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Overview

Embarking on a nursing career in Arizona involves navigating through the comprehensive guidelines and requirements set out by the Arizona State Board of Nursing. Updated last on June 3, 2019, these rules form the backbone of the nursing profession within the state, governing everything from licensure to the scope of practice for nurses at various levels. Consisting of distinct articles and sections, these rules cover a wide array of aspects crucial for prospective and current nursing professionals. Key areas include clear definitions important for understanding the regulations, time-frames for licensing processes to ensure transparency and efficiency, and stringent guidelines for nursing programs to guarantee comprehensive education and training. Moreover, the path to licensure—whether by examination, endorsement, or reinstatement—is delineated with specific requirements to maintain high standards within the profession. The guidelines also tackle the approval and operation of nursing and refresher programs, including those delivered via distance learning, to accommodate diverse learning needs while ensuring quality. Additionally, they set forth the expectations for advanced practice registered nursing, certification procedures, and the regulation of nursing conduct, all aimed at upholding integrity and professionalism. Importantly, these rules are not just about maintaining professional standards; they're also about protecting the public by ensuring that those who enter the nursing field are thoroughly vetted, appropriately trained, and continuously competent in their practice. Through this framework, the Arizona State Board of Nursing ensures the wellbeing of both the professionals it oversees and the individuals they serve.

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RULES OF THE

STATE BOARD OF NURSING

ISSUED BY

ARIZONA STATE BOARD OF NURSING

PHOENIX, ARIZONA

Updated: June 3, 2019

See Historical Notes after each Rule Section for

Official Effective Date of Rules

TITLE 4. PROFESSIONS AND OCCUPATIONS

CHAPTER 19. BOARD OF NURSING

(Authority: A.R.S. § 32-1606 et seq.)

ARTICLE 1. DEFINITIONS AND TIME-FRAMES

New Article 1, consisting of R4-19-101, adopted effective July 19, 1995 (Supp. 95-3).

Article 1, consisting of R4-19-101 through R4-19-102, repealed effective July 19, 1995 (Supp. 95-3).

Section

R4-19-101. Definitions

R4-19-102. Time-frames for Licensure, Certification, or Approval

Table 1. Time-frames

ARTICLE 2. ARIZONA REGISTERED AND PRACTICAL NURSING PROGRAMS; REFRESHER PROGRAMS

Article 2, consisting of R4-19-201 through R4-19-214, adopted effective July 19, 1995 (Supp. 95-3).

Section

R4-19-201. Organization and Administration

R4-19-202. Repealed

R4-19-203. Administrator; Qualifications and Duties

R4-19-204. Repealed

R4-19-205. Students; Policies and Admissions

R4-19-206. Curriculum

R4-19-207. New Programs; Proposal Approval; Provisional Approval R4-19-208. Full Approval of a New Nursing Program

R4-19-209. Nursing Program Change

R4-19-210. Renewal of Approval of Nursing Programs Not Accredited by a National Nursing Accrediting Agency R4-19-211. Unprofessional Conduct in a Nursing Program; Reinstatement or Reissuance

R4-19-212. Repealed

R4-19-213. Nursing Programs Holding National Program Accreditation; Changes in Accreditation R4-19-214. Pilot Programs for Innovative Approaches in Nursing Education

R4-19-215. Voluntary Termination of a Nursing Program or a Refresher Program R4-19-216. Approval of a Refresher Program

R4-19-217 Distance Learning Nursing Programs; Out-of-State Nursing Programs

ARTICLE 3. LICENSURE

Article 3, consisting of R4-19-301 through R4-19-308, adopted effective July 19, 1995 (Supp. 95-3).

Section

R4-19-301. Licensure by Examination

R4-19-302. Licensure by Endorsement

R4-19-303. Requirements for Credential Evaluation Service (CES)

R4-19-304. Temporary License

R4-19-305. License Renewal

R4-19-306. Inactive License

R4-19-307. Repealed

R4-19-308. Change of Name or Address

R4-19-309. School Nurse Certification Requirements

R4-19-310. Certified Registered Nurse

R4-19-311. Nurse Licensure Compact

R4-19-312. Practice Requirement

R4-19-313 Background

ARTICLE 4. REGULATION

Article 4, consisting of R4-19-401 through R4-19-404, adopted effective July 19, 1995 (Supp. 95-3).

Section

R4-19-401. Standards Related to Licensed Practical Nurse Scope of Practice

R4-19-402. Standards Related to Registered Nurse Scope of Practice

R4-19-403. Unprofessional Conduct

R4-19-404. Re-issuance or Subsequent Issuance of License

R4-19-405. Board-ordered Evaluations

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ARTICLE 5. ADVANCED PRACTICE REGISTERED NURSING

Section

R4-19-501. Roles and Population Foci of Advanced Practice Registered Nursing (APRN); Certification Programs R4-19-502. Requirements for APRN Programs

R4-19-503. Application for Approval of an Advanced Practice Registered Nursing Program; Approval by Board R4-19-504. Notice of Deficiency; Unprofessional Program Conduct

R4-19-505. Requirements for Initial APRN Certification

R4-19-506. Expiration of APRN Certificate; Practice Requirement; Renewal

R4-19-507. Temporary Advanced Practice Certificate; Temporary Prescribing and Dispensing Authority R4-19-508. Standards Related to Registered Nurse Practitioner Scope of Practice

R4-19-509. Delegation to Medical Assistants

R4-19-510. Expired

R4-19-511. Prescribing and Dispensing Authority; Prohibited Acts R4-19-512. Prescribing Drugs and Devices

R4-19-513. Dispensing Drugs and Devices

R4-19-514. Standards Related to Clinical Nurse Specialist Scope of Practice R4-19-515. Repealed

R4-19-516. Repealed

ARTICLE 6. RULES OF PRACTICE AND PROCEDURE

Article 6, consisting of R4-19-601 through R4-19-615, adopted effective October 10, 1996 (Supp. 96-4).

