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Nursing Practice


Competency

What does the Alabama Board of Nursing recommend for competency determination?

The Alabama Board of Nursing does not address the specifics of competency determination.  Several rules regarding competency must be considered by the facility, the nursing supervisor and the nurse.

Rule 610-X-6-.02(3)

The registered nurse and licensed practical nurse shall:

Be responsible and accountable for the quality of nursing care delivered to patients based on and limited to scope of education, demonstrated competence, and nursing experience.”

Rule 610-X-6-.02(4)

The registered nurse and licensed practical nurse shall:

Be responsible and accountable for the quality of nursing care delivered to patients by nursing personnel under the individual nurse’s supervision.”

Rule 610-X-6-.02(6)

The registered nurse and licensed practical nurse shall:

Accept individual responsibility and accountability for judgments, actions and nursing competency.”

Rule 610-X-6-.03(2 a, b, c, d) and 610-X-6-.04(2 1, b, c, d)

Competence in the practice of nursing by a registered nurse/practical nursing “shall include, but is not limited to:

(a)  Knowledge and compliance with:

(1)  Applicable statutes and regulations;

(2)  Standards of nursing practice; and

(3)  Standardized procedures for nursing practice.

(b)  Maintenance of knowledge and skills in the area of practice.

(c)  Assumption of responsibility for recognizing personal limits of knowledge and experience.

(d)  Resolution of situations beyond the expertise of the registered nurse by consulting with or referring patients to other healthcare providers.”

Rule 610-X-6-.05, the Standardized Procedure Rule, dictates that for any procedure beyond a nurse’s basic education, there must be a policy and procedure, and successful of an organized program of study, supervised clinical practice and demonstration of competency, initially and at a periodic intervals.

Should there by a complaint against a nurse’s practice, training records as well as records of competency determination may be subpoenaed.


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 1-800-656-5318  |  Alabama Board of Nursing P.O. Box 303900 Montgomery, AL 36130-3900