Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 19 - BOARD OF NURSING › Article 5 - ADVANCED PRACTICE REGISTERED NURSING › Section R4-19-505 - Requirements for Initial APRN Certification

Current through Register Vol. 30, No. 28, July 12, 2024
A. An applicant for certification as an
				advanced practice registered nurse, shall:
1.
				Hold a current Arizona registered nurse (RN) license in good standing or an RN
				license in good standing from a compact party state with multistate privileges,
				and not be a participant in an alternative to discipline program in any
				jurisdiction; and
2. Submit a
				verified application to the Board on a form provided by the Board that provides
				all of the following:
a. Full legal name and
				all former names used by the applicant;
b. Current address of record, including
				primary state of residence and telephone number;
c. Place and date of birth:
d. RN license number, application for RN
				license, or copy of a multistate compact RN license;
e. Social security number for an applicant
				who lives or works in the United States;
f. Current e-mail address;
g. Educational background, including the name
				and location of basic nursing program, the institution that awarded the highest
				degree held and any and all advanced practice registered nursing education
				programs or schools attended including the number of years attended, the length
				of each program, the date of graduation or completion, and the type of degree
				or certificate awarded;
h. Role and
				population focus, as applicable for which the applicant is applying;
i. Current employer or practice setting,
				including address, position, and dates of service, if employed or practicing in
				nursing or health care;
j. Evidence
				of national certification or recertification as an advanced practice registered
				nurse in the role and population focus, if applicable, of the application and
				by a certification program that meets the requirements of
				R4-19-501(C).
				The applicant shall include the name of the certifying organization, population
				focus, certification number, date of certification, and expiration
				date;
k. For applicants holding a
				multistate compact RN license in a state other than Arizona:
i. State of original licensure and license
				number;
ii. State of current
				compact RN license, license number and expiration date;
iii. Date of taking RN licensure exam and
				name of exam;
iv. Whether the
				applicant ever submitted an application for and was granted an Arizona license
				and, if applicable, the date of Arizona licensure;
v. Other information related to the nurse's
				practice for the purpose of collecting nursing workforce data; and
vi. State of licensure and license number of
				all RN licenses held,
l.
				Responses regarding the applicant's background on the following subjects:
i. Current investigation or pending
				disciplinary action by a nursing regulatory agency in the United States or its
				territories;
ii. Undesignated
				offense and felony charges, convictions and plea agreements including deferred
				prosecution;
iii. Misdemeanor
				charges, convictions, and plea agreements, including deferred prosecution, that
				are required to be reported under A.R.S. §
												32-3208;
iv. Actions taken on a nursing license by any
				other state;
v. Unprofessional
				conduct as defined in A.R.S. §
												32-1601;
vi. Substance use disorder within the last
				five years;
vii. Current
				participation in an alternative to discipline program in any other state; and
m. Information that the
				applicant meets the criteria in
				R4-19-506(A)
				or (C).
3. Submit a fingerprint card on a form
				provided by the Board or prints if the applicant has not submitted fingerprints
				to the Board within the last two years.
4. Submit an official transcript from an
				institution accredited under A.R.S. §
										32-1644
				either sent directly from the institution or obtained from a Board-approved
				database that provides evidence of:
a. A
				graduate degree with a major in nursing for RNP, CNM, and CNS Applicants,
				or
b. A graduate degree associated
				with a CRNA program for a CRNA applicant.
5. The applicant shall cause the program to
				provide the Board with evidence of completion of an APRN program in the role
				and population focus of the application through submission of an official
				letter or other official program document sent either directly from the
				program, or from a Board-approved data base. The APRN program shall meet one of
				the following criteria during the period of the applicant's attendance in the
				program:
a. The program was part of a graduate
				degree, or post-masters program at an institution accredited under A.R.S.
				§
											32-1644;
				or
b. The program was approved or
				recognized in the U.S jurisdiction of program location for the purpose granting
				APRN licen-sure or certification.
6. For an applicant who completed an advanced
				practice or graduate program in a foreign jurisdiction, submit an evaluation
				from the Commission on Graduates of Foreign Nursing Schools or a Board-approved
				credential evaluation service that indicates the applicant's program is
				comparable to a U.S. graduate nursing or APRN program.
7. Submit the required fee.