Get Arizona Board Of Nursing License Form

Get Arizona Board Of Nursing License Form

The Arizona Board of Nursing License form is an essential document for individuals seeking to obtain or renew their nursing licenses in Arizona. This form outlines the necessary steps and requirements for licensure, ensuring that all applicants meet the state's standards for nursing practice. To begin your journey towards licensure, please fill out the form by clicking the button below.

Structure

The Arizona Board of Nursing License form is a critical document for individuals seeking to practice nursing within the state. It encompasses various sections that outline the requirements and procedures for obtaining and maintaining nursing licenses. The form includes definitions and time-frames associated with licensure, certification, and approval, ensuring applicants understand the terminology and timelines involved. Additionally, it details the standards for Arizona Registered and Practical Nursing Programs, including curriculum requirements and approval processes for new programs. The licensure section provides information on the different pathways to obtain a license, such as through examination or endorsement, along with guidelines for temporary licenses and license renewals. Furthermore, the form addresses regulations governing the scope of practice for licensed practical nurses and registered nurses, as well as standards for advanced practice registered nursing. It also highlights the necessary procedures for certified and licensed nursing assistants, ensuring compliance with training and performance standards. By providing a comprehensive overview of the licensing process, the Arizona Board of Nursing License form serves as an essential resource for nursing professionals in Arizona.

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Article 1, consisting of R4-19-101 through R4-19-102, repealed effective July 19, 1995 (Supp. 95-3).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

Document Data

Fact Name Description
Governing Law The Arizona Board of Nursing operates under the authority of A.R.S. § 32-1606 et seq.
Effective Date The current rules were updated on June 3, 2019, with historical notes indicating the official effective dates of various sections.
Licensure Types Licensure can be obtained through examination or endorsement, allowing for flexibility in the application process.
Time-frames for Licensure Specific time-frames for licensure, certification, or approval are outlined in Article 1, R4-19-102.
Advanced Practice Registered Nursing Article 5 details the roles and requirements for Advanced Practice Registered Nurses (APRNs), ensuring they meet rigorous standards.
Public Participation Article 7 emphasizes the importance of public participation in the rule-making process, allowing for community input.
Nursing Assistant Regulations Article 8 outlines the standards and requirements for Certified and Licensed Nursing Assistants, ensuring high-quality care.

How to Use Arizona Board Of Nursing License

Filling out the Arizona Board of Nursing License form is a crucial step in your journey to becoming a licensed nurse in Arizona. After completing the form, you will submit it along with the required documentation and fees. This process helps ensure that you meet all necessary qualifications for licensure.

  1. Gather necessary documents, including proof of education, identification, and any prior nursing licenses.
  2. Visit the Arizona Board of Nursing website to download the license application form.
  3. Fill out the personal information section, including your full name, address, and contact details.
  4. Provide details about your nursing education, including the name of the institution and graduation date.
  5. Indicate whether you are applying for licensure by examination or endorsement, and provide relevant information.
  6. Complete the background check section, including disclosure of any criminal history if applicable.
  7. Review the application for accuracy and completeness.
  8. Sign and date the application to certify that all information is true and accurate.
  9. Prepare your payment for the application fee, and ensure it is included with your submission.
  10. Submit the completed application, along with all required documents and payment, to the Arizona Board of Nursing.

Key Facts about Arizona Board Of Nursing License

1. What is the Arizona Board of Nursing License form used for?

The Arizona Board of Nursing License form is used to apply for licensure as a registered nurse, practical nurse, or certified nursing assistant in Arizona. It ensures that applicants meet the necessary qualifications and standards set by the Board to provide safe and effective nursing care.

2. Who is eligible to apply for a nursing license in Arizona?

Eligibility for a nursing license in Arizona includes individuals who have completed an accredited nursing program and passed the required licensure examination. Applicants must also meet additional criteria, such as background checks and verification of education and training.

3. How do I check the status of my nursing license application?

You can check the status of your nursing license application by visiting the Arizona Board of Nursing's official website. There, you will find a section dedicated to license verification, where you can enter your details to see the current status of your application.

4. What should I do if I need to change my name or address after submitting my application?

If you need to change your name or address after submitting your application, you must notify the Arizona Board of Nursing in writing. Include your previous and new information along with your license number to ensure that your records are updated accurately.

