Document Library

1989-1999 History of the Decade(pdf, 1217kb)

75 Years of Protective Caring(pdf, 602kb)

A Bridge to 2000(pdf, 1217kb)

Academic Performance Evaluation (compliance)(pdf, 151kb)

Academic Verification Form (compliance)(pdf, 49kb)

Address / Email Change Form for Licensed Certified Professional Midwives(pdf, 153kb)

Address / Email Change Form for Licensed Nurses(pdf, 172kb)

Address / Email Change Form for Nurse Aides(pdf, 171kb)

Address / Email Change Form for Sexual Assault Nurse Examiners (SANE)(pdf, 147kb)

Address/Email Change Form(pdf, 90kb)

Address/Email Change Form for Dialysis Technicians(pdf, 169kb)

Advisory on Prescribing Buprenorphine(pdf, 429kb)

Annual Report FY 1975-1976(pdf, 623kb)

Annual Report FY 1976-1978(pdf, 822kb)

Annual Report FY 1978-1980(pdf, 1202kb)

Annual Report FY 1980-1981(pdf, 1210kb)

Annual Report FY 1981-1982(pdf, 1852kb)

Annual Report FY 1982-1983(pdf, 1972kb)

Annual Report FY 1983-1984(pdf, 1789kb)

Annual Report FY 1984-1985(pdf, 1541kb)

Annual Report FY 1985-1986(pdf, 2113kb)

Annual Report FY 1986-1987(pdf, 1884kb)

Annual Report FY 1987-1988(pdf, 2043kb)

Annual Report FY 1988-1989(pdf, 2123kb)

Annual Report FY 1989-1990(pdf, 2093kb)

Annual Report FY 1990-1991(pdf, 2488kb)

Annual Report FY 1991-1992(pdf, 2465kb)

Annual Report FY 1992-1993(pdf, 3423kb)

Annual Report FY 1993-1994(pdf, 2411kb)

Annual Report FY 1994-1995(pdf, 2325kb)

Annual Report FY 1995-1996(pdf, 2492kb)

Annual Report FY 1996-1997(pdf, 2129kb)

Annual Report FY 1997-1998(pdf, 1819kb)

Annual Report FY 1998-1999(pdf, 2212kb)

Annual Report FY 1999-2000(pdf, 2121kb)

Annual Report FY 2000-2001(pdf, 1988kb)

Annual Report FY 2001-2002(pdf, 169kb)

Annual Report FY 2002-2003(pdf, 188kb)

Annual Report FY 2003-2004(pdf, 170kb)

Annual Report FY 2004-2005(pdf, 199kb)

Annual Report FY 2005-2006(pdf, 164kb)

Annual Report FY 2006-2007(pdf, 162kb)

Annual Report FY 2007-2008(pdf, 162kb)

Annual Report FY 2008-2009(pdf, 162kb)

Annual Report FY 2009-2010(pdf, 170kb)

Annual Report FY 2010-2011(pdf, 182kb)

Annual Report FY 2011-2012(pdf, 515kb)

Annual Report FY 2012-2013(pdf, 384kb)

Annual Report FY 2013-2014(pdf, 379kb)

Annual Report FY 2014-2015(pdf, 384kb)

Annual Report FY 2015-2016(pdf, 2184kb)

Annual Report FY 2016-2017(pdf, 2241kb)

Annual Report FY 2017-2018(pdf, 3542kb)

Annual Report FY 2018-2019(pdf, 4039kb)

Annual Report FY 2019-2020(pdf, 3213kb)

AOS02 Scope of Nursing Practice in Gynecological Cancer Detection(pdf, 214kb)

AOS03 Recommended Course Content Infusion Therapy for Registered Nurses and Licensed Practical Nurses(pdf, 202kb)

AOS04 Roles of Nurses in the Administration of Medication Per Intraspinal Routes(pdf, 266kb)

AOS07 Roles of Nurses in Stapling, Suturing, and the Application of Topical Adhesives(pdf, 235kb)

AOS08 Nurses Practicing in the Perioperative Setting(pdf, 230kb)

AOS09 Wound Assessment, Staging, and Treatment by Nurses(pdf, 209kb)

AOS10 Roles of Nurses in the Care of Prenatal and Intrapartum Patients(pdf, 228kb)

AOS11 Insertion and Removal of Nasogastric Tubes and Reinsertion of Percutaneous Endoscopic Gastronomy (PEG) Tubes(pdf, 232kb)

