reglab/statecodes huggingface dataset:
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.14 - Advanced Practice Registered Nurses › Rule 24.159.1468 - PRESCRIPTIVE AUTHORITY RENEWAL

Current through Register Vol. 13, July 5, 2024
(1) The
				term of an APRN's prescriptive authority is concurrent with licensure and ends
				every two years on the date set by ARM
				24.101.413.
(2) To renew prescriptive authority, the APRN
				shall submit a completed prescriptive authority renewal application and a
				nonrefundable fee.
(3) When an APRN
				fails to renew prescriptive authority prior to the renewal date of that
				authority, the APRN's prescriptive authority will lapse and expire after 45
				days. The APRN whose prescriptive authority has expired may not prescribe and
				must reapply for prescriptive authority under the requirement in ARM
				24.159.1463.
AUTH:
					 37-1-131,
					 37-8-202, MCA; IMP:
					 37-1-131,
					 37-8-202,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.14 - Advanced Practice Registered Nurses › Rule 24.159.1469 - APRN COMPETENCE DEVELOPMENT

Current through Register Vol. 13, July 5, 2024
(1) The
				APRN is expected to engage in ongoing competence development. Competence
				development is the method by which an APRN gains, maintains, or refines
				practice, knowledge, skills, and abilities. This development can occur through
				formal education programs, continuing education, or clinical practice and is
				expected to continue throughout the APRN's career. Documentation of competence
				development activities should be retained by the APRN for a minimum of five
				years and must be made available to the board upon request. The APRN must:
(a) submit verification of national
				recertification to the board within 30 days of issuance; and
(b) maintain an individualized quality
				assurance plan that:
(i) is relevant to the
				APRN's role and population focus, practice setting, and level of
				experience;
(ii) may include peer
				review, institutional review, and/or self-assessment;
(iii) includes methods for maintaining
				continued competence in providing patient care and evaluating patient outcomes;
				and
(iv) meets the standards set by
				the APRN's national professional organization.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.14 - Advanced Practice Registered Nurses › Rule 24.159.1470 - CERTIFIED NURSE PRACTITIONER PRACTICE

Current through Register Vol. 13, July 5, 2024
(1) Certified Nurse Practitioner (CNP)
				practice means the independent and/or collaborative management of primary
				and/or acute health care of individuals, families, and communities across
				settings. The CNP is certified in acute or primary care and in the population
				focus of adult/geriatric, pediatric, neonatal, family/individual health across
				the lifespan, women's/gender-related, and/or psychiatric/mental
				health.
37-1-131,
					 37-8-202,
					 MCA; IMP,
					 37-1-131,
					 37-8-202,
					 37-8-409,
					 MCA;
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.14 - Advanced Practice Registered Nurses › Rule 24.159.1475 - CERTIFIED NURSE MIDWIFERY PRACTICE

Current through Register Vol. 13, July 5, 2024
(1) Certified Nurse Midwifery (CNM) practice
				means the independent and/or collaborative management of care of women
				throughout the lifespan. The CNM is certified in the population focus of
				women's/gender-related health and provides a full range of primary health care
				services to women throughout the lifespan, including gynecologic care, family
				planning services, preconception care, prenatal and postpartum care,
				childbirth, and the care of the newborn in diverse settings. The practice
				includes treating the male partner of their female clients for sexually
				transmitted diseases and for reproductive health.
37-1-131,
					 37-8-202,
					 MCA; IMP,
					 37-1-131,
					 37-8-202,
					 37-8-409,
					 MCA;
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.14 - Advanced Practice Registered Nurses › Rule 24.159.1477 - CIRCUMSTANCES CONSTITUTING A LOW RISK OF ADVERSE HOMEBIRTH OUTCOMES

Current through Register Vol. 13, July 5, 2024
(1) A low risk of adverse birth outcomes
				indicates a clinical scenario for which there is not clear demonstratable
				benefit for a medical intervention or transfer to a physician's care.
(2) Consultation with a physician does not
				preclude a low risk of adverse birth outcomes.
(3) Preexisting arrangements for emergency
				transportation to a nearby hospital if needed do not preclude a low risk of
				adverse birth outcomes.
(4) The
				following conditions preclude a low risk of adverse birth outcomes.
(a) Pre-existing conditions (not
				gynecological):
(i) subarachnoid hemorrhage,
				aneurysm;
(ii) recent or acute
				herniated nucleus pulposus;
(iii)
				active tuberculosis or ongoing treatment;
(iv) human immunodeficiency virus, acquired
				immunodeficiency syndrome, hepatitis B or hepatitis C;
(v) heart defect with hemodynamic
				consequences;
(vi) clotting
				disorders;
(vii) kidney
				dysfunction;
(viii)
				hypertension;
(ix) diabetes
				mellitus;
(x) unmedicated thyroid
				disorders with present TSH receptor antibodies;
(xi) inflammatory bowel disease, including
				ulcerative colitis and Crohn's disease;
(xii) systemic and rare disorders, including
				Addison's disease, Cushing's syndrome, systemic lupus erythematosus,
				antiphospholipid syndrome, scleroderma, rheumatoid arthritis, polyarteritis
				nodosa, Raynaud's disease, and Marfan syndrome;
(xiii) illegal drug use; or
(xiv) alcoholism.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.14 - Advanced Practice Registered Nurses › Rule 24.159.1480 - CERTIFIED REGISTERED NURSE ANESTHETIST PRACTICE

