the systematic problem
solving method licensed nurses use when they provide
nursing care. The nursing process includes assessing,
making nursing diagnoses, planning, intervening, and
evaluating. The steps of the nursing process are
interrelated and together form the basis for the
practice of nursing;
Registered Nurse Scope of Practice as A Sexual Assault
Nurse ExaminerBoard of Nursing policy statement:
http://www.oregon.gov/osbn/pdfs/policies/sane.pdf
Pennsylvania (1) The Practice of Professional Nursing meansdiagnosing and treating human responses to actual or
potential health problems through such services as
casefinding, health teaching, health counseling, and
provision of care supportive to or restorative of life and
well-being, and executing medical regimens as
prescribed by a licensed physician or dentist. The
foregoing shall not be deemed to include acts of
medical diagnosis or prescription of medical
therapeutic or corrective measures, except as
performed by a certified registered nurse practitioneracting in accordance with rules and regulations
promulgated by the Board
(4)Diagnosing means that identification of and
discrimination between physical and psychosocial signs
and symptoms essential to effective execution and
management of the nursing regimen. (p. 2)
Puerto Rico
Rhode Island Diagnosis is not mentioned
http://www.oregon.gov/OSBN/adminrules.shtmlhttp://www.oregon.gov/osbn/pdfs/policies/sane.pdfhttp://www.oregon.gov/osbn/pdfs/policies/sane.pdfhttp://www.portal.state.pa.us/portal/server.pt?open=18&objID=487011&mode=2http://www.portal.state.pa.us/portal/server.pt?open=18&objID=487011&mode=2http://www.health.ri.gov/for/nurses/http://www.health.ri.gov/for/nurses/http://www.portal.state.pa.us/portal/server.pt?open=18&objID=487011&mode=2http://www.oregon.gov/osbn/pdfs/policies/sane.pdfhttp://www.oregon.gov/OSBN/adminrules.shtml -
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Links to Nurse Practice Acts and State RegulationsSouth Carolina "Nursing diagnosis" means a clinical judgment about a
person, family, or community that is derived through a
nursing assessment and the standard nursing
taxonomy.
Advisory opinion on the use of the colposcope by RNs
functioning as SANEs:
http://www.llr.state.sc.us/POL/Nursing/AdvisoryOp/AO
36.pdf
South Dakota "Nursing diagnosis," the identification of and
discrimination between physical and psychological
signs or symptoms essential to the effective execution
and management of a nursing regimen.
Scope of registered nursing practice. As used in this
chapter, the practice of nursing by a registered nurse
means the:
(1) Nursing diagnosis of human responses to actual or
potential health problems of individuals or groups,
providing preventative, restorative and supportive care,
health teaching and counseling, case finding and
referral;
Board of Nursing advisory opinion on SANE role within
the scope of RN practice:
http://doh.sd.gov/boards/nursing/title-
opinion.aspx#SART
Tennessee The practice of professional nursing does not include
acts of medical diagnosis or the development of a
medical plan of care and therapeutics for a patient,
except to the extent such acts may be authorized by
63-1-132, 63-7-123 and 63-7-207.
Texas The registered nurse shall assist in the determination of
healthcare needs of clients and shall:
(A) Utilize a systematic approach to provide
individualized, goal-directed, nursing care by:
(i) performing comprehensive nursing assessmentsregarding the health status of the client;
(ii) making nursing diagnoses that serve as the basis
for the strategy of care;
(iii) developing a plan of care based on the
assessment and nursing diagnosis;
Forensic evidence collection provision:
http://www.bne.state.tx.us/practice/faq-
forensicevidence.html
SANE Certification through the Texas AttorneyGenerals Office:
https://www.oag.state.tx.us/victims/sapcs.shtml#certifi
cation
Utah Diagnosis is not mentioned
Vermont "Registered nursing" means the practice of nursing
which includes:
SANE Board (via Department of Health and Human
Services) Regulation of Sexual Assault Nurse Examiners:
http://www.scstatehouse.gov/code/t40c033.phphttp://www.scstatehouse.gov/code/t40c033.phphttp://www.llr.state.sc.us/POL/Nursing/AdvisoryOp/AO36.pdfhttp://www.llr.state.sc.us/POL/Nursing/AdvisoryOp/AO36.pdfhttp://www.llr.state.sc.us/POL/Nursing/AdvisoryOp/AO36.pdfhttp://doh.sd.gov/Boards/Nursing/nurseact.aspxhttp://doh.sd.gov/boards/nursing/title-opinion.aspx#SARThttp://doh.sd.gov/boards/nursing/title-opinion.aspx#SARThttp://doh.sd.gov/boards/nursing/title-opinion.aspx#SARThttp://www.tnaonline.org/npa-rules.htmlhttp://www.bne.state.tx.us/practice/gen_practice.htmlhttp://www.bne.state.tx.us/practice/faq-forensicevidence.htmlhttp://www.bne.state.tx.us/practice/faq-forensicevidence.htmlhttps://www.oag.state.tx.us/victims/sapcs.shtml#certificationhttps://www.oag.state.tx.us/victims/sapcs.shtml#certificationhttps://www.oag.state.tx.us/victims/sapcs.shtml#certificationhttp://www.rules.utah.gov/publicat/code/r156/r156-31b.htmhttp://www.leg.state.vt.us/statutes/fullchapter.cfm?Title=26&Chapter=028http://www.leg.state.vt.us/statutes/fullchapter.cfm?Title=26&Chapter=028http://www.leg.state.vt.us/statutes/fullchapter.cfm?Title=26&Chapter=028http://www.rules.utah.gov/publicat/code/r156/r156-31b.htmhttps://www.oag.state.tx.us/victims/sapcs.shtml#certificationhttps://www.oag.state.tx.us/victims/sapcs.shtml#certificationhttp://www.bne.state.tx.us/practice/faq-forensicevidence.htmlhttp://www.bne.state.tx.us/practice/faq-forensicevidence.htmlhttp://www.bne.state.tx.us/practice/gen_practice.htmlhttp://www.tnaonline.org/npa-rules.htmlhttp://doh.sd.gov/boards/nursing/title-opinion.aspx#SARThttp://doh.sd.gov/boards/nursing/title-opinion.aspx#SARThttp://doh.sd.gov/Boards/Nursing/nurseact.aspxhttp://www.llr.state.sc.us/POL/Nursing/AdvisoryOp/AO36.pdfhttp://www.llr.state.sc.us/POL/Nursing/AdvisoryOp/AO36.pdfhttp://www.scstatehouse.gov/code/t40c033.php -
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Links to Nurse Practice Acts and State Regulations(A) Assessing the health status of individuals and
groups.