AOS13 Roles of Nurses in Psychiatric-Mental Health Nursing Practice(pdf, 254kb)

AOS14 Implementation of Patient Care Orders(pdf, 285kb)

AOS15 Supervision and Delegation of Nursing Acts to Unlicensed Personnel(pdf, 330kb)

AOS16 Roles of Nurses in the Administration of Medication via Various Routes(pdf, 271kb)

AOS17 Administration of "PRN" Medication and Placebos(pdf, 237kb)

AOS18 Employment of Nursing Students as Nursing Personnel Using Either an Academic or a "Nurse Extern" Service Model(pdf, 342kb)

AOS19 Responsibility and Accountability of Nurses for Patient Care Assignments and Nursing Care Delivery(pdf, 212kb)

AOS20 Roles of Registered Nurses in Invasive Cardiac Procedures(pdf, 214kb)

AOS21 Roles of Nurses and Technicians in Dialysis(pdf, 220kb)

AOS22 Roles of Nurses Who Provide "Private Duty" Nursing(pdf, 182kb)

AOS23 The Application and Removal of a Cast by Nurses and Closed Reduction of a Fracture by Advanced Practice Registered Nurses(pdf, 236kb)

AOS24 Patient Abandonment by Nurses(pdf, 146kb)

AOS25 Placement of Central and Arterial Lines and Arterial Blood Sampling by Nurses(pdf, 250kb)

AOS26 Roles of Nurses in the Performance of Advanced Life Support and Delivery of Emergency Medical Care via Ambulance Services(pdf, 268kb)

AOS27 Components of Licensed Practical Nursing Practice(pdf, 202kb)

AOS28 Roles of Nurses in Endoscopic Procedures(pdf, 271kb)

AOS29 Cardiopulmonary/Respiratory Nursing(pdf, 214kb)

AOS30 School Nursing Practice(pdf, 264kb)

AOS31 Removal of Arterial and Venous Access Devices (Sheaths) and Use of Mechanical Compression Devices by Nurses(pdf, 193kb)

AOS32 The Role of Nurses in Procedural Sedation, Analgesia, Airway Management, and Chest Tube Removal(pdf, 265kb)

AOS33 Roles of Nurses in the Delegation of Tasks to Paramedics in a Hospital Emergency Department(pdf, 266kb)

AOS34 Roles of Nurses in Maintaining Confidentiality of Patient Information(pdf, 206kb)

AOS35 Cosmetic and Dermatological Procedures by Nurses(pdf, 358kb)

AOS36 Resuscitation Orders, Pronouncement of Death, and Death Certificates(pdf, 224kb)

AOS37 Role of the Advanced Practice Registered Nurse in the Prescribing of Medications to Self and/or Family(pdf, 201kb)

AOS39 Scope of Registered Nursing Practice in the Deactivation of Implanted Cardioverter Defibrillators (ICDs) and Ventricular Assist Devices (VADs)(pdf, 187kb)

AOS40 Social Media for Nurses(pdf, 213kb)

AOS41 RN/LPN Scope of Practice Determination Guidelines(pdf, 240kb)

AOS42 Telehealth and Nursing(pdf, 302kb)

Application for Dialysis Technician (DT) Training Program Approval(pdf, 78kb)

Application for Dialysis Technician Credential(pdf, 121kb)

Application for Initial or Continued SANE Course Approval(pdf, 48kb)

Approved Nursing Programs(pdf, 72kb)

APRN CAPA-CS Notification Form(pdf, 94kb)

APRN CAPA-CS Rescission Form(pdf, 128kb)

APRN CAPA-NS Notification Form(pdf, 209kb)

APRN CAPA-NS Rescission Form(pdf, 192kb)

APRN Controlled Substance Crosswalk(pdf, 293kb)

APRN Legal Opinion Dispensing Medications(pdf, 125kb)

APRN Legal Opinion Independent Practitioners(pdf, 109kb)

APRN Nursing Program Record(pdf, 94kb)

APRN Scope of Practice Decision Making Model(pdf, 234kb)

APRN Telehealth Resources(pdf, 43kb)

August 5 2020 Letter Issued by KDPH(pdf, 799kb)

Benchmark Analysis Action Plan Template Microsoft Word DOCX(docx, 107kb)

Benchmark Analysis Action Plan Template Zipped Microsoft Word File(zip, 98kb)

Case Manager Monitoring Schedule(pdf, 41kb)

CE Brochure 2020-21(pdf, 156kb)

CE Broker Information(pdf, 242kb)

