Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 19 - BOARD OF NURSING › Article 1 - DEFINITIONS AND TIME-FRAMES › Section R4-19-101 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
"Abuse" means a misuse of power or betrayal of trust,
				  respect, or intimacy by a nurse, nursing assistant, or applicant that causes or
				  is likely to cause physical, mental, emotional, or financial harm to a
				  client.
"Administer" means the direct application of a medication to
				  the body of a patient by a nurse, whether by injection, inhalation, ingestion,
				  or any other means.
"Admission cohort" means a group of students admitted at the
				  same time to the same curriculum in a regulated nursing, nursing assistant, or
				  advanced practice nursing program or entering the first clinical course in a
				  regulated program at the same time. "Same time" means on the same date or
				  within a narrow range of dates pre-defined by the program.
"Advance practice registered nurse (APRN)" means either a
				  registered nurse practitioner (RNP), certified nurse midwife (CNM), certified
				  registered nurse anesthetist (CRNA), or clinical nurse specialist (CNS),
				  certified by the Board.
"Applicant" means a person seeking licensure, certification,
				  prescribing, or prescribing and dispensing privileges, or an entity seeking
				  approval or re-approval, if applicable, of a:
CNS or RNP nursing program,
Credential evaluation service,
Nursing assistant training program,
Nursing program,
Nursing program change, or
Refresher program.
"Approved national nursing accrediting agency" means an
				  organization recognized by the United States Department of Education as an
				  accrediting agency for a nursing program.
"Assign" means a nurse designates nursing activities to be
				  performed by another nurse that are consistent with the other nurse's scope of
				  practice.
"Certificate or diploma in practical nursing" means the
				  document awarded to a graduate of an educational program in practical
				  nursing.
"Certified medication assistant" means a certified nursing
				  assistant who meets Board qualifications and is additionally certified by the
				  Board to administer medications under A.R.S. §
									32-1650
				  et. seq.
"CES" means credential evaluation service.
"Client" means a recipient of care and may be an individual,
				  family, group, or community.
"Clinical instruction" means the guidance and supervision
				  provided by a nursing, nursing assistant or medication assistant program
				  faculty member while a student is providing client care.
"CMA" means certified medication assistant.
"CNA" means a certified nursing assistant, as defined in
				  A.R.S §
									32-1601(4).
"CNS" means clinical nurse specialist, as defined in A.R.S.
				  §
									32-1601(7).
"Collaborate" means to establish a relationship for
				  consultation or referral with one or more licensed physicians on an as-needed
				  basis. Supervision of the activities of a registered nurse practitioner by the
				  collaborating physician is not required.
"Contact hour" means a unit of organized learning, which may
				  be either clinical or didactic and is either 60 minutes in length or is
				  otherwise defined by an accrediting agency recognized by the Board.
"Continuing education activity" means a course of study
				  related to nursing practice that is awarded contact hours by an accrediting
				  agency recognized by the Board, or academic credits in nursing or medicine by a
				  regionally or nationally accredited college or university.
"CRNA" means a certified registered nurse anesthetist as
				  defined in A.R.S. §
									32-1601(5).
"DEA" means the federal Drug Enforcement
				  Administration.
"Dispense" means to deliver a controlled substance or legend
				  drug to an ultimate user.
"Dual relationship" means a nurse or CNA simultaneously
				  engages in both a professional and nonprofessional relationship with a patient
				  or resident or a patient's or resident's family that is avoidable,
				  non-incidental, and results in the patient or resident or the patient's or
				  resident's family being exploited financially, emotionally, or sexually.
"Eligibility for graduation" means that the applicant has
				  successfully completed all program and institutional requirements for receiving
				  a degree or diploma but is delayed in receiving the degree or diploma due to
				  the graduation schedule of the institution.
"Endorsement" means the procedure for granting an Arizona
				  nursing license to an applicant who is already licensed as a nurse in another
				  state or territory of the United States and has passed an exam as required by
				  A.R.S. §§
									32-1633
				  or
				  32-1638
				  or an Arizona nursing assistant or medication assistant certificate to an
				  applicant who is already listed on a nurse aide register or certified as a
				  medication assistant in another state or territory of the United States.
"Episodic nursing care" means nursing care at nonspecific
				  intervals that is focused on the current needs of the individual.
"Failure to maintain professional boundaries" means any
				  conduct or behavior of a nurse or CNA that, regardless of the nurse's or CNA's
				  intention, is likely to lessen the benefit of care to a patient or resident or
				  a patient's or resident's family or places the patient, resident or the
				  patient's or resident's family at risk of being exploited financially,
				  emotionally, or sexually.
"Family," as applied to
				  R4-19-511, means individuals who
				  are related by blood, marriage, adoption, legal guardianship, or domestic
				  partnership, or who are cohabitating or romantically involved.
"Family Member", means a licensed health aide (LHA) who is
				  an adult (at least 18 years old) and has the following relationship with the
				  LHA's one patient:
1. spouse,
2. children/step children,
3. son/daughter-in-law,
4. grandchildren,
5. siblings /step siblings,
6. parents /step parents/adoptive parents,
7. grandparents,
8. mother/father-in-law,
9. brother/sister-in-law, or
10. legal guardian.
"Full approval" means the status granted by the Board when a
				  nursing program, after graduation of its first class, demonstrates the ability
				  to provide and maintain a program in accordance with the standards provided by
				  A.R.S. Title 32, Chapter 15 and this Chapter.
"Good standing" means the license of a nurse, or the
				  certificate of a nursing assistant, is current, and the nurse or nursing
				  assistant is not presently subject to any disciplinary action, consent order,
				  or settlement agreement.
