Hawaii Administrative Rules › Title 16 - DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS › Chapter 89 - NURSES › Subchapter 1 - GENERAL PROVISIONS › Section 16-89-2 - Definitions

Current through June, 2024
As used in this chapter:
"Accredited" means certification by the appropriate board of
				  nursing that the nursing program meets established nursing education
				  standards.
"Advanced practice registered nurse (APRN)" means a
				  registered nurse licensed to practice in this State who has met the
				  qualifications set forth in chapter
				  457, HRS,
				  and this subchapter, and who because of advanced education and specialized
				  clinical training, is authorized to assess, screen, diagnose, order, utilize,
				  or perform medical, therapeutic, preventive, or corrective measures.
"Approved provider" means a local, state, or national agency,
				  institution, organization, or agency responsible for the development,
				  implementation, evaluation, financing, record-keeping, and maintenance of a
				  continuing education offering program or a total continuing education
				  curriculum which may be delivered in a variety of formats, including
				  electronic, journal, and lecture/seminar, as recognized by the board.
"Board" means the board of nursing.
"Certification" means a form of specialized credentialing,
				  under sponsorship of a recognized national certifying body that has verified an
				  applicant's advanced knowledge, skills, and abilities in defined areas of nurse
				  practice specialties as listed in section
				  16-89-85.
"Collaborate" means a process in which an APRN works with
				  other members of the health care team to deliver health care services.
"Contact hour" means a minimum of sixty minutes of actual
				  organized instruction. Academic credit will be converted to contact hours as
				  follows:
(1) One quarter academic credit equals 12.5 contact hours;
				  or
(2) One semester academic credit equals 15 contact hours.
				  Contact hour equivalencies shall be as follows:
(1) 1 continuing education unit = 10 contact hours;
(2) 1 continuing medical education credit = 60 minutes;
				  or
(3) 1 American Medical Association credit = 60
				  minutes.
"Continuing education" means a refresher course in
				  subchapter
				  18 only.
"Delegation" means the act of authorizing one to act for
				  another.
"Direct supervision" means that the registered nurse
				  assesses the conditionto be treated, authorizes each special task to be
				  performed, remains on the premises, and personally evaluates the performance of
				  the unlicensed assistive personnel.
"Drug" means a device, appliance, medicine, or preparation
				  for internal or external use by a human being and shall not include any
				  substance included in the exclusionary formulary.
"Exclusionary formulary" means the listing of drugs or
				  categories of drugs designated and published by the board of nursing that shall
				  not be prescribed by an APRN granted prescriptive authority.
"External degree or certification by examination" means a
				  degree or certificate approved by the appropriate state board of nursing
				  conferred upon the completion of a series of standardized examinations which
				  are used to document the theory and practice equivalent to the minimum
				  curriculum required of nursing programs in this State.
"Independent study" means a program of learning designed by
				  an approved provider for the registered nurse or practical nurse who completes
				  the program at the individual's pace, e.g., home study, programmed
				  instruction.
"Indirect supervision" means that the registered nurse
				  assesses the condition to be treated, is familiar with the client's medical
				  history, and personally authorizes each task to be performed by other
				  personnel. The presence of the registered nurse is not required; provided that
				  the registered nurse shall be available for consultation.
"Informal offering" means a workshop, seminar, institute,
				  conference, lecture, short term course, or organized independent study which is
				  offered for credit in contact hours or continuing education units.
"Major program revision" means a nursing program in which
				  significant changes occur in the philosophy, objectives, conceptual framework,
				  professional conduct of graduates, curriculum, admission requirements, and
				  methods of implementation.
"National Council" means the National Council of State Boards
				  of Nursing, Inc. or NCSBN.
"National Practitioner Data Bank" or "NPDB" means the
				  repository of information on medical malpractice payments and certain adverse
				  actions related to health care practitioners.
"Nursing program" means a course of study in nursing which
				  includes philosophy, objectives, conceptual framework, professional conduct of
				  graduates, curriculum, admission requirements, and methods of
				  implementation.
"Permit" means a temporary license to legally practice
				  nursing as a registered nurse (RN) or licensed practical nurse (LPN) during the
				  period specified on the permit, pending receipt of a permanent license or until
				  notified of cancellation.
"Physician" means a person licensed to practice medicine or
				  surgery under chapter
				  453, HRS.
"Prescribed medical orders" means requisitions for resources
				  to be allocated in particular ways for patients, which includes prescription
				  drug orders, signed by the delegating physician, standing medical orders,
				  standing delegation orders, or other orders or protocols.
"Prescription" means an order for medication, which is
				  dispensed to or for an ultimate user. "Prescription" shall not include an order
				  for medication that is dispensed for immediate administration to the ultimate
				  user, including but not limited to, a chart order to dispense a drug to a bed
				  patient for immediate administration in a hospital.
"Prescriptive authority" means the authority granted by the
				  board to a recognized APRN to verbally, or in writing, direct, order, or
				  designate the preparation of, use of, or manner of using, a drug within the
				  recognized APRN's scope of practice.
"Recognized national certifying body" means nurse
				  credentialing agencies accredited by the National Commission for Certifying
				  Agencies (NCCA) or the American Board of Nursing Specialties (ABNS) and
				  recognized by the board which include, but is not limited to, the American
				  Nurses Credentialing Center, the Pediatric Nursing Certification Board,
				  National Certification Corporation for Obstetric, Gynecologic and Neonatal
				  Nursing Specialties, the Council on Certification of the American College of
				  Nurse Midwives, the American Academy of Nurse Practitioners Certification
				  Board, the Council on Certification of the American Association of Nurse
				  Anesthetists, National Board of Certification & Recertification for Nurse
				  Anesthetists, or any new national certifying body or a national certifying body
				  which is a successor to any body accredited by the NCCA or ABNS and recognized
				  by the board. Any modifications by the national certifying bodies, the NCCA, or
				  ABNS shall apply unless otherwise provided in the board's policy and board's
				  rules.
"Remedial course" means a course that is approved by the
				  board and meets the requirements of subchapter
				  8 and shall include a minimum of sixty
				  hours of didactic instruction and sixty hours of clinical instruction.
"Semester credit" means a minimum of fifteen hours of
				  classroom instruction or a minimum of thirty hours of laboratory or clinical
				  instruction, or equivalent quarter hours which means a minimum of ten hours of
				  classroom instruction or a minimum of twenty hours of laboratory or clinical
				  instruction.
"Supervision" means the process of critical watching,
				  directing, and evaluating another's performance.
"Unlicensed assistive person" means an individual who is not
				  licensed to practice nursing, but who provides tasks of nursing care delegated
				  by a registered nurse.