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RSA 326-B:14 · Scope of Practice; Licensed Nursing Assistant

Title
XXX: OCCUPATIONS AND PROFESSIONS
Chapter
326-B · NURSE PRACTICE ACT
Status
current
Official source linked
Yes
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326-B:14 Scope of Practice; Licensed Nursing Assistant. –

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I.

An LNA shall, with or without compensation or personal profit, practice under the supervision of an RN, APRN, or LPN.

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II.

An LNA is responsible for competency in the nursing assistant curriculum approved by the board. II-a. An LNA is authorized to administer medication if:

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(a)

The LNA holds a currently valid certificate of medication administration; or

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(b)

A licensed nurse delegates the task of medication administration to the LNA who is employed in the home care, hospice, residential care, public school, or adult day care setting. The board, in consultation with the commissioner of health and human services or a designee, shall adopt rules under RSA 541-A establishing standards for such delegation of medication administration which include, but are not limited to, limitations on the number of delegations per assistive personnel, training and competency requirements, documentation requirements, and medication administration error reporting requirements.

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III.

Following successful completion of the curriculum, a nursing assistant shall be able to:

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(a)

Form a relationship, communicate, and interact effectively with individuals and groups.

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(b)

Demonstrate comprehension related to individuals' emotional, mental, physical, and social health needs through skillful, direct nursing-related activities.

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(c)

Assist individuals to attain and maintain functional independence.

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(d)

Exhibit behaviors supporting and promoting care recipients' rights.

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(e)

Demonstrate observational and documenting skills required for reporting of people's health, safety, welfare, physical and mental condition, and general well-being.

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(f)

Provide safe nursing-related activities under the supervision of an RN or an LPN.

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IV.

LNAs may perform tasks not addressed in the basic curriculum required for licensure if they obtain additional training in the performance of such tasks through programs approved by the board. Additional tasks may be delegated provided:

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(a)

The task has been properly delegated to the nursing assistant by the supervising licensed nurse pursuant to RSA 326-B:28.

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(b)

The task has not been made exempt from nursing assistant practice.

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(c)

The policies of the employing health care facility allow the delegation of the task to an LNA.

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V.

Any expansion of the scope of practice shall be adopted by legislation in accordance with RSA 332-G:6. Source. 2005, 293:1. 2009, 54:4. 2015, 239:1. 2016, 273:2, eff. June 16, 2016. 2020, 6:4, eff. Mar. 9, 2020.

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Source note

Source. 2005, 293:1. 2009, 54:4. 2015, 239:1. 2016, 273:2, eff. June 16, 2016. 2020, 6:4, eff. Mar. 9, 2020.

Source history

  • 2005, 293:1
  • 2009, 54:4
  • 2015, 239:1
  • 2016, 273:2, eff. June 16, 2016
  • 2020, 6:4, eff. Mar. 9, 2020

Related materials

Bill relationships

  • 2026 HB1321 reference

    cian licensed under this chapter, a physician associate licensed under RSA 328-D acting within the scope of their practice, or an advanced practice registered nurse licensed under RSA 326-B acting within the scope of their practice. 329:56 Administration of Elective Intravenous Therapy. Elective intravenous therapy may only be administered by a physician licensed under this chapter, a physician associ

  • 2026 HB1796 reference · effective 2027-01-01

    rgeon or osteopathic physician and surgeon licensed pursuant to RSA 329, a physician associate licensed pursuant to RSA 328-D, or an advanced practice registered nurse pursuant to RSA 326-B, who is registered by the department to recommend treatment with psilocybin. XX. “Qualified therapy provider” means a physician and surgeon or osteopathic physician and surgeon licensed pursuant to RSA 329, a physic

  • 2026 HB1796-FN reference · effective 2027-01-01

    rgeon or osteopathic physician and surgeon licensed pursuant to RSA 329, a physician associate licensed pursuant to RSA 328-D, or an advanced practice registered nurse pursuant to RSA 326-B, who is registered by the department to recommend treatment with psilocybin. XX. “Qualified therapy provider” means a physician and surgeon or osteopathic physician and surgeon licensed pursuant to RSA 329, a physic

  • 2026 SB453 reference

    d by the commissioner or his designee shall be for a period not to exceed 2 years; except in any case where a licensed physician, advanced practice registered nurse licensed under RSA 326-B, or physician associate licensed under RSA 329-D documents a lasting medical necessity, in which case the waiver shall be for a period not to exceed 4 years. The applicant may reapply for the waiver before such period e

  • 2025 HB254 reference

    tions to be used in medical aid in dying: (1) A physician licensed pursuant to RSA 329; (2) An osteopathic physician licensed pursuant to RSA 329; (3) An advanced practice registered nurse licensed pursuant to RSA 326-B; or (4) A pharmacist licensed pursuant to RSA 318; provided, however, that a pharmacist shall not qualify as an attending health care provider under RSA 137-M:1, II or as a consulting health care provider unde