Legal Nurse Practice Act Kansas

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Established in 1913 74-1106. Board of nursing; appointment; terms; vacancies; qualification; duties and powers; executive administrator and other employees; rules and regulations; compensation and expenses.
(a) Appointment, term of office

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(1) The governor shall appoint a board consisting of 11 members of which 6 shall be RNs, 2 shall be LPNs, and 3 shall be members of the general public, which shall constitute a board of nursing, with the duties, power and authority set forth in this act.
(2) Upon the expiration of the term of any RN, the KSNA shall submit to the governor a list of RNs containing names of not less than 3x the # of persons to be appointed, and appointments shall be made after consideration of such list for terms of 4 yrs and until a successor is appointed and qualified.
(3) On the effective date of this act, the KS federation of LPNs shall submit to the governor a list of LPNs containing names of not less than 3x the number of persons to be appointed, and appointments shall be made after consideration of such list for a term of 4 years and until a successor is appointed and qualified.
(4) Each member of the general public shall be appointed for a term of 4 years and successors shall be appointed for a like term.
(5) Whenever a vacancy occurs on the board of nursing, it shall be filled by appointment for the remainder of the unexpired term in the same manner as the preceding appointment. No person shall serve more than 2 consecutive terms as a member of the board of nursing and appointment for the remainder of an unexpired term shall constitute a full term of service on such board.

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74-1106. (b) Qualifications of members.

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(b) Qualifications of members. Each member of the board shall be a citizen of the US and a resident of the state of KS. RN members shall possess a license to practice as a professional nurse in this state with at least 5yrs’ experience in nursing as such and shall be actively engaged in professional nursing in KS at the time of appointment and reappointment. The LPN members shall be licensed to practice practical nursing in the state with at least 5yrs’ experience in practical nursing and shall be actively engaged in practical nursing in Kansas at the time of appointment and reappointment. The governor shall appoint successors so that the RN membership of the board shall consist of at least 2 members who are engaged in nursing service, at least 2 members who are engaged in nursing education and at least 1 member who is engaged in practice as an advanced practice registered nurse or a registered nurse anesthetist. The consumer members shall represent the interests of the general public. At least one consumer member shall not have been involved in providing health care. Each member of the board shall take and subscribe the oath prescribed by law for state officers, which oath shall be filed with the secretary of state.

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74-1106 (c). Duties and Powers

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(1) The board shall meet annually at Topeka during the month of Sept and shall elect from its members a president, vice-president and secretary, each of whom shall hold their respective offices for one year. The board shall employ an executive administrator, who shall be a RN, who shall not be a member of the board and who shall be in the unclassified service under the Kansas civil service act, and shall employ such other employees, who shall be in the classified service under the Kansas civil service act as necessary to carry on the work of the board. As necessary, the board shall be represented by an attorney appointed by the attorney general as provided by law, whose compensation shall be determined and paid by the board with the approval of the governor. The board may hold such other meetings during the year as may be deemed necessary to transact its business.
(2) The board shall adopt rules and regulations consistent with this act necessary to carry into effect the provisions thereof, and such rules and regulations may be published and copies thereof furnished to any person upon application.
(3) The board shall prescribe curricula and standards for professional and practical nursing programs and mental health technician programs, and provide for surveys of such schools and courses at such times as it may deem necessary. It shall accredit such schools and approve courses as meet the requirements of the appropriate act and rules and regulations of the board.
(4) The board shall examine, license and renew licenses of duly qualified applicants and conduct hearings upon charges for limitation, suspension or revocation of a license or approval of professional and practical nursing and mental health technician programs and may limit, deny, suspend or revoke for proper legal cause, licenses or approval of professional and practical nursing and mental health technician programs, as 2
hereinafter provided. Examination for applicants for registration shall be given at least twice each year and as many other times as deemed necessary by the board. The board shall promote improved means of nursing education and standards of nursing care through institutes, conferences and other means.
(5) The board shall have a seal of which the executive administrator shall be the custodian. The president and the secretary shall have the power and authority to administer oaths in transacting business of the board, and the secretary shall keep a record of all proceedings of the board and a register of professional and practical nurses and mental health technicians licensed and showing the certificates of registration or licenses granted or revoked, which register shall be open at all times to public inspection.
(6) The board may enter into contracts as may be necessary to carry out its duties.
(7) The board is hereby authorized to apply for and to accept grants and may accept donations, bequests or gifts. The board shall remit all moneys received by it under this paragraph (7) to the state treasurer in accordance with the provisions of K.S.A. 75-4215, and amendments thereto. Upon receipt of each such remittance, the state treasurer shall deposit the entire amount in the state treasury to the credit of the grants and gifts fund which is hereby created. All expenditures from such fund shall be made in accordance with appropriation acts upon warrants of the director of accounts and reports issued pursuant to vouchers approved by the president of the board or a person designated by the president.
(8) A majority of the board of nursing including two professional nurse members shall constitute a quorum for the transaction of business.

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74-1106 (d) Subpoenas.

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(d) Subpoenas. In all investigations and proceedings, the board shall have the power to issue subpoenas and compel the attendance of witnesses and the production of all relevant and necessary papers, books, records, documentary evidence and materials. Any person failing or refusing to appear or testify regarding any matter about which such person may be lawfully questioned or to produce any books, papers, records, documentary evidence or relevant materials in the matter, after having been required by order of the board or by a subpoena of the board to do so, upon application by the board to any district judge in the state, may be ordered by such judge to comply therewith. Upon failure to comply with the order of the district judge, the court may compel obedience by attachment for contempt as in the case of disobedience of a similar order or subpoena issued by the court. A subpoena may be served upon any person named therein anywhere within the state with the same fees and mileage by an officer authorized to serve subpoenas in civil actions in the same procedure as is prescribed by the code of civil procedure for subpoenas issued out of the district courts of this state.

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74-1106 (e) Compensation and expenses.

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(e) Compensation and expenses. Members of the board of nursing attending meetings of such board, or attending a subcommittee meeting thereof authorized by such board, shall be paid compensation, subsistence allowances, mileage and other expenses as provided in K.S.A. 75-3223, and amendments thereto. No member of the board of nursing shall be paid an amount as provided in K.S.A. 75-3223, and amendments thereto, if such member receives an amount from another governmental or private entity for the purpose for which such amount is payable under K.S.A. 75-3223, and amendments thereto.

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74-1110. Civil fine

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74-1110. Civil fine. The board of nursing, in addition to any other penalty prescribed by law, may assess
a civil fine, after proper notice and an opportunity to be heard, against any person granted a license,
certificate of qualification or authorization to practice by the board of nursing for a violation of a law or
rule and regulation applicable to the practice for which such person has been granted a license, certificate
of qualification or authorization by the board in an amount not to exceed $1,000 for the first violation,
$2,000 for the second violation and $3,000 for the third violation and for each subsequent violation. All
fines assessed and collected under this section shall be remitted to the state treasurer in accordance with the
provisions of K.S.A. 75-4215, and amendments thereto. Upon receipt of each such remittance, the state
treasurer shall deposit the entire amount in the state treasury to the credit of the state general fund.

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74-1112. Applicant for licensure as a professional nurse, practical nurse or mental health technician to be
fingerprinted and submit to a state and national criminal history record check.

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74-1112. Applicant for licensure as a professional nurse, practical nurse or mental health technician to be
fingerprinted and submit to a state and national criminal history record check.
(a) The board of nursing may require an original applicant for licensure as a professional nurse, practical nurse
or mental health technician to be fingerprinted and submit to a state and national criminal history record
check. The fingerprints shall be used to identify the applicant and to determine whether the applicant has a
record of criminal history in this state or other jurisdictions. The board of nursing is authorized to submit
the fingerprints to the Kansas bureau of investigation and the federal bureau of investigation for a state and
national criminal history record check. The board of nursing may use the information obtained from
fingerprinting and the applicant’s criminal history for purposes of verifying the identification of any
applicant and in the official determination of character and fitness of the applicant for any licensure to
practice professional or practical nursing or mental health technology in this state.
(b) Local and state law enforcement officers and agencies shall assist the board of nursing in taking and
processing of fingerprints of applicants to practice professional or practical nursing or mental health
technology in this state and shall release all records of adult convictions and non convictions and adult
convictions or adjudications of another state or country to the board of nursing.
(c) The board shall fix a fee for fingerprinting of applicants or licensees, or both, as may be required by the
board in an amount necessary to reimburse the board for the cost of the fingerprinting. Fees collected
under this subsection shall be deposited in the criminal background and fingerprinting fund.
(d) There is hereby created in the state treasury the criminal background and fingerprinting fund. All moneys
credited to the fund shall be used to pay the Kansas bureau of investigation for the processing of
fingerprints and criminal history background checks for the board of nursing. The fund shall be
administered by the board of nursing. All expenditures from the fund shall be made in accordance with
appropriation acts upon warrants of the director of accounts and reports issued pursuant to vouchers
approved by the president of the board or a person designated by the president.

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65-1113. Definitions. (d) Practice of Nursing.

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(1) The practice of professional nursing as performed by a registered professional nurse for compensation or gratuitously, except as permitted by K.S.A. 65-1124, and amendments thereto, means the process in which substantial specialized knowledge derived from the biological, physical, and behavioral sciences is applied to: the care, diagnosis, treatment, counsel and health teaching of persons who are experiencing changes in the normal health processes or who require assistance in the maintenance of health or the prevention or management of illness, injury or infirmity; administration, supervision or teaching of the process as defined in this section; and the execution of the medical regimen as prescribed by a person licensed to practice medicine and surgery or a person licensed to practice dentistry.
(2) The practice of nursing as a licensed practical nurse means the performance for compensation or gratuitously, except as permitted by K.S.A. 65-1124, and any amendments thereto, of tasks and responsibilities defined in part (1) of this subsection (d) which tasks and responsibilities are based on acceptable educational preparation within the framework of supportive and restorative care under the direction of a registered professional nurse, a person licensed to practice medicine and surgery or a person licensed to practice dentistry.