Current through Register Vol. 13, July 5, 2024
(1) Certified Registered Nurse Anesthetist
				(CRNA) practice is the independent and/or collaborative performance of any act
				involving the determination, preparation, administration, or monitoring of
				anesthesia care and anesthesia-related services, and the management of acute
				and chronic pain. The CRNA is certified in the population of family/individual
				health across the lifespan whose health status may range from healthy through
				all recognized levels of acuity, including persons with immediate, severe, or
				life-threatening illnesses or injuries in diverse settings.
37-1-131,
					 37-8-202,
					 MCA; IMP,
					 37-1-131,
					 37-8-202,
					 37-8-409,
					 MCA;
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.14 - Advanced Practice Registered Nurses › Rule 24.159.1485 - CLINICAL NURSE SPECIALIST PRACTICE

Current through Register Vol. 13, July 5, 2024
(1) Clinical Nurse Specialist (CNS) practice
				means the independent and/or collaborative delivery and management of
				individuals, families, groups, and communities. CNS practice integrates nursing
				practice, which focuses on assisting patients in the prevention or resolution
				of illness, with medical diagnosis and treatment of disease, injury, and
				disability. In addition to providing direct patient care, CNSs influence care
				outcomes by providing expert consultation for nursing staff and by implementing
				improvements in health care delivery systems. CNS certification may include the
				population focus of adult/geriatric, pediatric, neonatal, family/individual,
				and/or psychiatric/mental health.
37-1-131,
					 37-8-202,
					 MCA; IMP,
					 37-1-131,
					 37-8-202,
					 37-8-409,
					 MCA;
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.14 - Advanced Practice Registered Nurses › Rule 24.159.1490 - PSYCHIATRIC-MENTAL HEALTH PRACTITIONER PRACTICE (REPEALED)

Current through Register Vol. 13, July 5, 2024
37-1-131,
					 37-8-202,
					 MCA; IMP,
					 37-1-131,
					 37-8-202,
					 37-8-409,
					 MCA;
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.16 - Delegation and Assignment › Rule 24.159.1601 - PURPOSE. (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-1-131,
					 37-8-202,
					 MCA IMP:
					 37-1-131,
					 37-8-202,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.16 - Delegation and Assignment › Rule 24.159.1602 - DEFINITIONS (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-8-202,
					 MCA; IMP:
					 37-8-202,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.16 - Delegation and Assignment › Rule 24.159.1604 - TASKS WHICH MAY BE ROUTINELY ASSIGNED TO AN UNLICENSED PERSON IN ANY SETTING WHEN A NURSE-PATIENT RELATIONSHIP EXISTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-8-202,
					 MCA; IMP:
					 37-8-202,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.16 - Delegation and Assignment › Rule 24.159.1605 - STANDARDS RELATED TO THE FACILITY'S CHIEF NURSING OFFICER REGARDING DELEGATION PRACTICES (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-1-131,
					 37-8-202,
					 MCA; IMP:
					 37-1-131,
					 37-8-202,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.16 - Delegation and Assignment › Rule 24.159.1610 - ACCOUNTABILITY (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-1-131,
					 37-8-202,
					 MCA; IMP:
					 37-1-131,
					 37-8-202,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.16 - Delegation and Assignment › Rule 24.159.1611 - CRITERIA FOR DELEGATION OF NURSING TASKS

