PURPOSE: This rule defines terminology used throughout 19 CSR 30-20.050 and 19 CSR 30-20.060.

1. (1) Ambulatory resident. An ambulatory resident shall mean a resident who is capable mentally and physically of negotiating a normal path to safety using assistive devices or aides when necessary, including ascent and descent of stairs.
2. (2) Competency evaluation program. The completion of the state training agency’s formerly required one hundred thirty-five (135)- hour nursing assistant training course before January 1, 1989 and the successful completion of the state training agency’s special four (4)-hour retraining program, which includes taking and passing the final examination to the nursing assistant training course as required in 13 CSR 15-13.010(7)(J); a challenge to the final examination of the nursing assistant training course in accordance with 13 CSR 15-13.010(7)(B)5.; or enrolling in and successfully completing the one hundred seventy-five (175)-hour nursing assistant training course as described in 13 CSR 15- 13.010(6).
3. (3) Intermediate care unit. Any unit other than a residential care unit or skilled nursing unit which is utilized by a hospital to provide twenty-four (24)-hour accommodation, board, personal care and basic health and nursing care services under daily supervision of a licensed nurse.
4. (4) Licensed nurse. A practical nurse or a registered nurse.
5. (5) Long-term care unit. A unit attached to or contained within a hospital that is operated solely or in combination as a skilled nursing unit, an intermediate care unit or a residential care unit.
6. (6) Nonambulatory resident or bed patient. A nonambulatory resident or bed patient is a person who is confined to bed eighty percent (80%) of the time or who is unable to reposition him/herself in a chair unaided.
7. (7) Nursing assistant. An employee, including a nurse aid or orderly, who is assigned to a long-term care unit of a hospital to provide or assist in providing direct resident health care services under the supervision of a nurse licensed under the Nursing Practice Act, Chapter 335, RSMo.
8. (8) Nursing assistant trainee. An individual newly employed full-time or part-time in a long-term care unit as a nursing assistant who has not successfully completed an approved nurse assistant training program and who has not been employed as a nursing assistant in the hospital’s long-term care unit for more than four (4) months.
9. (9) Nursing assistant training program. A program, as described in 13 CSR 15-13.010 and approved by the Missouri Division of Aging, for training nursing assistants who are employed in long-term care units.
10. (10) Practical nurse. An individual who is licensed to practice as a practical nurse in Missouri.
11. (11) Registered nurse. An individual who is a graduate of an approved school of nursing and who is licensed to practice as a registered nurse in Missouri.
12. (12) Resident. A person who by reason of aging, illness, disease or physical or mental infirmity requires care and services furnished by a long-term care unit and who resides in this a unit and is cared for, treated or accommodated there for a period exceeding twentyfour (24) consecutive hours.
13. (13) Residential care unit. Any unit other than an intermediate care unit or skilled nursing unit which is utilized by a hospital to provide twenty-four (24)-hour accommodation, board, personal care and protective oversight, including nursing care during short-term illness or recuperation.
14. (14) Skilled nursing unit. Any unit other than a residential care unit or an intermediate care unit which is utilized by a hospital to provide for twenty-four (24)-hour accommodation board and skilled nursing care and treatment services. Skilled nursing care and treatment services are those services commonly performed by or under the supervision of a registered nurse for individuals requiring twenty-four (24) hours-a-day care by licensed nursing personnel.
15. (15) State registry. A record maintained by the state training agency which contains the identity of all individuals who have satisfied requirements to be nursing assistants in Missouri and which shall be utilized to determine if an applicant is qualified to fill the position of a nursing assistant in a long-term care unit.
16. (16) State training agency. The Missouri Division of Aging is the agency designated as responsible for administering the state nursing assistant training program and for administering the state registry.
17. (17) Training agency. An organization approved by the state training agency to sponsor the nursing assistant training program.
18. (18) Training and competency evaluation program. The completion of the state training agency’s one hundred seventy-five (175)-hour nursing assistant training course or a challenge to the final examination of the nursing assistant training course in accordance with 13 CSR 15-13.010(7)(B)5.

AUTHORITY: sections 192.005.2 and 197.080, RSMo 1986.* This rule was previously filed as 13 CSR 50-20.040 and 19 CSR 10-20.040. Original rule filed Nov. 29, 1982, effective March 11, 1983. Amended: Filed May 31, 1989, effective Aug. 24, 1989.

*Original authority: 192.005.2, RSMo 1985 and 197.080, RSMo 1953.