Oregon Administrative Code

851-031-0051 License Reinstatement (1) An individual whose LPN, RN, or APRN license has been expired for more than 90 days may apply for reinstatement by submitting a completed application, which includes: (a) The Board’s reinstatement application form for the license type being …

851-031-0052 Exceptions to Rules (1) An applicant or licensee may request that the Board make an exception to one or more of the licensing requirements described in OAR 851-031-0006 to 851-031-0051 on a form provided by the Board. (2) The Board considers each exception request on…

851-031-0055 Disciplinary Reinstatement (1) An individual whose license has been revoked or voluntarily surrendered may apply for disciplinary reinstatement under this rule by submitting a completed application, which includes: (a) The Board’s disciplinary reinstatement applicati…

851-031-0065 Standards for individualized re-entry plans The applicant choosing to complete an individualized plan for re-entry must submit, in writing, the following for Board approval: (1) Summary of nursing education and practice with rationale for use of an individualized pla…

851-031-0075 Limited Licenses for Internationally Educated and Licensed Nurses (IELN) (1) Refer to OAR 851-031-0026 for license requirements for IELN attending a graduate program requiring a clinical practicum component. (2) IELN attending a research PhD program are not required …

851-031-0085 Inactive Nurse Status (1) An individual with an LPN, RN, or APRN license may apply to place the license in inactive status by submitting a completed application, which includes: (a) A license that is active and in good standing at the time of application; and (b) The…

851-031-0086 Retired Status (1) An individual may retire their LPN, RN, or APRN license by submitting a completed application, which includes: (a) The Board’s retired status application form; (b) Confirmation the license is in good standing with the issuing authority and not subj…

851-031-0087 Nurse Emeritus License (1) The nurse emeritus license permits the practice of nursing in a voluntary or unpaid basis. (2) An individual with an LPN, RN, or APRN license may apply for a nurse emeritus license by submitting a completed application, which includes: (a) …

851-031-0088 Registered Nurse First Assistant Registry (1) RNs who become registered nurse first assistants (RNFA) by receiving additional certification through nationally recognized professional organization may be recognized by the Board through placement on the Board’s RNFA re…

851-041-0000 Purpose of Standards (1) Establish education criteria for the Nurse Intern; (2) Establish criteria for entry level competency; (3) Provide licensing criteria for the Nurse Intern; (4) Provide standards of continued competency; and (5) Establish standards for conduct …

851-041-0010 Education Standards for Nurse Interns (1) The nursing education program shall: (a) Be approved by the Board or accredited or approved by another state or United States territory and approved by the Board; and (b) Include a clinical component. (2) Providing academic c…

851-041-0020 Requirements for Nurse Intern License (1) Submit a completed application form for a Nurse Intern License. (2) The Board must receive the nurse intern’s education verification on the Board approved form. (3) The applicant must: (a) Pass the Board-approved nursing assi…

851-041-0040 Nurse Intern Practice Team Member Role (1) A nurse intern must function under the direct supervision of an RN who agrees to provide direct supervision as described in ORS 678.398 and OAR 851-045-0060(3). (2) The nurse intern’s role on the practice team is limited to …

851-041-0070 Conduct Unbecoming a Nurse Intern ORS 670.280 authorizes the Board to discipline a licensee for conduct that is not undertaken directly in the course of nurse intern functions, but that is substantially related to the fitness and ability of the applicant or nurse int…

851-041-0080 Duty to Report These standards provide further interpretation of reporting requirements pursuant to ORS 678.135 with application to all licensees, including one's own practice, when behavior or practice presents a potential for, or actual danger to, a client or to th…

851-045-0030 Purpose of Standards and Scope of Practice (1) To identify licensed practical nurse (LPN) scope in the practice of nursing. (2) To identify registered nurse (RN) scope in the practice of nursing. (3) To establish standards of nursing practice. (4) All standards of nu…

851-045-0050 Standards Related to LPN Scope in the Practice of Nursing (1) The LPN’s practice of practical nursing must occur at the clinical direction of a plan of care developed by an RN, or at the clinical direction of a treatment plan developed by a health care provider. (2) …

