Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 380 - STATE BOARD OF NURSING › Chapter 8 - REGULATIONS RELATING TO ADVANCED PRACTICE REGISTERED NURSING › Section 380-8-1 - Definitions, Special Provisions, and Scopes of Practice

Current through 2024-29, July 17, 2024
1.
Definitions
A.
Advanced practice registered
				nursing.
"Advanced practice registered nursing"
(A.P.R.N.)
means the practice of a registered professional nurse who, on the basis of
				specialized education and experience, is authorized under these rules to
				deliver expanded professional health care.
B.
Assessment.
"Assessment"
				means a process of collecting information regarding health status of patients
				including, but not limited to: illness; response to illness; health risks of
				individuals, families and groups; resources; strengths and weaknesses and
				coping behaviors; and the environment. The skills employed during the
				assessment process includes, but are not limited to: obtaining patient
				histories; conducting physical examinations; and ordering, interpreting, and
				conducting a broad range of diagnostic procedures.
C.
Case management.
"Case
				management" means the provision and/or coordination of the health care that
				clients receive.
D.
Certified
				clinical nurse specialist.
"Certified clinical nurse specialist"
(C.N.S.)
means a registered professional nurse who has received
				post-graduate education in a master's degree program accredited by the National
				League for Nursing (N.L.N.) or American Association of Colleges of Nursing in a
				specialty area in nursing, and who has been certified as a clinical nurse
				specialist by the American Nurses Credentialing Center (A.N.C.C.) or has been
				certified in the clinical specialty by a national certifying organization
				acceptable to the Board.
E.
Certified nurse-midwife.
"Certified nurse-midwife"
(C.N.M.)
means a registered professional nurse who has received
				post-graduate education in a nurse-midwifery program approved by the American
				College of Nurse-Midwives and who has passed the national certification
				examination administered by the American Midwifery Certification Board or its
				successors, the former American College of Nurse-Midwives or the American
				College of Nurse-Midwives Certification Council, Inc.(A.C.C.).
F.
Certified nurse practitioner.
"Certified nurse practitioner"
(C.N.P.)
means a registered
				professional nurse who has received post-graduate education designed to prepare
				the nurse for advanced practice registered nursing in a specialty area
				innursing that has a defined scope of practice and has been certified in the
				clinical specialty by a national certifying organization acceptable to the
				Board.
G.
Certified
				registered nurse anesthetist.
"Certified registered nurse anesthetist"
(C.R.N.A.)
means a registered professional nurse who has received
				post-graduate education in a master's degree nurse anesthesia program approved
				by the Council on Accreditation of Nurse Anesthesia Educational Programs and
				who has passed the national certification examination administered by the
				Council on Certification of Anesthetists.
H.
Collaboration.
"Collaboration" means working jointly with other health care providers to
				provide patient care.
I.
Consultation.
"Consultation" means communication with other health
				care providers for obtaining information and/or advice.
J.
Counseling.
"Counseling"
				means providing advice and/or making recommendations to patients based on
				mutual exchange of ideas or information.
K.
Diagnosis.
"Diagnosis" means
				identifying actual or potential health problems or need for intervention, based
				on analysis of the data collected.
L.
Evaluation.
"Evaluation"
				means determining the effectiveness of interventions on health status of
				patients.
M.
Formulary.
"Formulary" means those non-scheduled drugs which are
				Food and Drug Administration (F.D.A.) approved and those listed on Schedules
				II/IIn, III/IIIn, IV, and V.
N.
Guidance.
"Guidance" means providing instruction and/or education
				to patients.
O.
Health care
				provider.
"Health care provider" may include, but is not limited to:
				advanced practice registered nurse, counselor, dietician, licensed practical
				nurse, occupational therapist, pharmacist, physical therapist, physician,
				physician assistant, podiatrist, psychologist, registered nurse, respiratory
				therapist, social worker, speech therapist.
P.
Initial approval.
"Initial
				approval" means the first approval granted by the Board following the
				applicant's completion of an advanced practice registered nurse
				program.
Q.
Intervention.
"Intervention" means utilizing measures that promote
				health; protecting against disease; treating illness in its earliest stages;
				managing acute and chronic illness; and limiting disability. Interventions may
				include, but are not limited to, issuance of orders; provision of direct
				nursing care; prescription of medications or other therapies; and consultation
				with or referral to other health care providers.
R.
Plan.
"Plan" means
				establishing a therapeutic goal based on the diagnosis.
S.
Practice requirement in an expanded
				specialty role.
"Practice requirement in an expanded specialty role"
				means clinical practice in the provision of primary healthcare or other
				activities which have a clinical focus. Other activities include, but are not
				limited to, teaching, consultation, and research related to the specialty area
				of practice and certification.
T.
Primary health care.
"Primary health care" means health care that
				clients receive at the first point of contact with the health care system and
				is continuous and comprehensive. Primary health care includes: health
				promotion; prevention of disease and disability; health maintenance;
				rehabilitation; identification of health problems; management of health
				problems; and referral.
U.
Recent graduate.
"Recent graduate" means an applicant who has
				completed an advanced practice registered nurse program within the previous 12
				months.
V.
Referral.
"Referral" means directing patients to other resources for the purpose of
				assessment and/or intervention.