Or. Admin. R. 851-006-0030

Current through Register Vol. 63, No. 9, September 1, 2024

Section 851-006-0030 - Definitions beginning with the letter "C"

(1)"Certificate of Completion" means a document meeting the standards described in rule and awarded upon successfully completing all requirements of a nursing assistant or medication aide training program.

(2)"Certified Medication Aide, (CMA)" means a certified nursing assistant (CNA) who has successfully completed additional training in administration of non-injectable medications, holds current Oregon CMA certification, and performs CMA authorized duties under supervision of a licensed nurse.

(3)"Certified Nursing Assistant, (CNA)" means an individual who holds current Oregon certification; whose name is listed on the CNA Registry; and through their position as a CNA assists a licensed nurse in the provision of nursing care. The phrase certified nursing assistant and the acronym CNA are generic and may refer to a CNA 1, a CNA 2 or all CNAs.

(4)"Client" means an individual, family, facility resident or group engaged in a professional relationship with a licensee and the recipient of nursing services. For the purposes of these rules the terms "client", "patient" and "resident" are interchangeable and have the same meaning.

(5)"Clinical Component" - Refer to definition for "Nursing Practice Experience"

(6)"Clinical Direction" means the communication between the registered nurse (RN) or licensed independent practitioner (LIP) to the licensed practical nurse (LPN) for the implementation of the nursing plan of care or provider treatment plan. The LPN communicates any concerns or issues regarding the plan implementation. The RN or LIP must review the LPN communication to determine if the plan requires revision. Any revisions are communicated to the LPN for implementation. While Clinical Direction does not specifically require supervision of tasks or interventions directed by the plan of care or treatment plan, the LPN may not implement these interventions unless part of the education program preparing the LPN for licensure or competency has been validated.

(7)"Clinical Judgement", for the purposes of these rules, means the observed outcome of critical thinking and decision making. It is an iterative (repetitive) process that uses nursing knowledge to observe and assess presenting situations, identify a prioritized client concern and generate the best possible evidence-based solution to deliver safe client care.

(8)"Clinical Nurse", for the purposes of these rules, means a registered nurse (RN) or licensed practical nurse (LPN) employed by a healthcare facility who has agreed to serve in this role in a one-day capacity with one student in a faculty-led placement.

(9)"Clinical Practicum Evaluator", means for the purposes of these rules, the Oregon licensed advanced practice nurse, other than the faculty of record, who is employed or contracted by the graduate education program to perform clinic practicum site visits to determine the student and preceptor's adherence to and achievement of specific course goals and objectives.

(10)"Clinical Preceptor" means a health care provider employed by a healthcare facility, clinic, or in private practice who is qualified by specific education and clinical competency to provide direct supervision of the clinical practice experience of pre-licensure nursing students in a Final Practicum experience or graduate nursing students in an Oregon or out of state based advanced nursing program.

(11)"Clinical Teaching Associate" means a licensed nurse who has undergone specific education and training to serve as a role model, resource, and coach. For nursing assistant or medication aide students, the clinical teaching associate functions under the direction of the program director or primary instructor.

(12)"Clock Hours" means, for the purposes of these rules, the hours of instruction or clinical hours equated to academic credit as defined and authorized by the Higher Education Coordinating Commission (HECC).

(13)"CNA Abuse Registry" means the list of Oregon certified nursing assistants who have received a finding of Substantiated Abuse by the Department of Human Services (DHS). Federal law prohibits employment of these individuals in nursing home facilities. The list is maintained by the Board but authority to place or remove an individual from the list lies within the authority of DHS.

(14)"CNA Registry" means the listing of Oregon certified nursing assistants (CNA) maintained by the Board. This list is comprised of CNAs who have successfully completed a state-approved nursing assistant training program and competency evaluation that meet the Omnibus Reconciliation Act of 1987 (OBRA) standards.

(15)"Community-Based Setting" means a setting that does not exist primarily for the purposes of providing nursing or medical services, but where nursing services could be required intermittently. These settings include adult foster homes, assisted living facilities, child foster homes, schools, and twenty-four-hour residential care facilities.

(16)"Competency" means demonstrating specified levels of knowledge, technical skill, ability, ethical principle, and clinical reasoning that are relevant to the practice role, practice setting, prevailing standards, and client safety. All licensees and certificate holders of the Board are expected to have demonstrated competencies prior to accepting an assignment or, for advanced practice nurses, prior to performing an intervention beyond their education program and national certification. For the purposes of these rules this definition is also applicable with the terms "competence" and "competencies".

(17)"Completed Application" means an application for licensure or certification where all required fields are completed, attestation is validated by the applicant and all appropriate fees are posted by the Board as paid. The application process does not commence until the application is complete. An incomplete renewal application will not be recognized as timely.

(18)"Context of Care" means the environment where the practice of nursing occurs. Defining a specific context of care includes, but is not limited to, the following variables: the location where the client receives nursing services (e.g., practice setting), the licensee's practice role within the setting, the regulations of the setting that impact nursing services delivery, policies and procedures of the setting, professional and specialty nursing practice standards applicable to the nurse's practice role, and the ability of the client to self-direct the nursing strategies or interventions to which they have given their consent.

(19)"Continuing Education hours" means contact hours of education. One contact hour is equal to 60 minutes of instruction. Ten contact hours are equal to one Continuing Education Unit (CEU).

(20)"Conviction", for the purposes of these rules, means that a court of law has entered a final judgment on a verdict or finding of guilty, a plea of guilty, a plea of nolo contendere (no contest) or any determination of guilt entered by a court of law against a subject individual (SI) in a criminal case, unless that judgment has been reversed or set aside by a subsequent court decision.

(21)"Course Progression", for the purposes of these rules, means measurement and evaluation of the student's progress towards fulfilling a specific course's objectives and requirements.

(22)"Credentials Evaluation" means an independent determination by a Board approved vendor, through review of transcripts and other relevant material, whether an International educational program is or is not equivalent to nursing education in the United States.

Or. Admin. R. 851-006-0030

BN 2-2023, adopt filed 07/05/2023, effective 8/1/2023

Statutory/Other Authority: ORS 678.150

Statutes/Other Implemented: ORS 678.150