851-045-0060 Standards Related to RN Scope in the Practice of Nursing (1) The RN’s practice of registered nursing is independent and can occur in a variety of roles. Such roles commonly include but are not limited to: (a) Nursing administration; (b) Nursing education; (c) Health …

851-045-0062 Standard related to the RN who is employed by a public or private school, or by an education service district or a local public health authority. Per ORS 678.038, a registered nurse who is employed by a public or private school, or by an education service district or…

851-045-0063 Standards related to the RN who is employed by or contracted with a long-term care facility or in-home care agency. Per ORS 678.039, a registered nurse who is employed by or contracted with a long-term care facility or an in-home care agency, as defined in ORS 443.30…

851-045-0064 Standards related to the RN who Provides Nursing Services through their own Business Structure (1) Regardless of the way nursing services are charged and paid, the RN must complete client records within 30 calendar days following each client encounter. (2) Client rec…

851-045-0065 Standards of Practice for the LPN and the RN (1) Standards related to the licensee’s responsibility for self-regulation in the practice of nursing. The licensee must: (a) Practice: (A) Within the laws and rules governing the practice of nursing applicable to one’s li…

851-045-0070 Conduct Derogatory to the Standards of Nursing Defined Conduct derogatory to the practice of nursing is conduct that adversely affects the health, safety, and welfare of the public; that fails to conform to OAR 851-045 scope and standards of practice; or that fails t…

851-045-0090 Duty to Report Suspected Violations of the Nurse Practice Act per ORS 678.135 (1) Unless state or federal laws relating to confidentiality or the protection of health information prohibit disclosure, any health care facility licensed as required by ORS 441.015, or an…

851-047-0000 Statement of Purpose These rules establish standards for delegation to other than licensed nursing personnel in a community-based setting, of procedures including patient care tasks and tasks related to the administration of medication, ordered by a nurse practitione…

851-047-0030 General Provisions (1) In accordance with these rules: (a) The registered nurse (RN) may delegate, to other than licensed nursing personnel, tasks relating to the administration of medication and patient care tasks that are ordered or prescribed by a physician licens…

851-047-0045 Process for RN Initial Delegation (1) The RN may proceed with delegation process only when they determine delegation is a safe care delivery option for their client. Delegation is a safe care delivery option for the client only when all the following are met: (a) The…

851-047-0050 Process for Periodic Inspection and Evaluation (1) The RN must provide periodic inspection and evaluation to reach a clinical judgment on whether the delegation remains a safe care delivery option for the client. At a minimum, the periodic inspection and evaluation m…

851-047-0055 Limitations on the Delegation of a Nursing Procedure related to the Administration of Medication by the Intravenous Route (1) Only the RN who is an employee of a licensed home health agency or a licensed hospice agency may delegate a nursing procedure related to the …

851-047-0060 Ending a UAP’s Authorization to Perform a Nursing Procedure (1) The RN must end a UAP’s authorization or reauthorization to perform a nursing procedure when: (a) The medical order for the nursing procedure is discontinued; (b) The UAP no longer works with the client;…

851-048-0010 Statement of Purpose and Intent (1) The Board recognizes that there are situations where an immediate family member, such as a father, mother, grandfather, grandmother, husband, wife, son, daughter, sister, brother, other person related by blood, by marriage, by dome…

851-048-0060 Responsibilities of the Registered Nurse The RN who teaches the designated caregiver how to execute a medical order shall: (1) Adhere to Chapter 851 Division 45 Oregon administrative rules. (2) Ensure competency in one’s own execution of the medical order prior to te…

851-049-0000 Rule Summary, Statement of Purpose and Intent (1) ORS 678.150 establishes the Board’s authority to supervise the practice of nursing and to determine the scope of nursing practice. Pursuant ORS 678.010(9)(b)(A), the practice of nursing includes executing medical orde…

851-049-0005 Scope of Practice Standards for RN Participation in Protocol Development (1) The RN who holds a nurse administrator practice position within an organization shall participate in the development of any protocol that describes the decision-making and actions of the RN.…

