2009 Kentucky Revised Statutes CHAPTER 314 REGISTERED NURSES -- PRACTICAL NURSES 314.042 Registration and designation as an advanced practice registered nurse -- Use of "APRN" -- Prescriptive authority under CAPA-NS and CAPA-CS -- Renewal -- Reinstatement.
314.042 Registration and designation as an advanced practice registered nurse --
Use of "APRN" -- Prescriptive authority under CAPA-NS and CAPA-CS -- <br>Renewal -- Reinstatement.
(1) An applicant for licensure to practice as an advanced practice registered nurse shall
file with the board a written application for licensure and submit evidence, verified <br>by oath, that the applicant has completed an approved organized postbasic program <br>of study and clinical experience; has fulfilled the requirements of KRS 214.615(1); <br>is certified by a nationally established organization or agency recognized by the <br>board to certify registered nurses for advanced practice registered nursing; and is <br>able to understandably speak and write the English language and to read the English <br>language with comprehension.
(2) The board may issue a license to practice advanced practice registered nursing to an
applicant who holds a current active registered nurse license issued by the board or <br>holds the privilege to practice as a registered nurse in this state and meets the <br>qualifications of subsection (1) of this section. An advanced practice registered <br>nurse shall be: <br>(a) Designated by the board as a certified nurse anesthetist, certified nurse
midwife, certified nurse practitioner, or clinical nurse specialist; and
(b) Certified in a least one (1) population focus.
(3) The applicant for licensure or renewal thereof to practice as an advanced practice
registered nurse shall pay a fee to the board as set forth in regulation by the board.
(4) An advanced practice registered nurse shall maintain a current active registered
nurse license issued by the board or hold the privilege to practice as a registered <br>nurse in this state and maintain current certification by the appropriate national <br>organization or agency recognized by the board.
(5) Any person who holds a license to practice as an advanced practice registered nurse
in this state shall have the right to use the title "advanced practice registered nurse" <br>and the abbreviation "APRN." No other person shall assume the title or use the <br>abbreviation or any other words, letters, signs, or figures to indicate that the person <br>using the same is an advanced practice registered nurse. No person shall practice as <br>an advanced practice registered nurse unless licensed under this section.
(6) Any person heretofore licensed as an advanced practice registered nurse under the
provisions of this chapter who has allowed the licensed to lapse may be reinstated <br>on payment of current fee and by meeting the provisions of this chapter and <br>regulations promulgated by the board pursuant to the provisions of KRS Chapter <br>13A.
(7) The board may authorize a person to practice as an advanced practice registered
nurse temporarily and pursuant to applicable regulations promulgated by the board <br>pursuant to the provisions of KRS Chapter 13A if the person is awaiting the results <br>of the national certifying examination for the first time or is awaiting licensure by <br>endorsement. A person awaiting the results of the national certifying examination <br>shall use the title "APRN Applicant" or "APRN App."
(8) Before an advanced practice registered nurse engages in the prescribing or
dispensing of nonscheduled legend drugs as authorized by KRS 314.011(8), the <br>advanced practice registered nurse shall enter into a written "Collaborative <br>Agreement for the Advanced Practice Registered Nurse's Prescriptive Authority for <br>Nonscheduled Legend Drugs" (CAPA-NS) with a physician that defines the scope <br>of the prescriptive authority for nonscheduled legend drugs.
(9) Before an advanced practice registered nurse engages in the prescribing of
Schedules II through V controlled substances as authorized by KRS 314.011(8), the <br>advanced practice registered nurse shall enter into a written "Collaborative <br>Agreement for the Advanced Practice Registered Nurse's Prescriptive Authority for <br>Controlled Substances" (CAPA-CS) with a physician that defines the scope of the <br>prescriptive authority for controlled substances. <br>(a) The advanced practice registered nurse shall notify the Kentucky Board of
Nursing of the existence of the CAPA-CS and the name of the collaborating <br>physician and shall, upon request, furnish to the board or its staff a copy of the <br>completed CAPA-CS. The Kentucky Board of Nursing shall notify the <br>Kentucky Board of Medical Licensure that a CAPA-CS exists and furnish the <br>collaborating physician's name.
(b) The CAPA-CS shall be in writing and signed by both the advanced practice
registered nurse and the collaborating physician. A copy of the completed <br>collaborative agreement shall be available at each site where the advanced <br>practice registered nurse is providing patient care.
(c) The CAPA-CS shall describe the arrangement for collaboration and
communication between the advanced practice registered nurse and the <br>collaborating physician regarding the prescribing of controlled substances by <br>the advanced practice registered nurse.
(d) The advanced practice registered nurse who is prescribing controlled
substances and the collaborating physician shall be qualified in the same or a <br>similar specialty.
(e) The CAPA-CS is not intended to be a substitute for the exercise of
professional judgment by the advanced practice registered nurse or by the <br>collaborating physician.
(f) Before engaging in the prescribing of controlled substances, the advanced
practice registered nurse shall: <br>1.
Have been licensed to practice as an advanced practice registered nurse <br>for one (1) year with the Kentucky Board of Nursing; or
2.
Be nationally certified as an advanced practice registered nurse and be <br>registered, certified, or licensed in good standing as an advanced <br>practice registered nurse in another state for one (1) year prior to <br>applying for licensure by endorsement in Kentucky.
(g) Prior to prescribing controlled substances, the advanced practice registered
nurse shall obtain a Controlled Substance Registration Certificate through the <br>U.S. Drug Enforcement Agency.
(h) The CAPA-CS shall be reviewed and signed by both the advanced practice
registered nurse and the collaborating physician and may be rescinded by <br>either party upon written notice via registered mail to the other party, the <br>Kentucky Board of Nursing, and the Kentucky Board of Medical Licensure.
(i) The CAPA-CS shall state the limits on controlled substances which may be
prescribed by the advanced practice registered nurse, as agreed to by the <br>advanced practice registered nurse and the collaborating physician. The limits <br>so imposed may be more stringent than either the schedule limits on <br>controlled substances established in KRS 314.011(8) or the limits imposed in <br>regulations promulgated by the Kentucky Board of Nursing thereunder.
(10) Nothing in this chapter shall be construed as requiring an advanced practice
registered nurse designated by the board as a certified nurse anesthetist to enter into <br>a collaborative agreement with a physician, pursuant to this chapter or any other <br>provision of law, in order to deliver anesthesia care.
Effective: July 15, 2010 <br>History: Amended 2010 Ky. Acts ch. 85, sec. 53, effective July 15, 2010. -- Amended
2008 Ky. Acts ch. 99, sec. 2, effective July 15, 2008. -- Amended 2006 Ky. Acts <br>ch. 5, sec. 2, effective July 12, 2006; and ch. 86, sec. 5, effective June 1, 2007. -- <br>Amended 2000 Ky. Acts ch. 391, sec. 10, effective July 14, 2000. -- Amended 1996 <br>Ky. Acts ch. 342, sec. 2, effective July 15, 1996. -- Amended 1994 Ky. Acts ch. 367, <br>sec. 7, effective July 15, 1994. -- Amended 1992 Ky. Acts ch. 128, sec. 6, effective <br>July 14, 1992. -- Amended 1990 Ky. Acts ch. 443, sec. 21, effective July 13, 1990. -- <br>Created 1982 Ky. Acts ch. 408, sec. 5, effective July 15, 1982.
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