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As used in this chapter, unless the context otherwise requires,
(1) repealed 4/29/91;
(2) "associate degree program" includes general academic and nursing courses, is conducted within a community or junior college; and prepares a person for an associate degree in nursing;
(3) "baccalaureate program" is a program conducted in a senior college or university and which is in an academic department, division, school, or college of the senior college or university, which prepares persons for a baccalaureate degree in nursing;
(4) "board" means Alaska Board of Nursing;
(5) "cooperating agencies" means any facility which provides clinical experience for the education of students in a nursing education program;
(6) repealed 12/1/84;
(7) "contact hour" means a 50-minute classroom instructional session or three laboratory or clinical practice hours;
(8) "preceptorship" is that portion of the ANP course of study consisting of clinical experiences under the auspices of a qualified preceptor for the purpose of correlating theory to practical application of the expanding role of the nurse; the setting must provide an environment which permits observation and active participation in the delivery of health care;
(9) "qualified preceptor" is an advanced nurse practitioner currently authorized to practice as an ANP in the state or a currently licensed, practicing physician or a physician specifically exempted by AS 08.64.370 (1) and approved by the board; the functions of the preceptor include supervision, teaching, and evaluation of a student's performance in the clinical setting;
(10) "school" or "program" means a division in a college or university which is responsible for preparing persons for practice of professional or practical nursing;
(11) "to perform an expanded role in the delivery of health care" means that the person is qualified, by virtue of specialized training and experience, to provide health care to the consumer through the identification, management, or referral of the consumer's health problems, and that the person is qualified to maintain the consumer's health by means of preventive and promotive health care actions;
(12) "anesthesia service" means a qualified person or group of people given responsibility by the employing agency for administration of anesthetics and related maintenance of safety controls;
(13) "ANP" means advanced nurse practitioner as defined in AS 08.68.410 (1);
(14) "department" means the Department of Commerce, Community, and Economic Development;
(15) "similar position that performs nurse aide duties" means a position that performs duties related to direct patient care; "similar position that performs nurse aide duties" includes unlicensed positions, including personal care attendants, resident aides, and patient care technicians;
(16) "criminal justice information" has the meaning given in AS 12.62.900 ;
(17) "client" means an individual who receives care from a licensee;
(18) "controlled substance" has the meaning given that term in AS 11.71.900 , as revised as of September 19, 2002, adopted by reference;
(19) "drug" has the meaning that term is given in AS 11.71.900 , as revised as of September 19, 2002, adopted by reference;
(20) "sexual contact" has the meaning given that term in AS 11.81.900 , as revised as of September 19, 2002, adopted by reference;
(21) "sexual impropriety" means behavior, a gesture, or an expression that is seductive, sexually suggestive, or sexually demeaning to a client; "sexual impropriety" includes
(A) encouraging the client to masturbate in the presence of the licensee or masturbation by the licensee while the client is present;
(B) offering to provide controlled substances or other drugs to the client in exchange for sexual contact;
(C) disrobing or draping practice that is seductive, sexually suggestive, or sexually demeaning to a client, such as deliberately watching a client dress or undress or failing to provide privacy for disrobing; in this subparagraph, "deliberately watching a client dress or undress" does not include observing a client who may need assistance in dressing or undressing due to physical limitations or medical conditions;
(D) making a comment about or to the client that is seductive, sexually suggestive, or sexually demeaning to a client, including
(i) sexual comment about a client's body or underclothing;
(ii) sexualized or sexually-demeaning comment to a client;
(iii) demeaning or degrading comments to the client about the client's sexual orientation, regardless of whether the client is homosexual, heterosexual, or bisexual;
(iv) requesting details of sexual history or sexual likes or dislikes of the client if the details are not clinically indicated for the type of examination or consultation within the scope of practice of the licensee;
(E) initiation by the licensee of conversation with a client regarding the sexual problems, preferences, or fantasies of the licensee;
(F) using the medical or professional relationship with the client to solicit sexual contact or a romantic relationship with the client or another;
(G) kissing a client in a romantic or sexual manner;
(22) "sexual misconduct" means regardless of client's consent or lack of consent,
(A) sexual penetration or attempted sexual penetration with a client;
(B) sexual contact or attempted sexual contact with a client; and
(C) sexual impropriety;
(23) "sexual penetration" has the meaning given that term in AS 11.81.900 , as revised as of September 19, 2002, adopted by reference.
(24) "administration of medication" means the direct application of a medication to the body of a patient by injection, inhalation, ingestion, or other means;
(25) "comprehensive assessment of the patient by a registered nurse"means the initial and ongoing collection of information about the patient to anticipate and recognize changes in the patient's medical conditions or health status, synthesize the biological, psychological, and social aspects of the patient's medical condition, evaluate the impact of health care, make decisions regarding changes in care, plan nursing interventions, evaluate the need for different interventions, and communicate and consult with the other health care providers regarding the patient's medical treatment;
(26) "delegate the performance of nursing duties" means the assignment by a nurse licensed under AS 08.68 of a specific nursing duty within the nurse's scope of practice for a specific patient to another person as authorized under AS 08.68.405 and 12 AAC 44.950 - 12 AAC 44.970;
(27) "focused assessment" of a patient by an licensed practical nurse means an appraisal of the patient's medical status and condition, contributing to ongoing data collection, and deciding who needs to be informed of the information and when to inform;
(28) "on-site" means being physically present at the location where nursing duties are to be performed under a delegation from a nurse to another person;
(29) "PRN medication" means medication to be taken as needed by the patient;
(30) "stable and predictable" means that the patient's medical condition is known, through the nurse's assessment, to be consistent and nonfluctuating; "stable and predidctable" includes a terminally ill patient with a predictable deteriorating condition.
History: Eff. 1/13/80, Register 73; am 10/8/81, Register 80; am 12/1/84, Register 91; am 4/2/86, Register 97; am 4/29/91, Register 118; am 7/28/95, Register 135; am 11/2/2001, Register 160; am 6/16/2002, Register 162; am 11/10/2002, Register 164; am 10/14/2004, Register 172
Authority: AS 08.68.100
Editor's note: 12 AAC 44.940 was renumbered as 12 AAC 44.990, effective April 2, 1986, Register 97. The history note for 12 AAC 44.990 contains the history of the section under its former number.
As of Register 171 (October 2004), the regulations attorney made technical revisions under AS 44.62.125 (b)(6) to reflect the name change of the Department of Community and Economic Development to the Department of Commerce, Community, and Economic Development made by ch. 47, SLA 2004 and the corresponding title change of the commissioner of community and economic development.
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Last modified 7/05/2006