New Hampshire Administrative Code

This part shall apply to the delegation of nursing tasks by all licensees except for those persons exempted by RSA 326-B:43. Notes N.H. Admin. Code § Nur 404.02 #6778, eff 6-26-98; ss by #7741, eff 8-13-02; ss by #8873, eff 4-24-07; ss by #10299, eff 3-22-13; ss by #10571, eff 4-…

(a) "Administration of medication" means an action taken by a licensee or authorized delegate whereby a single does of the prescribed medication is instilled into or applied to the body of a person for immediate consumption or use. (b) "Assistance with administration of medicatio…

(a) The following licensees shall have the authority pursuant to RSA 326-B to delegate nursing related activities: (1) Any currently licensed RN or APRN when practicing registered nursing; and (2) Any currently licensed LPN when practicing practical nursing directed by a licensed…

(a) Any individual shall be eligible to receive the delegation of a task of client care not involving the administration of medication only if such individual has competency to perform the specific task. (b) For nursing related activities involving the administration of medicatio…

(a) To delegate a nursing task, the delegating nurse shall: (1) Assess the client to ensure the client's condition is stable and predictable pursuant to Nur 101.21; (2) Ensure the task does not require nursing assessment and consider: a. The nature of the task, the complexity, an…

(a) In addition to the requirements of Nur 404.05, when delegating medication administration, the delegating nurse shall specify: (1) The medication to be administered; (2) The dosage, route and time of the medication to be administered; (3) The proper method for administration; …

(a) A licensee to whom a specific task of client care has been delegated shall perform that task in accordance with RSA 326-B and these rules. (b) A delegatee who is a licensee shall wear a badge showing the delegatee's name and title when performing the delegated task of client …

A MNA shall perform a task involving the administration of medication only if: (a) The task has been delegated to the MNA by a licensed nurse in accordance with the provisions of Nur 404; and (b) The delegation is not prohibited by Nur 404.04. Notes N.H. Admin. Code § Nur 404.09 …

An MNA shall not perform a task involving the administration of medication if: (a) The task requires the determination of the client's need for the medication, the calculation of the dosage of the medication or the conversion of dosage; (b) The delegating nurse is unavailable to …

(a) A licensee intending to delegate, or having delegated, a task involving medication administration to a MNA shall comply with the requirements of Nur 404.05 and Nur 404.06. (b) A licensee who, having delegated a task involving medication administration to a MNA, has any reason…

An MNA who has any reason to believe that he or she has made an error in the administration of medication shall: (a) Immediately report to the following people a possible or known error in the administration of medication: (1) The licensee who delegated the task involving the adm…

All licensees shall, through education and experience, maintain the ability to practice nursing or nursing related activities competently. Notes N.H. Admin. Code § Nur 404.13 #9395, eff 2-25-09; ss by #10299, eff 3-22-13; ss by #10299, eff 3-22-13 Renumbered by Nur 404.12 Volume …

(a) Each licensee shall notify the board, in writing or electronically, within 30 days of a change of residential or business address by completing and submitting Form "Address Name Change Form", 11-2013. (b) The notification required by (a) above shall include the licensee's: (1…

All licensees shall, through education and experience, maintain the ability to practice nursing or nursing related activities competently. Notes N.H. Admin. Code § Nur 405.01 Amended by Volume XXXVI Number 19, Filed May 12, 2016, Proposed by #11082, Effective 4/26/2016, Expires 4…

(a) Each licensee shall notify the board, in writing or electronically, within 30 days of a change of residential or business address by completing and submitting Form "Address Name Change Form", 11-2013. (b) The notification required by (a) above shall include the licensee's: (1…

(a) The ethical standards set forth in this part shall bind all licensees and, as applicable, applicants for a license. (b) Violations of any of the standards shall be included within the scope of the term "unprofessional conduct" as used in RSA 326-B:37, II(h) and shall result i…

A licensee, or, as applicable, an applicant for licensing shall: (a) Perform during nursing care or nursing-related activities only those acts which are within the licensee's competency; (b) Submit only truthful and correct information in any application or other document filed w…

A licensed nurse or nursing assistant shall: (a) Hold the health and safety of clients to be of first consideration and render to each client the full measure of their ability as an essential health care provider; (b) Always strive to perfect, enlarge, and utilize their knowledge…

(a) An Advanced Practice Registered Nurse (APRN) shall, pursuant to RSA 326-B:11(III) and RSA 326-B:37, II, (h), be under a professional duty to comply with the requirements of the Controlled Drug Prescription Health and Safety Program, RSA 318-B:31-38, and all administrative rul…

(a) An Advanced Practice Registered Nurse (APRN) shall be under a professional duty to comply with the requirements of the Controlled Drug Act, RSA 318-B, and administrative rules of the board of pharmacy adopted thereunder, and shall be afforded the benefit of the exemption for …

This part shall apply to the prescribing of opioids for the treatment of non-cancer and non-terminal pain, and shall not apply to the supervised administration of opioids in a health care setting. Notes N.H. Admin. Code § Nur 502.01 Derived From Volume XXXVI Number 28, Filed July…

The ethical standards set forth in this part shall bind all licensees, and noncompliance with these standards shall constitute unprofessional conduct as used in NH RSA 326-B:37, II(h). The board shall investigate violations of these standards and impose disciplinary sanctions for…

Except where the context makes another meaning manifest, the following words have the meanings indicated when used in this chapter: (a) "Acute pain" means the normal, predicted physiological response to a noxious chemical, thermal, or mechanical stimulus and typically is associat…

