As used in this part and 17 CAR pts. 121 – 130:

1. (1) “Accredited” means the status granted by an accrediting agency through a voluntary process;
2. (2) “Active practice” means the act of performing for compensation those acts within specified scope of practice and authorized by the Arkansas State Board of Nursing;
3. (3) “Activities of daily living” means those self-care activities that must be accomplished each day in order for the client to care for his or her own needs and participate in society;

4. (4) “Advanced practice registered nurse categories” means:

   1. (A) Certified nurse practitioner;
   2. (B) Certified registered nurse anesthetist;
   3. (C) Certified nurse midwife; and
   4. (D) Clinical nurse specialist;

5. (5)

   1. (A) “Approval” means recognized by the Arkansas State Board of Nursing as meeting the education standards for preparing graduates for registered or practical nurse licensure.

   2. (B) Approval types:

      1. (i) “Prerequisite” means the status authorizing a program to proceed in establishing a program of nursing;
      2. (ii) “Initial” means the status awarded to a program that has met all initial requirements and that authorizes the program to proceed to admission of students and completion of educational standards;
      3. (iii) “Full” means the status awarded to a program that has met all educational standards;
      4. (iv) “Continued full” means the status awarded to a program that continues to maintain the educational standards; and

      5. (v)

         1. (a) (a) “Conditional” means the status of a program that has not maintained the educational standards.
         2. (b) (b) Serves as a warning that if the standards are not followed withdrawal of approval may be initiated;
6. (6) “ATD” means alternative to discipline program;
7. (7) “Board” means the Arkansas State Board of Nursing;
8. (8) “Board-approved evaluator” means an individual who meets Arkansas State Board of Nursing-approved standards;
9. (9) “Board representative” means a person appointed, hired, or otherwise authorized by the Arkansas State Board of Nursing to carry out its functions;
10. (10) “Case manager” means the ATD program staff person who monitors participants’ compliance;

11. (11)

    1. (A) “Clinical experience” means a faculty planned and guided learning activity that is designed to support students in meeting identified programs’ educational and course outcomes.

    2. (B) The clinical settings include a variety of clinical practice settings or affiliating agencies, including but not limited to:

       1. (i)

          1. (a) (a) Acute care setting.
          2. (b) (b) A hospital-based clinical site where students provide direct patient care and associated clinical conferences;

       2. (ii)

          1. (a) (a) Nonacute care setting.
          2. (b) (b) A long-term, extended care, or nursing home-based clinical site where students provide direct patient care and associated clinical conferences; and

       3. (iii)

          1. (a) (a) Community setting.
          2. (b) (b) Community partner experiences with nurses and or professional staff in settings other than acute and nonacute settings where students provide indirect or direct patient care and associated clinical conferences;
12. (12) “Clinical facility” means a facility outside the framework of the program that provides educational experiences for the student;
13. (13) “Collaborating physician” means a physician, licensed under the Arkansas Medical Practices Act, Arkansas Code § 17-95-201 et seq., Arkansas Code § 17-95-301 et seq., and Arkansas Code § 17-95-401 et seq., who has a practice comparable in scope, specialty, or expertise to that of the advanced practice nurse or registered nurse practitioner;
14. (14) “Collaborative practice agreement” means a document setting out how an advanced practice registered nurse and physician intend to cooperate in the delivery of client care;
15. (15) “Consultation” means the manner and process utilized between a certified registered nurse anesthetist and a licensed physician, licensed dentist, or other person lawfully entitled to order anesthesia performing the procedure or directly involved with the procedure when working jointly toward a common goal of providing services for the patient;
16. (16) “Consulting physician” means a physician licensed by the Arkansas Medical Practices Act who has privileges in a hospital;
17. (17) “Contact hour” means a measurement for continuing education, either a fifty-minute or sixty-minute clock hour of continuing education;

18. (18)

    1. (A) “Continuing education unit (CEU)” means a measurement for continuing education.
    2. (B) One (1) CEU equals ten (10) contact hours;
19. (19) “Contract” means the written agreement executed by a licensee or an applicant for licensure and the Arkansas State Board of Nursing that establishes the terms for participation in the ATD program;
20. (20) “Controlled substance” means drug substance or immediate precursor in Schedules I – V;
21. (21) “Coprescribe” means to provide a prescription for an opioid antagonist when prescribing an opioid;

