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In an effort to ensure the highest standards of nursing practice and education, the Arizona State Board of Nursing (AZBN) continuously updates and enforces its rules and regulations, which are meticulously outlined in the Arizona Board of Nursing License form. Updated as of June 3, 2019, this comprehensive document encompasses every imaginable aspect of nursing licensure—from definitions and time-frames to the specifics of licensure by examination or endorsement, the establishment and oversight of nursing and refresher programs, to the meticulous delineation of advanced practice registered nursing. Furthermore, it touches upon the regulation of nurses' scopes of practice, the certification and practice requirements for nurse practitioners, and the standards for nursing assistants and certified medication assistants. Conceived under the authority of A.R.S. § 32-1606 et seq., the rules extend to detail the procedures for the issuance, renewal, and reissuance of licenses and certificates, alongside stipulating the qualifications necessary for different nursing roles and specializations. This regulatory framework serves not only as a guideline for current and prospective nursing professionals but also plays a pivotal role in safeguarding public health by ensuring that individuals entering the nursing profession in Arizona are both competent and conduct themselves in a professional manner, consistent with the high standards set forth by the AZBN.

Arizona Board Of Nursing License Preview

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Article 1, consisting of R4-19-101 through R4-19-102, repealed effective July 19, 1995 (Supp. 95-3).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 Repealed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 Detail
Governing Authority The Arizona Board of Nursing rules are authorized by A.R.S. § 32-1606 et seq.
Scope of Practice Rules provide clear definitions and standards for the scope of practice for registered nurses, practical nurses, advanced practice registered nurses, and certified and licensed nursing and medication assistants.
Licensure and Certification Process Articles 3 and 8 detail the processes for licensure by examination or endorsement, renewal of licenses, and certification requirements for various nursing roles, including school nurse certification and advanced practice registered nursing.
Nursing Education Programs Articles 2 and 5 set the standards for nursing and advanced practice registered nursing programs, including the organization, administration, curriculum, approval, and renewal of nursing education programs.

Instructions on Utilizing Arizona Board Of Nursing License

When planning to apply for a Nursing License in Arizona, it is imperative to understand the steps involved in the application process thoroughly. This ensures that your submission is complete, accurate, and in compliance with the Arizona State Board of Nursing regulations. The information below outlines a detailed, step-by-step guide to assist you in filling out the Arizona Board of Nursing License form.

  1. Review the latest rules and regulations: Begin by carefully reviewing the most current rules of the State Board of Nursing as issued by the Arizona State Board of Nursing. Pay close attention to the sections relevant to licensure to ensure you meet all the necessary criteria.
  2. Gather required documentation: Prepare all necessary documents including proof of your nursing education, any previous licenses, certifications, and identification documentation. Ensure that everything is current and valid.
  3. Understand the application sections: Familiarize yourself with different sections of the application, focusing on areas like Definitions (R4-19-101), Time-frames for Licensure (R4-19-102), and specifically the Article 3 on Licensure (R4-19-301 through R4-19-308), which will contain crucial information on the application process.
  4. Complete personal information accurately: Fill in your personal information carefully. This includes your full legal name, contact information, Social Security Number, and any other required details. Double-check for accuracy to avoid processing delays.
  5. Education and Credentials: Provide detailed information about your nursing education, including the school's name, address, and the dates attended, as well as any other relevant nursing programs or certifications you have completed. Be prepared to submit official transcripts if required.
  6. Licensure Information: If you are applying for licensure by examination or endorsement, indicate clearly on the form and provide all necessary details regarding your previous or current licenses from other states, if applicable.
  7. Training and Experience: Detail your nursing related training and work experience, emphasizing any roles or responsibilities relevant to the nursing position you are applying for within Arizona.
  8. Background Check: Complete any required background check information or forms. This might involve getting fingerprinted or submitting other forms of identification for a criminal background check, as specified under Article 3, R4-19-313.
  9. Review and Sign: Thoroughly review all sections of your application to ensure completeness and accuracy. Sign and date the form where necessary, acknowledging that you have provided true and accurate information to the best of your knowledge.
  10. Submit the Application and Fee: Check if all required fees are attached and submit the completed application form to the Arizona State Board of Nursing. Ensure to keep a copy of the entire submission for your records.
  11. Track your Application: After submitting, follow any provided instructions to track the status of your application or wait for any communication from the Board regarding the next steps in the licensure process.

After completing these steps, the Arizona State Board of Nursing will review your application. If you meet all requirements and pass the necessary background checks, you will be granted a Nursing License in Arizona. Keep in mind, processing times can vary, so it is important to submit your application well in advance of when you need licensure.