Current through Register Vol. 13, July 5, 2024
(1) Delegation is a nursing act distinct from
				teaching, supervising, consulting, and advising.
(2) Before delegating, the LPN or RN should
				consider the five rights of delegation: the right task, the right person to
				whom the delegation is made, the right circumstances, the right direction and
				communication by the LPN or RN, and the right supervision and
				evaluation.
(3) Delegation of a
				nursing task to an AP shall be based solely on the determination of the
				patient's nurse, who has personally assessed the patient's condition, so that
				delegation can be performed without jeopardizing the patient's
				welfare.
(4) The nursing task to be
				delegated must be within the area of responsibility, scope of practice, and
				competency of the nurse delegating the task.
(5) The LPN or RN shall delegate to another
				only those nursing tasks for which that person has the necessary skills and
				competence to accomplish safely. In maintaining accountability for the
				delegation, the LPN or RN shall ensure:
(a)
				that the AP has the education and demonstrated competency to perform the
				delegated task;
(b) the task
				delegated is consistent with the AP's job description;
(c) patient needs match the AP's
				qualifications, available resources, and appropriate supervision;
(d) results of the task are reasonably
				predictable;
(e) the task does not
				require clinical reasoning, nursing judgment, or critical decision making;
(f) patient needs and
				circumstances of the delegation are such that the delegation of the task poses
				minimal risk to the patient and can be safely performed according to clear and
				exact directions;
(g) directions
				and guidelines are clearly communicated regarding the delegated task;
(h) for delegation of a routine task on
				stable patients, there is verification that the AP follows each written
				facility policy or procedure when performing the delegated task;
(i) those to whom nursing tasks are delegated
				are properly supervised by monitoring performance, progress, and
				outcomes;
(j) evaluation of the
				effectiveness of the delegation;
(k) follow-up on problems and intervention
				and revision of the plan of care as needed;
(l) the observation and communication of the
				outcomes of the delegated task; and
(m) documentation of the task.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.16 - Delegation and Assignment › Rule 24.159.1612 - STANDARDS RELATED TO THE NURSE FUNCTIONING AS A DELEGATOR (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-1-131,
					 37-8-202,
					 MCA; IMP:
					 37-1-131,
					 37-8-202,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.16 - Delegation and Assignment › Rule 24.159.1616 - NURSING TASKS RELATED TO MEDICATIONS THAT MAY BE DELEGATED (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-1-131,
					 37-8-202,
					 MCA; IMP:
					 37-1-131,
					 37-8-202,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.16 - Delegation and Assignment › Rule 24.159.1625 - GENERAL NURSING FUNCTIONS AND TASKS THAT MAY NOT BE DELEGATED

Current through Register Vol. 13, July 5, 2024
(1) The following nursing tasks require
				nursing knowledge, judgment, and skill and may not be delegated:
(a) the nursing assessment;
(b) development of the nursing
				diagnosis;
(c) establishment of the
				nursing care goal;
(d) development
				of the nursing care plan; and
(e)
				evaluation of the patient's progress, or lack of progress, toward goal
				achievement.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.16 - Delegation and Assignment › Rule 24.159.1630 - ADVANCED DELEGATION, GENERALLY (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-1-131,
					 37-8-202,
					 MCA; IMP:
					 37-1-131,
					 37-8-202,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.16 - Delegation and Assignment › Rule 24.159.1631 - ADVANCED DELEGATION TO UAP NURSING STUDENTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-1-131,
					 37-8-202,
					 MCA; IMP:
					 37-1-131,
					 37-8-202,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.16 - Delegation and Assignment › Rule 24.159.1636 - ADVANCED DELEGATION TO UAPS WORKING IN THE EMERGENCY DEPARTMENT (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-1-131,
					 37-8-202,
					 MCA; IMP:
					 37-1-131,
					 37-8-202,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.16 - Delegation and Assignment › Rule 24.159.1640 - ADVANCED DELEGATION TO UAPS WORKING IN THE DIALYSIS UNIT (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-1-131,
					 37-8-202,
					 MCA; IMP:
					 37-1-131,
					 37-8-202,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.20 - Nurses' Assistance Program › Rule 24.159.2001 - INTRODUCTION OF THE NURSES' ASSISTANCE PROGRAM

Current through Register Vol. 13, July 5, 2024
(1) The Board of Nursing's medical assistance
				program shall be called the Nurses' Assistance Program (NAP), also referred to
				as the program. The program shall be based upon the concept that early
				identification, intervention, and referral to treatment are paramount to
				promoting public health, safety, and welfare in that it decreases the time
				between the nurse's acknowledgement of a substance use disorder or mental
				health problem or chronic physical illness and the time treatment is received.
				The NAP is a specially designed program that shall be available to assist all
				licensed nurses under the jurisdiction of the board who are found to be
				physically or mentally impaired by habitual intemperance; excessive use of
				addictive drugs, alcohol, or any other drug or substance; by mental illness; or
				chronic physical illness. The purpose of the program is to protect the public
				by putting appropriate monitoring processes in place for nurses with
				impairments that result in the inability to practice with reasonable skill and
				safety.
(2) The NAP will have two
				tracks:
(a) the disciplinary monitoring
				track; and
(b) the alternative
				monitoring track.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.20 - Nurses' Assistance Program › Rule 24.159.2002 - ADMINISTRATION OF THE PROGRAM

