Six Step Decision-Making Model for Determining Nursing Scope of Practice

. Is the activity consistent with the Nursing Practice Act (NPA), Board Rules, and Board Position Statements and/or Guidelines? Yes → Continue No → STOP

step 1

. Is the activity appropriately authorized by valid order/protocol and in accordance with established policies and procedures? Yes → Continue No → STOP

step 2

Is the act supported by either research reported in nursing and health-related literature or in scope of practice statements by national nursing organizations? Yes → Continue No → STOP

step 3

Do you possess the required knowledge and have you demonstrated the competency required to carry out this activity safely? Yes → Continue No → STOP

step 4

Would a reasonable and prudent nurse perform this activity in this setting? Yes → Continue No → STOP NO → STOP. The act is NOT within your scope of practice

step 5

Are you prepared to assume accountability for the provision of safe care and the outcome of the care rendered? Yes → Perform the act-based upon valid order when necessary, and in accordance with appropriately established and current policies and procedures; and Assume accountability for provision of safe care.

step 6