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65-1114. Unlawful acts.
You cannot use any title, abbreviation, letters, figures, cards, or device indicating you are an RN or ARNP unless duly licensed/certified under the Kansas Nurse Practice Act.

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65-1114. Unlawful acts.
(a) It shall be unlawful for any person:
(1) To practice or to offer to practice professional nursing in this state;
(2) to use any title, abbreviation, letters, figures, sign, card or device to indicate that any person is a registered professional nurse;
(3) to practice or offer to practice practical nursing in this state; or
(4) to use any title, abbreviation, letters, figures, sign, card or device to indicate that any person is a licensed practical nurse, unless such person has been duly licensed under the provisions of this act.
(b) It shall be unlawful for any person:
(1) To practice or offer to practice as an advanced practice registered nurse in this state; or
(2) to use any title, abbreviation, letters, figures, sign, card or device to indicate that any person is an advance practice registered nurse, unless such person has been duly issued a license as an advanced practice registered nurse under the Kansas nurse practice act.

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65-1115. Licensure of professional nurses
(a) Qualifications of applicants. An applicant for a license to practice as a registered professional nurse shall:

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(a) Qualifications of applicants. An applicant for a license to practice as a registered professional nurse shall:
(1) have graduated from an approved school of professional nursing in the United States or its territories or
from a school of professional nursing in a foreign country which is approved by the board as defined in
rules and regulations;
(2) have obtained other qualifications not in conflict with this act as the board may prescribe by rule and
regulation; and
(3) file with the board written application for a license.

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65-1115. Licensure of professional nurses
(c) License.

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(c) License.
(1) The board shall issue a license to an applicant to practice as a registered professional nurse who has:
(A) Met the qualifications set forth in subsections (a) and (b);
(B) passed a written examination as prescribed by the board; and
(C) no disqualifying factors under K.S.A. 65-1120 and amendments thereto.
(2) The board may issue a license to practice nursing as a registered professional nurse to an applicant who
has been duly licensed as a registered professional nurse by examination under the laws of another
state or territory if, in the opinion of the board, the applicant meets the qualifications required of a
registered professional in this state. Verification of the applicant’s licensure status shall be required
from the original state of licensure.
(3) Refresher course. Notwithstanding the provisions of subsections (a) and (b), an applicant for a license
to practice as a registered professional nurse who has not been licensed to practice professional nursing
for five years preceding application shall be required to successfully complete a refresher course as
defined by the board.
(4) Renewal license. A licensed professional nurse licensed under this act shall be eligible for renewal
licenses upon compliance with K.S.A. 65-1117 and amendments thereto.
(5) Licensure examination within 24 months of graduation.
(A) Persons who do not take the licensure examination within 24 months after graduation shall
petition the board for permission prior to taking the licensure examination. The board may require
the applicant to submit and complete a plan of study prior to taking the licensure examination.
(B) Persons who are unsuccessful in passing the licensure examination within 24 months after
graduation shall petition the board for permission prior to subsequent attempts. The board may
require the applicant to submit and complete a plan of study prior to taking the licensure
examination a subsequent time. The study plan shall contain subjects related to deficiencies
identified on the failed examination profiles.
(6) An application for initial licensure or endorsement will be held awaiting completion of meeting
qualifications for a time period specified in rules and regulations.

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65-1117. Renewal of license; inactive license, fee; continuing education requirements; rules and regulations; reinstatement of lapsed license; notification of change in name or address or criminal conviction.

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(a) All licenses issued under the provisions of this act, whether initial or renewal, shall expire every two years. The expiration date shall be established by the rules and regulations of the board. The board shall send a notice for renewal of license to every registered professional nurse and licensed practical nurse at least 60 days prior to the expiration date of such person’s license. Every person so licensed who desires to renew such license shall file with the board, on or before the date of expiration of such license, a renewal application together with the prescribed biennial renewal fee. Every licensee who is no longer engaged in the active practice of nursing may so state by affidavit and submit such affidavit with the renewal application. An inactive license may be requested along with payment of a fee which shall be fixed by rules and regulations of the board. Except for the first renewal for a license that expires within 30 months following licensure examination or for renewal of a license that expires within the first nine months following licensure by reinstatement or endorsement, every licensee with an active nursing license shall submit with the renewal application evidence of satisfactory completion of a program of continuing nursing education required by the board. The board by duly adopted rules and regulations shall establish the requirements for such program of continuing nursing education. Continuing nursing education means learning experiences intended to build upon the educational and experiential bases of the registered professional and licensed practical nurse for the enhancement of practice, education, administration, research or theory development to the end of improving the health of the public. Upon receipt of such application, payment of fee, upon receipt of the evidence of satisfactory completion of the required program of continuing nursing education and upon being satisfied that the applicant meets the requirements set forth in K.S.A. 65-1115 or 65-1116 and amendments thereto in effect at the time of initial licensure of the applicant, the board shall verify the accuracy of the application and grant a renewal license.
(b) Any person who fails to secure a renewal license within the time specified herein may secure a reinstatement of such lapsed license by making verified application therefor on a form provided by the board, by rules and regulations, and upon furnishing proof that the applicant is competent and qualified to act as a registered professional nurse or licensed practical nurse and by satisfying all of the requirements for reinstatement including payment to the board of a reinstatement fee as established by the board. A reinstatement application for licensure will be held awaiting completion of such documentation as may be required, but such application shall not be held for a period of time in excess of that specified in rules and regulations.
(c) (1) Each licensee shall notify the board in writing of
(A) a change in name or address within 30 days of the change or
(B) a conviction of any felony or misdemeanor, that is specified in rules and regulations adopted by the board, within 30 days from the date the conviction becomes final.
(2) As used in this subsection, ‘‘conviction’’ means a final conviction without regard to whether the sentence was suspended or probation granted after such conviction. Also, for the purposes of this subsection, a forfeiture of bail, bond or collateral deposited to secure a defendant’s appearance in court, which forfeiture has not been vacated, shall be equivalent to a conviction. Failure to so notify the board shall not constitute a defense in an action relating to failure to renew a license, nor shall it constitute a defense in any other proceeding.

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65-1120. Grounds for disciplinary actions; Denial, revocation, limitation, or suspension of license

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(a) Grounds for disciplinary actions. The board may deny, revoke, limit or suspend any license or authorization to practice nursing as a registered professional nurse, as a licensed practical nurse, as an advanced practice registered nurse or as a registered nurse anesthetist that is issued by the board or applied for under this act or may publicly or privately censure a licensee or holder of a temporary permit or authorization, if the applicant, licensee or holder of a temporary permit or authorization is found after hearing:
(1) To be guilty of fraud or deceit in practicing nursing or in procuring or attempting to procure a license to practice nursing;
(2) to have been guilty of a felony or to have been guilty of a misdemeanor involving an illegal drug offense unless the applicant or licensee establishes sufficient rehabilitation to warrant the public trust, except that notwithstanding K.S.A. 74-120, and amendments thereto, no license or authorization to practice nursing as a licensed professional nurse, as a licensed practical nurse, as an advanced practice registered nurse or registered nurse anesthetist shall be granted to a person with a felony conviction for a crime against persons as specified in article 34 of chapter 21 of the Kansas Statutes Annotated, prior to their repeal, or article 54 chapter 21 of the Kansas Statutes annotated, or K.S.A. 2012 Supp. 21-6104, 21-6325, 21-6326 or 21-6418, and amendments thereto;
(3) to have committed an act of professional incompetency as defined in subsection (e);
(4) to be unable to practice with skill and safety due to current abuse of drugs or alcohol;
(5) to be a person who has been adjudged in need of a guardian or conservator, or both, under the act for obtaining a guardian or conservator, or both, and who has not been restored to capacity under that act;
(6) to be guilty of unprofessional conduct as defined by rules and regulations of the board;
(7) to have willfully or repeatedly violated the provisions of the Kansas nurse practice act or any rules and regulations adopted pursuant to that act, including K.S.A. 65-1114 and 65-1122 and amendments thereto;
(8) to have a license to practice nursing as a registered nurse or as a practical nurse denied, revoked, limited or suspended, or to be publicly or privately censured, by a licensing authority of another state, agency of the United States government, territory of the United States or country or to have other disciplinary action taken against the applicant or licensee by a licensing authority of another state, agency of the United States government, territory of the United States or country. A certified copy of the record or order of public or private censure, denial, suspension, limitation, revocation or other disciplinary action of the licensing authority of another state, agency of the United States government, territory of the United States or country shall constitute prima facie evidence of such a fact for purposes of this paragraph (8); or
(9) to have assisted suicide in violation of K.S.A. 21-3406, prior to its repeal, or K.S.A. 2012 Supp. 21-5407, and amendments thereto, as established by any of the following:
(A) A copy of the record of criminal conviction or plea of guilty for a felony in violation of K.S.A.
21-3406, prior to its repeal or K.S.A. 2012 Supp. 21-5407, and amendments thereto.
(B) A copy of the record of a judgment of contempt of court for violating an injunction issued under
K.S.A. 2012 Supp. 60-4404, and amendments thereto.
(C) A copy of the record of a judgment assessing damages under K.S.A. 2012 Supp. 60-4405, and amendments thereto.

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65-1120. (b) Proceedings

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(b) Proceedings. Upon filing of a sworn complaint with the board charging a person with having been guilty of any of the unlawful practices specified in subsection (a), two or more members of the board shall investigate the charges, or the board may designate and authorize an employee or employees of the board to conduct such investigation. After investigation, the board may institute charges. If an investigation, in the opinion of the board, reveals reasonable grounds for believing the applicant or licensee is guilty of the charges, the board shall fix a time and place for proceedings, which shall be conducted in accordance with the provisions of the Kansas administrative procedure act.