Current through Register Vol. 13, July 5, 2024
(1) The NAP
				shall be administered so that it is transparent and accountable to the
				public.
(2) The NAP program
				director shall ensure that the program has adequate resources and staffing to
				implement policies and procedures and all requirements of the contracts the
				program has with the department and with each program participant.
37-8-202,
					 MCA; IMP,
					 37-8-202,
					 MCA;
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.20 - Nurses' Assistance Program › Rule 24.159.2003 - PROGRAM DIRECTOR REQUIREMENTS

Current through Register Vol. 13, July 5, 2024
(1) The
				program director shall oversee the operation of the program and shall be
				responsible for ensuring that the program adheres to the contract entered into
				with the department.
(2) To be
				qualified, the program director must be able to demonstrate the following:
(a) the education, experience, and knowledge
				necessary to gather, read, and understand reports from licensed professional
				staff, in order to sufficiently monitor the program participants;
(b) the ability to demonstrate an
				understanding of issues particular to licensed professional healthcare
				workers;
(c) the ability to
				identify participant noncompliance with the program participant contract and
				policies and procedures in a timely manner; and
(d) the ability to adhere to policies
				regarding reporting noncompliances to the board.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.20 - Nurses' Assistance Program › Rule 24.159.2004 - DIRECTOR DUTIES

Current through Register Vol. 13, July 5, 2024
(1) A director
				shall:
(a) develop a policy and procedure
				manual;
(b) submit quarterly
				activity/statistical reports as defined by the board to the board;
(c) submit quarterly progress reports on
				licensees enrolled in the NAP;
(d)
				report licensees in the NAP to the board who do not comply with the NAP
				requirements and/or for whom there is reasonable suspicion they may not be able
				to practice safe nursing;
(e)
				provide information and consultation to the board upon request;
(f) review statutes and rules with the board
				and its staff as directed by the board;
(g) recommend admissions and discharges of
				participants in the NAP to the board as appropriate;
(h) provide documentation of the monitoring
				of all NAP participants;
(i)
				maintain complete and accurate participant files;
(j) cooperate with board audits;
				and
(k) abide by all provisions of
				the contract entered into with the department.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.20 - Nurses' Assistance Program › Rule 24.159.2010 - DISCIPLINARY MONITORING TRACK

Current through Register Vol. 13, July 5, 2024
(1)
				Participation in the NAP may be mandated as a part of disciplinary action by
				the board.
37-8-202,
					 MCA; IMP,
					 37-8-202,
					 MCA;
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.20 - Nurses' Assistance Program › Rule 24.159.2011 - ADMISSION CRITERIA - DISCIPLINARY MONITORING TRACK

Current through Register Vol. 13, July 5, 2024
(1) A licensee may be admitted to the NAP
				disciplinary track if:
(a) the licensee has
				violated the statutes or rules related to nursing practice which involved
				alcohol and/or drugs and whom the board has stipulated the NAP as a part of
				disciplinary action;
(b) the
				licensee agrees to abide by the terms of the NAP; or
(c) the nurse is from another state, has
				applied for a nursing license in Montana, and is mandated by final order of
				that state board of nursing to attend a NAP program.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.20 - Nurses' Assistance Program › Rule 24.159.2012 - PROGRAM REQUIREMENTS

Current through Register Vol. 13, July 5, 2024
(1) The program
				requirements of the NAP are that the licensee shall:
(a) agree to evaluations and testing
				necessary to determine treatment and monitoring needs while a part of the
				NAP;
(b) sign a contract with the
				NAP and comply with said contract and all requirements as indicated in the NAP
				participant handbook; and
(c) be
				responsible for all costs for treatment and monitoring.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.20 - Nurses' Assistance Program › Rule 24.159.2013 - DISCHARGE CRITERIA

Current through Register Vol. 13, July 5, 2024
(1) The licensee
				shall be discharged from the NAP when the licensee has:
(a) successfully completed the NAP;
(b) failed to comply with the NAP contract.
				The NAP will submit a report of failure to comply in the form of a complaint;
				or
(c) voluntarily withdrawn from
				the NAP. The NAP will submit a report in the form of a complaint to the
				board.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.20 - Nurses' Assistance Program › Rule 24.159.2020 - ALTERNATIVE MONITORING TRACK

Current through Register Vol. 13, July 5, 2024
(1) The
				alternative monitoring track of the NAP is open to:
(a) any licensee who identifies a substance
				use disorder or mental illness or chronic physical illness and requests
				admission to the NAP and meets the admission criteria of ARM
				24.159.2021;
				or
(b) those licensees referred by
				the board.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.20 - Nurses' Assistance Program › Rule 24.159.2021 - ADMISSION CRITERIA - ALTERNATIVE MONITORING TRACK

