The Arizona Board of Nursing License form is a crucial document required for individuals seeking licensure as nurses in Arizona. This form outlines the necessary steps and requirements for obtaining and maintaining a nursing license in the state. To begin the process, fill out the form by clicking the button below.
The Arizona Board of Nursing License form is a crucial document for individuals seeking to practice nursing in the state of Arizona. This form encompasses various aspects of the licensure process, including definitions, time-frames, and requirements for both registered and practical nursing programs. It outlines the necessary steps for licensure by examination and endorsement, ensuring that applicants meet specific criteria for credential evaluation and temporary licensing. Furthermore, the form delineates the standards for advanced practice registered nursing, including certification programs and scope of practice. It also addresses regulations related to nursing assistants and certified medication assistants, emphasizing the importance of training program requirements and standards of conduct. By providing a comprehensive overview of the licensure process and associated regulations, the Arizona Board of Nursing License form serves as an essential resource for aspiring nurses and nursing professionals in Arizona.
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Article 1, consisting of R4-19-101 through R4-19-102, repealed effective July 19, 1995 (Supp. 95-3).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).
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 Repealed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 Repealed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).
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).
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
RULES June 3, 2019
Page 2 of 69
ARTICLE 5. ADVANCED PRACTICE REGISTERED NURSING
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).
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).
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).
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
Page 3 of 69
(continued)
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
Page 4 of 69
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.
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 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.
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 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).
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:
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 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
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
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. § 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.
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
Applicant
Type of License,
Applicable
Substantive
Time to
Overall Time-
Overall Time- Administrative
Review
Respond to
Certificate, or
Statute
frame
Completeness
Time-frame
Comprehensive
Approval
and Section
Without
With
Deficiency
Written
Investigation
Notice
Request
Nursing Program
A.R.S. §§ 32-
Not
1606(B)(2), 32-
150
60
180
90
120
Proposal Approval
applicable
1644; R4-19-207
Provisional
Full Approval or
1644; R4-19-208,
Re-approval
R4-19-210
A.R.S. § 32-
1606(B)(1);
Change
R4-19-209
Refresher Program
No
Approval or
1606(B)(21);
R4-19-216
CNS or RNP
A.R.S. §§ 32
1606(B)(18),
32-1644; R4-19-
503
Credential
1634.01(A)(1),
Evaluation Service
32-1634.02(A)(1),
30
32-1639.01(1),
32-1639.02(1);
R4-19-303
Licensure by Exam
1606(B)(5), 32-
270
240
1633, 32-1638,
and R4-19-301
Licensure by
Endorsement
1634, 32-1639,
and R4-19-302
Temporary License
or Renewal
1605.01(B)(3),
Page 9 of 69
Overall Time- Overall Time- Administrative
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
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Filling out the Arizona Board of Nursing License form is a crucial step in your journey to becoming a licensed nurse in Arizona. The form requires accurate information about your educational background, work experience, and personal details. Completing it carefully will ensure a smoother processing experience.
The Arizona Board of Nursing License form is an official document required for individuals seeking to obtain a nursing license in Arizona. This form collects essential information about the applicant, including personal details, educational background, and any prior nursing experience. Completing this form is a crucial step in the licensure process, ensuring that all candidates meet the necessary qualifications to practice nursing in the state.
Anyone looking to become a licensed nurse in Arizona must complete this form. This includes individuals applying for licensure by examination, those seeking licensure by endorsement from another state, and those renewing or updating their existing licenses. It is also necessary for certified nursing assistants and certified medication assistants who wish to obtain or renew their certifications.
The form typically requires the following information:
Providing accurate and complete information is essential to avoid delays in the processing of your application.
The completed form can be submitted online through the Arizona Board of Nursing's official website or mailed directly to their office. If you choose to submit by mail, ensure that you send it to the correct address and include any required fees. Online submissions may offer faster processing times.
Fees vary depending on the type of license or certification you are applying for. Typically, there are fees for initial applications, renewals, and background checks. It is advisable to check the Arizona Board of Nursing's website for the most current fee schedule to ensure you include the correct amount with your application.
The processing time can vary based on several factors, including the volume of applications received and whether additional information is needed. Generally, applicants can expect processing to take anywhere from a few weeks to several months. To avoid delays, ensure that your application is complete and accurate before submission.
If you have a criminal record, it is crucial to disclose this information on your application. Arizona law requires the Board to evaluate any criminal history in relation to your nursing practice. Depending on the nature of the offenses, you may still be eligible for licensure, but it is essential to provide full disclosure and, if necessary, any supporting documentation.
