Idaho Administrative Code › Title IDAPA 24 - Occupational and Professional Licenses, Division of › Rule 24.34.01 - RULES OF THE IDAHO BOARD OF NURSING › Section 24.34.01.002 - DEFINITIONS

Current through August 31, 2023
01.
Accreditation
. The official
			 authorization or status granted by a recognized accrediting entity or agency
			 other than a state board of nursing. (3-28-23)
02.
Advanced Practice Registered
			 Nurse
. Advanced practice registered nurses, when functioning within the
			 recognized scope of practice, assume primary responsibility for the care of
			 their patients in diverse settings. This practice incorporates the use of
			 professional judgment in the assessment and management of wellness and
			 conditions appropriate to the advanced practice registered nurse's role,
			 population focus and area of specialization. (3-28-23)
03.
Approval
. The process by
			 which the Board evaluates and grants official recognition to education programs
			 that meet standards established by the Board. (3-28-23)
04.
Assistance With Medication
.
			 The process whereby a non-licensed care provider is delegated tasks by a
			 licensed nurse to aid a patient who cannot independently self-administer
			 medications. (3-28-23)
05.
Certification
. Means recognition of the applicant's advanced
			 knowledge, skills and abilities in a defined area of nursing practice by a
			 national organization recognized by the Board. The certification process
			 measures the theoretical and clinical content denoted in the advanced scope of
			 practice, and is developed in accordance with generally accepted standards of
			 validation and reliability. (3-28-23)
06.
Certified Nurse-Midwife
.
			 Means a licensed registered nurse who has graduated from a nationally
			 accredited graduate or post-graduate nurse-midwifery program, and has current
			 certification as a nurse-midwife from a national organization recognized by the
			 Board. In addition to the core standards, the advanced practice registered
			 nurse in the role of certified nurse midwife provides the full range of primary
			 health care services to women throughout the lifespan, including gynecologic
			 care, family planning services, preconception care, prenatal and postpartum
			 care, childbirth, care of the newborn and reproductive health care treatment of
			 the male partners of female patients. (3-28-23)
07.
Certified Nurse
			 Practitioner
. Means a licensed registered nurse who has graduated from a
			 nationally accredited graduate or post-graduate nurse practitioner program and
			 has current certification as a nurse practitioner from a national organization
			 recognized by the Board. In addition to core standards, the advanced practice
			 registered nurse in the role of certified nurse practitioner provides initial
			 and ongoing comprehensive primary care services to patients including, but not
			 limited to, diagnosis and management of acute and chronic disease, and health
			 promotion, disease prevention, health education counseling, and identification
			 and management of the effects of illness on patients and their families.
			 (3-28-23)
08.
Certified
			 Registered Nurse Anesthetist
. Means a licensed registered nurse who has
			 graduated from a nationally accredited graduate or post-graduate nurse
			 anesthesia program and has current certification as a nurse anesthetist from a
			 national organization recognized by the Board. In addition to core standards,
			 the advanced practice registered nurse in the role of certified registered
			 nurse anesthetist provides the full spectrum of anesthesia care and
			 anesthesia-related care and services to individuals across the lifespan whose
			 health status may range across the wellness-illness continuum to include
			 healthy persons; persons with immediate, severe or life-threatening illness or
			 injury; and persons with sustained or chronic health conditions.
			 (3-28-23)
09.
Clinical Nurse
			 Specialist
. Means a licensed registered nurse who has graduated from a
			 nationally accredited graduate or post-graduate clinical nurse specialist
			 program and has current certification as a clinical nurse specialist from a
			 national organization recognized by the Board. In addition to core standards,
			 the advanced practice registered nurse in the role of clinical nurse specialist
			 provides services to patients, care providers and health care delivery systems
			 including, but not limited to, direct care, expert consultation, care
			 coordination, monitoring for quality indicators and facilitating communication
			 between patients, their families, members of the health care team and
			 components of the health care delivery system. (3-28-23)
10.
Charge Nurse
. A licensed
			 nurse who bears primary responsibility for assessing, planning, prioritizing
			 and evaluating care for the patients on a unit, as well as the overall
			 supervision of the licensed and unlicensed staff delivering the nursing care.
			 (3-28-23)
11.
Curriculum
. The systematic arrangement of learning experiences
			 including didactic courses, practical experiences, and other activities needed
			 to meet the requirements of the nursing program and of the certificate or
			 degree conferred by the parent institution. (3-28-23)
12.
Diagnosis
. Means
			 identification of actual or potential health problems and the need for
			 intervention based on analysis of data collected. Diagnosis depends upon the
			 synthesis of information obtained through interview, physical exam, diagnostic
			 tests or other investigations. (3-28-23)
13.
Disability
. Any physical,
			 mental, or emotional condition that interferes with the ability to safely and
			 competently practice. (3-28-23)
14.
Intervention
. Means measures to promote health, protect against
			 disease, treat illness in its earliest stages, manage acute and chronic
			 illness, and treat disability. Interventions may include, but are not limited
			 to ordering diagnostic studies, performing direct nursing care, prescribing
			 pharmacologic or non-pharmacologic or other therapies and consultation with or
			 referral to other health care providers. (3-28-23)
15.