Current through Register Vol. 13, July 5, 2024
(1) A licensee may be admitted to the NAP
				alternative monitoring track if the licensee:
(a) is from another state and has applied for
				a nursing license in Montana and is enrolled in and compliant with a similar
				monitoring program in another state;
(b) is without a previous disciplinary action
				from any licensing board;
(c) does
				not have a disciplinary or other adverse action pending; or
(d) has successfully completed the NAP or
				similar monitoring program.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.20 - Nurses' Assistance Program › Rule 24.159.2022 - PROGRAM REQUIREMENTS - NONDISCIPLINARY TRACK (REPEALED)

Current through Register Vol. 13, July 5, 2024
37-8-202,
					 MCA; IMP,
					 37-8-202,
					 MCA;
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.20 - Nurses' Assistance Program › Rule 24.159.2023 - DISCHARGE CRITERIA - NONDISCIPLINARY TRACK (REPEALED)

Current through Register Vol. 13, July 5, 2024
37-8-202,
					 MCA; IMP,
					 37-8-202,
					 MCA;
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.21 - Renewals and Continuing Education (Repealed) › Rule 24.159.2101 - STANDARDS FOR CONTINUING EDUCATION (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-1-131,
					 37-1-319,
					 37-8-202, MCA; IMP:
					 37-1-131,
					 37-1-306,
					 37-1-319,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.21 - Renewals and Continuing Education (Repealed) › Rule 24.159.2102 - BIENNIAL CONTINUING EDUCATION REQUIREMENTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-1-131,
					 37-1-319, MCA; IMP:
					 37-1-131,
					 37-1-306,
					 37-1-319,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.21 - Renewals and Continuing Education (Repealed) › Rule 24.159.2104 - NONACCREDITED ACTIVITIES (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-1-131,
					 37-1-319,
					 37-8-202, MCA; IMP:
					 37-1-131,
					 37-1-306,
					 37-1-319,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.21 - Renewals and Continuing Education (Repealed) › Rule 24.159.2106 - AUDITING OF CONTACT HOURS (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-1-131,
					 37-1-319, MCA; IMP:
					 37-1-131,
					 37-1-306,
					 37-1-319,
					 37-1-321,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.23 - Unprofessional Conduct › Rule 24.159.2301 - CONDUCT OF NURSES

Current through Register Vol. 13, July 5, 2024
(1) Professional
				conduct for nurses is behavior including acts, knowledge, and practices, which
				through professional experience, has become established by practicing nurses as
				conduct which is reasonably necessary for the protection of the public
				interests.
(a) While working as a nurse, the
				nurse will identify himself or herself with a name badge disclosing, at a
				minimum, first name, first initial of last name, and license type. The
				identification badge will be written in a standard bold face font with a font
				size of no less than 18 point.
(b)
				All nurses shall notify the board office of any change in address within ten
				days of the change. Failure to notify the board of an address change may result
				in a fine.
(c) All nurses are
				required to report unprofessional conduct of nurses to the board.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.159 - BOARD OF NURSING › Subchapter 24.159.23 - Unprofessional Conduct › Rule 24.159.2305 - ADMINISTRATIVE SUSPENSION

Current through Register Vol. 13, July 5, 2024
(1) The board
				authorizes the department to:
(a)
				administratively suspend licenses for deficiencies set forth in
				37-1-321(1)(a)
				though (e), MCA; or
(b) file a
				complaint pertaining to the deficiencies in (1) that are based on repeated or
				egregious conduct, or that have co-occurring misconduct allegations that
				directly implicate public safety and may warrant formal disciplinary
				action.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.160 - PEDIATRIC COMPLEX CARE ASSISTANT › Subchapter 24.160.3 - Definitions › Rule 24.160.301 - DEFINITIONS

Current through Register Vol. 13, July 5, 2024
(1) "Certified" refers to documentation
				accepted by the department setting forth completed training of a licensee or
				license applicant by an approved provider.
(2) "Medical provider" includes a primary
				care provider and specialist care providers.
AUTH: [House Bill 449, Section 1], [House Bill 449, Section
					 2]; IMP: [House Bill 449, Section 1], [House Bill 449, Section
					 2]
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.160 - PEDIATRIC COMPLEX CARE ASSISTANT › Subchapter 24.160.4 - General Provisions › Rule 24.160.401 - FEES

Current through Register Vol. 13, July 5, 2024
(1) Initial and renewal application fees are
				$25.
AUTH: [House Bill 449, Section 2]; IMP: [House Bill 449,
					 Section 2]
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.160 - PEDIATRIC COMPLEX CARE ASSISTANT › Subchapter 24.160.5 - Licensing › Rule 24.160.501 - PEDIATRIC COMPLEX CARE SERVICES