CE Individual Application Review(pdf, 122kb)

CE Initial Provider Application(pdf, 194kb)

CE LPN Infusion Therapy(pdf, 125kb)

CE Nursing Employment Evaluation Form(pdf, 269kb)

CE Option Form APRN(pdf, 127kb)

CE Option Form RN LPN(pdf, 227kb)

CE Preceptor Verification Form(pdf, 78kb)

CE Providership Guidelines 2021(pdf, 479kb)

Certificate of Licensure Suitable for Framing Order Form(pdf, 121kb)

Certification of Records(pdf, 36kb)

Certified List Microsoft Excel Worksheet(xlsx, 22kb)

Certified List Microsoft Zipped Microsoft Excel File(zip, 9kb)

CGFNS VisaScreen(pdf, 1513kb)

Checklist for Dialysis Technician Competency Validation(pdf, 21kb)

CHFS Authority Letter(pdf, 85kb)

CHFS Order - Out of State Registry(pdf, 94kb)

Consumer Complaint Form(pdf, 90kb)

Continuing Education Provider List(pdf, 27kb)

Continuing Education Provider List (Domestic Violence)(pdf, 4kb)

Continuing Education Provider List (Intenet)(pdf, 5kb)

Continuing Education Provider List (KASPER)(pdf, 4kb)

Continuing Education Provider List (Pediatric Head Trauma)(pdf, 6kb)

Continuing Education Provider List (Pharmacology)(pdf, 4kb)

Continuing Education Provider List (Sexual Assault)(pdf, 2kb)

Continuing Education Provider List Infusion Therapy (IV Therapy)(pdf, 2kb)

Controlled Substance Log (compliance)(pdf, 48kb)

Counselor Evaluation (compliance)(pdf, 152kb)

Counselor/Therapist Verification Form (compliance)(pdf, 49kb)

COVID-19 Patient Abandonment by Nurse(pdf, 141kb)

COVID-19 Safe Care and PPE FAQ(pdf, 158kb)

COVID-19 Safe Care During Pregnancy FAQ(pdf, 112kb)

Current APRN Licenses by County of Employment(pdf, 10kb)

Current APRN Licenses by County of Residence(pdf, 10kb)

Current APRN Licenses by Population Focus(pdf, 5kb)

DEA Decision Tree(pdf, 143kb)

DEA SAMHSA Buprenorphine Telemedicine - APRNs(pdf, 218kb)

DEA State Reciprocity - APRNs(pdf, 188kb)

Dialysis Technicians Training Programs(pdf, 2kb)

Disciplinary Process: Nurses, Dialysis Technicians, and Licensed Certified Professional Midwives(pdf, 250kb)

Discipline Report(pdf, 232kb)

DT Training Program Guide(pdf, 36kb)

Elective Procedure Directive - APRNs(pdf, 94kb)

Electronic Prescribing of Controlled Substances - APRNs(pdf, 521kb)

Employer Verification Form (compliance)(pdf, 148kb)

Facility Complaint Form(pdf, 95kb)

Faculty Audit Attestation(pdf, 448kb)

Fees Schedule(pdf, 95kb)

Guidance Document - PON - COVID-19(pdf, 125kb)

Guidance Letter - KARE-Disciplinary Monitoring Participants(pdf, 133kb)

IdentoGO Screenshots(pdf, 795kb)

Instructions for Completing the Licensed Certified Professional Midwife (LCPM) Application(pdf, 423kb)

Instructions for Entering Graduates to the Online Certified List(pdf, 782kb)

Instructions for the SANE Application for Credential(pdf, 311kb)

Jurisprudence Exam Study Guide(pdf, 1087kb)

KAR 20:360 Continuing Approval and Periodic Evaluation of Prelicensure Registered Nursing and Licensed Practical Nursing Programs(pdf, 764kb)

KARE Evaluator List by City(pdf, 24kb)

KARE Participant Handbook (compliance)(pdf, 341kb)

KARE Statistics(pdf, 3kb)

KBN 75 Years of Protective Caring 1914-1989(pdf, 602kb)

KBN Connection Fall 2020 Pages 1-20(pdf, 2608kb)

KBN Connection Fall 2020 Pages 21-40(pdf, 4643kb)

KBN Connection Guidelines for Submission of Guest Articles(pdf, 17kb)

KBN Connection Spring 2021 Pages 1-20(pdf, 1814kb)

KBN Connection Spring 2021 Pages 21-40(pdf, 4209kb)