Section

R4-19-601. Expired

R4-19-602. Letter of Concern

R4-19-603. Representation

R4-19-604. Notice of Hearing; Response

R4-19-605. Expired

R4-19-606. Expired

R4-19-607. Recommended Decision

R4-19-608. Rehearing or Review of Decision

R4-19-609. Effectiveness of Orders

R4-19-610. Expired

R4-19-611. Expired

R4-19-612. Renumbered

R4-19-613. Expired

R4-19-614. Renumbered

R4-19-615. Renumbered

ARTICLE 7. PUBLIC PARTICIPATION PROCEDURES

Article 7, consisting of R4-19-701 through R4-19-706, adopted effective October 10, 1996 (Supp. 96-4).

Section

R4-19-701. Expired

R4-19-702. Petition for Rulemaking; Review of Agency Practice or Substantive Policy Statement; Objection to Rule Based Upon Economic, Small Business, or Consumer Impact

R4-19-703. Oral Proceedings

R4-19-704. Petition for Altered Effective Date

R4-19-705. Written Criticism of an Existing Rule R4-19-706. Renumbered

ARTICLE 8. CERTIFIED AND LICENSED NURSING ASSISTANTS AND CERTIFIED MEDICATION ASSISTANTS

Article 8, consisting of Sections R4-19-801 through R4-19-815, adopted by final rulemaking at 6 A.A.R. 757, effective February 4, 2000 (Supp. 00-1).

Section

R4-19-801. Common Standards for Nursing Assistant (NA) and Certified Medication Assistant (CMA) Training Programs R4-19-802. Nursing Assistant (NA) Program Requirements

R4-19-803. Certified Medication Assistant Program Requirements

R4-19-804. Initial Approval and Re-approval Training Programs

R4-19-805. Deficiencies and Rescission of Program Approval, Unprofessional Program Conduct, Voluntary Termination, Disciplinary Action, and Reinstatement

R4-19-806. Initial Nursing Assistant Licensure and Medication Assistant Certification

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ARTICLE 8. CERTIFIED AND LICENSED NURSING ASSISTANTS AND CERTIFIED MEDICATION ASSISTANTS

(continued)

Section

R4-19-807. Nursing Assistant Licensure and Medication Assistant Certification by Endorsement R4-19-808. Fees Related to Certified Medication Assistant

R4-19-809. Nursing Assistant Licensure and Medication Assistant Certificate Renewal R4-19-810. Certified Nursing Assistant Registry; Licensed Nursing Assistant Registry R4-19-811. Repealed

R4-19-812. Change of Name or Address

R4-19-813. Performance of Nursing Assistant Tasks; Performance of Medication Assistant Tasks

R4-19-814. Standards of Conduct for Licensed Nursing Assistants and Certified Medication Assistants

R4-19-815. Reissuance or Subsequent Issuance of a Nursing Assistant License or Medication Assistant Certificate

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ARTICLE 1. DEFINITIONS AND TIME-FRAMES

R4-19-101. Definitions

In addition to the definitions in A.R.S. § 32-1601, in this Chapter:

"Abuse" means a misuse of power or betrayal of trust, respect, or intimacy by a nurse, nursing assistant, or applicant that causes or is likely to cause physical, mental, emotional, or financial harm to a client.

"Administer" means the direct application of a medication to the body of a patient by a nurse, whether by injection, inhalation, ingestion, or any other means.

“Admission cohort’ means a group of students admitted at the same time to the same curriculum in a regulated nursing, nursing assistant, or advanced practice nursing program or entering the first clinical course in a regulated program at the same time. “Same time” means on the same date or within a narrow range of dates pre-defined by the program.

"Applicant" means a person seeking licensure, certification, prescribing, or prescribing and dispensing privileges, or an entity seeking approval or re-approval, if applicable, of a:

CNS or RNP nursing program, Credential evaluation service, Nursing assistant training program, Nursing program,

Nursing program change, or Refresher program.

"Approved national nursing accrediting agency" means an organization recognized by the United States Department of Education as an accrediting agency for a nursing program.

"Assign" means a nurse designates nursing activities to be performed by another nurse that are consistent with the other nurse's scope of practice.

"Certificate or diploma in practical nursing" means the document awarded to a graduate of an educational program in practical nursing.

“Certified medication assistant” means a certified nursing assistant who meets Board qualifications and is additionally certified by the Board to administer medications under A.R.S. § 32-1650 et. seq.

“CES” means credential evaluation service.

"Client" means a recipient of care and may be an individual, family, group, or community.

"Clinical instruction" means the guidance and supervision provided by a nursing, nursing assistant or medication assistant program faculty member while a student is providing client care.

“CMA” means certified medication assistant.

“CNA” means a certified nursing assistant, as defined in A.R.S § 32-1601(4). "CNS" means clinical nurse specialist, as defined in A.R.S. § 32-1601(7).

"Collaborate" means to establish a relationship for consultation or referral with one or more licensed physicians on an as-needed basis. Supervision of the activities of a registered nurse practitioner by the collaborating physician is not required.

"Contact hour" means a unit of organized learning, which may be either clinical or didactic and is either 60 minutes in length or is otherwise defined by an accrediting agency recognized by the Board.

"Continuing education activity" means a course of study related to nursing practice that is awarded contact hours by an accrediting agency

recognized by the Board, or academic credits in nursing or medicine by a regionally or nationally accredited college or university. "CRNA" means a certified registered nurse anesthetist as defined in A.R.S. § 32-1601 (6).

"DEA" means the federal Drug Enforcement Administration.

"Dispense" means to deliver a controlled substance or legend drug to an ultimate user.

"Dual relationship" means a nurse or CNA simultaneously engages in both a professional and nonprofessional relationship with a patient or resident or a patient’s or resident’s family that is avoidable, non-incidental, and results in the patient or resident or the patient’s or resident’s family being exploited financially, emotionally, or sexually.

“Eligibility for graduation” means that the applicant has successfully completed all program and institutional requirements for receiving a degree or diploma but is delayed in receiving the degree or diploma due to the graduation schedule of the institution.