5. What is the process for renewing my nursing license?

To renew your nursing license, you must submit a renewal application along with the required fees before your license expires. Additionally, you may need to provide proof of continuing education and any other documentation as specified by the Board. It is crucial to complete this process on time to avoid any lapse in your licensure.

6. Can I apply for a temporary nursing license in Arizona?

Yes, you can apply for a temporary nursing license in Arizona if you meet specific criteria. This allows you to practice nursing while awaiting the results of your licensure examination. The temporary license is valid for a limited time and is subject to the Board's regulations.

7. What happens if my application for licensure is denied?

If your application for licensure is denied, you will receive a written notice detailing the reasons for the denial. You have the right to appeal this decision. The notice will provide instructions on how to proceed with the appeal process, including any deadlines you must meet.

Common mistakes

When filling out the Arizona Board of Nursing License form, applicants often make several common mistakes that can delay the licensing process. One significant error is providing incomplete information. Each section of the application requires specific details, and omitting even minor information can lead to a rejection or request for further clarification. To avoid this, applicants should carefully review each section and ensure that all fields are filled out completely.

Another frequent mistake is failing to double-check personal information. Errors in names, addresses, or social security numbers can create complications. If the information on the application does not match official documents, it can result in delays or even denial of the application. Taking the time to verify all personal details before submission can save applicants from unnecessary headaches.

Additionally, applicants sometimes neglect to include the required documentation. The Arizona Board of Nursing may request transcripts, proof of previous licensure, or background check results. Forgetting to attach these documents can lead to processing delays. It is essential to read the instructions carefully and ensure that all necessary paperwork accompanies the application.

Another common pitfall is misunderstanding the licensing requirements. Applicants may not fully grasp the specific criteria for licensure by examination or endorsement. This misunderstanding can lead to submitting the wrong type of application or failing to meet essential requirements. Familiarizing oneself with the requirements outlined on the Board’s website can prevent this issue.

Moreover, some applicants overlook the importance of the application fee. Submitting the application without the proper payment can halt the process. It is crucial to check the fee schedule and ensure that payment is included with the application to avoid any delays.

Finally, procrastination can be a significant barrier. Many applicants wait until the last minute to submit their forms, which can lead to rushed applications and increased chances of mistakes. Planning ahead and allowing ample time for review and correction can make a significant difference in the application experience.

Documents used along the form

The Arizona Board of Nursing License form is a critical document for individuals seeking to practice nursing in Arizona. Along with this form, several other documents are often required or beneficial in the licensing process. Below is a list of these documents, each serving a specific purpose in the application and licensure process.

  • Credential Evaluation Service (CES) Report: This report assesses the educational qualifications of applicants who completed their nursing education outside the United States. It ensures that the applicant's education meets Arizona's standards.
  • Background Check Authorization: Applicants must submit a background check authorization form. This document allows the Arizona Board of Nursing to conduct a criminal history check, which is a standard requirement for all nursing license applicants.
  • Proof of Nursing Education: This includes transcripts or diplomas from accredited nursing programs. It verifies that the applicant has completed the necessary educational requirements to be eligible for licensure.
  • Application for Temporary License: This application allows qualified individuals to practice nursing temporarily while awaiting their full licensure. It is particularly useful for those who have completed their education and are in the process of taking the licensure exam.
  • Continuing Education Documentation: For license renewal, nurses must provide proof of completed continuing education courses. This documentation ensures that nurses maintain their knowledge and skills in the field.
  • Endorsement Application: This form is necessary for applicants who are already licensed in another state and wish to obtain an Arizona nursing license. It facilitates the transfer of licensure from one jurisdiction to another.

Understanding these accompanying documents is essential for a smooth application process. Each plays a vital role in ensuring that nursing professionals meet the standards required to provide safe and effective care in Arizona.

Similar forms

  • State Medical Board License Application: Similar to the Arizona Board of Nursing License form, this document outlines the requirements for obtaining a medical license, including educational qualifications and examination details.

  • Occupational Therapy License Application: This application requires proof of education and supervised practice, similar to the nursing license application, ensuring that applicants meet the necessary standards for practice.

  • Physical Therapy License Application: Like the nursing license form, this document details the educational and examination requirements needed to obtain a license to practice physical therapy.

  • Certified Nursing Assistant (CNA) Application: This form includes requirements for training and certification, paralleling the nursing license form in its focus on qualifications for practice.