22. (22) “Credential” means:

    1. (A) A license;
    2. (B) A certificate; or
    3. (C) Other evidence of qualifications;

23. (23)

    1. (A) “Delegation” means entrusting the performance of a selected nursing task to an individual who is qualified, competent, and able to perform such tasks.
    2. (B) The nurse retains the accountability for the total nursing care of the individual;
24. (24) “Distant learning site” means a location separate from the main campus where course offerings are delivered;
25. (25) “Documentation” means written proof or evidence to substantiate factual claims or statements satisfactory to the Arkansas State Board of Nursing;

26. (26) “Drug sample” means a unit of a legend drug that is:

    1. (A) Distributed to a practitioner by a manufacturer or a manufacturer’s representative at no charge;
    2. (B) Not intended to be sold; and
    3. (C) Intended to promote the sale of the drug;

27. (27) “Emergency care” means unanticipated care provided to a person who is unconscious, ill, or injured when the:

    1. (A) Circumstances require prompt decisions and actions; and
    2. (B) Necessity of immediate care is so apparent that any delay would seriously worsen the physical condition or endanger the life of the person;
28. (28) “Failed drug screen” means the analysis of a biological specimen that is determined to be dilute, substituted, abnormal, adulterated, or tests positive for controlled substances, abuse potential substances, or their metabolites without a valid prescription;

29. (29)

    1. (A) “First-level nurse” means a nurse who provides and coordinates patient care after graduating from an approved program of at least two (2) years in length.
    2. (B) Regionally, the nurse may be referred to as a professional or a registered nurse (RN);
30. (30) “Full practice authority/full independent practice” means the ability of a certified nurse midwife, certified nurse practitioner, or clinical nurse specialist to practice independently with prescriptive authority without a collaborative practice agreement;
31. (31) “Graduate competencies” means educational outcomes expected of the nursing program’s graduates;

32. (32) “Impaired nurse” means a licensee or applicant for licensure who is impaired by:

    1. (A) Alcohol use;
    2. (B) A substance use disorder; or
    3. (C) Co-occurring disorder;
33. (33) “Legend drug” means a drug limited by Section 503(b)(1) of the Federal Food, Drug, and Cosmetic Act to being dispensed by or upon a practitioner’s prescription;
34. (34) “May” indicates permission;

35. (35) “Medical procedure” means a course of action intended to achieve a result in the delivery of health care as consulted by:

    1. (A) A licensed physician;
    2. (B) A licensed dentist; or
    3. (C) Another person lawfully entitled to order anesthesia;
36. (36) “Mission” means beliefs accepted by the parent institution for the framework of the school’s programs and offerings;
37. (37) “Noncompliance” means failure of the ATD participant to comply with the terms and conditions of the contract;
38. (38) “Observational experience” means one in which the nursing student provides no nursing care;
39. (39) “Parent institution” means the official institution sponsoring the nursing program;
40. (40) “Participant” means a licensee who executes a contract with the Arkansas State Board of Nursing;
41. (41) “Patient harm” means actual or potential physical or mental injury, abuse, or neglect of a patient;
42. (42) “Peri-obstetrical” means preanesthetic preparation or evaluation, anesthesia induction, maintenance or emergence, or postanesthesia care of the pregnant female;
43. (43) “Perioperative” means preanesthetic preparation or evaluation, anesthesia induction, maintenance or emergence, or postanesthesia care of clients;
44. (44) “Personal care” means assistance with activities of daily living not requiring a medical prescription;
45. (45) “Philosophy” means beliefs adopted by the nursing faculty for the framework of the program;
46. (46) “Practice-focused” means academic study or continuing education targeted to meet the needs of the nurse in his or her nursing practice role;
47. (47) “Preceptor” means a currently licensed nurse or physician, meeting the requirements of this part, who serves as a facilitator of student learning in a practice setting;
48. (48) “Preceptorship” means practice under the supervision of a qualified preceptor in the care of consumers of health services while a student in an Arkansas State Board of Nursing-approved program;

49. (49)