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65-1120 (e) Professional incompetency defined.

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(e) Professional incompetency defined. As used in this section, “professional incompetency” means:
(1) One or more instances involving failure to adhere to the applicable standard of care to a degree which constitutes gross negligence, as determined by the board;
(2) repeated instances involving failure to adhere to the applicable standard of care to a degree which constitutes ordinary negligence, as determined by the board; or
(3) a pattern of practice or other behavior which demonstrates a manifest incapacity or incompetence to practice nursing.

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65-1122. Misdemeanors; penalties. It is a violation of law for any person, firm, corporation or association to:

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(b) practice professional nursing, practical nursing or practice as an advanced practice registered nurse, unless duly licensed to do so;

(d) practice professional nursing, practical nursing or as an advanced practice registered nurse during the time a license issued under the provisions of the Kansas nurse practice act shall have expired or shall have been suspended or revoked;

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65-1124. Acts which are not prohibited. No provision of this law shall be construed as prohibiting:

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65-1124. Acts which are not prohibited. No provision of this law shall be construed as prohibiting:
(a) Gratuitous nursing by friends or members of the family;
(b) the incidental care of the sick by domestic servants or persons primarily employed as
housekeepers;
(c) caring for the sick in accordance with tenets and practices of any church or religious denomination
which teaches reliance upon spiritual means through prayer for healing;
(d) nursing assistance in the case of an emergency;
(e) the practice of nursing by students as part of a clinical course offered through a school of
professional or practical nursing or program of advanced registered professional nursing approved
in the United States or its territories;
(f) the practice of nursing in this state by legally qualified nurses of any of the other states as long as
the engagement of any such nurse requires the nurse to accompany and care for a patient
temporarily residing in this state during the period of one such engagement not to exceed six
months in length, and as long as such nurses do not represent or hold themselves out as nurses
licensed to practice in this state;
(g) the practice by any nurse who is employed by the United States government or any bureau,
division or agency thereof, while in the discharge of official duties;
(h) auxiliary patient care services performed in medical care facilities, adult care homes or elsewhere
by persons under the direction of a person licensed to practice medicine and surgery or a person
licensed to practice dentistry or the supervision of a registered professional nurse or a licensed
practical nurse;
(i) the administration of medications to residents of adult care homes or to patients in hospital-based
long-term care units, including state operated institutions for the mentally retarded, by an
unlicensed person who has been certified as having satisfactorily completed a training program in
medication administration approved by the secretary of health and environment and has completed
the program on continuing education adopted by the secretary, or by an unlicensed person while
engaged in and as a part of such training program in medication administration;
(j) the practice of mental health technology by licensed mental health technicians as authorized under
the mental health technicians’ licensure act;
(k) performance in the school setting of nursing procedures when delegated by a licensed professional
nurse in accordance with the rules and regulations of the board;
(l) performance of attendant care services directed by or on behalf of an individual in need of inhome
care as the terms “attendant care services” and “individual in need of in-home care” are
defined under K.S.A. 65-6201 and amendments thereto;
(m) performance of a nursing procedure by a person when that procedure is delegated by a licensed
nurse, within the reasonable exercise of independent nursing judgment and is performed with
reasonable skill and safety by that person under the supervision of a registered professional nurse
or a licensed practical nurse;
(n) the practice of nursing by an applicant for Kansas nurse licensure in the supervised clinical portion
of a refresher course;
(o) the teaching of the nursing process in this state by legally qualified nurses of any of the other
states while in consultation with a licensed Kansas nurse as long as such individuals do not
represent or hold themselves out as nurses licensed to practice in this state.

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65-1127. Immunity from liability in civil actions for reporting,

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(a) No person reporting to the board of nursing under oath and in good faith any information such
person may have relating to alleged incidents of malpractice or the qualifications, fitness or
character of a person licensed to practice professional nursing or licensed to practice practical
nursing shall be subject to civil action for damages as a result of reporting such information.

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65-1135. Complaint or information relating to complaint confidential; exceptions.

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65-1135. Complaint or information relating to complaint confidential; exceptions.
(a) Any complaint or report, record or other information relating to the investigation of a complaint
about a person licensed by the board which is received, obtained or maintained by the board is
confidential and shall not be disclosed by the board or its employees in a manner which identified
or enables identification of the person who is the subject or source of such information except:
(1) In a disciplinary proceeding conducted by the board pursuant to law or in an appeal of the
order of the board entered in such proceeding, or to any party to such proceeding or appeal or
such party's attorney;
(2) to the proper licensing or disciplinary authority of another jurisdiction, if any disciplinary
action authorized by K.S.A. 65-1120 and amendments thereto has at any time been taken
against the licensee or the board has at any time denied a license certificate or authorization to
the person; or
(3) to the person who is the subject of the information, but the board may require disclosure in
such a manner as to prevent identification of any other person who is the subject or source of
the information.
(b) This section shall be part of and supplemental to the Kansas nurse practice act.

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65-1136. Intravenous fluid therapy; qualifications of licensed practical nurses to administer;
definitions; rules and regulations; advisory committee established; prohibitions; exceptions.
(a) As used in this section:
(1) ‘‘Provider’’ means a person who is approved by the board to administer an examination and
to offer an intravenous fluid therapy course which has been approved by the board.
(2) ‘‘Person’’ means an individual, organization, agency, institution or other legal entity.
(3) ‘‘Examination’’ means an intravenous fluid therapy competency examination approved by the
board.
(4) ‘‘Supervision’’ means provision of guidance by a qualified nurse for the accomplishment of a
nursing task or activity with initial direction of the task or activity and periodic inspection of
the actual act of accomplishing the task or activity.

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65-1136. Intravenous fluid therapy; qualifications of licensed practical nurses to administer;
(b) A licensed practical nurse may perform a limited scope of intravenous fluid therapy under the
supervision of a registered professional nurse.
(c) A licensed practical nurse may perform an expanded scope of intravenous fluid therapy under the
supervision of a registered professional nurse, if the licensed practical nurse:
(1) Successfully completes an intravenous fluid therapy course given by a provider and passes an
intravenous fluid therapy examination administered by a provider; or
(2) has had one year clinical experience, has performed intravenous fluid therapy prior to July 1,
1995, and has successfully passed an examination; or
(3) has successfully completed an intravenous fluid therapy course and passed an intravenous
fluid therapy examination not administered by a provider and, upon application to the board
for review and approval of such course and examination, the board has determined that such
course and examination meets or exceeds the standards required under this act for an
approved course and approved examination; or
(4) prior to July 1, 2001, qualified under paragraph (3) of this sub-section (c), as such subsection
existed immediately prior to July 1, 2001, to perform an expanded scope of intravenous fluid
therapy.
(d) The board may adopt rules and regulations:
(1) Which define the limited and expanded scope of practice of intravenous fluid therapy which
may be performed by a licensed practical nurse under the supervision of a registered
professional nurse;
(2) which restricts specific intravenous fluid therapy practices;
(3) which prescribe standards for an intravenous fluid therapy course and examination required of
a provider;
(4) which govern provider record requirements;
(5) which prescribe the procedure to approve, condition, limit and withdraw approval as a
provider; and
(6) which further implement the provisions of this section.
(e) An advisory committee of not less than two board members and five nonboard members shall be
established by the board to advise and assist the board in implementing this section as determined
by the board. The advisory committee shall meet at least annually. Members of the advisory
committee shall receive amounts provided for in subsection (e) of K.S.A. 75-3223 and
amendments thereto for each day of actual attendance at any meeting of the advisory committee or
any subcommittee meeting of the advisory committee authorized by the board.
(f) No licensed practical nurse shall perform intravenous fluid therapy unless qualified to perform
intravenous fluid therapy under this section and rules and regulations adopted by the board.
(g) Nothing in this section shall be construed to prohibit the performance of intravenous fluid therapy
by a registered professional nurse.
(h) Nothing in this section shall be construed to prohibit performance of intravenous fluid therapy by
a licensed practical nurse when performed by delegation of a person licensed to practice medicine
and surgery or dentistry.

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65-1165. Supervision of delegated nursing procedures.

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65-1165. Supervision of delegated nursing procedures.
(a) All nursing procedures, including but not limited to administration of medication, delegated by a
licensed nurse to a designated unlicensed person shall be supervised. The degree of supervision
required shall be determined by the licensed nurse after an assessment of appropriate factors which
may include:
(1) The health status and mental and physical stability of the individual receiving the nursing
care;
(2) the complexity of the procedure to be delegated;
(3) the training and competency of the unlicensed person to whom the procedure is to be
delegated; and
(4) the proximity and availability of the licensed nurse to the designated unlicensed person when
the selected nursing procedure will be performed.
(b) As used in this section, “supervision” has the meaning ascribed to such term under subsection (a)
of K.S.A. 65-1136 and amendments thereto.
(c) This section shall be part of and supplemental to the Kansas nurse practice act.

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60-3-101. Licensure.
(a) Licensure by examination.
(b) Licensure by endorsement.
(c) Information regarding examinations.
(d) Application for reexamination. Any applicant who fails to make a passing score on the
licensure examination may retake the examination and shall pay an examination fee for each
retest as established by K.A.R. 60-4-101.

