Advisory Opinion Statement Index Updates

​​The updated information for each individual Advisory Opinion Statement (AOS) is provided below, including changes made in the latest revision.
​​​​​​​
AOS
Updates Made
​Issued/Revision Date
AOS ​#3
  • Included a list of the nursing tasks identified in the AOS. 
  • Included the definition of Educational Preparation and Clinical Competency. 
  • Updated reference materials.
10/2024​​
AOS #7
  • ​Title revised to Roles of Nurses in Wound Closure Procedures.
  • Included a list of nursing tasks located in the AOS. 
  • Included the definition of Educational Preparation and Clinical Competency. 
  • Included definitions of each nursing task identified in the AOS. 
  • Added a practice grid to identify each scope of nursing practice for each nursing task.
6/2024
AOS #8
  • ​Included guidance for the APRN who has surgical assistant credentials or perioperative experience, who is not an APRN First Assist.​  The October 2024 revision included guidance for the RN with surgical assistant credentials or perioperative experience who is not an RN First Assist.
  • Updated reference materials.
02/2025
AOS #9
  • Title revised to Role of Nurses in Assessment, Staging, and Treatment of Wounds. 
  • Updated reference materials.​
12/2023
AOS #10
  • Included Gynecological Cancer Detection, formerly covered in AOS #11, Role of Nurses in the Performance of Gastrointestinal and Genitourinary Procedures. 
  • Included guidance related to Hormone Replacement Therapy (Testosterone Pellets).
  • Included guidance regarding Infant Male Circumcision​.
12/2023
AOS #11
  • ​Grouped all PEG tube guidance together. 
  • Updated practice grid.​
10/2024
AOS #1​3
  • Included guidance on Repetitive Transcranial Magnetic Stimulation (rTMS).
  • Included the definition of Education Preparation and Clinical Competency.
12/2023
AOS #14
  • Title revised to Roles and Responsibilities of the Nurse in Implementation of Patient Care Orders. ​
  • Updated information based on evidence-based practices, standards of care, and laws. 
  • Updated background information and definitions for nursing interventions. ​
  • Included information regarding Titration, Taper, and Automatic Stop Orders from AOS #17, Roles and Responsibilities of​ Nurses in the Administration of “PRN” Medication and Placebos.​
  • Updated reference materials.
12/2025
AOS ​#15
  • Included information from the administrative regulation 201 KAR 20:700 regarding certified medication aide training programs and credentialing.
  • Updated information based on current evidence-based practices.
  • Updated KBN Decision Tree for Delegation to Unlicensed Assistive Personnel (UAP).
  • Updated reference material.
06/2025
AOS #16
  • Updated information based on evidence-based practices, standards of care, and laws. 
  • Removed advisory opinions (AO) related to local anesthesia and peripheral nerve block, now incorporated within AOS #32, The Role of Nurses in Procedural Sedation,  Regional Anesthesia, and Analgesia, and Airway Management in Various Settings. 
  • Updated background information and definitions for each nursing intervention. 
  • Added definitions for specialized routes of medication administration. 
  • Updated reference materials. 
  • Updated practice grid.
10/2025
AOS #​17
  • Title revised to Roles and Responsibilities of Nurses in the Administration of “PRN” Medication and Placebos. 
  • Updated information based on evidence-based practices, standards of care, and laws.  
  • Updated background information and definitions for nursing interventions.
  • Removal of information regarding Titration, Taper, and Automatic Stop Orders is now incorporated within AOS #14, Roles and Responsibilities of Nurses in the Implementation of Patient Care Orders. 
  • Updated reference materials.
12/2025​​
AOS #18
  • ​Title revised to  Employment of Nursing Students using either an Academic or a Nurse Extern Service Model.​
  • Change of reference concerning programs of nursing from Board-approved to accredited to meet administrative regulatory requirements. See, 201 KAR 20:360 and 201 KAR 20:280​.​
02/2025
AOS #19
  • ​Updated reference materials.​
10/2024​
AOS #20
  • Included information from AOS #39, Scope of Registered Nursing Practice in the Deactivation of Implanted Cardioverter Defibrillators (ICDS) and Ventricular Assist Devices (VADS).   AOS #39 was withdrawn.
  • Added the definition of Educational Preparation and Clinical Competency. 
  • Change of term “physician” to “qualified healthcare provider” where applicable. 
  • ​Updated reference materials.​​
02/2025
AOS #21
  • Updated information for LPN scope of practice concerning (intravenous) IV pushes and central venous catheters (CVC) access.
  • Added updated reference material of administrative regulations concerning dialysis technicians' scope of practice to access CVC.