KBN Connection Summer 2021(pdf, 6832kb)

KBN Connection Winter 2021 Pages 1-20(pdf, 2201kb)

KBN Connection Winter 2021 Pages 21-40(pdf, 4318kb)

KBN Decision Tree for Delegation to Unlicensed Assistive Personnel (UAP)(pdf, 324kb)

KBN Investigation and Discipline Process Applicable to LCPMs(pdf, 204kb)

Kentucky Administrative Regulations Governing LCPM Practice(pdf, 1020kb)

Kentucky Program of Nursing Benchmarks(pdf, 82kb)

Kentucky SAFE Act Statutes(pdf, 143kb)

LCPM Informed Refusal Form(pdf, 246kb)

Legal Opinion APRNs as Independent Practitioners(pdf, 238kb)

Legal Opinion CRNAs and Prescriptive Authority(pdf, 44kb)

Legal Opinion Dispensing by Nurses(pdf, 11kb)

Legal Opinion Do Not Fill Until(pdf, 257kb)

Legal Opinion Legal Guidance on HIPAA Exception for Health Oversight Activities(pdf, 60kb)

Legal Opinion Name Changes(pdf, 110kb)

License Counts(pdf, 2kb)

List of Dialysis Technician Training Program Graduates(pdf, 79kb)

List of Immediate Temporary Suspensions(pdf, 6kb)

List of Immediate Temporary Suspensions - Privilege to Practice(pdf, 1kb)

List of Imposters(pdf, 4kb)

LPN Current Licensure - By Gender & County of Residence(PDF, 10kb)

LPN Current Licensure Count - By Educ. Level & County of Residence(PDF, 13kb)

LPN Current Licensure Count - By Employment Status & County of Residence(pdf, 13kb)

LPN Current Licensure Count by Ethnic Group & County of Residence(PDF, 13kb)

LPN Current Licensure Counts - By Field of Employment & County of Residence(PDF, 17kb)

LPN Current Licensure Counts - By Nursing Position & County of Residence(pdf, 15kb)

LPN Current Licensure Counts - By Practice Area & County of Residence(pdf, 18kb)

LPN Current Licensure Counts - By Secondary Field of Employment & County of Residence(pdf, 15kb)

LPN Current Licensure Counts - By Secondary Nursing Position & County of Residence(pdf, 13kb)

LPN Current Licensure Counts - By Secondary Practice Area & County of Residence(pdf, 15kb)

Mandatory Reporting of Criminal Convictions(pdf, 48kb)

March 31 2020 Order - APRN Collaborative Agreements(pdf, 86kb)

March 5 2021 Memorandum - Clinical Education Requirements(pdf, 3802kb)

March 5 2021 Memorandum - Rescission of Emergency Measure(pdf, 906kb)

Mental Health and/or Substance Use Disorder Evaluations (compliance)(pdf, 26kb)

MIR 201 KAR 20:057 AACN Scope and Standards for Acute Care Clinical Nurse Specialist Practice(pdf, 63kb)

MIR 201 KAR 20:057 AACN Scope and Standards for Acute Care Nurse Practitioner Practice(pdf, 62kb)

MIR 201 KAR 20:057 APRN Prescriptive Authority Notification Form(pdf, 70kb)

MIR 201 KAR 20:057 Common CAPA-NS Form(pdf, 98kb)

MIR 201 KAR 20:057 Definition of Midwifery and Scope of Practice of Certified Nurse-Midwives and Certified Midwives(pdf, 55kb)

MIR 201 KAR 20:057 Neonnatal Nursing: Scope and Standards of Practice(pdf, 63kb)

MIR 201 KAR 20:057 Nursing: Scope and Standards of Practice(pdf, 63kb)

MIR 201 KAR 20:057 Office Based Anesthesia(pdf, 63kb)

MIR 201 KAR 20:057 Oncology Nursing Scope and Standards of Practice(pdf, 63kb)

MIR 201 KAR 20:057 Pediatric Nursing: Scope and Standards of Practice(pdf, 63kb)

MIR 201 KAR 20:057 Psychiatric-Mental Health Nursing: Scope and Standards of Practice(pdf, 64kb)

MIR 201 KAR 20:057 Scope of Nurse Anesthesia Practice(pdf, 64kb)

MIR 201 KAR 20:057 Scope of Practice for Nurse Practitioners(pdf, 64kb)

MIR 201 KAR 20:057 Standards for Nurse Anesthesia Practice(pdf, 63kb)