"Endorsement" means the procedure for granting an Arizona nursing license to an applicant who is already licensed as a nurse in another state or territory of the United States and has passed an exam as required by A.R.S. §§ 32-1633 or 32-1638 or an Arizona nursing assistant or medication assistant certificate to an applicant who is already listed on a nurse aide register or certified as a medication assistant in another state or territory of the United States.

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"Episodic nursing care" means nursing care at nonspecific intervals that is focused on the current needs of the individual.

"Failure to maintain professional boundaries" means any conduct or behavior of a nurse or CNA that, regardless of the nurse's or CNA's intention, is likely to lessen the benefit of care to a patient or resident or a patient's or resident's family or places the patient, resident or the patient's or resident's family at risk of being exploited financially, emotionally, or sexually;

“Family”, as applied to R4-9-511, means individuals who are related by blood, marriage, adoption, legal guardianship, or domestic partnership, or who are cohabitating or romantically involved.

"Good standing" means the license of a nurse, or the certificate of a nursing assistant, is current, and the nurse or nursing assistant is not presently subject to any disciplinary action, consent order, or settlement agreement.

"Independent nursing activities" means nursing care within an RN's scope of practice that does not require authorization from another health professional.

"Initial approval" means the permission, granted by the Board, to an entity to establish a nursing assistant training program, after the Board determines that the program meets the standards provided by A.R.S. Title 32, Chapter 15 and this Chapter.

"Licensure by examination" means the granting of permission to practice nursing based on an individual's passing of a prescribed examination and meeting all other licensure requirements.

"LPN" means licensed practical nurse.

"NCLEX" means the National Council Licensure Examination. "Nurse" means a licensed practical or registered nurse.

"Nursing diagnosis" means a clinical judgment, based on analysis of comprehensive assessment data, about a client's response to actual and potential health problems or life processes. Nursing diagnosis statements include the actual or potential problem, etiology or risk factors, and defining characteristics, if any.

"Nursing process" means applying problem-solving techniques that require technical and scientific knowledge, good judgment, and decision-making skills to assess, plan, implement, and evaluate a plan of care.

"Nursing program" means a formal course of instruction designed to prepare its graduates for licensure as registered or practical nurses.

"Nursing program administrator" means a nurse educator who meets the requirements of A.R.S. Title 32, Chapter 15 and this Chapter and has the administrative responsibility and authority for the direction of a nursing program.

"Nursing program faculty member" means an individual working full or part time within a nursing program who is responsible for either developing, implementing, teaching, evaluating, or updating nursing knowledge, clinical skills, or curricula.

"Nursing-related activities or duties" means client care tasks for which education is provided by a basic nursing assistant training program. "P & D" means prescribing and dispensing.

"Parent institution" means the educational institution in which a nursing program, or nursing assistant training program or medication assistant program is conducted.

"Patient" means an individual recipient of care.

"Pharmacology" means the science that deals with the study of drugs.

"Physician" means a person licensed under A.R.S. Title 32, Chapters 7, 8, 11, 13, 14, 17, or 29, or by a state medical board in the United States.

"Preceptor" means a licensed nurse or other health professional who meets the requirements of A.R.S. Title 32, Chapter 15 and this Chapter who instructs, supervises and evaluates a licensee, clinical nurse specialist, nurse practitioner or pre-licensure nursing student, for a defined period.

"Preceptorship" means a clinical learning experience by which a learner enrolled in a nursing program, nurse refresher program, clinical nurse specialist, or registered nurse practitioner program or as part of a Board order provides nursing care while assigned to a health professional who holds a license or certificate equivalent to or higher than the level of the learner's program or in the case of a nurse under Board order, meets the qualifications in the Board order.

"Prescribe" means to order a medication, medical device, or appliance for use by a patient.

“Private business” means any individual or sole proprietorship, partnership, limited liability partnership, limited liability company, corporation or other legal business entity.

"Proposal approval" means that an institution has met the standards provided by A.R.S. Title 32, Chapter 15 and this Chapter to proceed with an application for provisional approval to establish a pre-licensure nursing program in Arizona.

"Provisional approval" means that an institution has met the standards provided by A.R.S. Title 32, Chapter 15 and this Chapter to implement a pre-licensure nursing program in Arizona.

"Refresher program" means a formal course of instruction designed to provide a review and update of nursing theory and practice.

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"Register" means a listing of Arizona certified nursing assistants maintained by the Board that includes the following about each nursing assistant:

Identifying demographic information; Date placed on the register;

Date of initial and most recent certification, if applicable; and

Status of the nursing assistant certificate, including findings of abuse, neglect, or misappropriation of property made by the Arizona Department of Health Services, sanctions imposed by the United States Department of Health and Human Services, and disciplinary actions by the Board.

"Resident" means a patient who receives care in a long-term care facility or other residential setting. "RN" means registered nurse.

"RNP" means a registered nurse practitioner as defined in A.R.S. § 32-1601(20). "SBTPE" means the State Board Test Pool Examination.

"School nurse" means a registered nurse who is certified under R4-19-309.

“Secure examination” means a written test given to an examinee that: Is administered under conditions designed to prevent cheating;

Is taken by an individual examinee without access to aides, textbooks, other students or any other material that could influence the examinee’s score; and,

After opportunity for examinee review, is either never used again or stored such that only designated employees of the educational institution are permitted to access the test.

"Self-study" means a written self-evaluation conducted by a nursing program to assess the compliance of the program with the standards listed in Article 2.

"Standards related to scope of practice" means the expected actions of any nurse who holds the identified level of licensure. “Substance use disorder” means misuse, dependence or addiction to alcohol, illegal drugs or other substances.

"Supervision" means the direction and periodic consultation provided to an individual to whom a nursing task or patient care activity is delegated.

"Unlicensed assistive personnel" or "UAP" means a CNA or any other unlicensed person, regardless of title, to whom nursing tasks are delegated.

“Verified application” means an affidavit signed by the applicant attesting to the truthfulness and completeness of the application and includes an oath that applicant will conform to ethical professional standards and obey the laws and rules of the Board.

