Alaska Nurse Practice Act: Facility Guide

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Written by Katherine Zheng, PhD, BSN Content Writer, IntelyCare
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Reviewed by Aldo Zilli, Esq. Senior Manager, B2B Content, IntelyCare
Alaska Nurse Practice Act: Facility Guide

Nurses represent the largest workforce in the healthcare industry, with new roles continuously being established to meet the shifting demands of patient care. To keep patients safe and ensure that these roles are being carried out appropriately, each state is responsible for regulating and governing nursing practice. In Alaska, Nurse Practice Act (NPA) provisions serve as important guidelines for what nursing professionals can and cannot do.

As a facility leader, it’s important to learn how to apply provisions in the NPA to enforce accurate care protocols. In this article, we’ll provide an overview of the Alaska NPA and provide tips to promote compliance among your staff.

Alaska Nurse Practice Act: Purpose

The Alaska NPA outlines a set of provisions that define credentialing processes, professional standards, and scope of practice guidelines. These rules and regulations apply to all nursing professionals, including CNAs, LPNs, RNs, and APRNs. The primary purpose of these provisions is to protect patients from unsafe or inappropriate nursing care. 

Alaska NPA: Laws at a Glance

While most nurses are introduced to their state’s clinical rules and guidelines in nursing school, few understand the intricacies of these state laws. This is especially true when a nurse practices in a different state from where they attended school.

Because these laws can significantly impact a nurse’s daily duties, understanding key elements of the Alaska Nurse Practice Act is essential to providing safe, appropriate care. The table below summarizes components of the NPA that may be most relevant to your facility and staff.

Summary of the Alaska Nurse Practice Act
Legal Authorities Alaska Statutes:

Alaska Administrative Code:

Nursing Licensure Requirements To obtain a registered nurse (RN) license in Alaska, applicants must either pass the NCLEX examination or receive licensure through endorsement.

Steps to Receive Licensure by Examination:

  1. Complete an accredited nursing program.
  2. Submit all application forms and fees to the Board of Nursing.
  3. Submit a background check and fingerprints.
  4. Register for and pass the NCLEX exam.

Steps to Receive Licensure by Endorsement:

  1. Submit fingerprints and background check.
  2. Sign up for and verify licensure through NURSYS.
  3. Submit all application forms and fees to the Board of Nursing.
  4. Submit proof of employment or competency requirements.

More information on how to renew an Alaska nursing license can be found on the state’s board of nursing website.

Scope of Practice Guidelines In the State of Alaska, LPN scope of practice guidelines and RN scope of practice guidelines are laid out in more detail on the Board of Nursing’s scope of practice chart.

Alaska nurse practitioner scope of practice guidelines are referenced in 12 AAC 44.430 of the regulations supporting the NPA. Nurse practitioners are generally expected to follow established guidelines from professional nursing associations recognized by the board.

Delegation Rules Rules on what nursing professionals can and cannot delegate are outlined in 12 AAC 44.950. In general, a licensed nurse may delegate nursing duties to other staff, including unlicensed assistive personnel, under the following conditions:

  • The duty is within the scope of practice of the delegating nurse.
  • An RN assessed the patient’s condition and determined the duty can be safely delegated.
  • The patient’s medical condition is stable and predictable.
  • The person being delegated received the training needed to safely perform the duty (this training must be documented).
  • The nurse determines that the person being delegated is competent to perform the duty correctly and safely and is accountable.
  • The delegated duty would not require the person to exercise professional nursing knowledge or complex nursing skills.
  • The nurse provides written instructions on how to carry out the duty, with a copy to keep on record.
Penalties Activities that are considered unprofessional conduct are outlined in 12 AAC 44.770 of the NPA. Some examples of these violations include, but are not limited to:

  • Assuming duties and responsibilities without sufficient preparation or competency.
  • Failing to perform acts within one’s scope of practice which are necessary to prevent substantial risk or harm.
  • Violating patient confidentiality.
  • Physically, emotionally, or verbally abusing or neglecting a patient.
  • Performing one’s nursing functions while impaired due to alcohol or drugs.
  • Permitting another person to use one’s license or permit for any purpose.

Penalties for participating in these activities or violating any other provision of the NPA are determined through court proceedings and by the Board of Nursing.

Nurse Licensure Compact (NLC) State? Alaska is not currently part of the NLC, meaning that:

  1. In-state nurses must obtain additional licensure to practice out-of-state; and
  2. Out-of-state nurses can’t practice in Alaska without applying for endorsement.

Improving NPA Compliance: 3 Tips for Facilities

Enforcing the Alaska Nurse Practice Act can help you protect your patients and build a better culture of safety. Follow these tips to keep your nursing staff informed and equipped to meet the highest standards of care.

1. Provide Regular Staff Education and Training

As a facility leader, it’s important to establish institutional policies that facilitate duties and delegation among your nursing staff. The Alaska Board of Nursing provides dozens of resources that can help you and your staff adhere to scope of practice guidelines. You should refer your staff to these resources and conduct regular training on protocols specific to your facility.

2. Ensure Your Staff’s Credentials Are Up-To-Date

Under the Alaska Nurse Practice Act, delivering nursing care without a license or with an expired license is prohibited. Not only does this endanger patients, but it can also lead to other penalties and fees. To ensure your nursing staff is staying on top of credentialing, you can send out regular reminders to complete any required competencies and apply for renewal.

3. Stay Informed About Regulatory Updates

Regulations impacting nursing practice can change, and it’s important to stay informed about any amendments to the NPA which can impact your nursing team. You can stay informed of key updates through the Board of Nursing’s website.

Discover More Ways to Maintain Compliance

Looking for more ways to support your staff’s compliance with the Alaska Nurse Practice Act and other regulations? IntelyCare is here to help. Get dozens of practical tips and expert-written healthcare management insights, whenever and wherever you need them.

 

Legal Disclaimer: This article contains general legal information, but it is not intended to constitute professional legal advice for any particular situation and should not be relied on as professional legal advice. Any references to the law may not be current, as laws regularly change through updates in legislation, regulation, and case law at the federal and state level. Nothing in this article should be interpreted as creating an attorney-client relationship. If you have legal questions, you should seek the advice of an attorney licensed to practice in your jurisdiction.


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