Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 175 - HEALTH CARE FACILITIES AND SERVICES LICENSURE › Chapter 6 - CHILDREN'S DAY HEALTH SERVICE › Section 175-6-002 - DEFINITIONS

Current through June 17, 2024
The definitions set out in the Health Care Facility Licensure
				  Act, in 175 Nebraska Administrative Code (NAC) 1, and the following apply to
				  this chapter.
002.01
ABUSE.
Any knowing, intentional, or negligent act or
				omission on the part of a person which results in physical abuse, sexual abuse,
				verbal abuse, or mental abuse, unreasonable confinement, cruel punishment,
				exploitation, or denial of care, treatment or services to a consumer.
002.02
ADVANCE
				DIRECTIVES.
Include living wills, durable powers of attorney,
				powers of attorney for health care, or other instructions recognized by state
				law that relate to the provision of medical care if the consumer becomes
				incapacitated.
002.03
BASIC THERAPEUTIC CARE.
Basic health care procedures,
				including, but not limited to, measuring vital signs, applying hot and cold
				applications and non-sterile dressings, and assisting with, but not
				administering, internal and external medications which are normally
				self-administered. Basic therapeutic care does not include health care
				procedures which require the exercise of nursing or medical judgment.
002.04
CAREGIVER.
A
				caregiver has the same meaning as caretaker found in Neb. Rev. Stat. §
									71-6721.
002.05
CHEMICAL
				RESTRAINT.
A psychopharmacologic drug that is used for discipline
				or convenience and is not required to treat medical symptoms.
002.06
CHILDREN'S DAY HEALTH
				AIDE.
An individual who is employed directly or through contract
				by a children's day health service to provide one or more of the following
				services: personal care, assistance with the activities of daily living, or
				basic therapeutic care to children's day health service consumers.
002.07
CHILDREN'S DAY HEALTH AIDE
				SERVICES.
The use of a trained, supervised paraprofessional to
				provide one or more of the following services: personal care, assistance with
				activities of daily living or basic therapeutic care to consumers of a
				children's day health service.
002.08
COMMUNITY-BASED.
Serving consumers at a defined
				location outside of the consumer's home or a health care facility not licensed
				as a children's day health service.
002.09
DEVELOPMENTAL
				DISORDERS.
A disorder that interrupts normal development in
				childhood.
002.10
DEVICE.
An instrument, apparatus, implement, machine,
				contrivance, implant, in vitro reagent, or other similar or related article,
				including any component, part, or accessory, which is prescribed by a medical
				practitioner and dispensed by a pharmacist or other person authorized by law to
				do so.
002.11
DIRECT
				SUPERVISION.
The responsible practitioner is physically present in
				the consumer care, treatment and service area and with the children's day
				health service consumer when the consumer is out of the children's day health
				service for transport or offsite activities.
002.12
EXPLOITATION.
The taking of property of a consumer by means of undue influence, breach of a
				fiduciary relationship, deception, or extortion or by any unlawful
				means.
002.13
FOOD
				CODE.
The Nebraska Food Code as defined in Neb. Rev. Stat. §
									81-2,244.01 and as published by
				the Nebraska Department of Agriculture, except for compliance and enforcement
				provisions is the food code.
002.14
FUNCTIONAL IMPAIRMENT.
A serious limitation or
				limitations a consumer has which substantially interfere with or limit role
				functioning in major life activities, as determined through an assessment by a
				practitioner credentialed under the Uniform Credentialing Act whose scope of
				practice includes care and treatment applicable to the functional
				impairment.
002.15
INTRAVENOUS THERAPY.
Initiating and monitoring therapy
				related to substances that are administered intravenously.
002.16
MEDICAL
				DEPENDENCE.
A medically fragile individual who requires
				specialized care and treatment by a practitioner as prescribed by a
				physician.
002.17
MEDICAL SERVICES.
Those services that address the
				health concerns and needs of consumers, including complex interventions, within
				the scope of practice of the licensed practitioner.
002.18
MENTAL ABUSE.
Humiliation, harassment, threats of punishment or deprivation, or other actions
				causing mental anguish.
002.19
MENTAL HEALTH SERVICES.
Mental health practice as
				defined in Neb. Rev. Stat. §
									38-2115 and other activities,
				interventions, or directives designed to address behavioral needs outlined in
				the consumer-specific, written plan of care.
002.20
NEGLECT.
Failure to provide care, treatment, or services necessary to avoid physical
				harm or mental anguish of a consumer.
002.21
OVERNIGHT
				CARE.
Care, treatment, or services provided for consumers between
				the hours of 9:00 p.m. and 6:00 a.m.
002.22
PARENT.
A
				natural parent, adoptive parent, stepparent, guardian, or other legally
				responsible individual for an individual under 19 years of age.
002.23
PERSONAL CARE
				AIDE.
An individual who is employed directly or through contract
				by a children's day health service to provide personal care, assistance with
				activities of daily living, or both to children's day health service
				consumers.
002.24
PERSONAL CARE AIDE SERVICES.
The use of trained,
				supervised paraprofessional to provide personal care, assistance with
				activities of daily living, or both to consumers of a children's day health
				service. Personal care aide services do not include basic therapeutic
				care.
002.25
PHYSICAL
				ABUSE.
Hitting, slapping, pinching, kicking, or other actions
				causing injury to the body.
002.26
PHYSICAL RESTRAINT.
Any manual method or physical or
				mechanical device, material, or equipment attached or adjacent to the
				consumer's body that the consumer cannot remove easily and that restricts
				freedom of movement or normal access to the consumer's own body.
002.27
PHYSICIAN.
An
				individual with an active license as a physician under the Uniform
				Credentialing Act to practice medicine and surgery or osteopathic medicine and
				surgery.
002.28
PRESCRIBING PRACTITIONER.
Any podiatrist, dentist,
				physician, osteopathic physician, advanced practice registered nurse, or
				physician assistant licensed to prescribe, diagnose, and treat as provided in
				the Uniform Credentialing Act.
002.29
SEXUAL ABUSE.
Sexual harassment, sexual coercion, or sexual assault.
002.30
SKILLED NURSING
				CARE.
Skilled nursing services that:
(A) Are ordered by a physician and included
				in the plan of care approved by the physician for the consumer; and
(B) Can be provided in this state only by or
				under the direct supervision of a registered nurse to assure the safety of the
				consumer and to achieve the medically desired result.