If opioids are indicated and clinically appropriate for prescription for acute pain, prescribing licensees shall: (a) Conduct and document a physical examination and history; (b) Prescribe the lowest effective dose for a limited duration; (c) Document the prescription and rationa…

If opioids are indicated and clinically appropriate for prescription for chronic pain, prescribing licensees shall: (a) Conduct and document a history and physical examination; (b) Conduct and document a risk assessment, including, but not limited to, the use of an evidence- base…

(a) Prescribers required to register with the program under RSA 318-B:31-40, or their delegate, shall query the Prescription Drug Monitoring Program to obtain a history of schedule II-IV controlled substances dispensed to a patient, prior to prescribing an initial schedule II, II…

Licensees who prescribe medication assisted treatment shall adhere to the principles outlined in the American Society of Addiction Medicine's National Practice Guideline For the Use of Medications in the Treatment of Addiction Involving Opioid Use (2015) found at http://www.asam.…

(a) The purpose of this chapter is to set minimum standards that must be met by programs that educate those who seek to enter, or who are in and seek to advance in, the nursing profession. (b) These standards are intended to safeguard the life, health, and public welfare of the p…

(a) "Clinical preceptor" means a registered nurse who: (1) Holds either a current unencumbered New Hampshire registered nurse license or a current and unencumbered multi-state registered nurse license issued by a compact state pursuant to RSA 326-B: 46; (2) Is employed by a coope…

(a) Institutions seeking approval to offer either an RN or LPN nursing educational program shall: (1) Have the legal authority to conduct an educational program; (2) Establish academic policies, ensure financial support and maintain adequate human and material resources; (3) Esta…

Each sponsoring institution shall adopt and make publicly available clearly written student and institutional policies and procedures, including but not limited to: (a) Admission; (b) Transfer; (c) Evaluation; (d) Dismissal and termination; (e) Withdrawal; (f) Grading; (g) Succes…

(a) The program shall provide sufficient learning resources for students and staff, including print and non-print materials, to accommodate the needs of all students and nurse educators. (b) The program shall develop and make available for review policies that address acquisition…

(a) Program documents pertaining to students shall be accurate, complete, confidential, and secure, and contain the following data:(1) Admission and re-admission; (2) Dismissal and termination; (3) Grading; (4) Graduation; (5) Evaluation; (6) Failure; (7) Withdrawal; (8) Health; …

(a) Each sponsoring institution shall submit for each proposed nurse educator Form "Application for Faculty Approval Board Approved Education Programs", as amended 04-06-2015. (b) No nurse-educator shall assume responsibilities for which approval under this section is requested u…

(a) The program shall complete and submit Form "Application for Faculty Approval Board, Approved Education Programs", as amended 04-06-2014. (b) The director of a nursing program offering a degree leading to a registered nurse license shall possess and document the following mini…

(a) Nurse-educators in programs offering the baccalaureate, masters, or doctorate degree leading to a registered nurse license shall possess the following minimum qualifications including: (1) A master's degree in nursing or a baccalaureate in nursing with a master's degree or do…

(a) Each sponsoring institution and program director may seek a temporary nurse-educator approval for an individual who fails to meet criteria as required by Nur 602.07. (b) The sponsoring institution shall submit a request that provides the following information: (1) The nurse-e…

(a) A nurse-educator shall be responsible for the instruction and supervision of no more than 8 students during clinical learning activities at cooperating agencies. (b) A nurse educator shall be responsible for the instruction of no more than 12 students when: (1) The student is…

(a) In programs leading to registered or practical nurse licensure a substitute nurse-educator for a specific clinical site shall be designated by the program director when a nurse-educator is absent due to illness, education or other unexpected circumstances. (b) Appointment of …

(a) Each nursing program shall develop and maintain a clearly written statement of the nursing program's philosophy, reflecting the mission statement of the sponsoring institution, that defines the nurse-educators' beliefs regarding the concepts identified as foundational to the …

(a) The curriculum shall be derived from the program's written philosophy and organizing framework and shall demonstrate logical sequencing and internal consistency. (b) To promote health and prevent disease, registered nurse programs shall provide a minimum of 1080 hours of nurs…

(a) Nursing as an applied science,shall, at a minimum, include choices from the natural, physical and behavioral sciences and the humanities including but not limited to the following: (1) Anatomy & physiology (2) Genetics; (3) Microbiology; (4) Nutrition; (5) Pathophysiology; (6…

(a) Nursing as an applied science, shall, at a minimum, include choices from the natural, physical and behavioral sciences and the humanities including but not limited to the following: (1) Anatomy & physiology (2) Microbiology; (3) Nutrition; (4) Pathophysiology; (5) Chemistry; …

(a) The curriculum of the distance nursing education program shall include knowledge, skills and abilities necessary for the scope and standards of competent nursing practice expected at the level of licensure. (b) Distance education provided by nursing faculty shall meet the sam…

(a) The director of a nursing education program shall provide written notice to the board at least 3 months prior to implementation of any curricular design changes. (b) The following changes to curricular or program design shall require board approval: (1) Revisions to the philo…

(a) Each nursing program that has not been approved by the board prior to October 1, 2007, shall obtain accreditation from a regional or national nursing accreditation entity approved as such by the U. S. Department of Education for programs of nursing education and submit proof …

(a) Comparable education for practical nursing shall include the following requirements: (1) Licensing by comparable education for practical nursing shall only be available to pre-licensure students within the state of New Hampshire; (2) An applicant seeking licensure as an LPN s…