Oregon Administrative Rules › Chapter 851 - BOARD OF NURSING › Division 6 - STANDARD DEFINITIONS › Section 851-006-0030 - Definitions beginning with the letter "C"

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
"Certificate of Completion"
means a document meeting the standards described in rule and awarded upon
			 successfully completing all requirements of a nursing assistant or medication
			 aide training program.
(2)
"Certified Medication Aide, (CMA)"
means a certified nursing
			 assistant (CNA) who has successfully completed additional training in
			 administration of non-injectable medications, holds current Oregon CMA
			 certification, and performs CMA authorized duties under supervision of a
			 licensed nurse.
(3)
"Certified Nursing Assistant, (CNA)"
means an individual who holds
			 current Oregon certification; whose name is listed on the CNA Registry; and
			 through their position as a CNA assists a licensed nurse in the provision of
			 nursing care. The phrase certified nursing assistant and the acronym CNA are
			 generic and may refer to a CNA 1, a CNA 2 or all CNAs.
(4)
"Client"
means an
			 individual, family, facility resident or group engaged in a professional
			 relationship with a licensee and the recipient of nursing services. For the
			 purposes of these rules the terms "client", "patient" and "resident" are
			 interchangeable and have the same meaning.
(5)
"Clinical Component"
- Refer
			 to definition for "Nursing Practice Experience"
(6)
"Clinical Direction"
means
			 the communication between the registered nurse (RN) or licensed independent
			 practitioner (LIP) to the licensed practical nurse (LPN) for the implementation
			 of the nursing plan of care or provider treatment plan. The LPN communicates
			 any concerns or issues regarding the plan implementation. The RN or LIP must
			 review the LPN communication to determine if the plan requires revision. Any
			 revisions are communicated to the LPN for implementation. While Clinical
			 Direction does not specifically require supervision of tasks or interventions
			 directed by the plan of care or treatment plan, the LPN may not implement these
			 interventions unless part of the education program preparing the LPN for
			 licensure or competency has been validated.
(7)
"Clinical Judgement",
for
			 the purposes of these rules, means the observed outcome of critical thinking
			 and decision making. It is an iterative (repetitive) process that uses nursing
			 knowledge to observe and assess presenting situations, identify a prioritized
			 client concern and generate the best possible evidence-based solution to
			 deliver safe client care.
(8)
"Clinical Nurse",
for the purposes of these rules, means a
			 registered nurse (RN) or licensed practical nurse (LPN) employed by a
			 healthcare facility who has agreed to serve in this role in a one-day capacity
			 with one student in a faculty-led placement.
(9)
"Clinical Practicum
			 Evaluator",
means for the purposes of these rules, the Oregon licensed
			 advanced practice nurse, other than the faculty of record, who is employed or
			 contracted by the graduate education program to perform clinic practicum site
			 visits to determine the student and preceptor's adherence to and achievement of
			 specific course goals and objectives.
(10)
"Clinical Preceptor"
means
			 a health care provider employed by a healthcare facility, clinic, or in private
			 practice who is qualified by specific education and clinical competency to
			 provide direct supervision of the clinical practice experience of pre-licensure
			 nursing students in a Final Practicum experience or graduate nursing students
			 in an Oregon or out of state based advanced nursing program.
(11)
"Clinical Teaching
			 Associate"
means a licensed nurse who has undergone specific education
			 and training to serve as a role model, resource, and coach. For nursing
			 assistant or medication aide students, the clinical teaching associate
			 functions under the direction of the program director or primary
			 instructor.
(12)
"Clock
			 Hours"
means, for the purposes of these rules, the hours of instruction
			 or clinical hours equated to academic credit as defined and authorized by the
			 Higher Education Coordinating Commission (HECC).
(13)
"CNA Abuse Registry"
means
			 the list of Oregon certified nursing assistants who have received a finding of
			 Substantiated Abuse by the Department of Human Services (DHS). Federal law
			 prohibits employment of these individuals in nursing home facilities. The list
			 is maintained by the Board but authority to place or remove an individual from
			 the list lies within the authority of DHS.
(14)
"CNA Registry"
means the
			 listing of Oregon certified nursing assistants (CNA) maintained by the Board.
			 This list is comprised of CNAs who have successfully completed a state-approved
			 nursing assistant training program and competency evaluation that meet the
			 Omnibus Reconciliation Act of 1987 (OBRA) standards.
(15)
"Community-Based Setting"
means a setting that does not exist primarily for the purposes of providing
			 nursing or medical services, but where nursing services could be required
			 intermittently. These settings include adult foster homes, assisted living
			 facilities, child foster homes, schools, and twenty-four-hour residential care
			 facilities.
(16)
"Competency"
means demonstrating specified levels of knowledge,
			 technical skill, ability, ethical principle, and clinical reasoning that are
			 relevant to the practice role, practice setting, prevailing standards, and
			 client safety. All licensees and certificate holders of the Board are expected
			 to have demonstrated competencies prior to accepting an assignment or, for
			 advanced practice nurses, prior to performing an intervention beyond their
			 education program and national certification. For the purposes of these rules
			 this definition is also applicable with the terms "competence" and
			 "competencies".
(17)
"Completed Application"
means an application for licensure or
			 certification where all required fields are completed, attestation is validated
			 by the applicant and all appropriate fees are posted by the Board as paid. The
			 application process does not commence until the application is complete. An
			 incomplete renewal application will not be recognized as timely.
(18)
"Context of Care"
means the
			 environment where the practice of nursing occurs. Defining a specific context
			 of care includes, but is not limited to, the following variables: the location
			 where the client receives nursing services (e.g., practice setting), the
			 licensee's practice role within the setting, the regulations of the setting
			 that impact nursing services delivery, policies and procedures of the setting,
			 professional and specialty nursing practice standards applicable to the nurse's
			 practice role, and the ability of the client to self-direct the nursing
			 strategies or interventions to which they have given their consent.
(19)
"Continuing Education
			 hours"
means contact hours of education. One contact hour is equal to 60
			 minutes of instruction. Ten contact hours are equal to one Continuing Education
			 Unit (CEU).
(20)
"Conviction",
for the purposes of these rules, means that a court
			 of law has entered a final judgment on a verdict or finding of guilty, a plea
			 of guilty, a plea of nolo contendere (no contest) or any determination of guilt
			 entered by a court of law against a subject individual (SI) in a criminal case,
			 unless that judgment has been reversed or set aside by a subsequent court
			 decision.
(21)
"Course
			 Progression",
for the purposes of these rules, means measurement and
			 evaluation of the student's progress towards fulfilling a specific course's
			 objectives and requirements.
(22)
"Credentials Evaluation"
means an independent determination by a
			 Board approved vendor, through review of transcripts and other relevant
			 material, whether an International educational program is or is not equivalent
			 to nursing education in the United States.
Statutory/Other Authority: ORS
				  678.150
Statutes/Other Implemented: ORS
				  678.150