New Mexico Administrative Code
Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING
Chapter 12 - NURSING AND HEALTH CARE RELATED PROVIDERS
Part 1 - GENERAL PROVISIONS
Section 16.12.1.7 - DEFINITIONS

Universal Citation: 16 NM Admin Code 16.12.1.7

Current through Register Vol. 35, No. 18, September 24, 2024

A. Definitions beginning with the letter A:

(1) "administration of medications", means a process whereby a prescribed drug or biological agent is given to a patient/client by a person licensed or certified by the board to administer medications;

(2) "advanced practice registered nurse", (APRN), means the practice of professional registered nursing by a registered nurse who has been prepared through additional formal education as provided in Sections 61-3-23.2 through 61-3-23.4 NMSA 1978 to function beyond the scope of practice of professional registered nursing, including certified nurse practitioners, certified registered nurse anesthetists and clinical nurse specialists;

(3) "anesthetics", means a substance that causes entire or partial loss of the feeling of pain, temperature, or other sensations with or without the loss of consciousness to induce a state of anesthesia. Anesthetics have no reversal agents and may impair ventilatory and cardiovascular function. This definition does not apply to local or topical anesthetics.

B. Definitions beginning with the letter B: "board" means the New Mexico board of nursing.

C. Definitions beginning with the letter C:

(1) "certificate", means a legal document granting permission to an unlicensed person to perform specific functions considered the practice of nursing;

(2) "certificate of completion", means a piece of paper or diploma awarded after the completion of an educational or vocational training. A certificate of attendance or completion does not convey mastery and is often followed by clinical demonstration to confirm knowledge transfer; the presence of a certificate alone does not mean certification or certified.

(3) "certification", means approving a professional for their eligibility for a role by an authority; it is evidence of mastery of knowledge and skills, such as national standards, by passing an exam or meeting industry standards; it requires ongoing continuing education and demonstration of competence in the specialty field; a licensee with a certification can be said to be certified.

(4) "CEU", is the abbreviation for continuing education unit;

(5) "CHT", is the abbreviation for certified hemodialysis technician;

(6) "CMA", is the abbreviation for certified medication aide;

(7) "client", means any person domiciled, residing, or receiving care, service or treatment from a licensed nurse, licensed lactation care provider, or certified unlicensed assistive person. This includes but is not limited to patients, residents, or consumers;

(8) "competency", competency in nursing is the ability to perform skillfully and proficiently the role of the licensee; the role encompasses essential knowledge, judgment, attitudes, values, skills and abilities, which are varied in range and complexity; competency is a dynamic concept and is based on educational training, preparation, and expertise;

(9) "contact hour", means the unit of measurement describing an approved and organized learning experience equivalent to 60 clock minutes;

(10) "continuing education", means planned learning experiences beyond a basic nursing education program. These experiences are designed to promote the development of knowledge, skills and attitudes for the enhancement of nursing practice, thus improving health care to the public;

(11) "continuing education unit", means 10 contact hours of participation in an organized continuing education experience under responsible sponsorship, capable direction, and qualified instruction;

(12) "coordinated licensure information system", means an integrated process for collecting, storing and sharing information on nurse licensure and enforcement activities related to nurse licensure laws that is administered by a nonprofit organization composed of and controlled by licensing boards.

D. Definitions beginning with the letter D: "delegation", means the act of transferring to a competent individual the authority to perform a selected nursing task in a selected situation. The nurse retains accountability of the delegation.

E. Definitions beginning with the letter E:

(1) "educational institution", means an institution within the educational system which is organized and accredited for teaching and study (university, high school, post-secondary, approved area vocational institution);

(2) "engaged in nursing", means being employed, engaged, or holding a position which requires licensure or in which the maintenance of licensure as a nurse is expected;

(3) "expedited license", whether by examination, endorsement, credential or reciprocity, means a license issued to a person in this state based on licensure in another state or territory of the United States, the District of Columbia or a foreign country, as applicable, pursuant to the Uniform Licensing Act and the Nursing Practice Act.

F. Definitions beginning with the letter F: [RESERVED]

G. Definitions beginning with the letter G:

(1) "good standing", means a license or registration is active and not expired, suspended, revoked, surrendered, conditioned, or otherwise in a status that in any manner restricts the activity of a licensee or registrant under the authority of the license or registration.

(2) "guardian", means someone other than a patient, including an agent, surrogate or guardian, authorized to make health-care decisions for the patient under the uniform health-care decisions act or other applicable law;

H. Definitions beginning with the letter H: [RESERVED]

I. Definitions beginning with the letter I: "initial license", means the first regular license received from a board for a person who has not been previously licensed;

J. Definitions beginning with the letter J: "jurisdiction", the licensure or regulatory authoritative body for nursing within a specific geographic area for which there is endorsement in New Mexico.

K. Definitions beginning with the letter K: [RESERVED]

L. Definitions beginning with the letter L:

(1) "lapsed status", means a license which was not renewed by the expiration date on the license;

(2) "letter of authorization", a document issued by the board which authorizes an individual to practice nursing in New Mexico under the auspices of an approved preceptorship for an advanced nursing expanded scope of practice prescriptive authority or for an advanced practice nurse from a compact state;

(3) "license", means a legal document granting permission to a person to perform specific functions considered the practice of nursing or other activity regulated by the board, which may also include a certificate or other type of authorization.