Current through Register Vol. 13, July 5, 2024
(1) In
				addition to those services defined in [House Bill 449, Section 1], a licensee
				may perform:
(a) bowel care, including enema
				administration and ostomy care;
(b)
				wound care;
(c) central line care
				or IV fluid administration; and
(d)
				airway management, including oxygen management.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.160 - PEDIATRIC COMPLEX CARE ASSISTANT › Subchapter 24.160.5 - Licensing › Rule 24.160.505 - TRAINING PROGRAM

Current through Register Vol. 13, July 5, 2024
(1) The department
				approves training of a licensee or license applicant by:
(a) the medical provider of the individual
				for whom the licensee will provide care; or
(b) a training provider specially equipped to
				provide training for pediatric complex care, in which case the training
				provider must register with the department.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.160 - PEDIATRIC COMPLEX CARE ASSISTANT › Subchapter 24.160.23 - Unprofessional Conduct › Rule 24.160.2301 - UNPROFESSIONAL CONDUCT

Current through Register Vol. 13, July 5, 2024
(1) It is
				unprofessional conduct for a licensee or applicant to violate any statute,
				rule, or standard of care governing their scope of practice, or exceeding the
				scope of practice for which they are licensed, trained, and educated to
				perform. The following additionally constitutes unprofessional conduct by
				licensees or license applicants:
(a) failing
				to cooperate with an investigation by or request for information from the
				department;
(b) performing services
				not trained and certified following ARM
				24.160.505.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.1 - Organizational Rule › Rule 24.162.101 - BOARD ORGANIZATION

Current through Register Vol. 13, July 5, 2024
(1) The Board of
				Nursing Home Administrators adopts and incorporates the organizational rules of
				the Department of Labor and Industry as listed in chapter 1 of this
				title.
AUTH:
					 2-4-201,
					 MCA; IMP:
					 2-4-201,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.2 - Procedural Rules › Rule 24.162.201 - PROCEDURAL RULES

Current through Register Vol. 13, July 5, 2024
(1) The Board of
				Nursing Home Administrators adopts and incorporates the procedural rules of the
				Department of Labor and Industry as listed in chapter 2 of this
				title.
AUTH:
					 2-4-201,
					 MCA; IMP:
					 2-4-201,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.2 - Procedural Rules › Rule 24.162.202 - PUBLIC PARTICIPATION

Current through Register Vol. 13, July 5, 2024
(1) The Board of
				Nursing Home Administrators adopts and incorporates the public participation
				rules of the Department of Labor and Industry as listed in chapter 2 of this
				title.
AUTH:
					 2-3-103,
					 MCA; IMP:
					 2-3-103,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.3 - Definitions › Rule 24.162.301 - DEFINITIONS

Current through Register Vol. 13, July 5, 2024
(1) "Clock hour" shall mean 60 minutes of
				formal instruction by an approved presenter.
(2) "Health care facility" shall mean
				licensed long-term facility, or licensed acute care facility, as defined by
				50-5-301(2)(b)(i),
				MCA.
AUTH:
					 37-9-203, MCA;
					 IMP:
					 37-9-203,
					 37-9-301,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.4 - General Provisions › Rule 24.162.401 - QUORUM (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-9-201,
					 MCA; IMP:
					 37-9-201,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.4 - General Provisions › Rule 24.162.402 - PUBLIC INFORMATION (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-9-201,
					 MCA; IMP:
					 37-9-201,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.4 - General Provisions › Rule 24.162.403 - SUBMITTALS AND REQUESTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-9-201,
					 MCA; IMP:
					 37-9-301,
					 37-9-302,
					 37-9-303,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.4 - General Provisions › Rule 24.162.407 - RECORD OF MINUTES AND HEARINGS (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-1-131,
					 37-9-201,
					 MCA; IMP:
					 37-9-201,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.4 - General Provisions › Rule 24.162.408 - APPLICATION DENIAL (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-9-201,
					 MCA; IMP:
					 37-9-305,
					 37-9-311,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.4 - General Provisions › Rule 24.162.409 - HEARINGS OR PROCEEDINGS (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-9-201,
					 MCA; IMP:
					 37-9-311,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.4 - General Provisions › Rule 24.162.415 - GENERAL REQUIREMENTS

Current through Register Vol. 13, July 5, 2024
(1) The license,
				together with evidence of current validation, shall be conspicuously displayed
				within the facility served by the licensee.
(2) Each licensee shall:
(a) file the licensee's current mailing
				address with the board; and
(b)
				notify the board office in writing or electronically of any and all changes
				which occur within ten days of the address change.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.4 - General Provisions › Rule 24.162.420 - FEE SCHEDULE