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60-3-101. Licensure.
(a) Licensure by examination.
(1) Not later than 30 days before the examination date, each applicant for licensure by
examination shall file with the board a completed application and tender the fee prescribed by
K.A.R. 60-4-101.
(2) The application shall be filed on a form adopted by the board.
(3) Each applicant for nursing licensure shall take and pass the examination prepared by the
national council of state boards of nursing.
(b) Licensure by endorsement.
(1) Each applicant for licensure by endorsement shall file with the board a completed application
and tender the fee prescribed by K.A.R. 60-4-101. The application shall be filed on a form
adopted by the board.
(2) Verification of a current Kansas license shall be provided to other state boards upon request
and upon payment of the prescribed fee.
(c) Information regarding examinations.
(1) The examination for licensure shall be administered at designated sites.
(2) Each candidate shall present a validated admission card in order to be admitted to the
examination center.
(3) Any applicant cheating or attempting to cheat during the examination shall be deemed not to
have passed the examination.
(4) If the answer key is lost or destroyed through circumstances beyond the control of the board,
the candidate shall be required to retake the examination in order to meet requirements for
licensure, except that there shall be no examination fee charged to the applicant.
(5) Individual examination results shall be released to the school from which the examinee
graduated.
(6) Any candidate requesting modifications to the examination procedures or materials because of
a learning disability shall provide written documentation from the appropriate medical
professional confirming the learning disability, an evaluation completed within the last five
years by a learning disabilities evaluation team, and a letter from the nursing program
confirming learning and testing modifications made during the course of study.
(d) Application for reexamination. Any applicant who fails to make a passing score on the
licensure examination may retake the examination and shall pay an examination fee for each
retest as established by K.A.R. 60-4-101.

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60-3-102 Duplicate of license

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60-3-102. Duplicate of license. When a license has been lost or destroyed, a duplicate may be issued by
the board upon payment of a fee. The fee may be waived if the license has been stolen.

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60-3-103. Change of name.

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60-3-103. Change of name. Once an application for licensure has been filed or a license has been issued
the applicant or licensee shall submit an affidavit indicating a change of name upon forms approved by the
board.

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(d) If an individual fails to pass the licensure examination or does not take the licensure examination within 24
months after graduation, the individual shall petition the board in writing before being allowed to take or
retake the licensure examination. The petition shall be submitted on a form provided by the board and shall
contain the following, as applicable:

(e) An individual shall be allowed by the board to retake the licensure examination after 24 months from
graduation only upon demonstrating to the board’s satisfaction that the individual has identified and
addressed the reasons for prior failure and that there is a reasonable probability that the individual will pass
the examination. A plan of study or review course may be required by the board before the individual
retakes the licensure examination.
(f) If the board requires a plan of study before retaking the licensure examination, the plan shall contain the
following:
(g) A registered professional nurse shall provide written verification that the individual has completed the study
plan.
(h) Academic nursing courses, clinical observations, or other learning activities to meet study requirements may
also be prescribed by the board.

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(d) If an individual fails to pass the licensure examination or does not take the licensure examination within 24
months after graduation, the individual shall petition the board in writing before being allowed to take or
retake the licensure examination. The petition shall be submitted on a form provided by the board and shall
contain the following, as applicable:
(1) The name of the school of graduation;
(2) the date of graduation;
(3) the number of months or years since graduation;
(4) the number of times that the individual has taken the licensure examination;
(5) the dates of the licensure examinations;
(6) areas of deficiency identified on the diagnostic profile for each examination;
(7) copies of all diagnostic profiles;
(8) any study completed since the last attempt of taking the licensure examination;
(9) any work experience in the last two years; and
(10) a sworn statement by the petitioner that the facts contained in the petition are true to the best of that
person’s knowledge and belief.
(e) An individual shall be allowed by the board to retake the licensure examination after 24 months from
graduation only upon demonstrating to the board’s satisfaction that the individual has identified and
addressed the reasons for prior failure and that there is a reasonable probability that the individual will pass
the examination. A plan of study or review course may be required by the board before the individual
retakes the licensure examination.
(f) If the board requires a plan of study before retaking the licensure examination, the plan shall contain the
following:
(1) A list of all the low performance areas of the test plan identified by the diagnostic profile from each
examination;
(2) a specific content outline for all of the areas of low performance on the diagnostic profile;
(3) methods of study, including the following:
(A) Self-study;
(B) study groups;
(C) tutors; or
(D) any other methods approved by the board;
(4) a schedule for study that meets the following requirements:
(A) 30 hours for each low performance area;
(B) a start date; and
(C) completion in six months or the petition shall be considered abandoned;
(5) learning resources identified to be used in the study that meet these requirements:
(A) A written bibliography in a standard documentation format, with resources no more than five years
old; and
(B) four types for each low performance area selected from the list as follows:
(i) Textbooks;
(ii) journals;
(iii) review books;
(iv) audiovisuals;
(v) computer-assisted instruction; or
(vi) computer review programs.
(g) A registered professional nurse shall provide written verification that the individual has completed the study
plan.
(h) Academic nursing courses, clinical observations, or other learning activities to meet study requirements may
also be prescribed by the board.

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60-3-107. Expiration dates of applications.

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60-3-107. Expiration dates of applications. Applications for initial licensure by examination or
endorsement and for reinstatement while awaiting documentation of qualifications shall be active for six
months.
(a) The expiration date of each application shall be six months after the date of receipt at the board's
office.
(b) If the application has expired, each individual seeking licensure shall submit a new application
along with the appropriate fee as prescribed by K.A.R. 60-4-101.

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60-3-108. License expiration and renewal.

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60-3-108. License expiration and renewal.
(a) Except as specified in subsection (b), all licenses for registered professional nurses and licensed
practical nurses shall be renewed according to the following requirements:
(1) The expiration date of each license shall be the last day of the month in which the licensee's
birthday occurs.
(2) (A) The renewal date for each licensee whose year of birth is an odd-numbered year shall be
in each odd-numbered year.
(B) The renewal date for each licensee whose year of birth is an even-numbered year shall be
in each even-numbered year.
(b) If a licensee would otherwise be required to renew the license within six months from the date on
which the licensee qualified for the license, the expiration and renewal date shall be the last day of
the month following the licensee's third birthday from the date of licensure or reinstatement.

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60-3-109a. Standards of practice.

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60-3-109a. Standards of practice.
(a) Each registered professional nurse shall be familiar with the Kansas nurse practice act, the
standards of practice of the profession and the code of ethics for professional nurses.

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60-3-110. Unprofessional conduct. Any of the following shall constitute “unprofessional conduct”:

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60-3-110. Unprofessional conduct. Any of the following shall constitute “unprofessional conduct”:
(a) Performing acts beyond the authorized scope of the level of nursing for which the individual is
licensed;
(b) assuming duties and responsibilities within the practice of nursing without making or obtaining
adequate preparation or maintaining competency;
(c) failing to take appropriate action or to follow policies and procedures in the practice situation
designed to safeguard each patient;
(d) inaccurately recording, falsifying, or altering any record of a patient or agency or of the board;
(e) physical abuse, which shall be defined as any act or failure to act performed intentionally or
carelessly that causes or is likely to cause harm to a patient. This term may include any of the
following:
(1) The unreasonable use of any physical restraint, isolation, or medication that harms or is likely
to harm a patient;
(2) the unreasonable use of any physical or chemical restraint, medication, or isolation as
punishment, for convenience, in conflict with a physician's order or a policy and procedure of
the facility or a state statute or regulation, or as a substitute for treatment, unless the use of the
restraint, medication, or isolation is in furtherance of the health and safety of the patient;
(3) any threat, menacing conduct, or other nontherapeutic or inappropriate action that results in or
might reasonably be expected to result in a patient’s unnecessary fear or emotional or mental
distress; or
(4) failure or omission to provide any goods or services that are reasonably necessary to ensure
safety and well-being and to avoid physical or mental harm;
(f) commission of any act of sexual abuse, sexual misconduct, or sexual exploitation related to the
licensee's practice;
(g) verbal abuse, which shall be defined as any word or phrase spoken inappropriately to or in the
presence of a patient that results in or might reasonably be expected to result in the patient’s
unnecessary fear, emotional distress, or mental distress;
(h) delegating any activity that requires the unique skill and substantial specialized knowledge derived
from the biological, physical, and behavioral sciences and judgment of the nurse to an unlicensed
individual in violation of the Kansas nurse practice act or to the detriment of patient safety;
(i) assigning the practice of nursing to a licensed individual in violation of the Kansas nurse practice
act or to the detriment of patient safety;
(j) violating the confidentiality of information or knowledge concerning any patient;
(k) willfully or negligently failing to take appropriate action to safeguard a patient or the public from
incompetent practice performed by a registered professional nurse or a licensed practical nurse.
"Appropriate action" may include reporting to the board of nursing;
(l) leaving an assignment that has been accepted, without notifying the appropriate authority and
allowing reasonable time for replacement;
(m) engaging in conduct related to licensed nursing practice that is likely to deceive, defraud, or harm
the public;
(n) diverting drugs, supplies, or property of any patient or agency;
(o) exploitation, which shall be defined as misappropriating a patient's property or taking unfair
advantage of a patient's physical or financial resources for the licensee's or another individual's
personal or financial advantage by the use of undue influence, coercion, harassment, duress,
deception, false pretense, or false representation;
(p) solicitation of professional patronage through the use of fraudulent or false advertisements, or
profiting by the acts of those representing themselves to be agents of the licensee;
(q) advertising nursing superiority or advertising the performance of nursing services in a superior
manner;
(r) failing to comply with any disciplinary order of the board;
(s) failing to complete the requirements of the impaired provider program of the board;
(t) failing to furnish the board, its investigators, or its representatives with any information legally
requested by the board;
(u) engaging in nursing practice while using a false or assumed name or while impersonating another
person licensed by the board;
(v) practicing without a license or while the license has lapsed;
(w) allowing another person to use the licensee's license to practice nursing; or
(x) knowingly aiding or abetting another in any act that is a violation of any healthcare licensing act.

