Student Nurse Laura

Orem – "creative effort of one human being to help another human being."

NPA Advice

Posted by Laura on April 20, 2010

I wanted to share some NPA Advice from The Honorable Tricia R. Hunter during the annual conference of the RN Lobby Days

  • The Nursing Practice Act (NPA) which is the body of California law that mandates the Board of Registered Nurses to set out the scope of practice and responsibilities for RNs. The government is to protect the public. The federal government protects the nation, as the state protects the people –  this is reflected in our NPA.  Her advice? Know your NPA.
  • Each state is different. CA has around eight pages of defined responsibilities of registered nurses. There are other states that have a limited scope of what a nurse can do. California has one of the widest scopes compared. If you are thinking about moving to a new state, make sure you check out their nurse practice act. You may be surprised of what would be considered illegal.
  • Nurses are there 24 hrs a day for the patient in the Hospital. We are the advocate because we know the patient. We must collaborate with doctors on what is really going on with our patient. Remember the standard for doctor’s license is by passing the minimal level exam. Think in your mind each doctor’s order should be looked at, reviewed, and questioned in your mind if this is right for your patient. You are there 24hrs, they aren’t. They will expect you to keep them updated.
  • California doesn’t have “delegation” Laws.  Nurses can’t delegate licensed activities. Nurses can assign tasks of “unlicensed activities”. You need to know your team’s responsibility. A doctor can’t delegate to a RN what a RN can’t do, and a RN can’t tell a LVN to do something that isn’t in their practice act.
  • Read more on who Hon. Tricia R. Hunter is at

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