Historical Note

Former Glossary of Terms; Amended effective Nov. 17, 1978 (Supp. 78-6). Former Section R4-19-01 repealed, new Section R4-19-01 adopted effective February 20, 1980 (Supp. 80-1). Amended paragraphs (1) and (7), added paragraphs (9) through (25) effective July 16, 1984 (Supp. 84-4). Former Section R4-19-01 renumbered as Section R4-19-101 (Supp. 86-1). Amended effective November 18, 1994 (Supp. 94-4). Section repealed, new Section adopted effective July 19, 1995 (Supp. 95-3). Amended effective December 22, 1995 (Supp. 95-4). Amended effective November 25, 1996 (Supp. 96-4). Amended by final rulemaking at 7 A.A.R. 1712, effective April 4, 2001 (Supp. 01-2). Amended by final rulemaking at 14 A.A.R. 4621, effective January 31, 2009 (Supp. 08-4). Pursuant to authority of A.R.S. § 41- 1011(C), Laws 2012, Ch. 152, § 1, provides for A.R.S. references to be corrected to reflect the renumbering of definitions. Therefore the A.R.S. citations in the definitions of “CNA” “CNS” and “RNP” have been updated. Agency request filed July 12, 2012, Office File No. M12-242 (Supp. 12-3). Amended by final rulemaking at 19 A.A.R. 1308 effective July 6, 2013 (Supp. 13-2). Amended by final rulemaking at 20 A.A.R. 1859, effective September 8,2014 (Supp. 14-3). A.R.S. section references updated under Laws 2015, Ch. 262, effective July 1, 2016 (Laws 2015, Ch. 262, § 23) at file number R16-186 (Supp. 16- 3). Amended by final rulemaking at 23 A.A.R. 1420, effective July 1, 2017 (Supp. 17-2). Amended by final rulemaking at 25 A.A.R. 919, effective June 3, 2019; when amended the Board inadvertently left out the definition of “Full Approval” as last amended at 14 A.A.R. 4621 4621 (Supp. 19-2).

R4-19-102. Time-frames for Licensure, Certification, or Approval

A.In this Section:

1."Administrative completeness" or "administratively complete" means Board receipt of all application components required by statute or rule and necessary to begin the substantive review time-frame.

2."Application packet" means an application form provided by the Board and the documentation necessary to establish an applicant's qualifications for licensure, certification, or approval.

3."Comprehensive written request for additional information" means written communication after the administrative completeness time-frame by the Board to an applicant in person or at the mailing or electronic address identified on the application notifying the applicant that additional information, including missing documents is needed before the Board can grant the license. The written communication shall:

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a.Contain a list of information required by statute or rule and necessary to complete the application or grant the license, and

b.Inform the applicant that the request suspends the running of days within the time-frame, and

c.Be effective on the date of issuance which is:

i.The date of its postmark, if mailed;

ii.The date of delivery, if delivered in person by a Board employee or agent; or

iii.The date of delivery to the electronic address if delivered electronically.

4."Deficiency notice" means written communication by the Board to an applicant in person or at the mailing or electronic address identified on the application notifying the applicant that additional information, including missing documents, is needed to complete the application. The written communication shall:

a.Contain a list of information required by statute or rule and necessary to complete the application or grant the license;

b.Inform the applicant that the request suspends the running of days within the time-frame; and

c.Be effective on the date of issuance which is:

i.The date of its postmark, if mailed;

ii.The date of delivery, if delivered in person by a Board employee or agent; or

iii.The date of delivery to the electronic address if delivered electronically.

5."Notice of administrative completeness" means written communication by the Board to an applicant in person or at the mailing or electronic address identified on the application notifying the applicant the application contains all information required by statute or rule to complete the application.

6."Overall time-frame" has the same meaning as A.R.S. § 41-1072(2).

7."Substantive review time-frame" has the same meaning as A.R.S. § 41-1072(3).

B.In computing the time-frames in this Section, the day of the act or event from which the designated period begins to run is not included. The last day of the period is included unless it is a Saturday, Sunday, or official state holiday, in which event the period runs until the end of the next day that is not a Saturday, Sunday, or official state holiday.

C.For each type of licensure, certification, or approval issued by the Board, the overall time-frame described in A.R.S. § 41-1072(2) is listed in Table 1. An applicant may submit a written request to the Board for an extension of time in which to provide a complete application. The request for an extension of time shall be submitted to the Board office before the deadline for submission of a complete application and shall state the reason that the applicant is unable to comply with the time-frame requirements in Table 1 and the amount of additional time requested. The Board may grant an extension of time based on whether the Executive Director of the Board finds that the applicant is unable to comply within the time-frame due to circumstances beyond the applicant's control and that the additional information can reasonably be supplied during the extension of time.

D.For each type of licensure, certification, or approval issued by the Board, the administrative completeness review time-frame described in A.R.S. § 41-1072(1) is listed in Table 1 and begins to run when the Board receives an application packet.

1.If the application packet is not administratively complete, the Board shall send a deficiency notice to the applicant. The time for the applicant to respond to a deficiency notice begins to run on the date the deficiency notice is issued.

a.The deficiency notice shall list each deficiency.

b.The applicant shall submit to the Board the missing information listed in the deficiency notice within the period specified in Table 1 for responding to a deficiency notice. The time-frame for the Board to complete the administrative review is suspended until the Board receives the missing information.

c.If an applicant fails to provide the missing information listed in the deficiency notice within the period specified in Table 1, the Board shall close the applicant's file and send a notice to the applicant by U.S. mail and electronically, if an electronic address is included in the application.

d.If the applicant is the subject of an investigation, the Board may continue to process the application. Failure of the applicant to supply the requested information may result in denial of the license or certificate based on information gathered during the investigation.

2.If the application packet is administratively complete, the Board shall send a written notice of administrative completeness to the applicant.

3.If the Board issues a license, certificate, or approval during the administrative completeness review time-frame, the Board shall not send a separate written notice of administrative completeness.

E.For each type of licensure, certification, or approval issued by the Board, the substantive review time-frame described in A.R.S. § 41- 1072(3) is listed in Table 1 and begins to run on the date the notice of administrative completeness is issued.

1.During the substantive review time-frame, an applicant may make a request to withdraw an application packet. The Board may deny the request to withdraw an application packet if the applicant is the subject of an investigation, based on information gathered during the investigation.

