Tenn. Comp. R. & Regs. 1000-01-.01 - DEFINITIONS
The following definitions are applicable to nursing applications, the rules governing nursing and the nursing provisions of Title 63, Chapter 7, unless otherwise indicated:
(1) Accreditation : The status of the school
in relation to requirements of recognized agencies other than the Tennessee
Board of Nursing.
(2) Advanced
Practice Registered Nurse (APRN) : A registered nurse certified pursuant to
T.C.A. § 63-7-126 who has a master's degree or higher in a nursing
specialty and has national specialty certification as a nurse practitioner,
nurse anesthetist, nurse midwife, or clinical nurse specialist, except that a
master's degree or higher is not required if national specialty certification
and licensure in Tennessee (or a compact state with the multistate privilege to
practice in Tennessee) as a registered nurse was obtained prior to July 1,
2005. However, notwithstanding the previous requirements, a nurse anesthetist
shall be eligible for a certificate to practice as an Advanced Practice
Registered Nurse if the nurse anesthetist graduated prior to January 1, 1999,
from a nurse anesthesia educational program approved by the American
Association of Nurse Anesthetists Council on Accreditation . The four (4)
recognized categories/roles for Advanced Practice Registered Nurses are
Clinical Nurse Specialist, Nurse Anesthetist/Certified Registered Nurse
Anesthetist, Nurse Midwife, and Nurse Practitioner.
(3) Approval : The status of the school in
relation to the minimum requirements of the Tennessee Board of
Nursing.
(4) Approved School of
Nursing : One approved by the Tennessee Board of Nursing or by a similar board
in another jurisdiction.
(5)
Assisting : Helping, aiding, supporting or cooperating.
(6) Board : The Tennessee Board of
Nursing.
(7) Certificate of
Fitness : A certificate issued by the Board to an Advanced Practice Registered
Nurse signifying authority to prescribe /issue drugs and to engage in other
practices provided in the Tennessee Code, within the scope of the advanced
practice registered nurse's education, protocols, formulary, Tennessee law, and
Board rules.
(8) Classification of
School of Nursing Programs :
(a) Baccalaureate :
A program leading to a baccalaureate degree is conducted by an educational unit
which is an integral part of a senior college or university.
(b) Associate Degree : A program in nursing
leading to an associate degree is conducted by an educational unit in nursing
(department or division) within the structure of a junior or community college
or as a segment of a senior college or university.
(c) Diploma : A program leading to a diploma
in professional or registered nursing is conducted by a single purpose school
under the control of a hospital.
(d) Practical : A program leading to a
diploma /certificate in practical nursing conducted by a school within a
hospital or technical college.
(e)
Master's : A program leading to a master's degree is conducted by an educational
unit which is an integral part of a senior college or university.
(f) Doctoral : A program leading to a doctoral
degree is conducted by an educational unit which is an integral part of a
senior college or university.
(9) Collaborating Physician : A physician
licensed under Title 63 Chapter 6 or osteopathic physician licensed under Title
63 Chapter 9 who has signed a notice on file with the Board and complying with
Board of Medical Examiners Rule Chapter 0880-06 or Board of Osteopathic
Examination Rule 1050-02-.15 stating that the physician takes control and
responsibility for the prescriptive service provided by an APRN who holds a
Certificate of Fitness pursuant to Tenn. Code Ann. § 63-7-123.
(10) Continued Competence : The application of
integrated nursing knowledge and the interpersonal, decision-making,
psychomotor, communication, and leadership skills expected for the nursing
practice role pursuant to T.C.A. § 63-7-103 and § 63-7-108 as
applicable, within the context of the public health, safety, and
welfare.
(11) Cooperating Agency :
Any agency or institution that cooperates with the school to provide facilities
and clinical resources that may be used by the school for selected student
learning experiences.
(12) Course :
A unit of the curriculum .
(13)
Curriculum : The total group of courses including related clinical and other
experiences which are organized in a systematic way.
(14) Delegation : Transferring to a competent
individual the authority to perform a selected nursing task in a selected
situation. The nurse retains accountability for the delegation . The nurse shall
retain accountability for the delegation while the delegate is accountable for
the delegate's acts.
