175 Neb. Admin. Code, ch. 1, § 002 - DEFINITIONS
The definitions in the Nebraska Health Care Facility Licensure Act and the following are adopted for this title.
002.01
ADJOINING. Areas located in a manner to allow access without having to enter a general corridor area or area used by other consumers are adjoining.
002.02
ADMINISTRATOR. The operating officer for the facility or service which may include individuals with titles such as administrator, chief executive officer, manager, director, or other similar designation is an administrator.
002.03
BED CAPACITY. The total number of licensed beds in a facility or service for use by the consumer excluding beds intended for ancillary usage.
002.04
BIOLOGICAL. Any virus, therapeutic serum, toxin, antitoxin, or product used for the prevention, treatment or cure of disease or injuries to humans.
002.05
BY LAWS. A set of rules adopted by the facility or service used to govern the facility or service's operation.
002.06
CARDIOPULMONARY RESUSCITATION (CPR). A procedure to restore breathing and heart function through clearance of air passages, artificial respiration, and manual external cardiac massage.
002.07
CARE PLAN. A written plan based on an individual assessment identifying the needs of the consumer and the strategy for meeting those needs. These may also be referred to as treatment plans.
002.08
COMPLAINT. An expression of a concern or dissatisfaction.
002.09
COMPLETE APPLICATION. An initial application or renewal application which contains all of the requested information, with attestation to its truth and completeness, signatures of the applicant(s), submitted with all required fees and documentation.
002.10
CONSUMER. Consumer has the same definition as defined in Neb. Rev. Stat. § 38-111.
002.11
DEHYDRATION. A lack of sufficient water in the body of a consumer.
002.12
DESIGNEE. A person authorized by law or the consumer to act on the consumer's behalf.
002.13
DIAGNOSIS. The act or process of identifying or determining the nature of a disease or injury.
002.14
EXISTING FACILITY OR SERVICE. A facility or service with a current license or whose construction was approved by the Department prior to the effective date of this chapter.
002.15
FOREIGN CORPORATION. A corporation created by authority outside the state of Nebraska.
002.16
GOVERNING AUTHORITY. The person or persons that control the facility or service license on behalf of the licensee.
002.17
GRIEVANCE. A written expression of dissatisfaction is a grievance.
002.18
HEMODIALYSIS. The mechanical process of removing unwanted waste and fluid from the blood in consumers whose kidneys no longer perform this function.
002.19
INDELIBLE. Documentation that cannot be erased.
002.20
LICENSED CAPACITY. The total number of consumers the facility or service is licensed to serve at one time.
002.21
LICENSEE. The person or entity to whom the Department has issued a license.
002.22
MEDICAL PRACTITIONER. A person credentialed under the Uniform Credentialing Act whose scope of practice includes prescribing medications, diagnosing, and treating is a medical practitioner. For the purpose of this chapter, this includes: physician, physician assistant, advanced practice registered nurse, optometrist, podiatrist, dentist, certified nurse midwife and certified registered nurse anesthetist.
002.23
MEDICAL SERVICES. Address the medical concerns, health concerns or needs of the consumer.
002.24
MEDICALLY RELATED SOCIAL SERVICES. Assist the consumer to maintain or improve the ability to manage everyday physical, mental, and psychosocial needs.
002.25
NEBRASKA FOOD CODE. Nebraska Food Code has the same definition as set out in Neb. Rev. Stat. § 81-2,244.01.
002.26
NEW CONSTRUCTION. Changes to the structure of a facility or part of a facility which is enlarged, altered, or built from the ground up. New construction does not include remodeling.
002.27
NEW FACILITY OR SERVICE. A facility or service not currently licensed or a new service to be provided by the licensee at an already licensed facility or service.
002.28
PARENT. The legal parent or stepparent who is legally responsible for a consumer under the age of 19 years.
002.29
PREMISES. The structure which houses the facility or service, the grounds, and each building where care and treatment is provided to the consumer.
002.30
RANGE OF MOTION. The degree of motion a joint can be moved.
002.31
QUALIFIED DIETICIAN. A registered dietician or a licensed medical nutrition therapist.
002.32
QUALIFIED INSPECTOR. A Nebraska licensed architect or engineer, an official or employee of a local jurisdiction or a person authorized by a local jurisdiction to make inspections of a building, part of a building, equipment, or systems.
002.33
REMODELING. The repair or replacement of existing items which does not affect the physical structure of the building and does not require moving electrical wiring, plumbing, gas, heating, or cooling systems.