2.If an applicant discloses or the Board receives allegations of unprofessional conduct as described in A.R.S. § 32-1601 or this Chapter, the Board shall review the allegations and may investigate the applicant. The Board may require the applicant to provide additional information as prescribed in subsection (E)(3) based on its assessment of whether the conduct is or might be harmful or dangerous to the health of a client or the public.

3.During the substantive review time-frame, the Board may make one comprehensive written request for additional information. The applicant shall submit the additional information within the period specified in Table 1. The time-frame for the Board to complete the substantive review of the application packet is suspended from the date the comprehensive written request for additional information is issued until the Board receives the additional information.

4.If the applicant fails to provide the additional information identified in the comprehensive written request for additional information within the time specified in Table 1, the Board shall close the applicant's file and send a notice to the applicant by U.S. mail and electronically, if an electronic address is included in the application. The Board may continue to process the

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application if the applicant is the subject of an investigation. Failure of the applicant to supply the requested information may result in denial of the license or certificate based on information gathered during the investigation.

5.The Board shall grant licensure, conditional licensure, limited licensure, certification, or approval to an applicant:

a.Who meets the substantive criteria for licensure, certification, or approval required by A.R.S. Title 32, Chapter 15 and this Chapter; and

b.Whose licensure, certification, or approval is in the best interest of the public.

6.The Board shall deny licensure, certification, or approval to an applicant:

a.Who fails to meet the substantive criteria for licensure, certification, or approval required by A.R.S. Title 32, Chapter 15 and this Chapter; or

b.Who has engaged in unprofessional conduct as described in A.R.S. § 32-1601 or this Chapter; and

c.Whose licensure, certification, or approval is not in the best interest of the public.

7.The Board's written order of denial shall meet the requirements of A.R.S. § 41-1076. The applicant may request a hearing by filing a written request with the Board within 30 days of receipt of the Board's order of denial. The Board shall conduct hearings in accordance with A.R.S. Title 41, Chapter 6, Article 10 and 4 A.A.C. 19, Article 6.

Historical Note

Adopted effective February 20, 1980 (Supp. 80-1). Former Section R4-19-02 renumbered and amended as Section R4-19-102 effective February 21, 1986 (Supp. 86-1). Section repealed effective July 19, 1995 (Supp. 95-3). New Section adopted April 20, 1998 (Supp. 98-2). Amended by final rulemaking at 7 A.A.R. 1712, effective April 4, 2001 (Supp. 01-2). Amended by

final rulemaking at 14 A.A.R. 4621, effective January 31, 2009 (Supp. 08-4).

Table 1.

Time-frames

 

 

 

 

 

 

 

Time-frames (in days)

 

 

 

 

 

 

 

 

 

 

Board

Board

Board

Applicant

Board

Board

Applicant

Type of License,

Applicable

Substantive

Substantive

Time to

Overall Time-

Overall Time- Administrative

Time to

Review

Review

Respond to

Certificate, or

 

Statute

frame

frame

Completeness

Respond to

 

Time-frame

Time-frame

Comprehensive

Approval

 

and Section

Without

With

Review

Deficiency

 

Without

With

Written

 

 

 

Investigation

Investigation

Time-frame

Notice

 

 

 

Investigation

Investigation

Request

 

 

 

 

 

 

 

Nursing Program

A.R.S. §§ 32-

 

Not

 

 

 

Not

 

1606(B)(2), 32-

150

60

180

90

120

Proposal Approval

Applicable

applicable

1644; R4-19-207

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nursing Program

A.R.S. §§ 32-

 

Not

 

 

 

Not

 

Provisional

 

1606(B)(2), 32-

150

60

180

90

120

 

applicable

applicable

Approval

 

1644; R4-19-207

 

 

 

 

 

 

 

 

 

 

 

 

 

Nursing Program

A.R.S. §§ 32-

 

 

 

 

 

 

 

1606(B)(2), 32-

 

Not

 

 

 

Not

 

Full Approval or

 

150

60

180

90

120

 

1644; R4-19-208,

applicable

applicable

Re-approval

 

R4-19-210

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nursing Program

A.R.S. § 32-

 

Not

 

 

 

Not

 

1606(B)(1);

150

60

180

90

120

Change

 

applicable

applicable

 

R4-19-209

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Refresher Program

A.R.S. § 32-

 

Not

 

 

 

No

 

Approval or

 

1606(B)(21);

150

60

180

90

120

 

applicable

applicable

Re-approval

 

R4-19-216

 

 

 

 

 

 

 

 

 

 

 

 

 

CNS or RNP

 

A.R.S. §§ 32

 

 

 

 

 

 

 

 

1606(B)(18),

 

Not

 

 

 

Not

 

Nursing Program

150

60

180

90

120

32-1644; R4-19-

applicable

applicable

Approval or

 

 

 

 

 

 

 

503

 

 

 

 

 

 

 

Re-approval

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Credential

 

A.R.S. §§ 32-

 

 

 

 

 

 

 

 

1634.01(A)(1),

 

 

 

 

 

 

 

Evaluation Service

32-1634.02(A)(1),

90

Not

30

180

60

Not

120

Approval or

 

32-1639.01(1),

 

applicable

 

 

 

applicable

 

Re-approval

 

32-1639.02(1);

 

 

 

 

 

 

 

 

 

R4-19-303

 

 

 

 

 

 

 

 

 

A.R.S. §§ 32-

 

 

 

 

 

 

 

Licensure by Exam

1606(B)(5), 32-

150

270

30

270

120

240

150

1633, 32-1638,

 

 

and R4-19-301

 

 

 

 

 

 

 

 

 

A.R.S. §§ 32-

 

 

 

 

 

 

 

Licensure by

 

1606(B)(5), 32-

150

270

30

270

120

240

150

Endorsement

 

1634, 32-1639,

 

 

 

 

 

 

 

 

 

 

and R4-19-302

 

 

 

 

 

 

 

Temporary License

A.R.S. §§ 32-

60

90

30

60

30

60

90

or Renewal

 