Licensed Practical Nurse
			 (LPN)
. In addition to the definition set forth in Section
			 54-1402, Idaho Code, licensed
			 practical nurses function in dependent roles. The stability of the patient's
			 environment, the patient's clinical state, and the predictability of the
			 outcome determine the degree of direction and supervision that must be provided
			 to the licensed practical nurse. (3-28-23)
16.
Licensed Registered Nurse
			 (RN)
. In addition to the definition set forth in Section
			 54-1402, Idaho Code, licensed
			 registered nurses are expected to exercise competency in judgment, decision
			 making, implementation of nursing interventions, delegation of functions or
			 responsibilities, and administration of medications and treatments prescribed
			 by legally authorized persons. (3-28-23)
17.
Nursing Assessment
. The
			 systematic collection of data related to the patient's health needs.
			 (3-28-23)
18.
Nursing
			 Intervention
. An action deliberately selected and performed to support
			 the plan of care. (3-28-23)
19.
Nursing Jurisdiction
. Unless the context clearly denotes a
			 different meaning, when used in these rules, the term nursing jurisdiction
			 means any or all of the fifty (50) states, U.S. territories or commonwealths.
			 (3-28-23)
20.
Organized
			 Program of Study
. A written plan of instruction to include course
			 objectives and content, teaching strategies, provisions for supervised clinical
			 practice, evaluation methods, length and hours of course, and faculty
			 qualifications. (3-28-23)
21.
Peer Review Process
. The systematic process by which a qualified
			 peer assesses, monitors, and makes judgments about the quality of care provided
			 to patients measured against established practice standards. Peer review
			 measures on-going practice competency of the advance practice registered nurse
			 (APRN) and is performed by a licensed APRN, physician, physician assistant, or
			 other professional certified by a recognized credentialing organization. Peer
			 review focuses on a mutual desire for quality of care and professional growth
			 incorporating attitudes of mutual trust and motivation. (3-28-23)
22.
Plan of Care
. The
			 goal-oriented strategy developed to assist individuals or groups to achieve
			 optimal health potential. (3-28-23)
23.
Population Focus
. Means the
			 section of the population which the APRN has targeted to practice within. The
			 categories of population foci are family/individual across the lifespan,
			 adult-gerontology, women's health/gender-related, neonatal, pediatrics, and
			 psychiatric-mental health. (3-28-23)
24.
Practice Standards
. General
			 guidelines that identify roles and responsibilities for a particular category
			 of licensure and used in conjunction with the decision-making model, define a
			 nurse's relationship with other care providers. (3-28-23)
25.
Prescriptive and Dispensing
			 Authorization
. Means the legal permission to prescribe, deliver,
			 distribute and dispense pharmacologic and non-pharmacologic agents to a patient
			 in compliance with Board rules and applicable federal and state laws.
			 Pharmacologic agents include legend and Schedule II through V controlled
			 substances. (3-28-23)
26.
Restricted License
. A nursing license subject to specific
			 restrictions, terms, and conditions. (3-28-23)
27.
Scope of Practice
. The
			 extent of treatment, activity, influence, or range of actions permitted or
			 authorized for licensed nurses based on the nurse's education, preparation, and
			 experience. (3-28-23)
28.
Specialization
. Means a more focused area of preparation and
			 practice than that of the APRN role/ population foci that is built on
			 established criteria for recognition as a nursing specialty to include, but not
			 limited to, specific patient populations (e.g., elder care, care of
			 post-menopausal women), and specific health care needs (e.g., palliative care,
			 pain management, nephrology). (3-28-23)
29.
Specialty Nursing
			 Organization
. A licensed registered nurse may carry out functions beyond
			 the basic educational preparation within the parameters of a nursing specialty
			 that meets criteria approved by the American Board of Nursing Specialties
			 (ABNS) or the National Commission for Certifying Agencies (NCCA) of the
			 National Organization of Competency Assurance (NOCA) when the nurse has
			 completed additional education through an organized program of study which
			 includes clinical experience and conforms to recognized nursing specialty
			 practice parameters. (3-28-23)
30.
Supervision
. Designating or prescribing a course of action, or
			 giving procedural guidance, direction, and periodic evaluation.
			 (3-28-23)
31.
Unlicensed
			 Assistive Personnel (UAP)
. This term is used to designate unlicensed
			 personnel employed to perform nursing care services under the direction and
			 supervision of licensed nurses. The term also includes licensed or credentialed
			 health care workers whose job responsibilities extend to health care services
			 beyond their usual and customary roles and which activities are provided under
			 the direction and supervision of licensed nurses. UAPs are prohibited from
			 performing any licensed nurse functions that are specifically defined in
			 Section 54-1402, Idaho Code. UAPs may not
			 be delegated procedures involving acts that require nursing assessment or
			 diagnosis, establishment of a plan of care or teaching, the exercise of nursing
			 judgment, or procedures requiring specialized nursing knowledge, skills or
			 techniques. (3-28-23)