Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 6 - STANDARD DEFINITIONS › Section 851-006-0190 - Definitions beginning with the letter "S"

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
"SARA"
means the State
			 Authorization Reciprocity Agreement, a voluntary agreement among member states
			 and US territories that establishes comparable national standards for
			 interstate offering of postsecondary distance education courses and
			 programs.
(2)
"Self-referred
			 licensee"
means an eligible licensee who entered participation in the
			 Health Professional Services Program (HPSP), an alternative to discipline
			 program, without referral from the Board. The Board will have no knowledge of
			 the entry of the licensee into the HPSP program unless there is substantive
			 non-compliance.
(3)
"Self-Regulation"
means the licensee takes personal responsibility
			 and accountability for maintaining safe practice while adhering to legal,
			 ethical, professional practice and performance standards.
(4)
"Stable and Predictable
			 Condition"
for the purposes of these rules, means a situation where the
			 client's clinical and behavioral state is known, not characterized by rapid
			 changes, and does not require frequent reassessment and evaluation. This
			 includes clients whose deteriorating condition is expected such as the client
			 receiving hospice services.
(5)
"Statewide Need",
for the purposes of these rules, means the
			 assessment and documentation 5 of the need for the nursing program in relation
			 to plans for total state resources and the need for entry level nurses in the
			 state.
(6)
"Stipulated
			 Agreement"
means the documented terms and conditions of public
			 discipline agreed to by the licensee and approved by Board order. The agreement
			 allows for closure of the investigation and settlement of the compliant against
			 the licensee/certificate holder.
(7)
"Structured contact or continuing
			 education hours"
means Continuing Medical Education (CME), Continuing
			 Education Unit (CE) and other activities for which the licensee receives
			 academic or continuing education credit as evidenced by certificate of
			 completion or transcript. Structured hours are evidenced based and relates to
			 the licensee's area of practice, have specific objectives, and measure the
			 attainment of those objectives at the end of the course or presentation.
			 Structured hours are accredited by an authority authorized to accredit
			 continuing education.
(8)
"Symptom-Based Protocol",
for the purposes of these rules, means a
			 protocol to administer an over-the-counter medication to a client based only
			 upon the client's presenting symptoms.
(9)
"Substance use disorder"
means a problematic pattern of use of an intoxicating substance leading to
			 clinically significant impairment or distress which is determined by the number
			 of diagnostic criteria occurring within a 12-month period as outlined in the
			 Diagnostic and Statistical Manual of Mental Disorders (DSM). The symptoms
			 associated with a substance use disorder fall into four major groupings:
			 impaired control, social impairment, risky use, and pharmacological criteria
			 (e.g., tolerance and withdrawal). The severity of a substance use can be
			 specified as mild, moderate, or severe.
(10)
"Substantial
			 non-compliance"
means that a licensee is in violation of the terms of
			 the monitoring agreement or Board Order in a way that gives rise to concerns
			 about the licensee's ability or willingness to participate in the HPSP or is in
			 violation of the Board Order. Substantial non-compliance and non-compliance
			 include, but are not limited to, the factors listed in ORS
			 676.190(1) (f).
			 Conduct that occurred before a licensee entered into a monitoring agreement
			 does not violate the terms of that monitoring agreement, notwithstanding a
			 complaint to the Board regarding conduct related to the reason for entering the
			 monitoring agreement or stipulated Order.
(11)
"Supervision, Direct",
for
			 the purposes of these rules, means that the licensed nurse is physically
			 present and accessible in the immediate client care area, is available to
			 intervene if necessary, and periodically observes and evaluates the skills and
			 abilities of the certified nursing assistant or certified medication aide in
			 the performance of authorized duties.
(12)
"Supervision, Indirect",
for the purposes of these rules, means the licensed nurse regularly observes,
			 provides guidance, direction, oversight, and evaluation of the skills and
			 abilities of the certified nursing assistant (CNA) or certified medication aide
			 (CMA) to perform authorized duties in care settings when the licensed nurse is
			 not continually present. This is not synonymous with the delegation process
			 because this is supervision of duties the CNA/CMA is already authorized to
			 perform.
Statutory/Other Authority: ORS
				  678.150
Statutes/Other Implemented: ORS
				  678.150