1605.01(B)(3),

 

 

 

 

 

 

 

 

RULES June 3, 2019

 

 

 

 

 

 

Page 9 of 69

Time-frames (in days)

Type of License,

Applicable

Board

Board

Board

Applicant

Overall Time- Overall Time- Administrative

Time to

Certificate, or

Statute

frame

frame

Completeness

Respond to

Approval

and Section

Without

With

Review

Deficiency

 

 

Investigation

Investigation

Time-frame

Notice

Board

Board

Applicant

Substantive

Substantive

Time to

Review

Review

Respond to

Time-frame

Time-frame

Comprehensive

Without

With

Written

Investigation

Investigation

Request

License Renewal

School Nurse Certification or Renewal

Re-issuance or Subsequent Issuance of License

Registered Nurse Practitioner Certification or Renewal

RNP Prescribing and Dispensing Privilege

CNS Certification or

Renewal

CRNA Certification or Renewal

Temporary RNP, CRNA or CNS Certificate or Renewal

Nursing Assistant and Medication Assistant Training Programs Approval or Re-approval

Licensed or Certified Nursing Assistant and Medication Assistant Certification by Examination

Licensed or Certified Nursing Assistant and Medication Assistant Certification by Endorsement

Licensed or Certified Nursing Assistant and Certified Medication Assistant Renewal

Re-issuance or Subsequent Issuance of a

32-1635, 32-1640;

R4-19-304

A.R.S. §§ 32- 1606(B)(5), 32- 1642; R4-19-305

A.R.S. §§ 32-1606 (B)(13), 32-1643 (A)(8); R4-19-309

A.R.S. § 32- 1664(O);

R4-19-404

A.R.S. §§ 32- 1601(19), 32- 1606(B)(21);

R4-19-505, R4-

19-506

A.R.S. § 32- 1601(19); R4-19-511

A.R.S. §§ 32- 1601(6), 32- 1606(B)(21); R4- 19-505, R4-19- 506

A.R.S. § 32-1634-

.03; R4-19-505; R4-19-506

A.R.S. § 32- 1635.01, 32- 1634.03; R4-19- 507

A.R.S. § 32- 1606(B)(11), 32- 1650.01; R4-19- 803, R4-19-804

A.R.S. §§ 32- 1606(B)(11), 32- 1647, 32-1650.02, 32-1650.03; R4- 19-806

A.R.S §§ 32- 1606(B)(11), 32- 1648, 32-1650.04; R4-19-807

A.R.S. § 32- 1606(B)(11); R4-19-809

A.R.S. § 32- 1664(O); R4-19- 815

120

150

150

150

150

150

150

60

120

150

150

120

150

270

30

270

270

30

270

270

30

270

270

30

270

270

30

270

270

30

270

270

30

270

Not

30

60

applicable

 

 

Not

30

180

applicable

 

 

270

30

270

270

30

270

270

30

270

270

30

270

90

240

150

120

240

150

120

240

150

120

240

150

120

240

150

120

240

150

120

240

150

30

Not

60

applicable

 

 

90

Not

120

applicable

 

 

120

240

150

120

240

150

90

240

150

120

240

150

RULES June 3, 2019

Page 10 of 69

File Properties

Fact Name Description
Governing Law The Arizona Board of Nursing operates under the authority of A.R.S. § 32-1606 et seq., providing the legal framework for its functions and activities.
Historical Amendments New articles and sections such as Article 1, consisting of R4-19-101, were adopted effective July 19, 1995, with significant updates and repeals over time, indicating the evolving nature of nursing regulation in Arizona.
Scope of Practice Definitions Definitions for roles such as "Administer", "Assign", "Collaborate", and types of nurses (CNA, CNS, CRNA) clarify the scope of practice and responsibilities within the nursing profession in Arizona.
Education and Program Approval Sections like R4-19-207 and R4-19-208 detail the requirements and process for new program proposals, provisional approval, and full approval, ensuring quality education for nurses.
Licensure and Certification Process Articles 3 and 5 outline the procedures for licensure by examination or endorsement, initial APRN certification, and specific requirements for credential evaluation, reflecting the comprehensive process for nursing certification in Arizona.

Instructions on Writing Arizona Board Of Nursing License

Filling out the Arizona Board of Nursing License form is a critical step for professionals aiming to practice nursing within the state. This task involves providing detailed information and ensuring accuracy to meet the regulatory requirements set forth by the Arizona State Board of Nursing. The process is designed to verify qualifications, educational background, and other criteria essential for maintaining high standards in the nursing profession. Following the guidelines meticulously can expedite the approval process, allowing individuals to commence their professional duties with legal sanction.

  1. Begin by reviewing the "Definitions" section to familiarize yourself with the specific terminologies and requirements relevant to your application. This will ensure clarity and accuracy in providing the necessary information.
  2. Identify the specific type of licensure you are applying for, whether by examination, endorsement, renewal, or inactive license status, as noted under Article 3, "Licensure."
  3. Complete the "Licensure by Examination" section if you are a new applicant who has never been licensed as a nurse in another state. Follow the guidelines in R4-19-301.
  4. If seeking licensure by endorsement due to holding a nursing license in another state, refer to R4-19-302 to provide proof of licensure and any additional required documents.
  5. For foreign-educated nurses, fulfill the "Requirements for Credential Evaluation Service (CES)" as mandated in section R4-19-303 to validate your educational qualifications.
  6. Should you require a temporary license while awaiting the processing of your permanent license, complete the section outlined in R4-19-304, ensuring to comply with all stipulated criteria.
  7. For professionals needing to renew their license, refer to R4-19-305 for instructions on submitting proof of continued education or competency, along with the renewal application.
  8. To place a license in inactive status, complete the requirements outlined in R4-19-306. This is applicable for nurses not currently practicing but wishing to maintain their license.
  9. Any changes to personal information, such as a change of name or address, should be reported as per R4-19-308 to ensure the Board has accurate and current information.