"Independent nursing activities" means nursing care within an
				  RN's scope of practice that does not require authorization from another health
				  professional.
"Initial approval" means the permission, granted by the
				  Board, to an entity to establish a nursing assistant training program, after
				  the Board determines that the program meets the standards provided by A.R.S.
				  Title 32, Chapter 15 and this Chapter.
"LHA", means a licensed health aide who meets Board
				  qualifications as defined by A.R.S. §
									32-1601(14).
"Licensure by examination" means the granting of permission
				  to practice nursing based on an individual's passing of a prescribed
				  examination and meeting all other licensure requirements.
"LPN" means licensed practical nurse.
"NCLEX" means the National Council Licensure
				  Examination.
"Nurse" means a licensed practical or registered
				  nurse.
"Nursing diagnosis" means a clinical judgment, based on
				  analysis of comprehensive assessment data, about a client's response to actual
				  and potential health problems or life processes. Nursing diagnosis statements
				  include the actual or potential problem, etiology or risk factors, and defining
				  characteristics, if any.
"Nursing process" means applying problem-solving techniques
				  that require technical and scientific knowledge, good judgment, and
				  decision-making skills to assess, plan, implement, and evaluate a plan of
				  care.
"Nursing program" means a formal course of instruction
				  designed to prepare its graduates for licensure as registered or practical
				  nurses.
"Nursing program administrator" means a nurse educator who
				  meets the requirements of A.R.S. Title 32, Chapter 15 and this Chapter and has
				  the administrative responsibility and authority for the direction of a nursing
				  program.
"Nursing program faculty member" means an individual working
				  full or part time within a nursing program who is responsible for either
				  developing, implementing, teaching, evaluating, or updating nursing knowledge,
				  clinical skills, or curricula.
"Nursing-related activities or duties" means client care
				  tasks for which education is provided by a basic nursing assistant training
				  program.
"P & D" means prescribing and dispensing.
"Parent institution" means the educational institution in
				  which a nursing program, nursing assistant training program or medication
				  assistant program is conducted.
"Patient" means an individual recipient of care.
"Pharmacology" means the science that deals with the study of
				  drugs.
"Physician" means a person licensed under A.R.S. Title 32,
				  Chapters 7, 8, 11, 13, 14, 17, or 29, or by a state medical board in the United
				  States.
"Preceptor" means a licensed nurse or other health
				  professional who meets the requirements of A.R.S. Title 32, Chapter 15 and this
				  Chapter who instructs, supervises and evaluates a licensee, clinical nurse
				  specialist, nurse practitioner or pre-licensure nursing student, for a defined
				  period.
"Preceptorship" means a clinical learning experience by which
				  a learner enrolled in a nursing program, nurse refresher program, clinical
				  nurse specialist, or registered nurse practitioner program or as part of a
				  Board order provides nursing care while assigned to a health professional who
				  holds a license or certificate equivalent to or higher than the level of the
				  learner's program or in the case of a nurse under Board order, meets the
				  qualifications in the Board order.
"Prescribe" means to order a medication, medical device, or
				  appliance for use by a patient.
"Private business" means any individual or sole
				  proprietorship, partnership, limited liability partnership, limited liability
				  company, corporation or other legal business entity.
"Proposal approval" means that an institution has met the
				  standards provided by A.R.S. Title 32, Chapter 15 and this Chapter to proceed
				  with an application for provisional approval to establish a pre-licensure
				  nursing program in Arizona.
"Provisional approval" means that an institution has met the
				  standards provided by A.R.S. Title 32, Chapter 15 and this Chapter to implement
				  a pre-licensure nursing program in Arizona.
"Refresher program" means a formal course of instruction
				  designed to provide a review and update of nursing theory and practice.
"Register" means a listing of Arizona certified nursing
				  assistants maintained by the Board that includes the following about each
				  nursing assistant:
Identifying demographic information;
Date placed on the register;
Date of initial and most recent certification, if applicable;
				  and
Status of the nursing assistant certificate, including
				  findings of abuse, neglect, or misappropriation of property made by the Arizona
				  Department of Health Services, sanctions imposed by the United States
				  Department of Health and Human Services, and disciplinary actions by the
				  Board.
"Resident" means a patient who receives care in a long-term
				  care facility or other residential setting.
"RN" means registered nurse.
"RNP" means a registered nurse practitioner as defined in
				  A.R.S. §
									32-1601(20).
"SBTPE" means the State Board Test Pool Examination.
"School nurse" means a registered nurse who is certified
				  under R4-19-309.
"Secure examination" means a written test given to an
				  examinee that:
Is administered under conditions designed to prevent
				  cheating;
Is taken by an individual examinee without access to aides,
				  textbooks, other students or any other material that could influence the
				  examinee's score; and,
After opportunity for examinee review, is either never used
				  again or stored such that only designated employees of the educational
				  institution are permitted to access the test.
"Self-study" means a written self-evaluation conducted by a
				  nursing program to assess the compliance of the program with the standards
				  listed in Article 2.
"Standards related to scope of practice" means the expected
				  actions of any nurse who holds the identified level of licensure.
"Substance use disorder" means misuse, dependence or
				  addiction to alcohol, illegal drugs or other substances.
"Supervision" means the direction and periodic consultation
				  provided to an individual to whom a nursing task or patient care activity is
				  delegated.
"Unlicensed assistive personnel" or "UAP" means a CNA or any
				  other unlicensed person, regardless of title, to whom nursing tasks are
				  delegated.
"Verified application" means an affidavit signed by the
				  applicant attesting to the truthfulness and completeness of the application and
				  includes an oath that applicant will conform to ethical professional standards
				  and obey the laws and rules of the Board.