Listed Questions and Answers

What is the process for applying for licensure by examination in Arizona?

To apply for licensure by examination in Arizona, an applicant must first complete an approved nursing program. Following completion, the applicant needs to submit an application to the Arizona State Board of Nursing (AZBN), along with the required documentation and the application fee. Next, the applicant must register for, and pass, the National Council Licensure Examination (NCLEX). Once the AZBN has received all necessary documentation, including passing NCLEX results, and has conducted a background check, the decision to grant a license will be made.

Can nurses licensed in another state practice in Arizona?

Yes, nurses who are licensed in another state can practice in Arizona through licensure by endorsement. Applicants must submit an application to the AZBN, provide proof of current licensure in another state, and meet all Arizona requirements for licensure. This often includes a background check and verification of education and license status. Additionally, nurses must comply with the Nurse Licensure Compact if applicable.

What are the requirements for renewing a nursing license in Arizona?

Nurses in Arizona are required to renew their license every four years. To renew, nurses must submit a renewal application to the AZBN, pay the renewal fee, and demonstrate compliance with continuing competency requirements. These requirements can include continuing education, practice hours, or other activities that ensure the nurse's ongoing ability to provide safe and effective care.

How can a nurse or nursing assistant change their name or address with the Arizona Board of Nursing?

To change their name or address, nurses or nursing assistants must notify the AZBN promptly. This can typically be done through the AZBN website or by submitting a written request. Proper documentation, such as a marriage certificate or court order, may be required for a name change. It is crucial to keep this information up-to-date to ensure smooth communication and compliance with Board requirements.

What is the Arizona Nurse Practice Act, and where can it be found?

The Arizona Nurse Practice Act is a set of statutes and regulations governing the practice of nursing within the state. It outlines the scope of practice, standards of professional conduct, and the processes for licensure and discipline among other aspects of nursing practice. The Act is designed to protect public health and welfare by ensuring that only qualified individuals practice nursing. The full text of the Nurse Practice Act can be accessed through the Arizona State Board of Nursing's website or through the state's legislative website.

What does it mean to have an inactive license, and how can it be reactivated?

An inactive license means that a nurse has chosen not to actively practice in Arizona but wants to maintain their license status without meeting the continuing competency requirements. To reactivate an inactive license, nurses must submit a reactivation application to the AZBN, pay the required fee, and provide proof of fulfilling continuing competency requirements as dictated by the Board. This usually includes completing continuing education or practice hours to ensure readiness to return to practice.

Common mistakes

Filling out the Arizona Board of Nursing License form is a critical step towards becoming a licensed nurse in the state. However, applicants commonly make mistakes that can delay the process or affect their eligibility. Here are five mistakes to avoid:

  1. Not checking for the most current form version. Regulations and requirements can change, and using an outdated form can lead to an incomplete application process.

  2. Skipping sections or providing incomplete answers. Every section of the form is important for the Board to understand an applicant’s qualifications and background.

  3. Incorrectly reporting previous work experience or educational background. Accuracy is crucial, as the Board verifies this information. Misreporting, whether intentional or not, can be seen as an attempt to mislead.

  4. Failing to disclose a criminal background or disciplinary action in other states. Full disclosure is necessary; the Board will conduct background checks and discover any undisclosed information, which can seriously impact licensure.

  5. Not attaching required documentation or incorrect documents. Applicants must provide specific documents to support their application, such as transcripts, proof of legal presence, and other certifications.

Avoiding these mistakes can streamline the licensure process and help ensure a successful application. It's also advisable for applicants to:

  • Review their application thoroughly before submission.

  • Keep copies of all submitted documents for their records.

  • Contact the Arizona Board of Nursing for clarification on any confusing sections.

Attention to detail and careful preparation are the keys to successfully navigating the licensure process.

Documents used along the form

When submitting an application for a Nursing License in Arizona, several other documents often accompany the Arizona Board of Nursing License form to ensure a comprehensive review and understanding of an applicant's qualifications and background. These documents play critical roles in the licensing process, aiding the board in assessing the applicant's capability, educational background, and legitimacy to practice nursing within the state.