MIR 201 KAR 20:057 Standards for Professional Nursing Practice in the Care of Women and Newborns(pdf, 68kb)

MIR 201 KAR 20:057 Standards for the Practice of Midwifery(pdf, 491kb)

MIR 201 KAR 20:057 Standards of Practice for Nurse Practitioners(pdf, 64kb)

MIR 201 KAR 20:057 The Women’s Health Nurse Practitioner: Guidelines for Practice and Education(pdf, 64kb)

MIR 201 KAR 20:070 Certified List of Kentucky PON Graduates(pdf, 127kb)

MIR 201 KAR 20:070 Certified List of Out of State PON Graduates(pdf, 37kb)

MIR 201 KAR 20:215 Application for Individual Review(pdf, 41kb)

MIR 201 KAR 20:215 Nursing Continuing Education Employment Evaluation Form(pdf, 113kb)

MIR 201 KAR 20:215 Preceptor Continuing Education Verification Form(pdf, 291kb)

MIR 201 KAR 20:220 Application for Provider Approval(pdf, 35kb)

MIR 201 KAR 20:220 Application for Provider Renewal(pdf, 86kb)

MIR 201 KAR 20:360 Annual Report of the Program of Nursing(pdf, 632kb)

MIR 201 KAR 20:370 Annual Licensure Renewal Application: APRN with Kentucky RN License(pdf, 77kb)

MIR 201 KAR 20:370 Annual Licensure Renewal Application: APRN with RN Compact License (Not KY)(pdf, 78kb)

MIR 201 KAR 20:370 Annual Licensure Renewal Application: RN or LPN(pdf, 82kb)

MIR 201 KAR 20:370 Anuual Licensure Renewal Application: RN and APRN(pdf, 76kb)

MIR 201 KAR 20:370 Application for Licensure(pdf, 284kb)

MIR 201 KAR 20:370 Application for Licensure as an APRN(pdf, 211kb)

MIR 201 KAR 20:370 Application for Retired Status(pdf, 38kb)

MIR 201 KAR 20:370 Application for RN and APRN Licensure(pdf, 278kb)

MIR 201 KAR 20:370 APRN Practice Data(pdf, 41kb)

MIR 201 KAR 20:390 NISF Application(pdf, 66kb)

MIR 201 KAR 20:390 NISF Contract(pdf, 53kb)

MIR 201 KAR 20:390 NISF Promissory Note(pdf, 75kb)

MIR 201 KAR 20:390 NISF Request for Deferral(pdf, 38kb)

MIR 201 KAR 20:411 Annual Credential Renewal Application: SANE Credential with RN in KY(pdf, 36kb)

MIR 201 KAR 20:411 Annual Credential Renewal Application: SANE with RN Compact License(pdf, 48kb)

MIR 201 KAR 20:411 Application for Initial or Continued SANE Course Approval(pdf, 48kb)

MIR 201 KAR 20:411 SANE Application for Credential(pdf, 314kb)

MIR 201 KAR 20:411 Sexual Assault Nurse Examiner (SANE) Education Guidelines(pdf, 2431kb)

MIR 201 KAR 20:490 Infusion Nursing: Standards of Practice(pdf, 36kb)

MIR 201 KAR 20:490 Policies and Procedures for Infusion Nursing(pdf, 36kb)

MIR 201 KAR 20:506 Interstate Commission of Nurse Licensure Compact Administrators, Bylaws(pdf, 276kb)

MIR 201 KAR 20:506 Interstate Commission of Nurse Licensure Compact Administrators, Final Rules(pdf, 289kb)

MIR 201 KAR 20:600 Midwives Alliance of North America Core Competencies(pdf, 257kb)

MIR 201 KAR 20:600 Standards and Qualifications for the Art and Practice of Midwifery, MANA(pdf, 136kb)

MIR 201 KAR 20:620 Certified Professional Midwife Application for Licensure(pdf, 449kb)

MIR 201 KAR 20:620 Certified Professional Midwife Licensure Renewal Application(pdf, 304kb)

MIR 201 KAR 20:660 LCPM Annual Report Form(pdf, 68kb)

MIR 201 KAR 20:660 LCPM Incident Report(pdf, 83kb)

MIR 201 KAR 20:670 Informed Refusal Form(pdf, 104kb)

Monthly Meeting Documentation (compliance)(pdf, 19kb)

Name Change Request Form (For Dialysis Technicians Only)(pdf, 175kb)

Name Change Request Form for Licensed Certified Professional Midwives Only(pdf, 181kb)