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60-3-113. Reporting of certain misdemeanor convictions by the licensee. Pursuant to K.S.A. 65-1117 and
amendments thereto, each licensee shall report to the board any misdemeanor conviction for any of the following
substances or types of conduct:

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60-3-113. Reporting of certain misdemeanor convictions by the licensee. Pursuant to K.S.A. 65-1117 and
amendments thereto, each licensee shall report to the board any misdemeanor conviction for any of the following
substances or types of conduct:
(a) Alcohol;
(b) any drugs;
(c) deceit;
(d) dishonesty;
(e) endangerment of a child or vulnerable adult;
(f) falsification;
(g) fraud;
(h) misrepresentation;
(i) physical, emotional, financial, or sexual exploitation of a child or vulnerable adult;
(j) physical or verbal abuse;
(k) theft;
(l) violation of a protection from abuse order or protection from stalking order; or
(m) any action arising out of a violation of any state or federal regulation.

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60-4-101. Payment of fees. The following fees shall be charged by the board of nursing:

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60-4-101. Payment of fees. The following fees shall be charged by the board of nursing:
(a) Fees for professional nurses.
(1) Application for license by endorsement to Kansas ......................................................................... $75.00
(2) Application for license by examination ............................................................................................ 75.00
(3) Biennial renewal of license ............................................................................................................... 60.00
(4) Application for reinstatement of license without temporary permit.................................................. 70.00
(5) Application for reinstatement of license with temporary permit....................................................... 95.00
(6) Certified copy of Kansas license....................................................................................................... 25.00
(7) Inactive license.................................................................................................................................. 10.00
(8) Verification of licensure.................................................................................................................... 25.00
(9) Application for exempt license ......................................................................................................... 50.00
(10) Renewal of exempt license ............................................................................................................... 50.00
(b) Fees for practical nurses.
(1) Application for license by endorsement to Kansas ...........................................................................50.00
(2) Application for license by examination ............................................................................................ 50.00
(3) Biennial renewal of license ............................................................................................................... 60.00
(4) Application for reinstatement of license without temporary permit.................................................. 70.00
(5) Application for reinstatement of license with temporary permit....................................................... 95.00
(6) Certified copy of Kansas license....................................................................................................... 25.00
(7) Inactive license.................................................................................................................................. 10.00
(8) Verification of licensure.................................................................................................................... 25.00
(9) Application for exempt license ......................................................................................................... 50.00
(10) Renewal of exempt license ............................................................................................................... 50.00

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60-9-105. Definitions.
(e) “Certificate”
(g) “Clinical hours”
(i) “Computer-based instruction”
(k) “Distance learning”
(m) “Individual offering approval”

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(e) “Certificate” means a document that is proof of completion of an offering consisting of one or more contact hours.
(g) “Clinical hours” means planned learning experiences in a clinical setting. Three clinical hours equal one contact hour.
(i) “Computer-based instruction” means a learning application that provides computer control to solve an instructional problem or to facilitate an instructional opportunity.
(k) “Distance learning” means the acquisition of knowledge and skills through information and instruction delivered by means of a variety of technologies.
(m) “Individual offering approval” and “IOA” mean a request for approval of an education offering meeting the definition of CNE, as defined in K.S.A. 65-1117 and amendments thereto, but not presented by an approved provider or other acceptable approving body, as described in K.S.A. 65-1119 and amendments thereto.

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60-9-106. Continuing nursing education for license renewal.

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60-9-106. Continuing nursing education for license renewal.
(a) At the time of license renewal, any licensee may be required to submit proof of completion of 30 contact hours of approved continuing nursing education (CNE). This proof shall be documented as follows:
(1) (A) Name of CNE offering or college course;
(B) provider name or name of the accrediting organization;
(C) provider number or number of the accrediting organization, if applicable;
(D) offering date; and
(E) number of contact hours; or
(2) approved IOA.
(b) The required 30 contact hours of approved CNE shall have been completed during the most recent prior licensing period. Contact hours accumulated in excess of the 30-hour requirement shall not be carried over to the next renewal period.
(c) Acceptable CNE may include any of the following:
(1) An offering presented by an approved long-term or single provider;
(2) an offering as designated in K.S.A. 65-1119(e), and amendments thereto;
(3) an offering for which a licensee has submitted an individual offering approval (IOA). Before licensure renewal, the licensee may submit an application for an IOA to the board, accompanied by the following:
(A) An agenda with behavioral objectives describing learning outcomes; and
(B) official documentation of earned contact hours;
(4) a maximum of 15 contact hours for the first-time preparation and presentation as an instructor of an approved offering to licensed nurses. Two contact hours of instructor credit shall be granted for each hour of presentation;
(5) an offering utilizing a board-approved curriculum developed by the American heart association, emergency nurses association, or Mandt, which may include the following:
(A) Advanced cardiac life support;
(B) emergency nursing pediatric course;
(C) pediatric advanced life support;
(D) trauma nurse core course;
(E) neonatal resuscitation program; or
(F) Mandt program;
(6) independent study;
(7) distance learning offerings;
(8) a board-approved refresher course;
(9) participation as a member of a nursing organization board of directors or the state board of nursing, including participation as a member of a committee reporting to the board. The maximum number of allowable contact hours shall be six and shall not exceed three contact hours each year. A letter from an officer of the board confirming the dates of participation shall be accepted as documentation of this type of CNE; or
(10) any college courses in science, psychology, sociology, or statistics that are prerequisites for a nursing degree.
(d) Fractions of hours over 30 minutes to be computed towards a contact hour shall be accepted.
(e) Contact hours shall not be recognized by the board for any of the following:
(1) Identical offerings completed within a renewal period;
(2) offerings containing the same content as courses that are part of basic preparation at the level of current licensure or certification;
(3) in-service education, on-the-job training, orientation, and institution-specific courses;
(4) an incomplete or failed college course or any college course in literature and composition, public speaking, basic math, algebra, humanities, or other general education requirements unless the course meets the definition of CNE; or
(5) offerings less than 30 minutes in length.

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60-15-101. Definitions and functions.

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60-15-101. Definitions and functions.
(a) Each registered professional nurse in a school setting shall be responsible for the nature and quality of all
nursing care that a student is given under the direction of the nurse in the school setting. Assessment of the
nursing needs, the plan of nursing action, implementation of the plan, and evaluation of the plan shall be
considered essential components of professional nursing practice and shall be the responsibility of the
registered professional nurse.
(b) In fulfilling nursing care responsibilities, any nurse may perform the following:
(1) Serve as a health advocate for students receiving nursing care;
(2) counsel and teach students, staff, families, and groups about health and illness;
(3) promote health maintenance;
(4) serve as health consultant and a resource to teachers, administrators, and other school staff who are
providing students with health services during school attendance hours or extended program hours; and
(5) utilize nursing theories, communication skills, and the teaching-learning process to function as part of
the interdisciplinary evaluation team.
(c) The services of a registered professional nurse may be supplemented by the assignment of tasks to a licensed
practical nurse or by the delegation of selected nursing tasks or procedures to unlicensed personnel under
supervision by the registered professional nurse or licensed practical nurse.
(d) “Unlicensed person” means anyone not licensed as a registered professional nurse or licensed practical nurse.
(e) “Delegation” means authorization for an unlicensed person to perform selected nursing tasks or procedures
in the school setting under the direction of a registered professional nurse.
(f) “Activities of daily living” means basic caretaking or specialized caretaking.
(g) “Basic caretaking” means the following tasks:
(1) Bathing;
(2) dressing;
(3) grooming;
(4) routine dental, hair, and skin care;
(5) preparation of food for oral feeding;
(6) exercise, excluding occupational therapy and physical therapy procedures;
(7) toileting, including diapering and toilet training;
(8) handwashing;
(9) transferring; and
(10) ambulation.
(h) “Specialized caretaking” means the following procedures:
(1) Catherization;
(2) ostomy care;
(3) preparation and administration of gastrostomy tube feedings;
(4) care of skin with damaged integrity or potential for this damage;
(5) medication administration;
(6) taking vital signs;
(7) blood glucose monitoring, which shall include taking glucometer readings and carbohydrate counting;
and
(8) performance of other nursing procedures as selected by the registered professional nurse.
(i) “Anticipated health crisis” means that a student has a previously diagnosed condition that, under predictable
circumstances, could lead to an imminent risk to the student's health.
(j) “Investigational drug” means a drug under study by the United States food and drug administration to
determine safety and efficacy in humans for a particular indication.
(k) “Nursing judgment” means the exercise of knowledge and discretion derived from the biological, physical,
and behavioral sciences that requires special education or curriculum.
(l) “Extended program hours” means any program that occurs before or after school attendance hours and is
hosted or controlled by the school.
(m) “School attendance hours” means those hours of attendance as defined by the local educational agency or
governing board.
(n) “School setting” means any public or nonpublic school environment.
(o) “Supervision” means the provision of guidance by a nurse as necessary to accomplish a
nursing task or procedure, including initial direction of the task or procedure and periodic
inspection of the actual act of accomplishing the task or procedure.

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60-15-101. Definitions and functions.

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(p) “Medication” means any drug required by the federal or state food, drug, and cosmetic acts to bear on its
label the legend “Caution: Federal law prohibits dispensing without prescription,” and any drugs labeled as investigational drugs or prescribed for investigational purposes.
(q) “Task” means an assigned step of a nursing procedure.
(r) “Procedure” means a series of steps followed in a regular, specific order that is part of a defined nursing
practice.

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60-15-102. Delegation procedures. Each registered professional nurse shall maintain the primary responsibility for
delegating tasks to unlicensed persons. The registered professional nurse, after evaluating a licensed practical nurse’s
competence and skill, may decide whether the licensed practical nurse under the direction of the registered professional
nurse may delegate tasks to unlicensed persons in the school setting. Each nurse who delegates nursing tasks or
procedures to a designated unlicensed person in the school setting shall meet the requirements specified in this
regulation.