(15)
Direction : Guiding, managing, authoritative instructing, governing, ordering,
or ruling.
(16) Director : The
person in charge of the educational unit in nursing, regardless of his official
title in any specific institution.
(17) Discipline : When used in reference to
action against a license by another state includes, but is not limited to, all
summary or emergency suspensions, denials, limitations or conditions.
(18) Drug : Shall have the same meaning as set
forth in T.C.A. § 63-10-204.
(19) Examination : The National Council
Licensure Examination (NCLEX) or its predecessor.
(20) General Education : Secondary or high
school education or the equivalent.
(21) Guilty of a Crime : When used in T.C.A.
§ 63-7-115(a)(1)(B) includes, but is not limited to, those who have been
convicted of a crime upon a plea of nolo contendere or no contest.
(22) Issue or Dispense : To deliver a drug , in
the course of professional practice, to a patient or the patient's agent for
consumption at another location.
(23) Lapsed : A license that is beyond the
period of a valid expiration date.
(24) Licensed Practical Nurse (LPN) : A
practical nurse licensed by the Board pursuant to T.C.A. §
63-7-110.
(25) May : Permission at
the discretion of the Board .
(26)
Minor Traffic Violation : When used in an application, refers to those driving
offenses which are punishable as Class C Misdemeanors in Tennessee, or if the
offense occurred in another state, are punishable by a maximum of thirty (30)
days in jail and a fifty dollar ($50) fine.
(27) National Specialty Certification or
National Certification in a Nursing Specialty: A certification by a national
certifying body approved by the Board .
(28) Nursing Faculty : Individuals employed
full- or part-time by an academic institution who are responsible for
developing, implementing, evaluating, and updating school of nursing
curricula.
(29) Population Focus : A
broad area of study encompassing the common problems of a specific group of
patients and the likely co-morbidities, interventions and responses to those
problems limited to, the following areas of practice: family/individual across
the life span; adult-gerontology; neonatal; pediatrics; women's health/gender
related; psych-mental health. A Population Focus is not defined as a specific
disease, health problem or intervention.
(30) Preceptor : An individual who may serve
as a teacher, mentor, role model, or supervisor in a clinical setting. A
preceptor must possess licensure at or above the level of licensure sought by
the student.
(31) Prescribe : The
act of authorizing a prescription or prescription order.
(32) Prescriber : An individual licensed in
Tennessee as a medical doctor, podiatrist, advanced practice registered nurse
with a certificate of fitness to prescribe , dentist, optometrist, osteopathic
physician, or physician's assistant.
(33) Prescription Order or Prescription : Any
order, communicated through written, oral/verbal or electronic means, for any
drug , device, test, or treatment pursuant to T.C.A. § 63-10-204.
(34) Professional Boundaries : The space
between the nurse's power and the patient's vulnerability; the power of the
nurse comes from the professional position and access to private knowledge
about the patient; establishing boundaries allows the nurse to control this
power differential and allows a safe connection to meet the patient's
needs.
(35) Registered Nurse (RN) :
A professional nurse licensed by the Board pursuant to T.C.A. §
63-7-105.
(36) Reinstatement :
Re-licensure after a license has lapsed and/or been revoked or voluntarily
surrendered.
(37) School of
Nursing : Educational unit having the responsibility to prepare its graduates
for practice as nurses, qualified to meet licensing requirements in
Tennessee.
(38) Shall or Must: A
mandatory requirement.
(39) Should:
A recommendation.
(40) Supervision :
Overseeing or inspecting with authority.
(41) Tamper-Resistant Prescription : A written
prescription order with features that are designed to prevent unauthorized
copying, erasure, modification, and use of counterfeit prescription
forms.
(42) Unencumbered License : A
professional license that is not revoked, suspended, or probated and does not
have stipulations or conditions against it.
(43) Written Agreement : Written evidence of
agreement between the school and cooperating agency .
Notes
Authority: T.C.A. §§ 63-7-101, 63-7-103, 63-7-105, 63-7-108, 63-7-110, 63-7-115, 63-7-123, 63-7-126, and 63-7-207.
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