(iv) promoting a safe and therapeutic environment by:(A) providing appropriate monitoring and surveillance of the care environment;
(B) identifying unsafe care situations; and
(C) correcting problems or referring problems to appropriate management level when needed;
(k) communicate with other health team members regarding patient choices, concerns, and special needs, including:
(i) patient status and progress;
(ii) patient response or lack of response to therapies; and
(iii) significant changes in patient condition;
(l) demonstrate the ability to responsibly organize, manage, and supervise the practice of nursing by:
(i) delegating tasks under this rule and applicable statutes; and
(ii) matching patient needs with personnel qualifications, available resources, and appropriate supervision;
(m) teach and counsel patient families regarding an applicable health care regimen, including general information about health and medical conditions, specific procedures, wellness, and prevention;
(n) if acting as a chief administrative nurse:
(i) ensure that organizational policies, procedures, and standards of nursing practice are developed, kept current, and implemented to promote safe and effective nursing care;
(ii)(A) assess the knowledge, skills, and abilities of nursing staff and assistive personnel; and
(B) ensure personnel are assigned to nursing positions appropriate to their determined competence and licensure, certification, or registration level; and
(iii) ensure that thorough and accurate documentation of personnel records, staff development, quality assurance, and other aspects of the nursing organization are maintained;
(o) if employed by a department of health:
(i) implement standing orders and protocols; and
(ii) complete and provide to any patient prescription prepared and signed by a physician under Section 58-17b-620;
(p) serve as faculty in areas of competence; and
(q) perform any task within the scope of practice of an LPN.
(3) Under Subsection 58-31b-102(11), the following scope and standards shall apply to the practice of advanced practice registered nursing:
(a) an APRN who chooses to change or expand from a primary focus of practice shall, at the request of the Division, document competency within that expanded practice based on education, clinical practice experiences, and certification with the burden to demonstrate competency upon the APRN;
(b) an APRN may practice within the scope of practice of an RN and an LPN in Utah; and
(c) an APRN who wishes to practice as an RN in a Party state, as defined in Section 58-31e-102 of the Nurse Licensure Compact, shall reinstate, qualify for, and obtain an RN Compact license in Utah.
(4) Under Subsections 58-1-510(3) and (4) and 58-31b-102(11)(d), a certified registered nurse anesthetist (APRN-CRNA) licensed under Subsection 58-31b-301(2) who provides general anesthesia, deep sedation, or moderate sedation, shall possess the knowledge, skills, and education and training required by the following standards, and shall comply with the following standards, which are incorporated by reference:
(a)(i) American Association of Nurse Anesthesiology (AANA) Standards for Nurse Anesthesia Practice, 2019 edition; or
(ii) the following American Society of Anesthesiologists (ASA) standards:
(A) Basic Standards for Preanesthesia Care, 2020 edition;
(B) Standards for Basic Anesthetic Monitoring, 2020 edition; and
(C) Standards for Postanesthesia Care, 2019 edition;
(b) the following American Dental Association (ADA) standards:
(i) Guidelines for the Use of Sedation and General Anesthesia by Dentists, 2016 edition;
(ii) Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students, 2016 edition;
(iii) Guidelines for Teaching Pediatric Pain Control and Sedation to Dentists and Dental Students, 2021 edition; and
(iv) ADA Policy Statement: The Use of Sedation and General Anesthesia by Dentists, 2007 edition; or
(c) the following American Association of Oral and Maxillofacial Surgeons (AAOMS) standards:
(i) Office Anesthesia Evaluation Manual, 2018 9th edition; and
(ii) Parameters of Care, 2023 7th edition.
R156-31b-801. Medication Aide Certified - Formulary and Protocols.
Under Subsection 58-31b-102(10)(b)(i), the formulary and protocols for an MAC to administer routine medications are as follows:
(1) under the supervision of a licensed nurse, an MAC may:
(a) administer over-the-counter medication;
(b) administer prescription medications:
(i) if expressly instructed to do so by the supervising nurse; and
(ii) via the routes listed in Subsection 58-31b-102(16)(b);
(c) turn oxygen on and off at a predetermined, established flow rate;