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60-15-102. Delegation procedures. Each registered professional nurse shall maintain the primary responsibility for
delegating tasks to unlicensed persons. The registered professional nurse, after evaluating a licensed practical nurse’s
competence and skill, may decide whether the licensed practical nurse under the direction of the registered professional
nurse may delegate tasks to unlicensed persons in the school setting. Each nurse who delegates nursing tasks or
procedures to a designated unlicensed person in the school setting shall meet the requirements specified in this
regulation.
(a) Each registered professional nurse shall perform the following:
(1) Assess each student's nursing care needs;
(2) formulate a plan of care before delegating any nursing task or procedure to an
unlicensed person; and
(3) formulate a plan of nursing care for each student who has one or more
long-term or chronic health conditions requiring nursing interventions.
(b) The selected nursing task or procedure to be delegated shall be one that a reasonable and prudent nurse
would determine to be within the scope of sound nursing judgment and that can be performed properly and
safely by an unlicensed person.
(c) Any designated unlicensed person may perform basic caretaking tasks or procedures as defined in K.A.R.
60-15-101 (g) without delegation. After assessment, a nurse may delegate specialized caretaking tasks or
procedures as defined in K.A.R. 60-15-101 (h) to a designated unlicensed person.
(d) The selected nursing task or procedure shall be one that does not require the designated unlicensed person to
exercise nursing judgment or intervention.
(e) If an anticipated health crisis that is identified in a nursing care plan occurs, the unlicensed person may
provide immediate care for which instruction has been provided.
(f) The designated unlicensed person to whom the nursing task or procedure is delegated shall be adequately
identified by name in writing for each delegated task or procedure.
(g) Each registered professional nurse shall orient and instruct unlicensed persons in the performance of the
nursing task or procedure. The registered professional nurse shall document in writing the unlicensed
person's demonstration of the competency necessary to perform the delegated task or procedure. The
designated unlicensed person shall co-sign the documentation indicating the person's concurrence with this
competency evaluation.
(h) Each registered professional nurse shall meet these requirements:
(1) Be accountable and responsible for the delegated nursing task or procedure;
(2) at least twice during the academic year, participate in joint evaluations of the services rendered;
(3) record the services performed; and
(4) adequately supervise the performance of the delegated nursing task or procedure in accordance with the
requirements of K.A.R. 60-15-103.

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60-15-103. Supervision of delegated tasks or procedures. Each registered professional or licensed
practical nurse shall supervise all nursing tasks or procedures delegated to a designated unlicensed person
in the school setting in accordance with the following conditions.

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60-15-103. Supervision of delegated tasks or procedures. Each registered professional or licensed
practical nurse shall supervise all nursing tasks or procedures delegated to a designated unlicensed person
in the school setting in accordance with the following conditions.
(a) The registered professional nurse shall determine the degree of supervision required after an
assessment of appropriate factors, including the following:
(1) The health status and mental and physical stability of the student receiving the nursing care;
(2) the complexity of the task or procedure to be delegated;
(3) the training and competency of the unlicensed person to whom the task or procedure is to be
delegated; and
(4) the proximity and availability of the registered professional nurse to the designated unlicensed
person when the selected nursing task or procedure will be performed.
(b) The supervising registered professional nurse may designate whether or not the nursing task or
procedure is one that may be delegated or supervised by a licensed practical nurse.
(c) Each delegating registered professional nurse shall have a plan to provide nursing care when the
delegating nurse is absent.

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60-15-104. Medication administration in a school setting. Any registered professional nurse may delegate the
procedure of medication administration in a school setting only in accordance with this article.

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60-15-104. Medication administration in a school setting. Any registered professional nurse may delegate the
procedure of medication administration in a school setting only in accordance with this article.
(a) Any registered professional nurse may delegate the procedure of medication administration in a school setting
to unlicensed persons if both of the following conditions are met:
(1) The administration of the medication does not require dosage calculation. Measuring a prescribed amount
of liquid medication, breaking a scored tablet for administration, or counting carbohydrates for the purpose
of determining dosage for insulin administration shall not be considered calculation of the medication
dosage.
(2) The nursing care plan requires administration by accepted methods of administration other than those listed
in subsection (b).
(b) A registered professional nurse shall not delegate the procedure of medication administration in a school setting
to unlicensed persons when administered by any of these means:
(1) By intravenous route;
(2) by intramuscular route, except when administered in an anticipated health crisis;
(3) through intermittent positive-pressure breathing machines; or
(4) through an established feeding tube that is not inserted directly into the abdomen.

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60-16-101. Definitions.
(a) “Administration of intravenous fluid therapy”
(b) “Admixing”
(c) “Calculating”
(d) “Competency examination”
(e) “Discontinuing”
(f) “Evaluating”
(g) “Initiating”
(h) “Intravenous push”
(i) “Maintaining”
(j) “Monitoring”
(k) “Titration of medication”

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60-16-101. Definitions.
(a) “Administration of intravenous fluid therapy” means utilization of the nursing process to deliver
the therapeutic infusion or injection of substances through the venous system.
(b) “Admixing” means the addition of a diluent to a medication or a medication to an intravenous
solution.
(c) “Calculating” means the mathematical determination of the flow rate and medication dosages.
(d) “Competency examination” means a written examination and demonstration of mastery of clinical
components of intravenous fluid therapy.
(e) “Discontinuing” means stopping the intravenous flow or removing the intravenous access device,
or both, based on an authorized order or nursing assessment.
(f) “Evaluating” means ongoing analysis of the monitored patient response to the prescribed
intravenous therapy for determination of the appropriate patient outcomes.
(g) “Initiating” means the starting of intravenous therapy based on an authorized order by a licensed
individual. Initiating shall include the following:
(1) The patient assessment;
(2) selection and preparation of materials;
(3) calculation; and
(4) insertion and stabilization of the cannula.
(h) “Intravenous push” means direct injection of medication into the venous circulation.
(i) “Maintaining” means adjusting the control device for continuance of the prescribed intravenous
therapy administration rate.
(j) “Monitoring” means the ongoing assessment, observation, and communication of each patient’s
response to prescribed intravenous therapy. The infusion equipment, site, and flow rate shall be
included in the monitoring process.
(k) “Titration of medication” means an adjustment of the dosage of a medication to the amount
required to bring about a given reaction in the individual receiving the medication.

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60-16-102. Scope of practice for licensed practical nurse performing intravenous fluid therapy.

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60-16-102. Scope of practice for licensed practical nurse performing intravenous fluid therapy.
(a) A licensed practical nurse under the supervision of a registered professional nurse may engage in a limited scope of intravenous fluid treatment, including the following:
(1) Monitoring;
(2) maintaining basic fluids;
(3) discontinuing intravenous flow and an intravenous access device not exceeding three inches in length in peripheral sites only; and
(4) changing dressings for intravenous access devices not exceeding three inches in length in peripheral sites only.
(b) Any licensed practical nurse who has met one of the requirements under K.S.A. 65-1136, and amendments thereto, may perform, in addition to the functions specified in subsection (a) of this regulation, the following procedures relating to the expanded administration of intravenous fluid therapy under the supervision of a registered professional nurse:
(1) Calculating;
(2) adding parenteral solutions to existing patent central and peripheral intravenous access devices or administration sets;
(3) changing administration sets;
(4) inserting intravenous access devices that meet these conditions:
(A) Do not exceed three inches in length; and
(B) are located in peripheral sites only;
(5) adding designated premixed medications to existing patent central and peripheral intravenous access devices or administration sets either by continuous or intermittent methods;
(6) maintaining the patency of central and peripheral intravenous access devices and administration sets with medications or solutions as allowed by policy of the facility;
(7) changing dressings for central venous access devices;
(8) administering continuous intravenous drip analgesics and antibiotics; and
(9) performing the following procedures in any facility having continuous on-site registered professional nurse supervision:
(A) Admixing intravenous medications; and
(B) administering by direct intravenous push any drug in a drug category that is not specifically listed as a banned drug category in subsection (c), including analgesics, antibiotics, antiemetics, diuretics, and corticosteroids, as allowed by policy of the facility.
(c) A licensed practical nurse shall not perform any of the following:
(1) Administer any of the following by intravenous route:
(A) Blood and blood products, including albumin;
(B) investigational medications;
(C) anesthetics, antianxiety agents, biological therapy, serums, hemostatics, immunosuppressants, muscle relaxants, human plasma fractions, oxytocics, sedatives, tocolytics, thrombolytics, anticonvulsants, cardiovascular preparations, antineoplastics agents, hematopoietics, autonomic drugs, and respiratory stimulants;
(D) intravenous fluid therapy in the home health setting, with the exception of the approved scope of practice authorized in subsection (a); or
(E) intravenous fluid therapy to any patient under the age of 12 or any patient weighing less than 80 pounds, with the exception of the approved scope of practice authorized in subsection (a);
(2) initiate total parenteral nutrition or lipids;
(3) titrate medications;
(4) draw blood from a central intravenous access device;
(5) remove a central intravenous access device or any intravenous access device exceeding three inches in length; or
(6) access implantable ports for any purpose.
(d) Licensed practical nurses qualified by the board before June 1, 2000 may perform those activities listed in subsection (a) and paragraph (b)(9)(A) regardless of their intravenous therapy course content on admixing.
(e) This regulation shall limit the scope of practice for each licensed practical nurse only with respect to intravenous fluid therapy and shall not restrict a licensed practical nurse's authority to care for patients receiving this therapy.

