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New Jersey Board of Nursing

Decision- Making Model


  1. Is the act consistent with your scope of practice as defined by the Board of Nursing's statutes and regulations?

    (This may be all the information you need to make your decision. If not, continue to the next step.) Resource documents you might need include:

    1. Nursing Practice Statutes: N.J.S.A. 45:11-23, 11-23, 46;
    2. Delegation Regulations: N.J.A.C. 13:37-6.2;
    3. Standards of Nursing Practice from your professional nursing organization;
    4. The agency's accrediting body's regulations.
  2. Is the activity authorized by a valid order, an in accordance with established institutional/agency or provider protocols, policies and procedures?

    The nurse is accountable for clarifying any order or treatment regimen believed to be inaccurate or contraindicated by consulting with the licensed prescribing practitioner, and notifying the prescribing practitioner when the RN makes a decision not to administer the medicine or treatment.

    • If NO, the act is NOT within your scope of practice without the above.
    • If YES, continue to the next step.
  3. Is the act supported by research data from nursing literature and/or research from a health related field? Has a national nursing organization issued a position statement on this practice?
    • If NO, the act is NOT within your scope of practice without the above.
    • If YES, continue to the next step.
  4. Do you possess the knowledge and clinical competence to perform safely?

    Documentation to validate your educational and clinical competence should be maintained for a four year period.

    • If NO, the act is NOT within your scope of practice without the above.
    • If YES, continue to the next step.
  5. Is the act to be performed within accepted "standards of care" which would be provided in similar circumstances by reasonable, prudent nurses with similar education and clinical skills?

    Nurses are accountable for knowing and conforming to their scope of practice in the Nursing Practice statutes, Board regulations, and any other State and Federal laws impacting their practice.

    • If NO, the act is NOT within your scope of practice. Performance of the act may place the patient and the nurse at risk.
    • If YES, continue to the next step.
  6. Are you prepared to assume accountability for the provision of safe care?
    • If NO, the act is NOT within your scope of practice.
    • If YES, you may perform the act based upon a valid order in accordance with the institution/agency or provider's established protocols, policies and procedures.
Last Modified: 2/9/2015 11:12 AM