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Provides definitions for accountability, focused and comprehensive patient assessment, assignment and delegation of nursing activities, medication assistant (MAC) medication duties, and professional boundaries. Establishes meaning for moderate sedation, legally authorized prescribers, hospital classification, and clinical supervision types. Lays foundations for safe practice and documentation requirements across registered and practical nursing roles.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/nursing-chapter-610-x-6-standards-of-nursing-practice/502679/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/nursing-chapter-610-x-6-standards-of-nursing-practice/502679.png","ImageObject",300,407,{"name":92,"@type":93},"Elsa","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-21","2026-10-03",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is covered in Chapter 610-X-6 of the Alabama Nursing Administrative Code?","Question",{"text":112,"@type":113},"It sets standards for nursing practice, including professional and practical nursing duties, documentation, medication administration and safety, moderate sedation, patient assessment, orders, supervision, and additional practice areas like telehealth and standardized procedures.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How does the chapter define comprehensive and focused patient assessment?",{"text":117,"@type":113},"Comprehensive assessment is the systematic collection and analysis of broad patient data by the registered nurse to determine health status and care needs. Focused assessment appraises a patient’s status and specific complaint through observation and objective and subjective data by a registered nurse or licensed practical nurse.",{"name":119,"@type":110,"acceptedAnswer":120},"What are delegation and accountability in nursing activities under these standards?",{"text":121,"@type":113},"Delegation authorizes a competent individual to perform selected nursing activities supportive to registered or practical nurses in specified situations while retaining accountability for outcomes when delegation is to an unlicensed individual. Assignment also transfers responsibility and accountability for nursing activities while requiring the licensed nurse to retain accountability for accurate and timely completion when assigning tasks.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},502679,1791313535,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},137455077381,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Nursing Chapter 610-X-6  \nALABAMA BOARD OF NURSING  \nADMINISTRATIVE CODE  \nCHAPTER 610-X-6  \nSTANDARDS OF NURSING PRACTICE  \nTABLE OF CONTENTS  \n610-X-6- .01 Definitions  \n610-X-6- .02 Standards Of Practice  \n610-X-6- .03 Standards For Conduct And Accountability  \n610-X-6- .04 Practice Of Professional Nursing  \n(Registered Nurse Practice)  \n610-X-6- .05 Practice Of Practical Nursing (Licensed  \nPractical Nurse Practice)  \n610-X-6- .06 Standards For Documentation  \n610-X-6- .07 Standards For Medication Administration  \nAnd Safety  \n610-X-6- .08 Standards For Moderate Sedation  \n610-X-6- .09 Standards For Patient Assessment  \n610-X-6- .10 Patient Care Orders  \n610-X-6- .11 Assignment, Delegation And Supervision  \n610-X-6- .12 Practice Beyond Basic Nursing Education:  \nStandardized Procedures  \n610-X-6- .13 Standards For Wound Assessment And Care  \n610-X-6- .14 Intravenous (IV) Therapy By Licensed  \nPractical Nurses  \n610-X-6- .15 Telecommunication For Pronouncement Of  \nPatient Death  \n610-X-6- .16 Telehealth Nursing  \n610-X-6- .01 Definitions .  \n(1) Accountability: The state of being answerable or responsible for action .  \n(2) Assessment, Comprehensive: The systematic collection and analysis of data, including the physical, psychological, social, cultural, and spiritual aspects of the patient by the registered nurse for the purpose of judging a patient’s health and illness status and actual or potential health needs . Comprehensive assessment includes patient history, physical examination, analysis of the data collected, and development, implementation, and evaluation of the patient’s plan of care .  \n(3) Assessment, Focused: An appraisal of a patient’s status and specific complaint through observation and collection of objective and subjective data by the registered nurse or licensed practical nurse . Focused assessment may contribute to a comprehensive  \nSupp . 