Navigating the procedural intricacies and understanding the extensive regulations of the Arizona State Board of Nursing is crucial for professionals aiming to practice nursing within the state. The Arizona Board of Nursing License form, a key element in this process, serves as a gateway for various categories within the nursing profession—ranging from practical and registered nurses to advanced practice registered nurses and nursing assistants. Updated as of June 3, 2019, these rules, issued by the Arizona State Board of Nursing in Phoenix, encapsulate a broad spectrum of regulatory guidance. They include definitions and time-frames for licensure, certification, or approval, detailed requirements for educational programs in nursing, standards for licensure by examination or endorsement, and criteria around the renewal, inactivity, or amendment of licenses. Furthermore, the document outlines specific regulations for different nursing roles, addresses standards of professional conduct, and stipulates requirements for both initial certification and ongoing practice. With historical notes accompanying each section for context, this document is indispensable for understanding the legal and professional prerequisites for nursing practice in Arizona, capturing the essential steps for compliance and successful navigation within the nursing profession.
| Question | Answer |
|---|---|
| Form Name | Arizona Board Of Nursing License |
| Form Length | 69 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 17 min 15 sec |
| Other names | azbn cna renewal, cna renewal az, azboard of nursing board forms, arizona state board of nursing cna renewal |
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. §
ARTICLE 1. DEFINITIONS AND
New Article 1, consisting of
Article 1, consisting of
Section
Table 1.
ARTICLE 2. ARIZONA REGISTERED AND PRACTICAL NURSING PROGRAMS; REFRESHER PROGRAMS
Article 2, consisting of
Section
ARTICLE 3. LICENSURE
Article 3, consisting of
Section
ARTICLE 4. REGULATION
Article 4, consisting of
Section
RULES June 3, 2019 |
Page 2 of 69 |
ARTICLE 5. ADVANCED PRACTICE REGISTERED NURSING
Section
ARTICLE 6. RULES OF PRACTICE AND PROCEDURE
Article 6, consisting of
Section
ARTICLE 7. PUBLIC PARTICIPATION PROCEDURES
Article 7, consisting of
Section
ARTICLE 8. CERTIFIED AND LICENSED NURSING ASSISTANTS AND CERTIFIED MEDICATION ASSISTANTS
Article 8, consisting of Sections
Section
RULES June 3, 2019 |
Page 3 of 69 |
ARTICLE 8. CERTIFIED AND LICENSED NURSING ASSISTANTS AND CERTIFIED MEDICATION ASSISTANTS
(continued)
Section
RULES June 3, 2019 |
Page 4 of 69 |
ARTICLE 1. DEFINITIONS AND
In addition to the definitions in A.R.S. §
"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
"Applicant" means a person seeking licensure, certification, prescribing, or prescribing and dispensing privileges, or an entity seeking approval or
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. §
“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 §
"Collaborate" means to establish a relationship for consultation or referral with one or more licensed physicians on an
"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. §
"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,
“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. §§
RULES June 3, 2019 |
Page 5 of 69 |
"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
"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
"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.
"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
"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
"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
"Refresher program" means a formal course of instruction designed to provide a review and update of nursing theory and practice.
RULES June 3, 2019 |
Page 6 of 69 |
"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
"RNP" means a registered nurse practitioner as defined in A.R.S. §
"School nurse" means a registered nurse who is certified under
“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.
"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.
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
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
RULES June 3, 2019 |
Page 7 of 69 |
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
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
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
7."Substantive review
B.In computing the
C.For each type of licensure, certification, or approval issued by the Board, the overall
D.For each type of licensure, certification, or approval issued by the Board, the administrative completeness review
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
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
E.For each type of licensure, certification, or approval issued by the Board, the substantive review
1.During the substantive review
2.If an applicant discloses or the Board receives allegations of unprofessional conduct as described in A.R.S. §
3.During the substantive review
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
RULES June 3, 2019 |
Page 8 of 69 |
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. §
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. §
Historical Note
Adopted effective February 20, 1980 (Supp.
final rulemaking at 14 A.A.R. 4621, effective January 31, 2009 (Supp.