851-049-0010 Scope of Practice Standards for RN Protocol Utilization (1) The RN shall make an independent clinical judgment to utilize or to not utilize a protocol for a client based on the analysis of data and evidence relevant to: (a) The prescriber’s plan for the client; (b) T…

851-049-0015 Scope of Practice Standards for LPN Protocol Utilization (1) An LPN may execute a medical order contained within a protocol if: (a) The protocol is identified in: (A) The RN plan of care providing clinical direction of the LPN’s practice of nursing; or (B) The health…

851-049-0020 Scope of Practice Standards Related to Communicating a Re-authorization of a Client's Prescription (1) As identified in Oregon Board of Pharmacy in OAR 855-041, after one year from date of issue, a prescription for a non-controlled substance becomes invalid and must …

851-049-0025 Standards Related to the Responsibility of the RN Dispensing (1) The rule that designates the RN’s ability to dispense a medication is found in Board of Pharmacy OAR chapter 855, division 043 practitioner dispensing rules. (2) The RN who dispenses shall comply with O…

851-055-0000 Purpose of Scope and Standards of Practice The purpose of these rules is to define the scope of practice for the group of advanced practice registered nurses collectively known as APRNs. Licensees in Oregon must identify themselves to their clients and in all other a…

851-055-0010 Scope and Standards of Practice for All Licensed Advanced Practice Registered Nurses (1) The APRN independently provides healthcare services within the scope of practice for which the APRN is educationally prepared and clinically trained with competency maintained in…

851-055-0020 Scope of Practice for Licensed Nurse Practitioners (NP) (1) Purpose of Scope of Practice: (a) To establish acceptable levels of safe practice for the nurse practitioner. (b) To serve as a guide for the Board to evaluate nurse practitioner practice. (c) To distinguish…

851-055-0030 Scope and Standards of Practice for Licensed Certified Registered Nurse Anesthetists (1) Scope of practice for the licensed certified registered nurse anesthetist (CRNA) includes advanced assessment related to the relative risks associated with an anesthesia plan and…

851-055-0040 Scope and Standards of Practice for Licensed Clinical Nurse Specialist (1) CNS practice is consistently directed toward achieving quality, cost-effective, client focused outcomes across three spheres of impact: direct care, nurses and nursing practice, and organizati…

851-055-0050 Expanding Scope of Practice within OSBN Issued APRN License (1) The role of the APRN expands in response to societal demand and new knowledge gained through research, educational preparation and clinical experience. (2) The APRN must ensure practice is at the same le…

851-055-0070 Standards for Prescriptive Authority (1) Prescribing, procuring or authorizing use of controlled substances, non-controlled prescription medications, therapeutic devices, and dispensing drugs must be consistent with the individual’s scope of specialty practice and co…

851-055-0072 Conduct Derogatory to the Standards of Nursing of Prescriptive or Dispensing Authority (1) The Board may deny, suspend or revoke the authority to write prescriptions or dispense drugs for the causes identified in ORS 678.111(1) or with a preponderance of evidence tha…

851-055-0076 Drug Delivery and Dispensing (1) APRNs who provide greater than a 72-hour supply of prepackaged medications to clients are required to apply for and be issued dispensing authority in Oregon. Dispensing authority is separate and in addition to an APRN’s prescriptive a…

851-055-0078 Rules Relating to Controlled Substances (1) In the administration, distribution, storage, prescribing, and dispensing of controlled substances, APRNs must comply with all applicable requirements in the CFR, Title 21, and state law, including but not limited to, ORS 4…

851-055-0080 Office-Based Procedure Care Standards These rules are applicable when: (1) Any procedure is performed in an office-based setting where the utilization of analgesic or anesthetic agents is used to mitigate client discomfort or pain associated with the procedure. (2) A…

851-055-0090 Special Provisions (1) Medical records must be completed within one month (30 days) following each client encounter per the Center for Medicaid and Medicare Services (CMMS) and prevailing standards of practice. (2) Client Access to Medical Records: (a) Medical record…