Current through Register Vol. 13, July 5, 2024
(1) Applicant and
				licensee fees are as follows:
(a) application
				by examination $225
(b) application
				by examination and temporary license 425
(c) application by credential 500
(d) jurisprudence reexamination (each retake)
				75
(e) active renewal 235
(f) inactive renewal 100
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.5 - Licensing › Rule 24.162.501 - APPLICATION AND DOCUMENTATION FOR LICENSURE

Current through Register Vol. 13, July 5, 2024
(1) In addition to passing the examination
				referred to in ARM
				24.162.504, an
				applicant must submit a completed application form documenting education,
				training, experience or a combination thereof totaling 1,200 points. The
				minimum accumulative point-value shall be 1,200 points.
(2) An application shall be filed and must be
				accompanied by the required fee, which shall not be refunded.
(3) The application information furnished by
				each applicant shall be evaluated by the board and given point-value to
				determine whether the applicant has sufficient experience, education or
				training. The experience, education or training requirements are set out in (a)
				through (c) below.
(a) Experience will be
				accepted for categories set out in (i) through (iii) below. Designated points
				are given based upon 40 hours or more per week. Documented part-time employment
				will be prorated on a full-time employee (40 hours per week) status. An
				applicant seeking points for experience earned beyond the seven-year period
				preceding the application date will not be awarded points unless the
				application is accompanied with documentation of such experience. Adequate
				documentation consists of a supervisor's letter, Internal Revenue Service W-4
				form, or employment evaluations signed by a supervisor or other official
				verification of employment.
(i) management
				experience in health care, with or without supervision, from the
				administration, no more than 200 points/year;
(ii) direct services experience providing
				health care services with direct patient contact, no more than 100 points/year;
(iii) support services (indirect
				experience) experience in health care facility(ies) with indirect patient
				contact, no more than 50 points/year;
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.5 - Licensing › Rule 24.162.502 - MILITARY TRAINING OR EXPERIENCE

Current through Register Vol. 13, July 5, 2024
(1) Pursuant to
				37-1-145,
				MCA, the board shall accept relevant military training, service, or education
				toward the requirements for licensure as a nursing home administrator.
(2) Relevant military training,
				service, or education must be completed by an applicant while a member of
				either:
(a) United States Armed Forces;
(b) United States Reserves;
(c) state national guard; or
(d) military reserves.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.5 - Licensing › Rule 24.162.503 - NONROUTINE APPLICATIONS

Current through Register Vol. 13, July 5, 2024
(1) For the purpose
				of processing nonroutine applications, the board incorporates the definitions
				of routine and nonroutine at ARM
				24.101.402 by reference.
(2) Nonroutine applications must be reviewed
				and approved by the board before a license may be issued.
AUTH:
					 37-1-131, MCA IMP:
					 37-1-101,
					 37-1-131, MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.5 - Licensing › Rule 24.162.504 - EXAMINATIONS

Current through Register Vol. 13, July 5, 2024
(1) Each applicant
				must attain a passing scaled score on the national examination, as determined
				by the National Association of Boards of Examiners for Nursing Home
				Administrators.
(2) Each applicant
				must attain a final score of at least 90% on the open book jurisprudence
				examination relating to the provisions of the Montana long-term care facility
				licensing law and regulations.
(3)
				An applicant who fails an examination may retake the examination after paying
				the examination fees referenced in ARM
				24.162.420.
AUTH:
					 37-1-131,
					 37-1-134,
					 37-9-203,
					 37-9-304, MCA;
					 IMP:
					 37-1-131,
					 37-1-134,
					 37-9-203,
					 37-9-301,
					 37-9-304,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.5 - Licensing › Rule 24.162.506 - TEMPORARY PERMIT

Current through Register Vol. 13, July 5, 2024
(1) An application
				for a temporary permit must be accompanied by the required fee, which will not
				be refunded.
(2) The temporary
				permit is valid until the applicant either fails the first national examination
				for which the applicant is eligible or passes the examination and is granted a
				license.
(3) Only one temporary
				permit will be issued per applicant.
AUTH:
					 37-1-319, MCA;
					 IMP:
					 37-1-305,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.5 - Licensing › Rule 24.162.509 - REINSTATEMENT (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-1-131,
					 37-9-201,
					 37-9-203, MCA;
					 IMP:
					 37-1-131,
					 37-9-201,
					 37-9-203,
					 37-9-305,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.5 - Licensing › Rule 24.162.510 - LICENSURE BY CREDENTIAL

Current through Register Vol. 13, July 5, 2024
(1) An applicant
				for licensure by credential must include documents to prove:
(a) that the applicant attained a passing
				scaled score on an examination, approved by the National Association of Boards
				of Examiners for Nursing Home Administrators; and
(b) that the applicant holds a currently
				valid license as a nursing home administrator in any jurisdiction.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.5 - Licensing › Rule 24.162.512 - APPLICANTS WITH CRIMINAL CONVICTIONS