002.34
RESTRAINT.
(A)
CHEMICAL RESTRAINT. A drug that is used to manage behavior of a consumer, which restricts freedom of movement and is not a standard treatment for the consumer's medical or psychiatric condition.
(B)
MECHANICAL OR PHYSICAL RESTRAINT. A device attached or adjacent to the consumer's body which the consumer cannot remove that restricts freedom of movement or normal access to the body.
(C)
PERSONAL RESTRAINT. The use of physical force for the purpose of restraining free movement of a consumer which does not include briefly holding the consumer in order to calm or comfort them or holding the hand of the consumer to escort them from one area to another.
002.35
SCHEMATIC PLAN. A basic diagram of the facility.
002.36
SCREENING TOOL. A simple interview or testing procedure to collect basic information regarding the consumer's health status.
002.37
SECLUSION. The involuntary confinement of the consumer in a room or area which prevents the consumer from freely moving about the facility or interacting with others and is used for other than therapeutic purposes. Seclusion is only allowed in mental health substance use treatment facilities and hospitals when it is ordered by a medical practitioner to ensure the safety of the consumer or others.
002.38
SIGNIFICANT CHANGE. A major change in the consumer's status that is not self-limiting and impacts more than one area of their health or status.
002.39
SIGNIFICANT MEDICATION ERROR. A medication error that has the potential to or jeopardizes the health and safety of the consumer.
002.40
SKIN INTEGRITY. The skin condition of the consumer.
002.41
SUBSTANCE USE DISORDER. A condition in which the use of one or more substances leads to a clinically significant impairment and which may have negative social consequences for the consumer.
002.42
THERAPEUTIC DIET. A diet that is provided to the consumer to treat a medical diagnosis.
002.43
TIME OUT ROOM. A room where the consumer is placed under staff observation when they engage in specified inappropriate behaviors.
002.44
UNCREDENTIALED DIRECT CARE STAFF. Personnel who are not credentialed under the Uniform Credentialing Act or other state laws governing the practice of health care and whose primary responsibility is to provide direct care to the consumer.
002.45
VERMIN. Small animals and insects that can be harmful, may transmit diseases or are difficult to control.
002.46
VOLUNTEER. An unpaid individual who performs duties at the facility or service.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
The definitions in the Nebraska Health Care Facility Licensure Act and the following are adopted for this title.
002.01 ADJOINING. Areas located in a manner to allow access without having to enter a general corridor area or area used by other consumers are adjoining .
002.02 ADMINISTRATOR. The operating officer for the facility or service which may include individuals with titles such as administrator , chief executive officer, manager, director, or other similar designation is an administrator .
002.03 BED CAPACITY. The total number of licensed beds in a facility or service for use by the consumer excluding beds intended for ancillary usage.
002.04 BIOLOGICAL. Any virus, therapeutic serum, toxin, antitoxin, or product used for the prevention, treatment or cure of disease or injuries to humans.
002.05 BY LAWS. A set of rules adopted by the facility or service used to govern the facility or service's operation.
002.06 CARDIOPULMONARY RESUSCITATION (CPR). A procedure to restore breathing and heart function through clearance of air passages, artificial respiration, and manual external cardiac massage.
002.07 CARE PLAN. A written plan based on an individual assessment identifying the needs of the consumer and the strategy for meeting those needs. These may also be referred to as treatment plans.
002.08 COMPLAINT. An expression of a concern or dissatisfaction.
002.09 COMPLETE APPLICATION. An initial application or renewal application which contains all of the requested information, with attestation to its truth and completeness, signatures of the applicant(s), submitted with all required fees and documentation.
002.10 CONSUMER. Consumer has the same definition as defined in Neb. Rev. Stat. § 38-111.
002.11 DEHYDRATION. A lack of sufficient water in the body of a consumer .
002.12 DESIGNEE. A person authorized by law or the consumer to act on the consumer 's behalf.
002.13 DIAGNOSIS. The act or process of identifying or determining the nature of a disease or injury.
002.14 EXISTING FACILITY OR SERVICE. A facility or service with a current license or whose construction was approved by the Department prior to the effective date of this chapter.
002.15 FOREIGN CORPORATION. A corporation created by authority outside the state of Nebraska.
002.16 GOVERNING AUTHORITY. The person or persons that control the facility or service license on behalf of the licensee .