  • Application for Criminal Background Check: This form is crucial for the nursing license application process. It authorizes the board to conduct a criminal background check to ensure the applicant has no history that would prevent them from safely and effectively practicing nursing.
  • Verification of Licensure from Another State: For nurses who are already licensed in another state and are seeking licensure in Arizona by endorsement, this document verifies the nurse's current licensure status, disciplinary actions, and licensure history in other states.
  • Nursing Education Program Transcripts: Official transcripts from nursing schools attended are required to confirm the applicant's educational qualifications, including completion of the nursing program and the degree or diploma earned.
  • Proof of Legal Presence: A copy of a document that verifies the applicant’s legal right to live and work in the United States, such as a passport or birth certificate, is necessary to comply with state and federal laws.
  • Fingerprint Clearance Card: Arizona requires nurses to have a valid fingerprint clearance card issued by the Arizona Department of Public Safety. This card demonstrates that the applicant has passed the state and federal criminal background checks.
  • Continuing Education Credits Documentation: For license renewal or reinstatement, nurses must provide documentation of completed continuing education credits as required by the Arizona Board of Nursing to ensure they have maintained and updated their nursing knowledge and skills.
  • Advanced Practice Certification: For nurses applying for advanced practice recognition (e.g., Nurse Practitioner, Certified Nurse Anesthetist), proof of certification from the appropriate national certifying body is required to validate their qualifications for advanced practice roles.

The above-mentioned documents are integral in complementing the Arizona Board of Nursing License application. They provide a detailed snapshot of the applicant's professional journey, ensuring that only qualified individuals are granted the privilege of serving as a nurse within Arizona's healthcare system. It's important for applicants to meticulously gather and submit these documents, as they collectively narrate their dedication, competence, and readiness to embark on or continue their nursing career in Arizona.

Similar forms

The Arizona Board of Nursing License form is similar to the Medical License Application used by physicians. Both applications require detailed professional information, proof of education, and evidence of eligibility to practice in a healthcare field. They also include sections for disclosing any disciplinary actions, ensuring that applicants meet the strict standards necessary for providing patient care. This similarity reflects the stringent requirements healthcare professionals must meet to ensure public safety.

Similarly, the Dental License Application shares common ground with the Arizona Board of Nursing License form. Dentists, like nurses, must provide their educational background, pass specific examinations, and adhere to professional conduct standards. Both forms serve to protect public health by ensuring that only qualified individuals are authorized to practice, highlighting the importance of regulatory oversight in healthcare professions.

The Pharmacy License Application process also mirrors the nursing license form in several ways. Pharmacists must submit proof of their educational achievements, pass a licensing examination, and demonstrate their fitness to practice. Like nursing, the field of pharmacy requires individuals to remain in good standing regarding professional conduct, emphasizing the healthcare sector's interprofessional consistency in licensing requirements.

The Certified Nursing Assistant (CNA) Certification form is closely related, focusing on a specific subset within the nursing field. While CNAs do not perform at the same level of complexity as registered nurses, their certification process includes demonstrating educational completion, competency through examinations, and adherence to ethical standards. This similarity underscores the layered qualifications within nursing professions and the commitment to patient safety at all levels.

Another comparable document is the Physical Therapy License Application. Physical therapists, much like nurses, undergo a rigorous process to ensure they have the necessary education, have passed relevant examinations, and adhere to professional conduct standards. Both fields require continual education to maintain licensure, reflecting the evolving nature of healthcare practices and the importance of keeping practitioners up-to-date.

The application for Certification as an Advanced Practice Registered Nurse (APRN) shares similarities with the Arizona Board of Nursing License form, especially in the documentation of advanced education and clinical experience required beyond the basics of nursing. This process ensures that APRNs have the specialized knowledge necessary to provide high-quality healthcare, comparable to the thorough vetting for nursing licensure.

The Veterinary License Application, while for a different target patient, parallels the nursing license form. Veterinarians must show they have attained a certain level of education, passed a licensing exam, and agree to uphold the profession's ethical standards. This comparison highlights the universal aspects of licensing professionals responsible for health and welfare, regardless of the species they serve.

Substance Abuse Counselor Certification forms resemble the nursing license form in that both require applicants to prove their educational credentials, pass relevant tests, and demonstrate their ability to practice ethically. This resemblance emphasizes the diverse specialties within healthcare and the overarching principle that all healthcare professionals must be vetted to protect those they serve.

Lastly, the Emergency Medical Technician (EMT) Certification process is akin to the nursing licensure process, with an emphasis on practical skills and knowledge pertinent to emergency care. EMTs must complete approved education programs, demonstrate proficiency through testing, and maintain ethical standards in their practice. This similarity shows the comprehensive approach to licensing across different levels of patient care, ensuring public safety through standardized healthcare practices.