11/13/23 6-1  \nChapter 610-X-6 Nursing  \nassessment performed by the registered nurse and involves identification of normal and abnormal findings, and anticipation and recognition of changes or potential changes in the patient’s health status .  \n(4) Assignment, Licensed Nurse: The transfer of responsibility and accountability for nursing activities from one licensed nurse to another .  \n(5) Assignment, Unlicensed Individual: The assignment of tasks from a licensed nurse to unlicensed assistive personnel . The licensed nurse making the assignment retains accountability for accurate and timely completion and outcome of the tasks .  \n(6) Medication Assistant, Certified (MAC) Assignment: The assignment by a licensed nurse of medication administration duties to a MAC .  \n(7) Delegation: The act of authorizing a competent individual to perform selected nursing activities supportive to registered nurses or licensed practical nurses in selected situations, while retaining accountability for the outcome, if the delegation is to an unlicensed individual .  \n(8) Dual Relationship: Any time a licensed nurse interacts with a patient outside the nurse-patient relationship .  \n(9) Hospital: A facility described in Code of Ala . 1975 , Section 22-21-20(1), other than a health maintenance organization, which has an organized medical staff, or which employs the services of a medical director who is a physician licensed to practice medicine in Alabama . The term hospital shall not include the private offices of physicians or dentists, whether in individual, group, registered corporation, or registered association practice .  \n(10) Legally Authorized Prescriber: Healthcare professional who is authorized by law to prescribe medications or other treatment modalities .  \n(11) May: Power, privilege, or right retained by the Board .  \n(12) May not: Prohibition .  \n(13) Moderate Sedation: The administration of pharmacological agent(s) for the purpose of inducing a medically controlled state of depressed consciousness limited to short periods of time and used for diagnostic and therapeutic pr","cbCaiqcchSUpQxig","https://ap.wps.com/l/cbCaiqcchSUpQxig","pdf",69581,28,"English","# 610-X-6 Standards of Nursing Practice\n## 610-X-6- .01 Definitions\n## 610-X-6- .02 Standards Of Practice\n## 610-X-6- .03 Standards For Conduct And Accountability\n## 610-X-6- .04 Practice Of Professional Nursing (Registered Nurse Practice)\n## 610-X-6- .05 Practice Of Practical Nursing (Licensed Practical Nurse Practice)\n## 610-X-6- .06 Standards For Documentation\n## 610-X-6- .07 Standards For Medication Administration And Safety\n## 610-X-6- .08 Standards For Moderate Sedation\n## 610-X-6- .09 Standards For Patient Assessment\n## 610-X-6- .10 Patient Care Orders\n## 610-X-6- .11 Assignment, Delegation And Supervision\n## 610-X-6- .12 Practice Beyond Basic Nursing Education: Standardized Procedures\n## 610-X-6- .13 Standards For Wound Assessment And Care\n## 610-X-6- .14 Intravenous (IV) Therapy By Licensed Practical Nurses\n## 610-X-6- .15 Telecommunication For Pronouncement Of Patient Death\n## 610-X-6- .16 Telehealth Nursing","[{\"question\":\"What is covered in Chapter 610-X-6 of the Alabama Nursing Administrative Code?\",\"answer\":\"It sets standards for nursing practice, including professional and practical nursing duties, documentation, medication administration and safety, moderate sedation, patient assessment, orders, supervision, and additional practice areas like telehealth and standardized procedures.\"},{\"question\":\"How does the chapter define comprehensive and focused patient assessment?\",\"answer\":\"Comprehensive assessment is the systematic collection and analysis of broad patient data by the registered nurse to determine health status and care needs. Focused assessment appraises a patient’s status and specific complaint through observation and objective and subjective data by a registered nurse or licensed practical nurse.\"},{\"question\":\"What are delegation and accountability in nursing activities under these standards?\",\"answer\":\"Delegation authorizes a competent individual to perform selected nursing activities supportive to registered or practical nurses in specified situations while retaining accountability for outcomes when delegation is to an unlicensed individual. Assignment also transfers responsibility and accountability for nursing activities while requiring the licensed nurse to retain accountability for accurate and timely completion when assigning tasks.\"}]","Nursing - Chapter 610-X-6 - Standards of Nursing Practice | PDF",1791040313,71]