According to the Administrative Rules and Regulations Section 54-05-03.1-01 Statement of Intent, the scope of practice for a registered nurse with advanced licensure is based upon an understanding that a broad range of health care services can be appropriately and competently provided with validated knowledge, skills, and abilities in specific practice areas.  Section 54-05-03.1-12 Change in Physician Collaboration Regarding Authority was repealed effective October 1, 2011.  Organizational bylaws regarding the APRN practice and hospitalized patient may vary by state.