Kentucky Administrative Regulations › Title 201 - GENERAL GOVERNMENT CABINET › Chapter 20 - Board of Nursing › Section 201 KAR 20:057 - Scope and standards of practice of advanced practice registered nurses

Current through Register Vol. 51, No. 1, July 1, 2024
RELATES TO:
				KRS
				218A.171,
				218A.172,
				218A.202,
				218A.205(3)(a),
				(b),
				314.011(7),
				(8),
				314.039,
				314.042,
				314.091,
				314.193(2),
				314.195,
				314.475
NECESSITY, FUNCTION, AND CONFORMITY:
				KRS
				218A.205(3)(a) and (b)
				require the Board of Nursing, in consultation with the Kentucky Office of Drug
				Control Policy, to establish by administrative regulation mandatory prescribing
				and dispensing standards for licensees authorized to prescribe or dispense
				controlled substances, and in accordance with the Centers for Disease Control
				and Prevention (CDC) guidelines, to establish a prohibition on a practitioner
				issuing a prescription for a Schedule II controlled substance for more than a
				three (3) day supply if intended to treat pain as an acute medical condition,
				unless an exception applies.
				KRS
				314.131(1) authorizes the
				board to promulgate administrative regulations necessary to enable it to carry
				into effect the provisions of KRS Chapter 314 and authorizes the board to
				require by administrative regulation that licensees and applicants utilize a
				specific method of submission of documents or information that is required to
				be provided to the board, including electronic submission.
				KRS
				314.193(2) authorizes the
				board to promulgate administrative regulations establishing standards for the
				performance of advanced practice registered nursing to safeguard the public
				health and welfare. This administrative regulation establishes the scope and
				standards of practice for an advanced practice registered nurse.
Section 1. Definitions.
(1) "Collaboration" means the relationship
			 between the advanced practice registered nurse (APRN) and a physician in the
			 provision of prescription medication, including both autonomous and cooperative
			 decision-making, with the APRN and the physician contributing their respective
			 expertise.
(2) "Collaborative
			 Agreement for the Advanced Practice Registered Nurse's Prescriptive Authority
			 for Controlled Substances" or "CAPA-CS" means the written document pursuant to
			 KRS
			 314.042(11).
(3) "Collaborative Agreement for the Advanced
			 Practice Registered Nurse's Prescriptive Authority for Nonscheduled Legend
			 Drugs" or "CAPA-NS" means the written document pursuant to
			 KRS
			 314.042(8).
(4) "Good standing" is defined by
			 KRS
			 314.039.
(5) "Immediate family member" means a spouse,
			 parent, parent-in-law, stepparent, child, stepchild, son-in-law,
			 daughter-in-law, sibling, stepsibling, brother-in-law, sister-in-law,
			 grandparent, grandchild, spouse of grandparent or grandchild, or other person
			 residing in the same residence as the APRN.
(6) "KBML" means the Kentucky Board of
			 Medical Licensure.
(7) "PDMP" means
			 the electronic prescription drug monitoring program system for monitoring
			 scheduled controlled substances and medicinal cannabis currently in use in
			 Kentucky pursuant to KRS 218A.202, including the
			 Kentucky All Schedule Prescription Electronic Reporting (KASPER)
			 System.