Law & Ethics
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Ohio Nurse Practice Act (Category A)

The purpose of this course is to provide healthcare professionals with an overview of Chapter 4723 of the Ohio Revised Code (law) also known as the Ohio Nurse Practice Act.

Contact hours
2
Estimated time
132 minutes
Last reviewed

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About this course

The responsibilities of nurses in healthcare are increasing, and nurses must have full knowledge of their responsibilities while practicing as a nurse in the state of Ohio. This course provides an overview of the Ohio Nurse practice Act, including qualifications for licensure, nursing titles that are allowed to be used, the nurse’s scope of practice, and actions that can be taken against nurses who do not follow the nursing laws in Ohio.

Learning objectives

  • Describe the powers and duties of the Ohio Board of Nursing as defined in Chapters 4723.06 of the Ohio Revised Code.
  • Recall the requirements for nursing licensure and renewal in the state of Ohio.
  • Summarize the standards of nursing practice to promote patient safety as they relate to care within the scope of practice in Ohio.
  • Explain the standards for applying the nursing process by nurses in Ohio.
  • Describe practice failures that may result in disciplinary actions.

Course outline

33 sections · finish in any order across devices

  1. 1

    Introduction

    The responsibilities of nurses in healthcare are increasing and nurses must have full knowledge of their responsibilities while practicing as a nurse in the state of Ohio to provide safe patient care. The Ohio Revised Code (ORC) Chapter 4723, which is also called the Ohio Nurse Practice Act, establi

    4 min

  2. 2

    The Ohio Board of Nursing

    The Ohio Board of Nursing (BON) is both a regulatory board and a state government agency. Its main responsibility is to impose and enforce state laws related to nursing education, licensure, and practices. The Ohio Board of Nursing recognizes that public protection is essential, as virtually every c

    4 min

  3. 3

    4723.02: Board of Nursing

    The board of nursing exercises all the duties in this chapter.

    4 min

  4. 4

    4723.03: Unlicensed Practice

    Engaging in practice as an advanced practice nurse, registered nurse, graduate nurse, licensed practical nurse, or using the acronyms APRN, CRNA, CNS, CNM, CNP, RN, or LPN without proper licensure is not allowed, as it would represent to the public that the person using the acronym is authorized to

    4 min

  5. 5

    Issue and renew nursing licenses, dialysis technician certificates, and community health worker certificates.

    Licensees and certificate holders regulated by the Board include APRNs (certified nurse midwives, certified nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists), registered nurses (RN), licensed practical nurses (LPN), dialysis technicians, medication aides,

    4 min

  6. 6

    4723.09: License Application

    (A) An applicant must apply for licensure by examination to practice as an RN or as an LPN. The application must include:

    4 min

  7. 7

    4723.24: License or Certificate Renewal; Notice of Change of Address

    All the following apply to the schedules for renewal of licenses and certificates issued by the board of nursing:

    4 min

  8. 8

    Chapter 4723-4: Standards of Practice Relative to Registered Nurse or Licensed Practical Nurse

    Chapter 4723-4 of the Ohio Administrative Code is one of 19 chapters that establishes rules for the practice of nursing in in the state of Ohio, including the minimal acceptable standards for safe and effective nursing practice by registered nurses, licensed practical nurses, and advanced practiced

    4 min

  9. 9

    4723-4-01: General Information

    4723-4 of the Ohio Laws and administrative rules establishes the minimal acceptable standards of safe and effective nursing practice for a registered nurse, licensed practical nurse, an advanced practice registered nurse; certified nurse-midwifes, certified nurse practitioners, certified registered

    4 min

  10. 10

    Recognizing, consulting, and intervening when a complication arises.

    The RN must implement an order for a patient, unless the order appears to be:

    4 min

  11. 11

    The training, skill, and knowledge of the LPN who will perform the duties.