Current through Register Vol. 13, July 5, 2024
(1) The board incorporates ARM
				24.101.406 by reference with no
				modifications.
AUTH:
					 37-1-131, MCA IMP:
					 37-1-101,
					 37-1-131, MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.5 - Licensing › Rule 24.162.515 - INACTIVE LICENSE

Current through Register Vol. 13, July 5, 2024
(1) A licensee is
				prohibited from practicing as a nursing home administrator while on inactive
				status.
(2) Inactive licenses will
				be granted to those individuals presently licensed or eligible to be licensed
				as nursing home administrators, but who are not presently working in the
				nursing home administration field by submitting a request and paying the
				required fee.
(3) The requirements
				for obtaining an inactive license status shall be the same as for obtaining a
				nursing home administrator's license.
(4) Inactive licensees shall utilize the
				renewal process and pay the required fee.
(5) Inactive licensees shall be exempt from
				the continuing education (CE) requirements as set out in ARM
				24.162.2105.
(6) To return to active status, inactive
				licensees must submit the following:
(a) a
				request and payment of the fee;
(i) At any
				time during the renewal period, the inactive license fee will be credited
				towards the full fee for an active license.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.21 - Renewals And Continuing Education › Rule 24.162.2101 - RENEWALS (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 37-1-141,
					 37-9-201,
					 MCA; IMP:
					 37-1-141,
					 37-9-304,
					 37-9-305,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.21 - Renewals And Continuing Education › Rule 24.162.2105 - CONTINUING EDUCATION

Current through Register Vol. 13, July 5, 2024
(1) Each active
				licensee must complete 20 hours of continuing education (CE) annually for
				renewal of a license.
(2) A
				licensee with an inactive license must complete 20 hours of CE for the
				immediately prior renewal period before requesting the board to issue an active
				license.
(3) A licensee is exempt
				from the CE requirement the year of original licensure.
(4) The board/staff will not pre-approve CE
				programs or sponsors. It is the responsibility of the licensee to select
				quality programs that:
(a) contribute to the
				licensee's knowledge and professional competence;
(b) contain significant intellectual or
				practical content; and
(c) deal
				primarily with substantive nursing home management issues.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.162 - BOARD OF NURSING HOME ADMINISTRATORS › Subchapter 24.162.23 - Unprofessional Conduct › Rule 24.162.2301 - UNPROFESSIONAL CONDUCT

Current through Register Vol. 13, July 5, 2024
(1) The board may
				suspend, revoke or take any other action in relation to the disciplining of the
				individual as the board in its discretion considers proper after an appropriate
				hearing or personal waiver of hearing rights.
(2) The following acts may subject the
				licensee to disciplinary action:
(a) willful
				and/or repeated violation of any board statutes or rule or the statutes or
				rules of any federal, state, county or city agency having licensing and
				regulation of nursing homes or administrators;
(b) conviction of a felony related to the
				practice of the profession by a court of competent jurisdiction, unless exempt
				by
				37-1-203,
				MCA;
(c) use of fraud, deceit or
				misrepresentation in the securing of a nursing home administrators
				license;
(d) being mentally and/or
				physically incompetent to engage in or act in the professional status as a
				nursing home administrator;
(e) use
				of alcoholic beverages or addictive drugs to the extent that it impairs the
				ability to practice the profession safely;
(f) diversion or appropriation of drugs or
				medications prescribed for residents in the nursing home;
(g) failure to take appropriate action on an
				employee who diverts drugs or medications prescribed for residents;
(h) acceptance of valuable consideration for
				the solicitation or procurement, either directly or indirectly, of nursing home
				usage;
(i) use of fraudulent,
				misleading or deceptive advertising;
(j) knowingly allowing an individual to
				falsely impersonate another licensee;
(k) knowingly failing to exercise true regard
				for the safety, health and welfare of the resident;
(l) willfully permitting unauthorized
				disclosure of information relative to the residents' records;
(m) disclosure or use of confidential
				information in the course of duties as a nursing home administrator which would
				further his/her own economic interests;
(n) continuous failure, or allowing the
				continuous failure, of employees to comply with standards for the operation of
				the nursing home for which the administrator is responsible;
(o) willful failure to correct deficiencies
				or failure to maintain corrective measures in the nursing home as cited by any
				agency of government which has nursing home administration
				responsibility.
(p) failing to
				maintain or provide accounting of or for residents' property or assets during
				their stay in the nursing home. However, the administrator shall be responsible
				only for that property with which he has been specifically entrusted by the
				resident, or that property over which the administrator has reasonable means of
				exercising security;
(q) allowing
				harassment or abuse of residents by employees;
(r) failing to cooperate with an authorized
				investigation of a complaint; and
(s) violating orders of the board.