"Advanced registered nurse practitioner" or
"ARNP" means a person who is currently licensed as a
registered nurse under Iowa Code chapter 152 or chapter 152E who is licensed by
the board as an advanced registered nurse practitioner.
"Asynchronous store-and-forward transmission"
means the collection of a patient's relevant health information and the
subsequent transmission of the data from an originating site to a health care
provider at a distant site without the presence of the patient.
"Board" as used in this chapter means the Iowa
board of nursing.
"Collaboration" is the process whereby an ARNP
and physician jointly manage the care of a client.
"Controlled substance" means a drug in
Schedules II through V of subchapter II of Iowa Code chapter 124.
"Cross-coverage" means a licensee who engages
in a remote evaluation of a patient, without in-person contact, at the request
of another licensed health care provider who has established a proper
practitioner-patient relationship with the patient.
"Dispense" means to provide a prescription
drug to a patient for self-use outside of the ARNP's practice location.
"Dispense" does not include administration.
"Licensee" means an individual licensed by the
board as an advanced registered nurse practitioner.
"National professional certification
organization" means the American Academy of Nurse Practitioners, the
American Association of Critical Care Nurses, the American Midwifery
Certification Board, the American Nurses Credentialing Center, the National
Board of Certification and Recertification for Nurse Anesthetists, the National
Certification Corporation, and the Pediatric Nursing Certification
Board.
"On call" means a licensee is available, where
necessary, to attend to the urgent and follow-up needs of a patient for whom
the licensee has temporarily assumed responsibility, as designated by the
patient's primary care licensee or other health care provider of record.
"Opioid" means a drug that produces an agonist
effect on opioid receptors and is indicated or used for the treatment of
pain.
"Prescription monitoring program database" or
"PMP database" means a centralized database of reportable
controlled substance prescriptions dispensed to patients and includes data
access logs, security tracking information, and records of each individual who
requests prescription monitoring program (PMP) information as operated by the
board of pharmacy.
"Telehealth" means the practice of nursing
using electronic audiovisual communications and information technologies or
other means, including interactive audio with asynchronous store-and-forward
transmission, between a licensee in one location and a patient in another
location with or without an intervening health care provider. Telehealth
includes asynchronous store-and-forward technologies, remote monitoring, and
real-time interactive services, including teleradiology and telepathology.
Telehealth, for the purposes of this rule, shall not include the provision of
nursing services only through an audio-only telephone, email messages,
facsimile transmissions, or U.S. mail or other parcel service, or any
combination thereof.
