314.011 Definitions for chapter

314.011 Definitions for chapter.

As used in this chapter, unless the context thereof requires otherwise:

(1) "Board" means Kentucky Board of Nursing;

(2) "Delegation" means directing a competent person to perform a selected nursing

activity or task in a selected situation under the nurse's supervision and pursuant to

administrative regulations promulgated by the board in accordance with the

provisions of KRS Chapter 13A;

(3) "Nurse" means a person who is licensed or holds the privilege to practice under the

provisions of this chapter as a registered nurse or as a licensed practical nurse;

(4) "Nursing process" means the investigative approach to nursing practice utilizing a

method of problem-solving by means of:

(a) Nursing diagnosis, a systematic investigation of a health concern, and an

analysis of the data collected in order to arrive at an identifiable problem; and

(b) Planning, implementation, and evaluation based on nationally accepted

standards of nursing practice;

(5) "Registered nurse" means one who is licensed or holds the privilege under the

provisions of this chapter to engage in registered nursing practice;

(6) "Registered nursing practice" means the performance of acts requiring substantial

specialized knowledge, judgment, and nursing skill based upon the principles of

psychological, biological, physical, and social sciences in the application of the

nursing process in:

(a) The care, counsel, and health teaching of the ill, injured, or infirm;

(b) The maintenance of health or prevention of illness of others;

(c) The administration of medication and treatment as prescribed by a physician,

physician assistant, dentist, or advanced practice registered nurse and as

further authorized or limited by the board, and which are consistent either

with American Nurses' Association Scope and Standards of Practice or with

standards of practice established by nationally accepted organizations of

registered nurses. Components of medication administration include but are

not limited to:

1. Preparing and giving medications in the prescribed dosage, route, and

frequency, including dispensing medications only as defined in

subsection (17)(b) of this section;

2. Observing, recording, and reporting desired effects, untoward reactions,

and side effects of drug therapy;

3. Intervening when emergency care is required as a result of drug therapy;

4. Recognizing accepted prescribing limits and reporting deviations to the

prescribing individual;

5. Recognizing drug incompatibilities and reporting interactions or

potential interactions to the prescribing individual; and

6. Instructing an individual regarding medications;

(d) The supervision, teaching of, and delegation to other personnel in the

performance of activities relating to nursing care; and

g accepted prescribing limits and reporting deviations to the

prescribing individual;

5. Recognizing drug incompatibilities and reporting interactions or

potential interactions to the prescribing individual; and

6. Instructing an individual regarding medications;

(d) The supervision, teaching of, and delegation to other personnel in the

performance of activities relating to nursing care; and

(e) The performance of other nursing acts which are authorized or limited by the

board, and which are consistent either with American Nurses' Association

Standards of Practice or with Standards of Practice established by nationally

accepted organizations of registered nurses;

(7) "Advanced practice registered nurse" or "APRN" means a certified nurse

practitioner, certified registered nurse anesthetist, certified nurse midwife, or

clinical nurse specialist, who is licensed to engage in advance practice registered

nursing pursuant to KRS 314.042 and certified in at least one (1) population focus;

(8) "Advanced practice registered nursing" means the performance of additional acts by

registered nurses who have gained advanced clinical knowledge and skills through

an accredited education program that prepares the registered nurse for one (1) of the

four (4) APRN roles; who are certified by the American Nurses' Association or

other nationally established organizations or agencies recognized by the board to

certify registered nurses for advanced practice registered nursing as a certified nurse

practitioner, certified registered nurse anesthetist, certified nurse midwife, or

clinical nurse specialist; and who certified in at least one (1) population focus. The

additional acts shall, subject to approval of the board, include but not be limited to

prescribing treatment, drugs, devices, and ordering diagnostic tests. Advanced

practice registered nurses who engage in these additional acts shall be authorized to

issue prescriptions for and dispense nonscheduled legend drugs as defined in KRS

217.905 and to issue prescriptions for but not to dispense Schedules II through V

controlled substances described in or as classified pursuant to KRS 218A.020,

218A.060, 218A.080, 218A.100, and 218A.120 under the conditions set forth in

KRS 314.042 and regulations promulgated by the Kentucky Board of Nursing on or

before August 15, 2006.

(a) 1. Prescriptions issued by advanced practice registered nurses for Schedule

II controlled substances classified under KRS 218A.060, except

hydrocodone combination products as defined in KRS 218A.010, shall

be limited to a seventy-two (72) hour supply without any refill.

2. Prescriptions issued by advanced practice registered nurses for

hydrocodone combination products as defined in KRS 218A.010 shall

be limited to a thirty (30) day supply without any refill.

