201 Kar 45:160 Scope Of Practice

Link to law: http://www.lrc.ky.gov/kar/201/045/160.htm
Published: 2015

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      201 KAR 45:160 Scope of practice.


      RELATES TO: KRS 309.331, 309.339



309.331 requires the board to promulgate administrative regulations for the

administration and enforcement of KRS 309.325 to 309.339. This administrative regulation

establishes the functions that a diabetes educator may perform.


      Section 1. A person holding a license or

a permit from the board may perform the following functions:

      (1) Provide education and support for

people with diabetes, people at risk for diabetes, and caregivers of those with


      (2) Communicate and coordinate with other

health care professionals to provide education and support for people with

diabetes, people at risk for diabetes, and caregivers of those with diabetes;

      (3) Provide diabetes self-management

services, including activities that assist a person in implementing and

sustaining the behaviors needed to manage diabetes on an ongoing basis;

      (4) Determine the persons to whom diabetes

education and services will be provided, how those education and services may

be best delivered, and what resources will assist those persons;

      (5) Develop a program for diabetes

management, which may include:

      (a) Describing the diabetes treatment process

and treatment options;

      (b) Incorporating nutritional management

into lifestyle;

      (c) Incorporating physical activity into


      (d) Using medications safely and effectively;

      (e) Monitoring blood glucose and other

parameters and interpreting and using the results for self-management and

decision making;

      (f) Preventing, detecting, and treating

acute and chronic complications of diabetes;

      (g) Developing personal strategies to

address psychosocial issues and concerns; or

      (h) Developing personal strategies to

promote health and behavior change;

      (6) Develop an individualized education

and support plan focused on behavior change, which shall be documented in an education

or health record;

      (7) Develop a personalized follow-up plan

for ongoing self-management support, and communicate that follow-up plan to

other health care providers as necessary;

      (8) Monitor if participants are achieving

their personal diabetes self-management goals and other outcomes using the

following appropriate frameworks and measurement techniques:

      (a) Physical activity;

      (b) Healthy eating;

      (c) Taking medication;

      (d) Monitoring blood glucose;

      (e) Diabetes self-care related problem


      (f) Reducing risks of acute and chronic

complications of diabetes;

      (g) Evaluation of the psychosocial

aspects of living with diabetes; or

      (9) Evaluate the effectiveness of the

education and services, and engage in a systematic review of process and

outcome data. (40 Ky.R. 194; 591; 791; eff. 11-1-2013.)