  • Included advisory opinions concerning dialysis technicians' scope of practice to access CVC.
10/2023
AOS #22
  • ​Included the definition of Educational Preparation and Clinical Competency. 
  • Updated reference materials.
10/2023
AOS #23
  • Updated information based on current evidence-based practices to include information related to LPNs in cast application. 
  • Updated reference materials.​
06/2025
AOS #24
  • Added guidance related to patient abandonment and the APRN.
  • Updated reference materials.
04/2024
AOS #​25
  • Included information on the APRN scope of practice in the performance of bone marrow aspiration and biopsy.
  • Revised Rationale for Advisory Opinion.​
04/2024​
AOS #26
  • Included a list of nursing tasks identified in the AOS. 
  • Included the definition of Educational Preparation and Clinical Competency. 
  • Removed reference to the Emergency Nurses Association (ENA) Position Statement that has been withdrawn from publication. 
  • Added a practice grid to identify the scope of nursing practice for each nursing task.
  • Updated reference materials.​
06/2024
AOS #27
  • Updated information based on evidence-based practices, standards of care, and laws.
  • Updated background information and definitions for each nursing intervention.
  • Updated reference materials.
10/2025
AOS #29
  • Included the definition of educational preparation and clinical competency
  • Included information on the APRN's Role in Bronchoscopy. ​
10/2023
AOS #30
  • ​Updated guidance regarding continuous glucose monitor (CGM) monitoring in the school setting.
  • Updated guidance related to CGM sensor replacement in the school setting.
  • Updated reference materials.
  • Updated practice grid.
10/2025​
AOS #32
  • Title Revision to the Role of Nurses in Procedural Sedation, Regional Anesthesia, and Analgesia and Airway Management in Various Settings to reflect the Advisory Opinions (AO) added from AOS #16 Roles of Nurses in the Administration of Medication via Various Routes: 
    • Administration of Local Anesthesia in a Dental Setting. 
    • Peripheral Nerve Block. ​
  • Updated information based on evidence-based practices, standards of care, and laws.
  • Updated background information and definitions for each nursing intervention.
  • Updated reference materials.
  • Updated practice grid.​
10/2025
AOS #33
  • Updated statutory and regulatory references.
  • Updated reference material.
  • Updated contact information for the Kentucky Board of Emergency Medical Services (KBEMS)​.
10/2023
AOS #34
  • Included information from AOS #40 Social Media for Nurses.  AOS #40 was withdrawn.
  • ​Updated reference materials. 
10/2023
AOS #35
  • ​Title revised to Role of Nurses in Cosmetic and Dermatological Procedures.
  • Included definitions of “supervision” and “direct supervision”.
  • Included information for acts that are outside the nursing plan of care and information for nurses who may need to seek guidance and licensing from other regulatory Boards.
  • Updated APRN Best Practices to ensure accuracy.
  • Updated procedure grid. 
10/2023
AOS #36
  • ​​Title revised to Roles of Nurses in Resuscitation Orders, Pronouncement of Death, and Death Certificates.​​
  • Included a list of the nursing tasks identified in the AOS. 
  • Included the definition of Educational Preparation and Clinical Competency. 
12​/2024
AOS #37
  • Updated regulatory language based on the amendment of 201 KAR 20:057
    • Updated definition for “immediate family”. ​
    • Included information related to Prescription Drug Monitoring Programs (PDMP).
02/2025
AOS #41
  • Title revised to RN/LPN/APRN Scope of Practice Determination Guidelines.
  • Included content specific to APRNs in this AOS.  
  • Added links to statutes and regulations related to the scope of practice. 
  • Updated reference materials.
10/2024
AOS #42
  • ​Updated information to align with current evidence-based practice and current applicable laws.
  • Updated information related to informed consent.
  • Updated reference materials.​
06/2025​
AOS #43 
  • ​​Included guidance that it is not within the scope of practice for an RN and LPN to administer subanesthetic doses of Ketamine.
    • ​​​AOS #43 was initially issued in December of 2023 to provide guidance on the role of the APRN in subanesthetic dosing of Ketamine for Psychiatric Disorders and Chronic Pain.
0​2/2024​​

AOS #44
  • ​AOS #44 is a new advisory opinion statement issued to provide guidance in the scope of practice of APRNs in the performance of X-rays and the utilization of fluoroscopy.
0​4/2024​​
AOS ​#45
  • AOS #45 is a new advisory opinion statement issued to identify nursing procedures related to complementary treatment modalities that may be used to address various symptoms or health issues.
  • Includes information on acupuncture, including dry needling.​
12/2023​