Dos and Don'ts

Filling out the Arizona Board of Nursing License form is a significant step in advancing your nursing career in the state of Arizona. To ensure the process is smooth and successful, here are five key dos and don'ts to keep in mind:

  • Do ensure that all information provided on the form is accurate and up-to-date. Misinformation can lead to delays or denial of licensure.
  • Do carefully review the requirements for licensure by examination or endorsement to make sure you are eligible before submitting your application.
  • Do keep a copy of the completed application and any supporting documents for your records.
  • Do check the official Arizona Board of Nursing website for any updates on licensure requirements or procedures that may have occurred after the rules were last issued on June 3, 2019.
  • Do make sure to sign and date the form where required. An unsigned application is considered incomplete.
  • Don't leave any sections of the form blank. If a section does not apply, mark it as “N/A” to indicate this to the Board.
  • Don't attempt to alter the form by removing or adding sections, as this could invalidate your application.
  • Don't send original documents unless specifically requested by the Board, as these documents will not be returned.
  • Don't miss the deadline for the application submission if one is specified. Late applications may result in delays or additional fees.
  • Don't forget to include the required fee with your application. Applications without the appropriate fees will not be processed.

By following these guidelines, applicants can navigate the licensure process more effectively, avoiding common mistakes that can delay or impact the outcome. It is also advisable to maintain open communication with the Arizona Board of Nursing throughout the application process to swiftly address any questions or concerns that might arise.

Misconceptions

Understanding the Arizona Board of Nursing license form and the rules governing nursing practice in Arizona is critical for all nursing professionals in the state. However, several misconceptions about these rules can lead to confusion and misinformation. Let’s clarify some of these misunderstandings:

  • Misconception 1: Anyone can apply for a nursing license in Arizona regardless of education. In reality, applicants must complete an approved nursing program and meet specific educational requirements before applying for licensure.

  • Misconception 2: Passing the NCLEX-RN or NCLEX-PN is the only requirement for obtaining a nursing license in Arizona. While passing the relevant National Council Licensure Examination is a crucial step, applicants must also pass a background check and meet other requirements outlined by the Arizona State Board of Nursing.

  • Misconception 3: Nurses licensed in another state can practice in Arizona without an Arizona license. Nurses who hold licenses in other states must apply for licensure by endorsement in Arizona and meet the state's specific requirements to practice legally within Arizona.

  • Misconception 4: The requirements for licensure are the same for Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Advanced Practice Registered Nurses (APRNs). Each nursing role has its set of requirements for licensue, including specific educational and certification requirements.

  • Misconception 5: Temporary licenses are automatically granted to all applicants awaiting the results of the NCLEX examination. Temporary licenses are issued at the discretion of the Arizona State Board of Nursing and under specific conditions that must be met by the applicant.

  • Misconception 6: Once issued, a nursing license in Arizona is valid indefinitely. Nursing licenses in Arizona must be renewed every four years, and nurses must meet continuing education requirements to maintain licensure.

  • Misconception 7: Nurses can practice in any specialty area immediately after obtaining their license. While RNs and LPNs have broad scopes of practice, certain specialty areas require additional certification or education, such as the role of an APRN or nurse anesthetist (CRNA).

  • Misconception 8: The Arizona State Board of Nursing’s regulations are solely focused on licensure. Besides licensure, the Board's regulations also encompass nursing education programs, standards of professional conduct, continuing education, and disciplinary actions among others.

  • Misconception 9: All nursing and nursing assistant programs are approved by the Arizona State Board of Nursing. For a nursing or nursing assistant program to be approved, it must meet specific standards and requirements set forth by the Board. Not all programs automatically qualify for approval.

Cleaning up misunderstandings about the licensure process and requirements is crucial for current and aspiring nursing professionals. In understanding the realities of nursing licensure in Arizona, nurses can ensure they meet all legal and professional standards set by the Arizona State Board of Nursing, maintaining the integrity of the profession and the quality of care provided to patients.

Key takeaways

Filling out the Arizona Board of Nursing License form is an important step for nurses looking to practice in Arizona. Here are four key takeaways to help understand the process and requirements:

  • The form covers a range of licensure types including licensure by examination, by endorsement, temporary licenses, and license renewal. It is crucial for applicants to accurately identify which type of licensure they are seeking to avoid delays.
  • Applicants from other states seeking license by endorsement need to have passed an exam as required by Arizona law, demonstrating the requirement for verification of credentials and exam results.
  • Understanding definitions such as "Abuse," "Administer," and "Endorsement" as outlined in the rules is essential. These terms not only clarify eligibility and scope of practice but also inform applicants about the conduct and ethics expected of them.
  • Time-frames for licensure, certification, or approval are explicitly mentioned, highlighting the importance of timely submission of applications and supporting documents for ensuring a smooth licensing process.

Ensuring that all requirements are met before submitting the application can significantly streamline the process. Applicants are advised to carefully read the Arizona State Board of Nursing rules and consult the Board’s website or contact the Board directly for any clarification.

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