Hawaii Administrative Rules
Title 16 - DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Chapter 89 - NURSES
Subchapter 1 - GENERAL PROVISIONS
Section 16-89-2 - Definitions
As used in this chapter:
"Accredited" means certification by the appropriate board of nursing that the nursing program meets established nursing education standards.
"Advanced practice registered nurse (APRN)" means a registered nurse licensed to practice in this State who has met the qualifications set forth in chapter 457, HRS, and this subchapter, and who because of advanced education and specialized clinical training, is authorized to assess, screen, diagnose, order, utilize, or perform medical, therapeutic, preventive, or corrective measures.
"Approved provider" means a local, state, or national agency, institution, organization, or agency responsible for the development, implementation, evaluation, financing, record-keeping, and maintenance of a continuing education offering program or a total continuing education curriculum which may be delivered in a variety of formats, including electronic, journal, and lecture/seminar, as recognized by the board.
"Board" means the board of nursing.
"Certification" means a form of specialized credentialing, under sponsorship of a recognized national certifying body that has verified an applicant's advanced knowledge, skills, and abilities in defined areas of nurse practice specialties as listed in section 16-89-85.
"Collaborate" means a process in which an APRN works with other members of the health care team to deliver health care services.
"Contact hour" means a minimum of sixty minutes of actual organized instruction. Academic credit will be converted to contact hours as follows:
(1) One quarter academic credit equals 12.5 contact hours; or
(2) One semester academic credit equals 15 contact hours. Contact hour equivalencies shall be as follows:
(1) 1 continuing education unit = 10 contact hours;
(2) 1 continuing medical education credit = 60 minutes; or
(3) 1 American Medical Association credit = 60 minutes.
"Continuing education" means a refresher course in subchapter 18 only.
"Delegation" means the act of authorizing one to act for another.
"Direct supervision" means that the registered nurse assesses the conditionto be treated, authorizes each special task to be performed, remains on the premises, and personally evaluates the performance of the unlicensed assistive personnel.
"Drug" means a device, appliance, medicine, or preparation for internal or external use by a human being and shall not include any substance included in the exclusionary formulary.
"Exclusionary formulary" means the listing of drugs or categories of drugs designated and published by the board of nursing that shall not be prescribed by an APRN granted prescriptive authority.
"External degree or certification by examination" means a degree or certificate approved by the appropriate state board of nursing conferred upon the completion of a series of standardized examinations which are used to document the theory and practice equivalent to the minimum curriculum required of nursing programs in this State.
"Independent study" means a program of learning designed by an approved provider for the registered nurse or practical nurse who completes the program at the individual's pace, e.g., home study, programmed instruction.
"Indirect supervision" means that the registered nurse assesses the condition to be treated, is familiar with the client's medical history, and personally authorizes each task to be performed by other personnel. The presence of the registered nurse is not required; provided that the registered nurse shall be available for consultation.
"Informal offering" means a workshop, seminar, institute, conference, lecture, short term course, or organized independent study which is offered for credit in contact hours or continuing education units.
"Major program revision" means a nursing program in which significant changes occur in the philosophy, objectives, conceptual framework, professional conduct of graduates, curriculum, admission requirements, and methods of implementation.
"National Council" means the National Council of State Boards of Nursing, Inc. or NCSBN.
"National Practitioner Data Bank" or "NPDB" means the repository of information on medical malpractice payments and certain adverse actions related to health care practitioners.
"Nursing program" means a course of study in nursing which includes philosophy, objectives, conceptual framework, professional conduct of graduates, curriculum, admission requirements, and methods of implementation.
"Permit" means a temporary license to legally practice nursing as a registered nurse (RN) or licensed practical nurse (LPN) during the period specified on the permit, pending receipt of a permanent license or until notified of cancellation.
"Physician" means a person licensed to practice medicine or surgery under chapter 453, HRS.
"Prescribed medical orders" means requisitions for resources to be allocated in particular ways for patients, which includes prescription drug orders, signed by the delegating physician, standing medical orders, standing delegation orders, or other orders or protocols.
"Prescription" means an order for medication, which is dispensed to or for an ultimate user. "Prescription" shall not include an order for medication that is dispensed for immediate administration to the ultimate user, including but not limited to, a chart order to dispense a drug to a bed patient for immediate administration in a hospital.
"Prescriptive authority" means the authority granted by the board to a recognized APRN to verbally, or in writing, direct, order, or designate the preparation of, use of, or manner of using, a drug within the recognized APRN's scope of practice.
"Recognized national certifying body" means nurse credentialing agencies accredited by the National Commission for Certifying Agencies (NCCA) or the American Board of Nursing Specialties (ABNS) and recognized by the board which include, but is not limited to, the American Nurses Credentialing Center, the Pediatric Nursing Certification Board, National Certification Corporation for Obstetric, Gynecologic and Neonatal Nursing Specialties, the Council on Certification of the American College of Nurse Midwives, the American Academy of Nurse Practitioners Certification Board, the Council on Certification of the American Association of Nurse Anesthetists, National Board of Certification & Recertification for Nurse Anesthetists, or any new national certifying body or a national certifying body which is a successor to any body accredited by the NCCA or ABNS and recognized by the board. Any modifications by the national certifying bodies, the NCCA, or ABNS shall apply unless otherwise provided in the board's policy and board's rules.
"Remedial course" means a course that is approved by the board and meets the requirements of subchapter 8 and shall include a minimum of sixty hours of didactic instruction and sixty hours of clinical instruction.
"Semester credit" means a minimum of fifteen hours of classroom instruction or a minimum of thirty hours of laboratory or clinical instruction, or equivalent quarter hours which means a minimum of ten hours of classroom instruction or a minimum of twenty hours of laboratory or clinical instruction.
"Supervision" means the process of critical watching, directing, and evaluating another's performance.
"Unlicensed assistive person" means an individual who is not licensed to practice nursing, but who provides tasks of nursing care delegated by a registered nurse.