Front 41

Helpful numbers

Back 41

Kansas State Board of Nursing
Receptionist........................................................................................................1-785-296-3350
Renewals ............................................................................................................1-785-296-2453
Examination ......................................................................................................1-785-296-2967
Endorsements and Advanced Practice................................................................1-785-296-2240
Reinstatements ...................................................................................................1-785-296-2926
Verifications to another state..............................................................................1-785-296-3350
Education............................................................................................................1-785-296-3782
Administration....................................................................................................1-785-296-5752
Discipline ...........................................................................................................1-785-296-4325
Practice...............................................................................................................1-785-296-8401
KSBN Website http://www.ksbn.org
Social Rehabilitation Services
Abuse and Neglect or Adult abuse, neglect or exploitation ...............................1-800-922-5330
Abuse Hotline for institutions ............................................................................1-800-221-7973
Fraud and Recovery ..........................................................................................1-800-432-3913
Kansas Department of Health and Environment
Adult Care Complaint Hotline ...........................................................................1-800-842-0078
Health Occupations Credentialing......................................................................1-785-296-0056
CNA's, CMA's HHA's........................................................................................1-785-296-1240
Bureau of Health Facilities
Hospital Licensing..............................................................................................1-785-296-1240
Kansas Department on Aging Adult Care Homes..............................................1-785-296-4986
Attorney General's Office
Medicaid Fraud Unit ..........................................................................................1-785-368-6220
Kansas Behavioral Sciences Regulatory Board ....................................................1-785-296-3240
Kansas Board of Emergency Medical Services.....................................................1-785-296-7296
Kansas Board of Healing Arts................................................................................1-785-296-7413
Kansas Insurance Department ...............................................................................1-785-296-3071
Kansas Pharmacy Board ........................................................................................1-785-296-4056

Front 42

KNAP - The Kansas Nurses Assistance Program
What is KNAP?

Back 42

KNAP is a professional assistance program designed to assist all nurses and mental health technicians who have a problem or illness that has or could impair their ability to practice safely.

KNAP is overseen by a voluntary Board of Directors comprised of nurses who are knowledgeable in these issues and who are willing to donate their time and expertise to assist other nurses.

The Board of Directors contracts with the Kansas State Board of Nursing to provide this program and, with Heart of America Professional Network (HAPN), to administer and facilitate KNAP.

Front 43

KNAP - The Kansas Nurses Assistance Program
The Goal of KNAP

Back 43

The Goal of KNAP

Mental and physical illness, including alcohol and other drug addiction, can potentially impair practice and health. We estimate that at any given time, approximately 10% of the population is affected. This same percentage is thought to be true of healthcare professionals.

Alcohol and other drug addiction, as well as mental and physical illnesses, are treatable. KNAP works with the program participants to obtain an evaluation, treatment (if indicated), and monitoring throughout the recovery process.

Front 44

KNAP - The Kansas Nurses Assistance Program
Referrals

Back 44

Referrals

Self-referrals to the program are encouraged, but referrals may be made by a family member, a friend, employer or anyone concerned about the nurse/LMHT.

Anonymous referrals are not accepted. A person may call for information or advice without giving their name, however. Referrals may be made by calling 913-236-7575

Front 45

KNAP - The Kansas Nurses Assistance Program
KNAP Providers

Back 45

KNAP Providers
•Confidential services to Kansas RN's, LPN's, and LMHT's experiencing problems and illnesses which could lead to impaired practice.
•Interventions, assessments, referrals for evaluation and treatment (if indicated.)
•On-going monitoring through random urine drug screens, contact with employers and monthly groups.

Front 46

KNAP - The Kansas Nurses Assistance Program
Relationship to The Kansas State Board of Nursing

Back 46

Relationship to The Kansas State Board of Nursing

KNAP is a confidential program. As long as the nurse cooperates with the program, his or her name will not be shared with the Board of Nursing.

REPORTING REQUIREMENTS UNDER THE RISK MANAGEMENT LAW ARE SATISFIED BY A REPORT TO KNAP.

Front 47

KNAP - The Kansas Nurses Assistance Program
Causes for Concern
Job Function
Behavior
Physical Symptoms

Back 47

Job Function
•Narcotics discrepancies, e.g.: incorrect counts, alteration of narcotic containers, increased patient reports of ineffective pain control, discrepancies on records or frequent corrections of records, unusual amounts of narcotics wasted, significant variations in the quantity of narcotics ordered for technician's unit or shift.
•Fluctuations in the quality of work performance.
•Irresponsible behavior from someone previously conscientious and responsible.
•Requests to work shifts that are the least supervised.
•Inordinate interest in patients' pain control medications.

Behavior
•Increasing isolation from colleagues, friends and family and avoiding social activities.
•Complaints from others about work performance or alcohol or drug use.
•Mood swings, irritability or depression, or suicide threats or attempts, perhaps caused by accidental overdose.

Physical Symptoms
•Obvious intoxication such as swaying, staggering or slurred speech.
•Odor of alcohol on breath or the excessive use of breath-fresheners or perfume to disguise the odor of alcohol.

Front 48

Distinction between Law and Ethics

Back 48

Enforcement of law for nurses is by boards of nursing and the courts
Enforcement of ethics for nurses is by ethics committees and professional organizations.

Front 49

Sources of Law
1. Constitution

Back 49

Sources of Law
1. Constitution-Basic framework on which government is built. Grants authority for the other sources of law
2. Statutory Law-enacted by government-Federal, State, Cities-May be defined in regulations (NPA)
a. Criminal Law-Felony, Misdemeanor
b. Civil Law-Tort Law-Intentional or Unintentional
c. Other-Contract, Treaty, Tax Law, Etc.
3. Common Law-evolves from previous court/case decisions that form a precedence-Extends beyond the statutes. We don't have statutory laws that award plaintiff 1million dollars because nurse negligent. Subcategories same as Statutory Law

Front 50

Administrative Law

Back 50

A form of law made by administrative agencies appointed by the executive branch of government-Kansas Legislature-administrative committee/agency Kansas State Board of Nursing (KSBN).
Regulations are made under the authority established by the legislatures- to assist in specifying the requirements of the law.
New graduates cannot work as GN anymore.

Front 51

Common Law of Tort

Back 51

Tort-A civil wrong done by one person to another, not involving a contract, where one suffers loss due to the improper conduct (non-criminal) of another

Front 52

Elements of a Tort

Back 52

A duty or obligation requiring one to conform to a certain standard of conduct so that others are protected from risk and injury
Breach of Duty
Failure to meet standard results in injury (causation)
Actual loss or damage to the person must occur

Front 53

Objective of Tort Law

Back 53

The over-riding objective of tort law is to provide a way of compensating those injured by the wrongful conduct of another.

Front 54

Two Kinds of Torts
Unintentional
Intentional

Back 54

Unintentional-The failure to do something that a reasonable person would do. It involves harm resulting from the failure of a person to conduct himself in a reasonable and prudent manner.
Intentional-Requires intent to interfere with another's rights. Proof of actual injury not required. More serious than acts of negligence. Punitive as well as actual damages may be awarded. most insurance policies do not cover intentional torts.

Front 55

Concepts
Standard of Care

Back 55

Standard of Care-That degree of care that a person of ordinary prudence, charged with the same duties, would assume in like circumstances.

Front 56

Examples
Unintentional Torts

Back 56

Negligence-Most common type of unintentional tort. It is the omission of something a reasonable and prudent person would do in the same situation.
Must meet the 4 criteria of a tort
Malpractice is the type of negligence for which professionals are sued. We are held to a higher standard than the layperson.
Professional Misconduct-unreasonable lack of skill must meet 4 criteria.

Front 57

Examples of Intentional Torts

Back 57

Assault-Threatening a patient
Battery-Forcing Nursing interventions on patients against their wishes
False Imprisonment-Confining a patient against wishes
Breech of Confidentiality-"What I need to do my job"
Invasion of Privacy-Releasing Private information about patient to third parties, including family, without consent. Allowing unauthorized persons to read a patient's medical records or observe procedures.
Intentional Infliction of Emotional Distress
Slander and Libel-Making false statements, orally or in writing, to third parties that cause damage to another's reputation.
Client Abandonment-Key phrase: without adequate notice.

Front 58

Nurse Patient Relationship

Back 58

A legal status arises whenever a nurse renders nursing care to another person. The act of providing nursing care creates the relationship.

Front 59

Common Issues Related to Patient Safety

Back 59

Duty to Monitor
Duty to take measures to Protect the Patient
Identification of Patient
Medications
Restraints
Transcription of Orders.
Duty to Communicate
Duty to Teach
Duty to Report Questionable Care
Abandonment of Patient
Appropriate Delegation
Etc.

Front 60

Causes of Lawsuits

Back 60

The most common causes of lawsuits against nurses are patient falls and medication errors.

Front 61

Other Nursing Actions that Lead to Claims are Failure to:

Back 61

1. Adequately Assess and/or observe
2. Report changes in patient's status
3. Provide for patient's safety
4. Communicate Properly
5. Delegate Appropriately
6. Provide adequate Patient Teaching
7. Report Negligence or incompetence witnessed in other health care members
8. Adhere to policies and protocols in specialty practice areas.

Front 62

Professional Liability Insurance

Back 62

Occurrence Policy-Protects against any incident (negligent act) occurring during a policy period.
An occurrence policy provides more coverage than a claims made policy
Claims-Made Policy-Covers only claims made during the policy's coverage period
Choice of Coverage should include consideration of
Type, Cost, Coverage Limits, Duration of Coverage, Work Setting/Role, Right to select Counsel, Right to Consent to Settlement, Financial Strength of the Company.
No insurance policy will cover for acts outside of scope of practice or license and intentional torts.
General damages that may be awarded to a plaintiff include pain and suffering and negative change in life style.
Special damages that may be awarded include present/future medical expenses, past/future loss of earnings and decreased earning capacity.
Punitive damages may be awarded to punish actions that involve reckless disregard for another or malice.

Front 63

Avoiding Malpractice Liability

Back 63

Know strengths and weaknesses
Maintain rapport with patients
Don't offer opinions to patients
Follow agency's policies and procedures
Carry out orders judiciously
Administer medications and treatments carefully
Document with accuracy
Provide a safe environment
Apply restraints and document use according to agency policies
Delegate cautiously.