Upon completion, applicants must double-check all entries for accuracy, attach any required documents or certifications, and submit the form to the Arizona State Board of Nursing. Detailed attention to each section and adherence to the Board's stipulated timelines enhance the likelihood of a smooth approval process. Following submission, applicants can anticipate notification from the Board regarding the status of their application or any further steps required to finalize licensure.

Listed Questions and Answers

What are the requirements for licensure by examination in Arizona?

In Arizona, to be eligible for licensure by examination, applicants must graduate from an approved nursing program and pass the National Council Licensure Examination (NCLEX). Additionally, they must submit a completed application, provide proof of having completed the required nursing education, and, depending on their background, may need to provide fingerprints for a background check. The specifics of these requirements are detailed under Section R4-19-301 in the Arizona Board of Nursing rules.

Can I apply for licensure by endorsement if I'm already licensed in another state?

Yes, nurses who are licensed in another state or territory of the United States can apply for licensure by endorsement in Arizona. This process requires submitting a completed application, verification of your current license, proof of passing an examination required for licensure in your original state of licensure, and, in some cases, fingerprints for a background check. The precise requirements and procedures are outlined in Section R4-19-302.

What is the process for renewing a nursing license in Arizona?

Nursing licenses in Arizona must be renewed every 4 years. To renew a license, nurses must submit a renewal application, typically available online through the Arizona Board of Nursing website, and pay the required renewal fee. Nurses also need to meet the continuing education requirements outlined by the Board. Specific details on the renewal process, including continuing education requirements and fees, can be found in Section R4-19-305.

How can I change my name or address with the Arizona Board of Nursing?

If you need to change your name or address, you must notify the Arizona Board of Nursing promptly. This can usually be done online through the Board's website or by submitting a written request. It's important to keep your address current with the Board to ensure you receive all official communications. For detailed instructions, refer to Section R4-19-308.

What are the qualifications for becoming a Certified Medication Assistant (CMA) in Arizona?

To become a Certified Medication Assistant in Arizona, an individual must already be a Certified Nursing Assistant (CNA) in good standing with the Board and complete an approved medication assistant training program. After finishing the training program, candidates must pass a competency evaluation program. Additional details on the qualifications, training requirements, and the evaluation process are provided in Sections R4-19-803 and R4-19-806.

Common mistakes

When applying for a nursing license with the Arizona Board of Nursing, individuals often overlook or mishandle key steps in the process, leading to delays or the rejection of their application. Here are ten common mistakes to avoid:

  1. Not thoroughly reviewing the application instructions, which can lead to incomplete or incorrect submissions. The application process is outlined with specific requirements and failure to follow these can result in unnecessary delays.
  2. Failing to provide detailed and accurate information about previous educational and professional experiences. This information is crucial for the Board to assess eligibility and qualifications.
  3. Omitting or incorrectly filling out sections related to legal declarations, such as past convictions or disciplinary actions. Transparency is critical and any misrepresentation can have serious consequences.
  4. Overlooking the need for fingerprints or submitting poor-quality fingerprints for the background check. This is a crucial step in verifying the applicant's background and ensuring public safety.
  5. Ignoring the specific requirements for name changes or discrepancies. If names do not match across documents, this can lead to questions about the applicant’s identity and slow down the process.
  6. Neglecting to provide proof of completion for all required educational programs, including any refresher courses if the applicant has been out of practice. Proper documentation must be submitted for verification purposes.
  7. Forgetting to request and submit official transcripts or credential evaluations directly from educational institutions or services. Self-submitted documents are typically not accepted.
  8. Delaying the submission of required documents, which can prolong the application process. Timeliness in gathering and submitting all necessary information is crucial for processing the application efficiently.
  9. Not verifying the status of the application online or failing to respond promptly to any requests for additional information from the Board. Keeping track of the application’s progress and complying with any follow-up requests is essential.
  10. Missing the deadline for application renewal or not meeting continuing education requirements. Staying updated on licensure requirements and deadlines ensures that the license remains active and in good standing.

Avoiding these common pitfalls can greatly enhance the likelihood of a successful application process. Applicants are encouraged to approach the application meticulously and utilize all available resources provided by the Arizona Board of Nursing to assist with their queries or concerns.

Documents used along the form

When applying for an Arizona Board of Nursing License, understanding the spectrum of documentation that is often essential alongside the main application can help streamline the process. These documents provide further evidence of qualifications, legal compliance, and professional readiness. Below is a list of commonly required or associated documents:

  • Official Transcripts: Required from all nursing and post-secondary schools attended, these provide proof of educational accomplishments and are typically sent directly from the institution to the Board of Nursing.
  • Fingerprint Clearance Card: Indicates a background check has been performed by the state and the applicant has not been found to have a history that would disqualify them from practicing nursing.
  • Proof of Legal Presence: Documents such as a birth certificate, passport, or other government-issued identification confirm the applicant's eligibility to work in the United States.
  • CPR Certification: A current CPR card from an approved provider demonstrates the applicant's ability to respond to cardiac emergencies.
  • Nursing Examination Scores: NCLEX-RN or NCLEX-PN exam results, depending on the level of licensure, must be submitted directly by the examination provider to the Board.
  • Licensure Verification: For those applying by endorsement from another state, proof of current and active licensure in that state is required.
  • Continuing Education Certificates: Depending on the case, especially for renewals, evidence of completed continuing education courses may be necessary to ensure the nurse remains knowledgeable about current practices.

Gathering these documents in preparation for submitting the Arizona Board of Nursing License form can greatly aid in ensuring that the application process is efficient and successful. Most importantly, it provides a comprehensive overview of the applicant’s competency, legal status, and commitment to the nursing profession, enhancing the likelihood of a favorable review.

Similar forms

The Arizona Board of Nursing License form shares similarities with the Medical License Application used by doctors seeking licensure. Both require proof of completion of educational programs accredited by relevant national accrediting agencies and necessitate the applicant to pass comprehensive examinations. Additionally, both forms inquire about the applicant's history, including any disciplinary actions or criminal convictions, to ensure the safety and trustworthiness of healthcare professionals entering the field. This commonality underscores the rigorous standards set for healthcare professionals to protect public health.