    1. (A) “Prescriptive authority” means authorization, given by the Arkansas State Board of Nursing, for an advanced practice nurse who meets established requirements to prescribe.
    2. (B) Prescriptive authority for controlled substances shall only extend to drugs listed in Schedules II – V subject to the provisions of 17 CAR § 123-601 et seq.;

50. (50) “Professional boundaries” means social, physical, and psychological limits in a therapeutic relationship between a nurse and a patient or their family that promote the client’s:

    1. (A) Dignity;
    2. (B) Independence; and
    3. (C) Best interests;

51. (51)

    1. (A) “Program” means an education unit that offers courses and learning experiences preparing graduates who are:

       1. (i) Competent to practice nursing safely; and
       2. (ii) Eligible to take the NCLEX-PN or RN® examination.
    2. (B) The program is often referred to as a prelicensure nursing program.

    3. (C) Types of prelicensure nursing education programs are:

       1. (i)

          1. (a) (a) Associate degree program.
          2. (b) (b) A professional nursing program leading to an associate degree with a major in nursing;

       2. (ii)

          1. (a) (a) Baccalaureate degree program.
          2. (b) (b) A professional nursing program leading to a baccalaureate degree with a major in nursing;

       3. (iii)

          1. (a) (a) Diploma program.
          2. (b) (b) A professional nursing program leading to a diploma with a major in nursing;

       4. (iv)

          1. (a) (a) Master’s degree program.
          2. (b) (b) A professional nursing program leading to a master’s degree that is an individual’s first professional degree in nursing;

       5. (v)

          1. (a) (a) Practical nursing program.
          2. (b) (b) A nursing program leading to a certificate in practical nursing; and

       6. (vi)

          1. (a) (a) Psychiatric technician nursing program.
          2. (b) (b) A nursing program leading to a certificate in psychiatric technician nursing;
52. (52) “Program director” means the individual employed by the Arkansas State Board of Nursing to administer the ATD program or the person responsible for the specific educational unit in nursing, regardless of the official title in the institution;
53. (53) “Program outcomes” means measurable indicators that reflect the extent to which the results of the nursing program are achieved and by which nursing program effectiveness is documented;
54. (54) “Protocol” means a written statement that delineates agreed-upon approaches in client care and management;
55. (55) “Refresher course” means a formal course of instruction designed to provide a review and update of nursing theory and practice;

56. (56) “Qualified provider” means individuals engaged in the treatment of substance use disorder, including alcohol, with sufficient:

    1. (A) Education;
    2. (B) Training; and
    3. (C) Experience;
57. (57) “Relapse” means use of any unauthorized controlled or abuse potential substance, including alcohol, as reported by the participant or the submission of any confirmed positive drug screen;
58. (58) “Satellite campus” means a separate geographic location where a program is offered that has a separate student body and a separate faculty leader/coordinator and/or faculty;
59. (59) “Self-report” means a licensee or an applicant for licensure who provides voluntary written notification to board staff or the ATD program director that the licensee or applicant for licensure is or has been impaired;
60. (60) “Shall”, “will”, “must” indicates a mandatory requirement;
61. (61) “Should” indicates a recommendation;

62. (62) “SUD” means substance use disorder, defined by the United States Substance Abuse and Mental Health Services Administration as the recurrent use of alcohol and/or drugs that causes clinically and functionally significant impairment, such as:

    1. (A) Health problems;
    2. (B) Disability; and

    3. (C) Failure to meet major responsibilities at:

       1. (i) Work;
       2. (ii) School; or
       3. (iii) Home;
63. (63) “Survey” means a visit to determine compliance with minimum requirements;
64. (64) “Therapeutic device” means an instrument or apparatus, requiring a prescription, that is intended for use in diagnosis or treatment and in the prevention of disease or maintenance or restoration of health;

65. (65) “Transmitting” means relaying an order for a:

    1. (A) Medication;
    2. (B) Treatment; or
    3. (C) Therapeutic device;

66. (66) “Under the direction of a licensed physician” means the performance of specific acts and procedures that:

    1. (A) Have been authorized by a licensed physician; and
    2. (B) May be performed outside the presence of the physician under conditions where a physician is readily available for consultation; and
67. (67) “Unencumbered license” means free of disciplinary limitations.

Codification Notes: Section 503(b)(1) of the Federal Food, Drug, and Cosmetic Act is codified at 21 U.S.C. § 353(b)(1).