Yes, Arizona offers a temporary license for applicants who meet specific criteria. This allows you to practice nursing while your full application is being processed. To qualify, you must have completed your nursing education and passed the necessary examinations. Be sure to check the specific requirements for obtaining a temporary license on the Board's website.
If you need to change your name or address after submitting your application, it is essential to notify the Arizona Board of Nursing as soon as possible. This can typically be done through a written request or an online update, depending on the Board's procedures. Keeping your contact information current ensures you receive important communications regarding your application and licensure status.
Additional information about the Arizona nursing licensure process, including forms, fees, and requirements, can be found on the Arizona Board of Nursing's official website. They provide comprehensive resources and contact information for any specific questions you may have regarding your application.
Incorrect Personal Information: Many applicants fail to provide accurate personal details, such as their full name, address, or contact information. Double-checking this information is crucial.
Missing Signatures: Some forms are submitted without required signatures. Ensure that all necessary signatures are present before sending the application.
Incomplete Educational History: Applicants often overlook providing a complete educational background. List all relevant nursing programs attended, including dates and degrees earned.
Failure to Disclose Criminal History: Not reporting past criminal convictions can lead to application denial. Be honest and thorough in this section.
Incorrect Payment Method: Submitting the application with the wrong payment method or insufficient fees can delay processing. Verify the accepted payment methods and amounts.
Neglecting Background Check Requirements: Some applicants forget to initiate the required background check. This step is essential and should be completed promptly.
Using Outdated Forms: Submitting an outdated version of the application can result in rejection. Always download the latest form from the Arizona Board of Nursing website.
Not Following Instructions: Each application comes with specific instructions. Ignoring these can lead to mistakes. Read all guidelines carefully before filling out the form.
Omitting Required Documentation: Applicants sometimes forget to attach necessary documents, such as transcripts or proof of previous licensure. Ensure all required documents are included.
Not Keeping Copies: Failing to make copies of the submitted application and documents can be problematic. Keep a record for your own reference.
When applying for an Arizona Board of Nursing License, several other forms and documents may be required to ensure a smooth licensure process. Each of these documents serves a specific purpose and can help streamline your application. Here’s a brief overview of some of the most commonly associated forms.
Having these forms ready can significantly ease the application process for your Arizona nursing license. Ensuring that each document is accurately completed and submitted will help pave the way for a successful licensure journey. Good luck on your path to becoming a licensed nurse in Arizona!
The Arizona Board of Nursing License form shares similarities with the Medical License Application, which is used by physicians seeking to practice medicine in Arizona. Both documents require applicants to provide detailed personal information, including educational background, training, and work experience. Additionally, both forms necessitate the submission of proof of passing relevant examinations, such as the United States Medical Licensing Examination (USMLE) for physicians and the National Council Licensure Examination (NCLEX) for nurses. The review process for both applications involves background checks and evaluations of professional conduct, ensuring that only qualified individuals receive licenses to practice.
Another comparable document is the Pharmacy License Application. Pharmacists in Arizona must complete a similar application process to obtain their license. Like the nursing license form, the pharmacy application requires documentation of educational qualifications and proof of successful completion of a national examination. Both documents also include sections for disclosing any criminal history or disciplinary actions taken against the applicant in previous professional roles. This thorough vetting process aims to protect public health and safety by ensuring that only competent professionals are authorized to dispense medications.
The Occupational Therapy License Application is another document that mirrors the Arizona Board of Nursing License form. Occupational therapists must submit their educational credentials, proof of supervised fieldwork, and evidence of passing the National Board for Certification in Occupational Therapy (NBCOT) exam. Similar to the nursing license application, this form also requires applicants to disclose any previous disciplinary actions or criminal history. The emphasis on maintaining high standards of practice is evident in both applications, as they seek to ensure that licensed professionals are well-prepared to serve their clients effectively.
Lastly, the Social Work License Application in Arizona reflects a similar structure and purpose. Social workers must provide comprehensive information about their education, training, and experience, along with proof of passing the Association of Social Work Boards (ASWB) exam. Both the nursing and social work license applications require applicants to undergo background checks to assess their fitness for practice. This alignment in documentation and evaluation processes highlights the shared commitment among various professions to uphold ethical standards and protect the well-being of the public they serve.
When filling out the Arizona Board of Nursing License form, there are several important considerations to keep in mind. The following list outlines key dos and don'ts to ensure a smooth application process.
Misconceptions about the Arizona Board of Nursing License form can lead to confusion and misinformation. Here are nine common misconceptions, along with clarifications for each:
Filling out and using the Arizona Board of Nursing License form requires careful attention to detail. Here are key takeaways to guide you through the process:
By following these guidelines, you can navigate the licensing process more effectively and increase your chances of a successful application.