Another document bearing resemblance to the Arizona Board of Nursing License form is the Pharmacy License Application. Pharmacy License Applications often require detailed information on education, training, and examinations, similar to nursing license forms. Both include sections for personal information, educational background, and licensure examination scores. They also require disclosure of any criminal convictions or disciplinary actions by regulatory bodies. This similarity highlights the shared regulatory framework aimed at ensuring competent professionals across different healthcare fields.

Similarly, the Physical Therapy License Application mirrors the Arizona Board of Nursing License form in several key aspects. Both necessitate proof of completion from accredited programs within their respective fields and passing scores on professional licensure examinations. Moreover, applicants must disclose any past disciplinary actions or criminal offenses, which is crucial for maintaining the integrity and trust in healthcare services. Such requirements reflect the overarching goal of safeguarding patient welfare and maintaining high standards of professional practice across healthcare disciplines.

Lastly, the Teacher Certification Application also shares commonalities with the Arizona Board of Nursing License form, albeit in a different professional sector. Both applications require evidence of having completed relevant educational and training programs, in addition to passing specialized examinations. Furthermore, both demand full disclosure of any legal infractions or disciplinary actions that might impact the applicant's ability to serve effectively and ethically in their professional capacity. This parallel underscores the importance of thorough vetting processes across professions where trust, expertise, and ethical conduct are paramount.

Dos and Don'ts

When applying for a license with the Arizona Board of Nursing, it is essential to follow certain guidelines to ensure a smooth and timely application process. Below are critical dos and don'ts to keep in mind:

Do:

  • Thoroughly review all instructions and requirements set forth in the Arizona Board of Nursing rules before filling out the application. This helps to avoid common errors.
  • Ensure that all information provided is accurate and truthful. Inaccuracies can lead to delays or denial of licensure.
  • Provide all required documentation, such as proof of education and identification, in the correct format as specified by the board.
  • Stay informed about the status of your application by checking it online if such a service is available or by maintaining communication with the Board.
  • Prioritize the timeliness of your submission to meet any specific deadlines.
  • Seek clarification if you encounter any problems or have questions by contacting the Arizona Board of Nursing directly.

Don't:

  • Submit the application without double-checking that all sections are completed and all necessary documents are attached.
  • Include information that is outdated or irrelevant to your licensure application.
  • Ignore the importance of updating your contact information, in case the Board needs to reach you regarding your application.
  • Forget to sign and date your application, as an unsigned application may not be processed.
  • Underestimate the value of keeping copies of your completed application and all submitted documents for your records.
  • Rely solely on the Board to notify you of any application mistakes; proactively monitor your application status and rectify any issues promptly.

Taking these steps seriously enhances the chances of a successful application process, enabling a smoother path to obtaining your nursing license in Arizona.

Misconceptions

When it comes to applying for a nursing license through the Arizona Board of Nursing, there are several misconceptions that can create confusion. Understanding the realities of this process can help applicants navigate it more smoothly. Here are seven common misconceptions about the Arizona Board of Nursing License form:

  • Myth: The licensure process is identical in all states. Each state has its own Board of Nursing with unique processes, rules, and requirements for licensure. Arizona's rules, outlined in its nursing board documentation, detail specific guidelines that may differ from those of other states.

  • Myth: Once you submit your application, you’re guaranteed to be licensed. Submission of an application for licensure is just the first step. The Arizona Board of Nursing reviews each application carefully, and approval depends on meeting all specified criteria including educational, examination, and background check requirements.

  • Myth: If you have a license in another state, you automatically qualify for licensure in Arizona. Although having a license in another state is a good start, Arizona requires licensure by endorsement for nurses from other states, which includes verifying your current license and possibly meeting additional requirements.

  • Myth: The licensure process is quick. The timeframe for licensure can vary significantly depending on factors such as the completeness of the application, the response time from educational institutions, and the background check. Arizona's rules provide specific time-frames for licensure, but patience is often required.

  • Myth: All nursing programs are accepted by the Arizona Board of Nursing. For your education to qualify you for licensure, it must be from a program that is approved by the Board or a nationally recognized accrediting agency acceptable to the Board.

  • Myth: You only need to pass the NCLEX to get licensed. Passing the NCLEX is a crucial step in obtaining a nursing license, but it's not the only requirement. Additional criteria, including a background check and proof of education, must also be satisfied.

  • Myth: I don’t need to renew my license if I’m not currently practicing. Arizona nursing licenses require renewal according to a set schedule, irrespective of whether you're actively practicing. Failure to renew can result in having to go through the licensure process again, including meeting the current requirements in effect at the time of reapplication.

Understanding these misconceptions and the corresponding truths can help streamline the process of applying for or renewing a nursing license in Arizona. For the most accurate and up-to-date information, it's always best to refer directly to the Arizona Board of Nursing's official documentation and website.

Key takeaways

When filling out the Arizona Board of Nursing License form, understanding the defined terms is crucial for accurate completion. These terms clarify who is eligible to apply, the scope of different nursing roles, and the types of programs and certifications available. For instance, knowing the difference between a "CNA" (Certified Nursing Assistant) and a "CNS" (Clinical Nurse Specialist) helps in correctly identifying one's qualifications and the specific licenses or certifications for which one may apply.

The form outlines several pathways to licensure, including by examination or endorsement for those already licensed in another state. This is an important consideration for nurses moving to Arizona or seeking to practice in multiple states. Applicants must determine the most appropriate pathway based on their individual circumstances, such as whether they are recent graduates, experienced nurses licensed elsewhere, or seeking to reactivate an inactive license.

Attention to the specific requirements for license renewal, including continuing education or reevaluation of credentials, is essential for maintaining licensure. Nursing professionals must remain informed about the renewal process to avoid lapses in their ability to practice. This includes being aware of when to renew, how many continuing education hours are needed, and any other conditions that must be satisfied for renewal.

A clear understanding of the rules regarding professional conduct and the scope of practice is vital for compliance and the protection of public health. Nurses, nursing assistants, and medication assistants must adhere to standards that govern their interactions with clients and their authority to administer medications or perform certain medical tasks. These standards ensure that healthcare providers offer safe, competent, and ethical care to their patients.

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