Table 1. |
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
||||
|
|
|
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 |
||||
|
Comprehensive |
|||||||||
Approval |
|
and Section |
Without |
With |
Review |
Deficiency |
||||
|
Without |
With |
Written |
|||||||
|
|
|
Investigation |
Investigation |
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; |
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
||
Nursing Program |
A.R.S. §§ 32- |
|
Not |
|
|
|
Not |
|
||
Provisional |
|
1606(B)(2), 32- |
150 |
60 |
180 |
90 |
120 |
|||
|
applicable |
applicable |
||||||||
Approval |
|
1644; |
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|||
Nursing Program |
A.R.S. §§ 32- |
|
|
|
|
|
|
|
||
1606(B)(2), 32- |
|
Not |
|
|
|
Not |
|
|||
Full Approval or |
|
150 |
60 |
180 |
90 |
120 |
||||
|
1644; |
applicable |
applicable |
|||||||
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
||
Nursing Program |
A.R.S. § 32- |
|
Not |
|
|
|
Not |
|
||
1606(B)(1); |
150 |
60 |
180 |
90 |
120 |
|||||
Change |
|
applicable |
applicable |
|||||||
|
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
||
Refresher Program |
A.R.S. § 32- |
|
Not |
|
|
|
No |
|
||
Approval or |
|
1606(B)(21); |
150 |
60 |
180 |
90 |
120 |
|||
|
applicable |
applicable |
||||||||
|
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|||
CNS or RNP |
|
A.R.S. §§ 32 |
|
|
|
|
|
|
|
|
|
1606(B)(18), |
|
Not |
|
|
|
Not |
|
||
Nursing Program |
150 |
60 |
180 |
90 |
120 |
|||||
applicable |
applicable |
|||||||||
Approval or |
|
|
|
|
|
|
||||
|
503 |
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
||
Credential |
|
A.R.S. §§ 32- |
|
|
|
|
|
|
|
|
|
1634.01(A)(1), |
|
|
|
|
|
|
|
||
Evaluation Service |
90 |
Not |
30 |
180 |
60 |
Not |
120 |
|||
Approval or |
|
|
applicable |
|
|
|
applicable |
|
||
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
||
|
|
A.R.S. §§ 32- |
|
|
|
|
|
|
|
|
Licensure by Exam |
1606(B)(5), 32- |
150 |
270 |
30 |
270 |
120 |
240 |
150 |
||
1633, |
||||||||||
|
|
and |
|
|
|
|
|
|
|
|
|
|
A.R.S. §§ 32- |
|
|
|
|
|
|
|
|
Licensure by |
|
1606(B)(5), 32- |
150 |
270 |
30 |
270 |
120 |
240 |
150 |
|
Endorsement |
|
1634, |
||||||||
|
|
|
|
|
|
|
|
|||
|
|
and |
|
|
|
|
|
|
|
|
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 |
|||
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 |
Notice |
|
Board |
Board |
Applicant |
Substantive |
Substantive |
Time to |
Review |
Review |
Respond to |
Comprehensive |
||
Without |
With |
Written |
Investigation |
Investigation |
Request |
License Renewal
School Nurse Certification or Renewal
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
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
A.R.S. §§ 32- 1606(B)(5), 32- 1642;
A.R.S. §§
A.R.S. § 32- 1664(O);
A.R.S. §§ 32- 1601(19), 32- 1606(B)(21);
A.R.S. § 32- 1601(19);
A.R.S. §§ 32- 1601(6), 32- 1606(B)(21); R4-
A.R.S. §
.03;
A.R.S. § 32- 1635.01, 32- 1634.03;
A.R.S. § 32- 1606(B)(11), 32- 1650.01;
A.R.S. §§ 32- 1606(B)(11), 32- 1647,
A.R.S §§ 32- 1606(B)(11), 32- 1648,
A.R.S. § 32- 1606(B)(11);
A.R.S. § 32- 1664(O);
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 |