M. Definitions beginning with the letter M: "monitoring system", a mechanism whereby programs may be approved for CE hours within a geographic area.

N. Definitions beginning with the letter N:

(1) "national licensing examination", means the examination for licensure as provided by the national council of state boards of nursing, inc.;

(2) "National practitioner data bank", means the database operated by the U.S. department of health and human services that contains medical malpractice payment and adverse action reports on health care professionals;

O. Definitions beginning with the letter O: [RESERVED]

P. Definitions beginning with the letter P:

(1) "permit-to-practice", a document conferring the privilege to practice at a specific place of employment, under the direct supervision of a licensed RN, APRN, physician, osteopathic physician, dentist, or podiatrist; such permits will carry set expiration dates, are not renewable and are not transferable;

(2) "preceptor", an individual at or above the level of licensure that an assigned student is seeking, who may serve as a teacher, mentor, role model or supervisor in a clinical setting;

(3) "prescriptive authority", means the authority under state and federal law to prescribe, administer, monitor or modify dangerous drug therapy.

Q. Definitions beginning with the letter Q: [RESERVED]

R. Definitions beginning with the letter R:

(1) "reactivation", means the process of making active an existing license which has lapsed or is otherwise inactive;

(2) "refresher course", means a formal program that has both didactic and clinical components designed to prepare a nurse who has been out of practice to re-enter the profession;

(3) "reinstatement", means the process whereby a license which has been subject to revocation or suspension, is returned to its former status by board action, which may require filing of a form and payment of a reinstatement fee;

(4) "relicensure", the process of renewal, reactivation or reinstatement of a New Mexico nursing license.

S. Definitions beginning with the letter S:

(1) "sedation", means the administration of medications to produce various levels of calmness, relaxation, or sleep. The various levels include:
(a) "Minimum sedation/anxiolysis," means a drug-induced state during which patients respond normally to verbal commands, may have impaired cognitive function or coordination but respiratory and cardiovascular functions remain stable:

(b) "Moderate sedation/analgesia (also known as conscious sedation)," means a drug-induced depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation. No interventions are required to maintain a patent airway, and spontaneous ventilation is adequate. Cardiovascular function is usually maintained:
(i) "deep sedation," means a drug-induced depression of consciousness, during which a patient cannot be easily aroused but responds purposefully, following repeated or painful stimulation. While cardiovascular function is usually maintained, the ability to independently maintain respiratory function may be impaired. Patients may require assistance in maintaining a patent airway, and spontaneous ventilation may be inadequate resulting in intubation and mechanical ventilation. Reflex withdrawal from a painful stimulus is not considered a purposeful response;

(ii) "general anesthesia," means a drug-induced loss of consciousness during which patients are not arousable, even by painful stimulation. General anesthesia affects the patient's ability to maintain an adequate airway and respiratory function, and may impair cardiovascular function;

(iii) "palliative sedation," means the monitored use of medications at end of life intended to provide relief of intolerable and refractory symptoms but not to intentionally hasten death. A refractory symptom is one that cannot be controlled in a tolerable time frame despite use of therapies and seems unlikely to be controlled by further therapies without excessive or intolerable acute or chronic side effects/complications.

(2) "successful completion", means the completion of all required courses with a passing letter grade of "C" or higher, course with pass or fail must have a "pass" for successful completion;

(3) "supervision/direction", means initial verification of a person's knowledge and skills in the performance of a specific function or activity followed by periodic observation, direction and evaluation of that person's knowledge and skills as related to the specific functions or activity.

T. Definitions beginning with the letter T: "temporary license", a non-renewable, non-transferable document indicating a legal privilege to practice as a RN, LPN, CNP, CNS or CRNA, on a conditional basis for a specific period of time.

U. Definitions beginning with the letter U:

(1) "unencumbered", means the absence of a revocation or suspension of, or any limitation on, the full and unrestricted practice of nursing imposed by a licensing board;

(2) "unlicensed assistive personnel", (UAP) means unlicensed support staff that registered nurse may appropriately delegate tasks to, such as a nursing assistant, nurse technician, or medical assistant.

V. Definitions beginning with the letter V:

"valid practitioner-patient relationship", means a professional relationship between the practitioner and the patient for the purpose of maintaining the patient's well-being. At minimum, this relationship is an interactive encounter between the practitioner and patient involving an appropriate history and physical or mental examination, ordering labs or diagnostic tests sufficient to make a diagnosis and providing, prescribing or recommending treatment, or referring to other health care providers. A patient record must be generated by the encounter.

W. Definitions beginning with the letter W: [RESERVED]

X. Definitions beginning with the letter X: [RESERVED]

Y. Definitions beginning with the letter Y: [RESERVED]

Z. Definitions beginning with the letter Z: [RESERVED]

Disclaimer: These regulations may not be the most recent version. New Mexico may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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