    An RN must maintain the confidentiality of patient information and should only communicate patient information with other members of the patient’s health care team. To the maximum extent of the law, the RN must not disclose any patient healthcare information without the patient’s consent. Only in ac

    4 min

  12. 12

    Case Reflection

    Justine is a registered nurse who is assigned to work in the medical surgical (MedSurg) ward. She just received a report on a new patient, Mrs. Roberts, who is being admitted after having a hysterectomy. Mrs. Roberts is transferring from the recovery area to the MedSurg ward. During the transfer rep

    4 min

  13. 13

    Recognize and intervene when a complication arises.

    Rule 4723-4-04 - Ohio Administrative Code | Ohio Laws

    4 min

  14. 14

    4723-4-05: Standards Relating to Competent Practice as a Certified Nurse-Midwife, Certified Nurse Practitioner, Certifie

    A certified nurse-midwife, certified nurse practitioner, certified registered nurse anesthetist, or clinical nurse specialist must:

    4 min

  15. 15

    Not engage in any verbal or physical behavior deemed to be sexual in nature, as a patient is always presumed to be incap

    Only an RN can supervise or evaluate another nurse, however, outside of nursing practice, a non-nursing supervisor may evaluate a nurse employee. Supervision by an RN does not require that the RN be present on-site, but the RN must conduct enough on-site visits to evaluate another nurse's performanc

    4 min

  16. 16

    Case Reflection

    Michelle is an LPN in the emergency room. She is assigned to Mr. Campbell, a police officer who was involved in a car accident while on duty. Michelle’s colleagues are curious regarding the circumstances of the accident and question how bad Mr. Campbell’s injuries are, and if he was ‘chasing a bad g

    4 min

  17. 17

    4723-4-07: Standards for Applying the Nursing Process as a Registered Nurse

    A nurse must apply the nursing process when practicing nursing. The nursing process is cyclical and requires the nurse to respond to a patient's changing status throughout the process. This includes:

    4 min

  18. 18

    4723-4-08: Standards for Applying the Nursing Process as a Licensed Practical Nurse

    The LPN shall contribute to the nursing process when practicing nursing. The nursing process is cyclical and requires the nurse to respond to a patient's changing status throughout the process. The LPN must maintain the following standards during the nursing process:

    4 min

  19. 19

    Case Reflection

    Michael, a registered nurse, and Lindsey a licensed practical nurse, are working together as a team on the telemetry unit. Michael and Lindsey work collaboratively to divide the work of their assigned patients. Michael informs Lindsey that he will conduct and document the physical assessments on all

    4 min

  20. 20

    4723-4-09: Specialty Certification

    A registered nurse with a current, valid license to practice nursing in Ohio may use a title or initials denoting specialty certification in a particular area of specialty in nursing that has been granted by a national certifying organization. The registered nurse may use initials following the titl

    4 min

  21. 21

    4723-13-01: Definitions

    The following definitions apply to this chapter:

    4 min

  22. 22

    4723-13-02: General Information

    Rule 4723-13-02 - Ohio Administrative Code | Ohio Laws

    4 min

  23. 23

    4723-13-03: Prohibitions

    Rule 4723-13-03 - Ohio Administrative Code | Ohio Laws

    4 min

  24. 24

    4723-13-05: Criteria and Standards for a Licensed Nurse Delegating to an Unlicensed Person

    Rule 4723-13-05 - Ohio Administrative Code | Ohio Laws

    4 min

  25. 25

    4723-13-06: Minimum Curriculum Requirements for Teaching a Nursing Task

    Rule 4723-13-06 - Ohio Administrative Code | Ohio Laws

    4 min

  26. 26

    4723-13-07: Supervision of the Performance of a Nursing Task Performed by an Unlicensed Person

    Rule 4723-13-07 - Ohio Administrative Code | Ohio Laws

    4 min

  27. 27

    Medication administration and intravenous (IV) therapy may be indicated for many reasons and comes with many safety cons

    An LPN may perform IV therapy on an adult at the direction of one of the following:

