Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 4 - General Rules › Section 20 CSR 2200-4.100 - Advanced Practice Registered Nurse

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment changes the recognition to a
				  license.
PURPOSE: This rule specifies the criteria necessary
				  for registered professional nurses to be licensed by the Missouri State Board
				  of Nursing and, therefore, eligible to practice as advanced practice registered
				  nurses and use certain advanced practice registered nurse
				  titles.
(1) Definitions.
(A) Accredited college or university-An
				institution of learning awarded accreditation status by the appropriate
				regional or national accreditation body for higher education.
(B) Advanced-Means content and competency at
				a level beyond that of a baccalaureate prepared nurse.
(C) Advanced nursing education program-
1. Prior to July 1, 1998, completion of a
				formal post-basic educational program from or formally affiliated with an
				accredited college, university, or hospital of at least one (1) academic year,
				which includes advanced nursing theory and clinical nursing practice, leading
				to a graduate degree or certificate with a concentration in an advanced
				practice nursing clinical specialty area.
2. From and after July 1, 1998, completion of
				a graduate level degree from a college or university accredited by a nursing
				accrediting body that is recognized by the U.S. Secretary of Education and/or
				the Council for Higher Education Accreditation (CHEA), or an accrediting
				organization as acceptable by the Missouri State Board of Nursing (MSBN). From
				and after January 1, 2009, the program shall provide a minimum of five hundred
				(500) faculty supervised clinical hours.
(D) Advanced pharmacology course-A course
				that offers content in pharmacokinetics and pharmacodynamics, pharmacology of
				all broad categories of agents, with preceptorial experience in the
				prescription of drugs, medicines, and therapeutic devices.
(E) Advanced practice registered nurse
				(APRN)-As defined in section
				335.016,
				RSMo.
(F) Advanced practice nursing
				role-A recognized advanced body of nursing knowledge and specialized acts of
				advanced professional nursing practice categorized into one (1) of these four
				(4) roles: certified registered nurse anesthetist (CRNA), certified
				nurse-midwife (CNM), certified clinical nurse specialist (CNS) and certified
				nurse practitioner (CNP).
(G)
				Certificate of controlled substance prescriptive authority-Eligibility granted
				by the MSBN to an APRN to apply with the Missouri Bureau of Narcotics and
				Dangerous Drugs (BNDD) and the federal Drug Enforcement Agency (DEA) for
				authority to prescribe controlled substances from Schedules II-V as delegated
				in a collaborative practice arrangement pursuant to 334.104, RSMo, between a
				collaborating physician and a collaborating APRN.
(H) Nationally recognized certifying body-A
				non-governmental agency approved by the MSBN that validates by examination,
				based on pre-determined standards, an individual nurse's qualifications and
				knowledge for practice in a defined functional or clinical area of
				nursing.
(I) Nationally recognized
				professional nursing organization-A membership entity for registered
				professional nurses (RNs) and APRNs in the United States whose intention is
				national in scope and exists, in part, for the ongoing purposes of-
1. Fostering high standards for professional
				nursing practice;
2. Promoting the
				professional development and general welfare of registered professional and
				advanced practice nurses;
3.
				Improving the health and well-being of individuals, families, and communities
				in collaboration with other health care providers; and
4. Engaging in action at the national level
				on matters of professional policy and national health policy.
(J) Population focus-Describes the
				type of patients that the APRN has been educated to provide care for, i.e.
				family/individual across the lifespan, adult-gerontology, pediatrics, neonatal,
				women's health/gender-related or psych/mental health.
(K) Preceptorial experience-A designated
				portion of a formal educational program that is offered in a healthcare setting
				and affords the nurse the opportunity to integrate theory and role in both the
				clinical specialty/practice area and advanced nursing practice through direct
				patient care/client management.
(L)
				Qualified preceptor-An APRN with a current unrestricted RN and APRN license who
				has a scope of practice which includes prescribing and has met the requirements
				for prescriptive authority; a licensed practitioner of medicine or osteopathy
				with unrestricted prescriptive authority.
(M) Unencumbered license-A license that
				authorizes a nurse to engage in the full and unrestricted practice of
				nursing.