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Important Update: Licensing System Now Live

The North Dakota Board of Nursing is excited to announce that our new licensing system is now live. You can access the system by clicking "Nurse Portal" in the below navigation bar. Learn more by reading our news release at: https://www.ndbon.org/article.asp?id=190.

Scope of Nursing Practice
Decision-Making Framework

In early 2015, the Tri-Council for Nursing, consisting of the American Association of Colleges of Nursing (AACN), the American Nurses Association (ANA), the American Organization of Nurse Executives (AONE), and the National League for Nursing (NLN), in collaboration with the National Council of State Boards of Nursing (NCSBN) determined that a uniform tool (scope of practice decision tree) was needed. Representatives from the ANA, NLN, and Boards of Nursing, along with NCSBN staff, methodically reviewed the literature and existing decision-making algorithms and used their expertise to develop a uniform tool that would assist nurses and their employers in determining the responsibilities a nurse can safely perform. This tool is intended to be used by nurses, facilities, boards of nursing and other stakeholders in determining whether specific activities, interventions, or roles are permitted under the nurse’s level of education, licensure, and competence while meeting the standards established by the nurse practice act and rules/regulations of each state or jurisdiction. 

Ballard, K., Haagenson, D., Christiansen, L., Damgaard, G., Halstead, J., Jason, R., et al. (2016). Scope of nursing practice decision-making framework. Journal of Nursing Regulation, 7(3), 19-21. 

NCSBN. (2022, July 1). Scope of Practice Decision-Making Framework. Retrieved from National Council of State Boards of Nursing: https://ncsbn.org/decision-making-framework.htm  


Decision-Making Framework Guidelines

Identify, describe or clarify the activity, intervention or role under consideration.

Originally adopted “Decision-Making Model for Determining LPN/RN/APRN Legal Scope of Practice in ND” on 3/1994. 2016 NCSBN version adopted 11/2016 and reaffirmed 10/2022. 

Page Updated: 9/15/2017 2:49:06 PM