  • Pharmacy Technician License Application: Similar to the nursing license, this application requires documentation of training and examination to ensure competency in the pharmacy field.

  • Social Work License Application: This document outlines educational and experiential requirements for licensure, akin to the standards set forth in the nursing license application.

  • Psychology License Application: This application requires proof of advanced education and supervised experience, mirroring the process outlined in the nursing license form.

  • Emergency Medical Technician (EMT) License Application: Like the nursing license application, this document requires proof of training and certification to ensure that applicants can provide emergency care competently.

  • Veterinary Technician License Application: This application requires proof of education and examination, similar to the nursing license form, ensuring that applicants are qualified to provide veterinary care.

  • Certified Public Accountant (CPA) License Application: This document outlines educational and examination requirements, paralleling the nursing license application in its focus on professional qualifications.

Dos and Don'ts

When filling out the Arizona Board of Nursing License form, it is essential to approach the task with care and attention. Here are some important do's and don'ts to keep in mind:

  • Do ensure that all personal information is accurate and up-to-date. This includes your name, address, and contact details.
  • Do read the instructions thoroughly before starting the application. Familiarizing yourself with the requirements can help prevent errors.
  • Do submit any required documentation along with your application. Missing documents can delay the processing of your license.
  • Do double-check your application for any mistakes before submission. Simple errors can lead to complications.
  • Don't rush through the application process. Taking your time can help ensure that you provide complete and accurate information.
  • Don't leave any questions unanswered. If a question does not apply to you, indicate that clearly instead of skipping it.
  • Don't submit your application without reviewing the fees associated with the licensing process. Be prepared to include payment.
  • Don't forget to keep a copy of your completed application for your records. This can be helpful for future reference.

Misconceptions

Misconceptions about the Arizona Board of Nursing License form can lead to confusion for applicants. Here are some common misunderstandings:

  • Licensure is automatic after completing a nursing program. Many believe that graduating from a nursing program guarantees licensure. However, applicants must still pass the necessary examinations and meet other requirements.
  • All nursing programs in Arizona are accredited. Not all programs hold accreditation from a recognized agency. Prospective students should verify the accreditation status of their chosen program.
  • Temporary licenses are available to everyone. Some think that anyone can obtain a temporary license. In reality, these licenses are issued under specific conditions and are not universally available.
  • Renewing a license is a simple process. Many assume that license renewal is straightforward. However, it involves submitting documentation and may require continuing education credits.
  • Only registered nurses need a license. There is a misconception that only registered nurses require licensure. In fact, practical nurses and nursing assistants also need to be licensed.
  • Background checks are optional. Some applicants believe that background checks are not mandatory. However, all applicants must undergo a background check as part of the licensure process.
  • All states have the same licensing requirements. Many think that nursing licensure requirements are uniform across the U.S. Each state, including Arizona, has its own specific rules and regulations.
  • Once licensed, nurses do not need to continue their education. Some believe that education stops after licensure. In reality, nurses must complete continuing education to maintain their licenses.
  • Submitting an application guarantees a license. Applicants often think that simply submitting their application will result in licensure. Approval depends on meeting all requirements and passing evaluations.

Understanding these misconceptions can help applicants navigate the licensure process more effectively. Being informed is the first step toward a successful nursing career in Arizona.

Key takeaways

When filling out and using the Arizona Board of Nursing License form, it is essential to keep several key points in mind:

  • Understand the Requirements: Familiarize yourself with the specific requirements for licensure, including education and examination criteria.
  • Complete All Sections: Ensure that every section of the form is filled out accurately to avoid delays in processing.
  • Provide Accurate Information: Double-check all personal details such as your name, address, and contact information for accuracy.
  • Documentation: Gather and submit all necessary documents, including proof of education and any required certifications.
  • Fees: Be aware of the fees associated with the application process and include payment as instructed.
  • Background Check: Prepare for a background check, as this is a standard part of the licensing process.
  • Time-frames: Pay attention to the time-frames outlined for processing your application to manage expectations.
  • Renewal Process: Understand the requirements for license renewal, including continuing education credits that may be needed.
  • Communication: Keep open lines of communication with the Board in case you have questions or need clarification during the process.
  • Stay Informed: Regularly check the Arizona Board of Nursing website for updates or changes to licensing rules and procedures.

Following these guidelines can help ensure a smoother application process and successful licensure as a nursing professional in Arizona.