(B) Establishing a nursing diagnosis
http://www.vtnetwork.org/wp-content/uploads/SANE-
Final-Rule-as-Adopted-04-30-10.pdf
Virgin Islands
Virginia Diagnosis is not mentioned
Washington Nursing Diagnosis/Problem Identification: The
registered nurse uses client data and nursing scientific
principles to develop nursing diagnosis and to identify
client problems in order to deliver effective nursing
care;
West Virginia Diagnosis is not mentioned
Wisconsin Diagnosis is not mentioned
Wyoming "Nursing process" means the investigative approach to
nursing practice utilizing a method of problem
identification by means of:
(A)Assessment: A systematic and continuous collection
of objective and subjective data about the health status
of individuals and groups derived from observations,
health assessment including physical assessment,
interviews, written records and reports;
(B) Nursing Diagnosis: The identification of actual or
potential responses to health needs or problems based
on collecting, analyzing and comparing data with
appropriate nursing standards to serve as the basis for
providing nursing care or for which referral to
appropriate medical or community resources isrequired;
(C) Planning: Development of a plan of care which
includes measurable goals derived from the nursing
diagnosis and identified priorities to maintain comfort,
support of human functions and responses, and an
environment conducive to wellness;
(D)Intervention: Actions in nursing practice which
implement the plan of care to maximize health
http://www.vtnetwork.org/wp-content/uploads/SANE-Final-Rule-as-Adopted-04-30-10.pdfhttp://www.vtnetwork.org/wp-content/uploads/SANE-Final-Rule-as-Adopted-04-30-10.pdfhttp://www.vtnetwork.org/wp-content/uploads/SANE-Final-Rule-as-Adopted-04-30-10.pdfhttp://www.dhp.virginia.gov/nursing/leg/Chapter%2030%20Nursing.dochttp://www.dhp.virginia.gov/nursing/leg/Chapter%2030%20Nursing.dochttp://www.doh.wa.gov/LicensesPermitsandCertificates/NursingCommission/Laws.aspxhttp://www.doh.wa.gov/LicensesPermitsandCertificates/NursingCommission/Laws.aspxhttp://www.wvrnboard.com/images/Scope%20and%20Delegation%20Booklet%206.09.pdfhttp://www.wvrnboard.com/images/Scope%20and%20Delegation%20Booklet%206.09.pdfhttp://www.wisconsinnurses.org/media/NursePracticeAct.pdfhttp://legisweb.state.wy.us/statutes/statutes.aspx?file=titles/Title33/T33CH21.htmhttp://legisweb.state.wy.us/statutes/statutes.aspx?file=titles/Title33/T33CH21.htmhttp://legisweb.state.wy.us/statutes/statutes.aspx?file=titles/Title33/T33CH21.htmhttp://www.wisconsinnurses.org/media/NursePracticeAct.pdfhttp://www.wvrnboard.com/images/Scope%20and%20Delegation%20Booklet%206.09.pdfhttp://www.doh.wa.gov/LicensesPermitsandCertificates/NursingCommission/Laws.aspxhttp://www.dhp.virginia.gov/nursing/leg/Chapter%2030%20Nursing.dochttp://www.vtnetwork.org/wp-content/uploads/SANE-Final-Rule-as-Adopted-04-30-10.pdfhttp://www.vtnetwork.org/wp-content/uploads/SANE-Final-Rule-as-Adopted-04-30-10.pdf -
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Links to Nurse Practice Acts and State Regulationscapabilities of individuals and groups;
(E)Evaluation: The continuous appraisal of the
effectiveness of goal attainment in the plan of care by
means of reassessing health status, and if necessary,
modifying nursing diagnosis, plan of care and
interventions.
.