Nurse Practice Acts

Respond to the discussion #1 below using the following approach:

  1. Ask a probing question, substantiated with additional background information, evidence, or research.
  2. Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  3. Validate an idea with your own experience and additional research.



Hawai’i Nurse Practice Act

According to the Hawai’i Nurse Practice Act, the responsibilities of RNs include but are not limited to:

1.        Providing comprehensive nursing assessments

2.        Collaborating with interdisciplinary teams to provide patient-centered care

3.        Developing a patient plan of care which includes nursing diagnoses, goals, interventions and recommendation

4.        Implementing patient-centered care as directed by health care providers

5.        Evaluating intervention responsiveness and plan of care effectiveness

6.        Developing and implementing patient appropriate teaching plans

7.        Delegating appropriately to implement plan of care

8.        Providing and maintaining either direct or indirect, safe nursing care

9.        Advocating for patient best interests

10.     Managing, evaluating or supervising nursing care as appropriate

11.     Teaching nursing theory and practice

12.     Participating in the developing of health care policies and procedures

13.     Clearly identifying themselves as an RN when providing patient care (National Council of State Boards of Nursing, 2012). 

Responsibilities of APRN’s in the State of Hawai’i include but are not limited to the above responsibilities of an RN in addition to:

1.        Performing advanced patient assessment

2.        Ordering diagnostic procedures and interpreting them appropriately

3.        Determining primary and differential patient diagnoses

4.        Medication ordering, prescribing, dispensing and administering

5.        Delegation of authority to appropriate personnel

6.        Providing referrals to other disciplines as appropriate

7.        Clearly identifying themselves as an APRN when providing patient care

8.        Providing education and training (National Council of State Boards of Nursing, 2012). 

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