Current through Register Vol. 40, No. 6, March 31, 2022
The state of being answerable or responsible for action.
(2) Assessment, Comprehensive: The systematic
collection and analysis of data, including the physical, psychological, social,
cultural, and spiritual aspects of the patient by the registered nurse for the
purpose of judging a patient's health and illness status and actual or
potential health needs. Comprehensive assessment includes patient history,
physical examination, analysis of the data collected, and development,
implementation, and evaluation of the patient's plan of care.
(3) Assessment, Focused: An appraisal of a
patient's status and specific complaint through observation and collection of
objective and subjective data by the registered nurse or licensed practical
nurse. Focused assessment may contribute to a comprehensive assessment
performed by the registered nurse and involves identification of normal and
abnormal findings, and anticipation and recognition of changes or potential
changes in the patient's health status.
(4) Assignment, Licensed Nurse: The transfer
of responsibility and accountability for nursing activities from one licensed
nurse to another.
Unlicensed Individual: The assignment of tasks from a licensed nurse to
unlicensed assistive personnel. The licensed nurse making the assignment
retains accountability for accurate and timely completion and outcome of the
(6) Medication Assistant,
Certified (MAC) Assignment: The assignment by a licensed nurse of medication
administration duties to a MAC.
Delegation: The act of authorizing a competent individual to perform selected
nursing activities supportive to registered nurses or licensed practical nurses
in selected situations, while retaining accountability for the outcome, if the
delegation is to an unlicensed individual.
(8) Dual Relationship: Any time a licensed
nurse interacts with a patient outside the nurse-patient
(9) Hospital: A
facility described in Code of Ala. 1975, Section
other than a health maintenance organization, which has an organized medical
staff, or which employs the services of a medical director who is a physician
licensed to practice medicine in Alabama. The term hospital shall not include
the private offices of physicians or dentists, whether in individual, group,
registered corporation, or registered association practice.
(10) Legally Authorized Prescriber:
Healthcare professional who is authorized by law to prescribe medications or
other treatment modalities.
May: Power, privilege, or right retained by the Board.
(12) May not: Prohibition.
Moderate Sedation: The administration of
pharmacological agent(s) for the purpose of inducing a medically controlled
state of depressed consciousness limited to short periods of time and used for
diagnostic and therapeutic procedures that:
(a) Allow protective reflexes to be
(b) Retain the
patient's ability to maintain a patent airway, respiratory rate, and
(c) Permit expected
responses by the patient to physical stimulation and verbal command.
(14) Organized Program of Study:
An organized sequence of learning activities that provides the instructional
foundation (didactic and clinical) for participants to achieve the desired
learning outcomes in a given subject matter.
(15) Professional Boundary: Behavior of the
licensed nurse in maintaining a therapeutic relationship with a patient for the
patient's benefit, rather than behavior that shifts the focus to the licensed
(16) Qualified Instructor:
An individual with the knowledge, skills, ability, experience, and expertise to
present the selected topic.
Responsibility: The charge to do something that is expected
(18) Shall: Duty,
requirement, or condition.
Supervised Clinical Practice: A systematic plan for practicing the behavior or
skill related to the standardized procedure under the supervision of a
qualified instructor for the purpose of mastering the procedure.
(20) Supervision, Direct: Responsible
licensed nurse is physically present in the facility and readily accessible to
designate or prescribe a course of action or to give procedural guidance,
direction, and periodic evaluation. Direct supervision by a registered nurse is
required for new graduates practicing on a temporary permit.
(21) Supervision, Indirect: Responsible
licensed nurse is available for periodic inspection and evaluation through
physical presence, electronic or telephonic communication for direction,
consultation, and collaboration.
(22) Standardized Procedure: Written policies
and protocols establishing the permissible functions, activities, and level of
supervision of registered nurses and licensed practical nurses for practice
beyond basic nursing education preparation.
(23) Standardized Procedure Report: Document
submitted annually to the Board of Nursing identifying the facility's current
practices and procedures beyond basic education.
(24) Unencumbered license: An active license
that has no current stipulations, conditions, or limitations.
(25) Standard Precautions: Recommendations
issued by the Centers for Disease Control and Prevention (CDC) to minimize the
risk of transmission of pathogens.
(26) Telehealth nursing: The practice of
distance nursing care using telecommunications technology.