Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗
A registered nurse in accordance with § 20:48:04:01 shall use the nursing process in the execution of nursing responsibilities, activities, or tasks authorized in SDCL 36-9-3 and this article for the promotion or maintenance of client health and the prevention of illness or injury. A registered nurse may: (1) 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; (2) Identify client problems and use clinical judgment in accordance with § 20:48:04:01 to make independent nursing decisions or a nursing diagnosis; (3) Develop a nursing plan of care that may include interventions for health maintenance, patient teaching, counseling, prevention of illness, rehabilitation, or discharge planning; (4) Administer independent nursing interventions; (5) Administer medications and treatments prescribed or ordered by a legally authorized prescriber, including: (a) Determining which medication to administer when a prescriber orders more than one medication for the same therapeutic indication; and (b) Determining the dose to administer when a prescriber orders an as-needed medication with a range of doses; (6) 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; (7) Determine and place durable medical equipment or therapeutic devices when providing preventive, restorative, and supportive care, to implement the overall plan of care; (8) Evaluate client response to nursing interventions and modify the nursing plan of care consistent with intended outcomes; (9) Monitor changes in a client’s health status and take appropriate action, including preventive measures to protect the client, self, and others; (10) Assess client learning needs, develop a teaching plan to meet the client’s needs, implement the plan, and evaluate the outcome; (11) Delegate only tasks or activities that one can perform safely and in accordance with § 20:48:04.01:01; and (12) Supervise licensed and unlicensed providers in accordance with this article.
Source: 50 SDR 69, effective December 10, 2023.