    4 min

  28. 28

    4723.181: Intravenous Therapy Procedures

    Section 4723.181 - Ohio Revised Code | Ohio Laws

    4 min

  29. 29

    4723-4-01: General information

    The following definitions apply with respect to LPN IV therapy

    4 min

  30. 30

    4723-4-02: Intravenous Therapy Procedures for Licensed Practical Nurses

    An LPN may NOT perform any of the following IV therapy procedures:

    4 min

  31. 31

    A nurse who applies to renew their nursing license must first complete 24 contact hours of continuing education, includi

    Rule 4723-14-03 - Ohio Administrative Code | Ohio Laws

    4 min

  32. 32

    Multistate License

    Effective January 1, 2023, Ohio will become part of the Nurse Licensure Compact (NLC). The terms multistate license (MSL) and compact license are interchangeable when referencing NLC. A MSL will allow a nurse to practice in their home state and any other compact state, if the nurse’s license is not

    4 min

  33. 33

    Conclusion

    The Board of Nursing is a government agency created by Ohio law to regulate the practice of nursing in Ohio for the safety of the public. The Ohio legislature enacts the Nurse Practice Act set forth in Chapter 4723 of the Ohio Revised Code, which fulfills the Ohio Board of Nursing’s mission in safeg

    4 min

This course satisfies

    Requirement summaries come from our state requirement records. Always confirm details with your board before you renew.

    References and resources

    • Chapter 4723-4 - Ohio administrative code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-administrative-code/chapter-4723-4
    • Multistate licensure. (n.d.). Ohio Board of Nursing. https://nursing.ohio.gov/licensing-and-certification/multistate-licensure/multistate-licensure-sa
    • Rule 4723-13-01 - Ohio administrative code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-administrative-code/rule-4723-13-01
    • Rule 4723-13-02 - Ohio administrative code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-administrative-code/rule-4723-13-02
    • Rule 4723-13-03 - Ohio administrative code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-administrative-code/rule-4723-13-03
    • Rule 4723-13-05 - Ohio administrative code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-administrative-code/rule-4723-13-05
    • Rule 4723-13-06 - Ohio administrative code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-administrative-code/rule-4723-13-06
    • Rule 4723-13-07 - Ohio administrative code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-administrative-code/rule-4723-13-07
    • Rule 4723-14-03 - Ohio administrative code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-administrative-code/rule-4723-14-03
    • Rule 4723-4-01 - Ohio administrative code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-administrative-code/rule-4723-4-01
    • Rule 4723-4-02 - Ohio administrative code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-administrative-code/rule-4723-4-02
    • Rule 4723-4-04 - Ohio administrative code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-administrative-code/rule-4723-4-04
    • Rule 4723-4-05 - Ohio administrative code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-administrative-code/rule-4723-4-05
    • Rule 4723-4-06 - Ohio administrative code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-administrative-code/rule-4723-4-06
    • Rule 4723-4-07 - Ohio administrative code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-administrative-code/rule-4723-4-07
    • Rule 4723-4-08 - Ohio administrative code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-administrative-code/rule-4723-4-08
    • Rule 4723-4-09 - Ohio administrative code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-administrative-code/rule-4723-4-09
    • Section 4723.02 - Ohio revised code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-revised-code/section-4723.02
    • Section 4723.03 - Ohio revised code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-revised-code/section-4723.03
    • Section 4723.05 - Ohio revised code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-revised-code/section-4723.05
    • Section 4723.06 - Ohio revised code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-revised-code/section-4723.06
    • Section 4723.09 - Ohio revised code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-revised-code/section-4723.09
    • Section 4723.18 - Ohio revised code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-revised-code/section-4723.18
    • Section 4723.181 - Ohio revised code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-revised-code/section-4723.181
    • Section 4723.24 - Ohio revised code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-revised-code/section-4723.24
    • Section 4723.28 - Ohio revised code | Ohio laws. (n.d.). Ohio Laws. https://codes.ohio.gov/ohio-revised-code/section-4723.28

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