Name Change Request Form for Licensed Nurses Only(pdf, 90kb)

NCLEX Pass Rates 5 Years(pdf, 84kb)

Number of active APRNs by population focus(pdf, 2kb)

Nursing Programs by County(pdf, 108kb)

OIG PCA Guidance(pdf, 129kb)

Online Faculty Audit Administrator and Program Staff Designation Form(pdf, 488kb)

Oral CII for Regular CII Script - APRNs(pdf, 197kb)

Out of State Registry Application(pdf, 241kb)

pca-facility-spreadsheet(xlsx, 23kb)

PENDING 201 KAR 20:057 Scope and Standards of Practice of Advanced Practice Registered Nurses(pdf, 1152kb)

PENDING 201 KAR 20:215 Continuing Competency Requirements(pdf, 221kb)

PENDING 201 KAR 20:320 Standards for Curriculum of Prelicensure Registered Nurse and Practical Nurse Standards(pdf, 345kb)

PENDING Regulation 201 KAR 20:471(pdf, 121kb)

PENDING Regulation 201 KAR 20:472(pdf, 352kb)

PENDING Regulation 201 KAR 20:474(pdf, 149kb)

PENDING Regulation 201 KAR 20:476(pdf, 474kb)

PENDING Regulation 201 KAR 20:478(pdf, 142kb)

Personal Care Attendant Registry(pdf, 180kb)

Prescription Medication Report (compliance)(pdf, 160kb)

Probation/Parole/Drug Court Report (compliance)(pdf, 63kb)

Probation/Parole/Drug Court Verification Form (compliance)(pdf, 147kb)

Program of Nursing Benchmark Data(pdf, 82kb)

Program of Nursing Online Faculty Audit Instruction Booklet(pdf, 2414kb)

Relapse Prevention Plan (compliance)(pdf, 54kb)

Request for Advisory Opinion Form(pdf, 591kb)

Retired License Application(pdf, 140kb)

RN & LPN Current Active Licensure Counts by County of Residence(pdf, 9kb)

RN Current Licensure - By Gender & County of Residence(PDF, 10kb)

RN Current Licensure Count - By Educ. Level & County of Residence(PDF, 15kb)

RN Current Licensure Count - By Employment Status & County of Residence(pdf, 16kb)

RN Current Licensure Count by Ethnic Group & County of Residence(PDF, 14kb)

RN Current Licensure Counts - By Employment Setting & County of Residence(PDF, 19kb)

RN Current Licensure Counts - By Nursing Position & County of Residence(PDF, 17kb)

RN Current Licensure Counts - By Practice Area & County of Residence(PDF, 20kb)

RN Current Licensure Counts - By Secondary Employment Setting & County of Residence(pdf, 17kb)

RN Current Licensure Counts - By Secondary Nursing Position & County of Residence(pdf, 15kb)

RN Current Licensure Counts - By Secondary Practice Area & County of Residence(pdf, 18kb)

SANE Program in Kentucky Brochure(pdf, 20kb)

SANE Safe Toolkit(pdf, 832kb)

SANE St. Elizabeth Healthcare 2021 Training Flyer(pdf, 928kb)

SANE training providers(pdf, 1kb)

SANE/SART Training Program 2021 Lexington Police Department(pdf, 575kb)

Self Test for Alcoholism (compliance)(pdf, 411kb)

Self Test for Drug Addiction (compliance)(pdf, 416kb)

Self-Report Complaint Form(pdf, 94kb)

SRNA Private Duty Form(pdf, 89kb)

State Registered Nurse Aide (SRNA) Reciprocity Form(pdf, 89kb)

Telehealth Resources - APRNs(pdf, 305kb)

The Disciplinary Process Under the Nursing Laws of Kentucky: KRS Chapter 314 and Title 201 KAR Chapter 20(pdf, 169kb)

Treating Practitioner Verification Form(pdf, 49kb)

Verification of Employment Form(pdf, 96kb)

Verification of Licensure(pdf, 111kb)

Verification of Licensure to another Entity (pdf, 187kb)

Verification of Licensure to Another Entity other than a State Board of Nursing(pdf, 133kb)

Voluntary Relinquishment Form(pdf, 214kb)

Work Performance Evaluation (compliance)(pdf, 163kb)

Worksheet for APRN in Monitoring (compliance)(pdf, 172kb)

Worksheet for Review of Initial Home Health Visits by APRN in Monitoring(pdf, 140kb)