Front 64

Common Documentation Problems

Back 64

Failure to document-Problems, expectations, plans, outcomes. Dates and signatures of faculty and student
Generalizations
Spelling, illegible writing
Altering or embellishing

Front 65

Other Concepts
Informed Consent

Back 65

Informed Consent-Giving of permission to undergo procedures/treatments. Based on the moral and legal premise of autonomy.
The four components are:
Capacity-ability to make a decision
Disclosure-Provision of information on the treatment and procedures in question, including the expected benefits/risks, the likelihood that the benefits/risks will occur and the expected outcome of no treatment
Comprehension
Voluntary Approval

Front 66

Whistle Blowing

Back 66

1. Disclosure by an employee of illegal, immoral, or illegitimate practices under an employer's control.
2. To report ethical or legal misconduct of a superior or an organization.

Front 67

Rule of Personal Liability

Back 67

Rule of Personal Liability
A fundamental rule of law is that every person is liable for his/her own conduct.

Front 68

Risk Management Law KSA 65-4921

Back 68

Mandatory reporting, investigation, and
analysis of reportable incidents.
 A reportable is an act by a health care
provider that:
1.Is or may be below the applicable
standard of care and has a reasonable
probability of causing injury to a patient.
2.may be grounds for disciplinary action
by the appropriate licensing agency.

Front 69

Standards of Care (SOC)
(Kansas)
SOC1
SOC2
SOC3
SOC4

Back 69

SOC 1 Standard of Care Met
SOC 2 Standard of Care Not Met, with no reasonable probability of harm
SOC 3 Standard of care not met, with injury occurring or reasonably probable.
SOC 4 Possible grounds for disciplinary action

Front 70

National Council of State Boards of Nursing

Back 70

Exists for the protection of public Safety
Protects from incompetent, immoral and unscrupulous practitioners.
Investigation
Discipline
Besides a court
action, there is
always the nursing
board to worry about.
This is probably the
more common and
likely outcome.

Front 71

State Board of Nursing
A state administrative agency with members
usually appointed by the governor

Back 71

 A board of nursing has
the authority to:
1. develop regulations
that govern nursing
education, licensure
and practice, and
2. hear and decide cases
involving violations of
the statutes and
regulations contained
in the NPA.

Front 72

60-3-105 Reinstatement of License

Back 72

If license has lapsed (less than 5 years) must have 30 hrs of CNE.
Greater than 5 years-RN Refresher Course.

Front 73

65-1120 Grounds for Disciplinary Action
(Denial, Revocation, Limitation, or
Suspension of License)

Back 73

Guilty of fraud or deceit
in nursing or in
attempting to procure a
license
 Guilty of a
felony/misdemeanor
involving an illegal drug
(unless sufficient rehab
to warrant the public
trust)
 Crime against persons
(KS statute)
 Inability to practice with
skill & safety due to
abuse of drugs or alcohol
 Person judged to be in
need of a guardian or
conservator
 Unprofessional conduct (60-
3-110)
 To have assisted in suicide in
violation of K.S.A- 21-3406
 Professional incompetency
 1 or more instances
involving failure to
adhere to the standard
of care (SOC) to a
degree which constitutes
gross negligence
 Repeated instances
involving failure to
adhere to the SOC to a
degree which constitutes
ordinary negligence
 Pattern of practice or
behavior which
demonstrates incapacity
or incompetence to
practice nursing

Front 74

65-1165 Supervision of Delegation

Back 74

All nursing procedures
delegated by an RN to an
unlicensed person shall be
supervised. Consider
 Stability of the patient
receiving care
 Complexity of the
procedure
 Training and
competency of the
person delegated to
 Proximity and
availability of the
nurse

Front 75

Unprofessional Conduct
(60-3-110)

Back 75

Unprofessional Conduct
(60-3-110)
 Performing acts outside
scope of licensed practice
 Assuming
duties/responsibilities
without making
/maintaining adequate
preparation or
competency
 Inaccurately recording,
falsifying, or altering the
record of a patient,
agency or the board
 Failure to take
appropriate action to
follow P & P in practice
designed to safeguard a
patient
 Physical abuse of a patient
 unreasonable physical
restraint
 Unreasonable physical
restraint, chemical restraint,
isolation for punishment in
conflict with physician order
or P & P, state statute/Reg
 Any threat, menacing
conduct, or any nontherapeutic
or inappropriate
action that may cause the
patient unnecessary fear or
emotional/mental distress
 Failure to provide any
goods/services that are
reasonably necessary to
ensure safety and well-being
and to avoid
emotional/mental harm
Commission of any act of
sexual abuse, sexual
misconduct, or sexual
exploitation related to
practice
 Verbal abuse – any
word/phrase spoken
inappropriately to or in the
presence of a patient that
results in or might
reasonably be expected to
result in the patient’s
unnecessary fear
emotional/mental distress
 Inappropriate delegation
 Confidentiality violation
 Diverting drugs, supplies,
or property of any patient
 Willfully/Negligently failing to
take action to safeguard a
patient or the public from
incompetent practice
performed by a RN or LPN
 Leaving an assignment that
has been accepted without
notifying appropriate
authorities and allowing
adequate time for for
replacement
 Exploitation/misappropriation
/ taking of a patient’s
property/taking unfair
advantage of patient’s physical
or financial resources to the
gain of the licensee by the use
of undue influence, coercion,
harassment, duress, deception,
false pretense, or false
representation
 Failure to comply with
any disciplinary action of
the board
 Advertising the
performance of nursing
services in a superior
manner
 Failure to complete the
requirements of the
impaired provider
program
 Failure to furnish the
board/investigators any
information legally
requested by the board
 Practicing nursing
under a false name or
impersonating
another licensee.
 Practicing without a
license or while the
license has lapsed.
 Allowing another
person to use your
license
 Aiding/Abetting
another in the
violation of any
healthcare licensing
act

Front 76

RN Scope of Practice
KSA 65-1113(D)(1)

Back 76

KSA 65-1113(D)(1)
 Care, nursing diagnosis, nursing
or medical treatment, counsel,
health teaching, administration,
supervision, teaching of the
nursing process, execution of the
medical regimen as prescribed by
an individual licensed to practice
medicine or surgery

Front 77

LPN Scope of Practice

Back 77

LPN Scope of Practice
 Care, nursing diagnosis, nursing
or medical treatment, counsel,
health teaching, administration,
supervision, teaching of the
nursing process, (derived from RN
scope of practice 65-1113) based on
supportive and restorative care
and basic IV therapy practice (65-
1136), if certified.

Front 78

Student Nurses –(under whose license?)

Back 78

Student Nurses –(under whose license?)
 KSA 65-1124(e) & (m) – Statutory Permission
 (e) allows the practice of nursing by students as part of
a clinical course offered through a school of professional
or practical nursing or program of advanced registered
professional nursing approved in the United States or its
territories.
 (m) Allows nursing procedure by a person when that
procedure is delegated by a licensed nurse, within the
reasonable exercise of independent nursing judgment
and is performed with reasonable skill and safety by
that person under the supervision of a registered nurse
or licensed practical nurse.

Front 79

60-16-102 Scope of Practice -
LPNs and IV Therapy

Back 79

60-16-102 Scope of Practice -
LPNs and IV Therapy
 LPNS who are IV certified
may:
 Change dressings for IV central
and peripheral access devices
 Add IV solutions to patent
central & peripheral lines
 Insert peripheral IV catheters 3
in or <
 Change admin sets
 Add designated premixed meds
to patent central & peripheral
lines
 Maintain patency of central or
peripheral devices with heparin
or saline
 administer cont drip analgesics
or antibiotics
 With RN on site supervision may
give IVP antibiotics, antiemetics,
analgesics, diuretics, &
corticosteroids
 LPNS may not:
 Give blood or blood
products
 Investigational meds
 Anesthetics, antianxiety
agents, muscle relaxants,
oxytocics, antineoplastics,
autonomic drugs,
respiratory stimulants,
cardiovascular
preparations
 Initiate TPN or Intralipids
 Titrate meds
 Draw blood from a central
line
 Access an implantable

Front 80

60-3-113 Reporting of Certain
Misdemeanor Convictions by the
Licensee

Back 80

60-3-113 Reporting of Certain
Misdemeanor Convictions by the
Licensee
 The licensee shall report to the
board misdemeanor convictions
for any of the following
substances or types of conduct:
 Alcohol
 Drugs
 Deceit
 Dishonesty
 Endangerment of a child or
vulnerable adult
 Falsification
 Fraud
 Misrepresentation
 Exploitation of a child or vulnerable
adult
 Physical or verbal abuse
 Theft
 Violation of a PFA or PFS order
 Any action arising out of a violation of any state or federal regulation

Front 81

KSBN Authorized Case Dispositions

Back 81

KSBN Authorized Case Dispositions
 Deny
 Revoke
 Suspend
 Limit
 Public Censure
 Private Censure
 Administrative fine - $1,000- $3,000
 Criminal Prosecution
 Injunction
 KSA 65-1120; 74-1110 (fines)

Front 82

Giving a Deposition

Back 82

Giving a Deposition
 Do not volunteer information – just
answer the question.
 Be familiar with the medical record.
 Be calm. Do not allow the attorneys
to intimidate you. Sometimes they
can be intimidating – take your time
responding.
 Do not make assumptions about
questions – always ask for
clarification or to repeat the question
if you are not sure you understand.
 Don’t exaggerate. Always tell the
truth.
 If you do not know the answer simply
say you do not know or remember.
 Speak slowly, good posture, and good
eye contact.
 If you need a break ask for one.
 Don’t use always or never.
 If you are asked the same question
more than once – be careful to
answer the same. You may ask to
have the answer read back to you
from the last question.