002.17 GRIEVANCE. A written expression of dissatisfaction is a grievance .
002.18 HEMODIALYSIS. The mechanical process of removing unwanted waste and fluid from the blood in consumers whose kidneys no longer perform this function.
002.19 INDELIBLE. Documentation that cannot be erased.
002.20 LICENSED CAPACITY. The total number of consumers the facility or service is licensed to serve at one time.
002.21 LICENSEE. The person or entity to whom the Department has issued a license.
002.22 MEDICAL PRACTITIONER. A person credentialed under the Uniform Credentialing Act whose scope of practice includes prescribing medications, diagnosing, and treating is a medical practitioner . For the purpose of this chapter, this includes: physician, physician assistant, advanced practice registered nurse, optometrist, podiatrist, dentist, certified nurse midwife and certified registered nurse anesthetist.
002.23 MEDICAL SERVICES. Address the medical concerns, health concerns or needs of the consumer .
002.24 MEDICALLY RELATED SOCIAL SERVICES. Assist the consumer to maintain or improve the ability to manage everyday physical, mental, and psychosocial needs.
002.25 NEBRASKA FOOD CODE. Nebraska Food Code has the same definition as set out in Neb. Rev. Stat. § 81-2,244.01.
002.26 NEW CONSTRUCTION. Changes to the structure of a facility or part of a facility which is enlarged, altered, or built from the ground up. New construction does not include remodeling .
002.27 NEW FACILITY OR SERVICE. A facility or service not currently licensed or a new service to be provided by the licensee at an already licensed facility or service.
002.28 PARENT. The legal parent or stepparent who is legally responsible for a consumer under the age of 19 years.
002.29 PREMISES. The structure which houses the facility or service, the grounds, and each building where care and treatment is provided to the consumer .
002.30 RANGE OF MOTION. The degree of motion a joint can be moved.
002.31 QUALIFIED DIETICIAN. A registered dietician or a licensed medical nutrition therapist.
002.32 QUALIFIED INSPECTOR. A Nebraska licensed architect or engineer, an official or employee of a local jurisdiction or a person authorized by a local jurisdiction to make inspections of a building, part of a building, equipment, or systems.
002.33 REMODELING. The repair or replacement of existing items which does not affect the physical structure of the building and does not require moving electrical wiring, plumbing, gas, heating, or cooling systems.
002.34 RESTRAINT.
(A) CHEMICAL RESTRAINT. A drug that is used to manage behavior of a consumer , which restricts freedom of movement and is not a standard treatment for the consumer 's medical or psychiatric condition.
(B) MECHANICAL OR PHYSICAL RESTRAINT. A device attached or adjacent to the consumer 's body which the consumer cannot remove that restricts freedom of movement or normal access to the body.
(C) PERSONAL RESTRAINT. The use of physical force for the purpose of restraining free movement of a consumer which does not include briefly holding the consumer in order to calm or comfort them or holding the hand of the consumer to escort them from one area to another.
002.35 SCHEMATIC PLAN. A basic diagram of the facility.
002.36 SCREENING TOOL. A simple interview or testing procedure to collect basic information regarding the consumer 's health status.
002.37 SECLUSION. The involuntary confinement of the consumer in a room or area which prevents the consumer from freely moving about the facility or interacting with others and is used for other than therapeutic purposes. Seclusion is only allowed in mental health substance use treatment facilities and hospitals when it is ordered by a medical practitioner to ensure the safety of the consumer or others.
002.38 SIGNIFICANT CHANGE. A major change in the consumer 's status that is not self-limiting and impacts more than one area of their health or status.
002.39 SIGNIFICANT MEDICATION ERROR. A medication error that has the potential to or jeopardizes the health and safety of the consumer .
002.40 SKIN INTEGRITY. The skin condition of the consumer .
002.41 SUBSTANCE USE DISORDER. A condition in which the use of one or more substances leads to a clinically significant impairment and which may have negative social consequences for the consumer .
002.42 THERAPEUTIC DIET. A diet that is provided to the consumer to treat a medical diagnosis .
002.43 TIME OUT ROOM. A room where the consumer is placed under staff observation when they engage in specified inappropriate behaviors.
002.44 UNCREDENTIALED DIRECT CARE STAFF. Personnel who are not credentialed under the Uniform Credentialing Act or other state laws governing the practice of health care and whose primary responsibility is to provide direct care to the consumer .
002.45 VERMIN. Small animals and insects that can be harmful, may transmit diseases or are difficult to control.
002.46 VOLUNTEER. An unpaid individual who performs duties at the facility or service.