3. Prescriptions issued under this subsection for psychostimulants may be

written for a thirty (30) day supply only by an advanced practice

registered nurse certified in psychiatric-mental health nursing who is

providing services in a health facility as defined in KRS Chapter 216B

or in a regional services program for mental health or individuals with

an intellectual disability as defined in KRS Chapter 210.

issued under this subsection for psychostimulants may be

written for a thirty (30) day supply only by an advanced practice

registered nurse certified in psychiatric-mental health nursing who is

providing services in a health facility as defined in KRS Chapter 216B

or in a regional services program for mental health or individuals with

an intellectual disability as defined in KRS Chapter 210.

(b) Prescriptions issued by advanced practice registered nurses for Schedule III

controlled substances classified under KRS 218A.080 shall be limited to a

thirty (30) day supply without any refill. Prescriptions issued by advanced

practice registered nurses for Schedules IV and V controlled substances

classified under KRS 218A.100 and 218A.120 shall be limited to the original

prescription and refills not to exceed a six (6) month supply.

Nothing in this chapter shall be construed as requiring an advanced practice

registered nurse designated by the board as a certified registered nurse anesthetist to

obtain prescriptive authority pursuant to this chapter or any other provision of law

in order to deliver anesthesia care. The performance of these additional acts shall be

consistent with the certifying organization or agencies' scopes and standards of

practice recognized by the board by administrative regulation;

(9) "Licensed practical nurse" means one who is licensed or holds the privilege under

the provisions of this chapter to engage in licensed practical nursing practice;

(10) "Licensed practical nursing practice" means the performance of acts requiring

knowledge and skill such as are taught or acquired in approved schools for practical

nursing in:

(a) The observing and caring for the ill, injured, or infirm under the direction of a

registered nurse, advanced practice registered nurse, physician assistant,

licensed physician, or dentist;

(b) The giving of counsel and applying procedures to safeguard life and health, as

defined and authorized by the board;

(c) The administration of medication or treatment as authorized by a physician,

physician assistant, dentist, or advanced practice registered nurse and as

further authorized or limited by the board which is consistent with the

National Federation of Licensed Practical Nurses or with Standards of

Practice established by nationally accepted organizations of licensed practical

nurses;

(d) Teaching, supervising, and delegating except as limited by the board; and

(e) The performance of other nursing acts which are authorized or limited by the

board and which are consistent with the National Federation of Practical

Nurses' Standards of Practice or with Standards of Practice established by

nationally accepted organizations of licensed practical nurses;

(11) "School of nursing" means a nursing education program preparing persons for

licensure as a registered nurse or a practical nurse;

(12) "Continuing education" means offerings beyond the basic nursing program that

present specific content planned and evaluated to meet competency based

behavioral objectives which develop new skills and upgrade knowledge;

(13) "Nursing assistance" means the performance of delegated nursing acts by

unlicensed nursing personnel for compensation under supervision of a nurse;

(14) "Sexual assault nurse examiner" means a registered nurse who has completed the

required education and clinical experience and maintains a current credential from

the board as provided under KRS 314.142 to conduct forensic examinations of

victims of sexual offenses under the medical protocol issued by the Justice and

Public Safety Cabinet in consultation with the Sexual Assault Response Team

Advisory Committee pursuant to KRS 216B.400(5);

ered nurse who has completed the

required education and clinical experience and maintains a current credential from

the board as provided under KRS 314.142 to conduct forensic examinations of

victims of sexual offenses under the medical protocol issued by the Justice and

Public Safety Cabinet in consultation with the Sexual Assault Response Team

Advisory Committee pursuant to KRS 216B.400(5);

(15) "Competency" means the application of knowledge and skills in the utilization of

critical thinking, effective communication, interventions, and caring behaviors

consistent with the nurse's practice role within the context of the public's health,

safety, and welfare;

(16) "Credential" means a current license, registration, certificate, or other similar

authorization that is issued by the board;

(17) "Dispense" means:

(a) To receive and distribute nonscheduled legend drug samples from

pharmaceutical manufacturers to patients at no charge to the patient or any

other party; or

(b) To distribute nonscheduled legend drugs from a local, district, and

independent health department, subject to the direction of the appropriate

governing board of the individual health department;

(18) "Dialysis care" means a process by which dissolved substances are removed from a

patient's body by diffusion, osmosis, and convection from one (1) fluid

compartment to another across a semipermeable membrane;

(19) "Dialysis technician" means a person who is not a nurse, a physician assistant, or a

physician and who provides dialysis care in a licensed renal dialysis facility under

the direct, on-site supervision of a registered nurse or a physician;

(20) "Population focus" means the section of the population within which the advanced

practice registered nurse has targeted to practice. The categories of population foci

are:

(a) Family and individual across the lifespan;

(b) Adult gerontology;

(c) Neonatal;

(d) Pediatrics;

(e) Women's health and gender-related health; and

(f) Psychiatric mental health; and

(21) "Conviction" means but is not limited to:

(a) An unvacated adjudication of guilt;

(b) Pleading no contest or nolo contendere or entering an Alford plea; or

(c) Entering a guilty plea pursuant to a pretrial diversion order;

Regardless of whether the penalty is rebated, suspended, or probated.