Section R4-19-514. Standards Related to Clinical Nurse Specialist Scope of Practice

In addition to the functions of a registered nurse, a CNS, under

A.R.S. § 32-1601(6), may perform one or more of the following for an individual, family, or group within the population focus of certi- fication and for which competency has been maintained:

1.        Conduct an advanced assessment, analysis, and evalua- tion of a patient's complex health needs;

2.        Establish primary and differential health status diagnoses;

3.        Direct health care as an advanced clinician;

4.        Develop, implement, and evaluate a treatment plan according to a patient's need for specialized nursing care;

5.        Establish nursing standing orders, algorithms, and prac- tice guidelines related to interventions and specific plans of care;

6.        Manage health care according to written protocols;

7.        Facilitate system changes on a multidisciplinary level to assist a health care facility and improve patient outcomes cost-effectively;

8.        Consult with the public and professionals in health care, business, and industry in the areas of research, case man- agement, education, and administration;

9.        Perform psychotherapy if certified as a clinical nurse spe- cialist in psychiatric and mental health nursing;

10.     Prescribe and dispense durable medical equipment; or

11.     Perform additional acts that the clinical nurse specialist is qualified to perform.

Historical Note

Adopted effective November 25, 1996 (Supp. 96-4). Sec- tion R4-19-514 renumbered from R4-19-512 and amended by final rulemaking at 11 A.A.R. 3804, effec- tive November 12, 2005 (Supp. 05-3). Pursuant to author- ity of A.R.S. § 41-1011(C), Laws 2012, Ch. 152, § 1,

provides for A.R.S. references to be corrected to reflect the renumbering of definitions. Therefore the A.R.S. cita- tion in the opening subsection was updated. Agency request filed July 12, 2012, Office File No. M12-242 (Supp. 12-3). Amended by final rulemaking at 19 A.A.R.

1438, effective July 6, 2013 (Supp. 13-2).