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 2200-4.020 - Requirements for Licensure

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the rule to current
				  standards.
(1) Examination.
(A) Written examination as used in Chapter
				335, RSMo, shall mean the National Council of State Boards of Nursing's
				licensure examination.
(B) The
				registered professional nurse (RN) candidate shall have successfully completed
				the basic prescribed curriculum and received a degree or diploma from a school
				with an approved professional nursing program. The practical nurse candidate
				shall have successfully completed a basic prescribed curriculum in an approved
				school of practical nursing and have earned a practical nursing degree,
				diploma, or certificate or completed a comparable period of training as
				determined by the board. A comparable period of training as determined by the
				board shall mean graduation from an approved professional nursing program with
				validation by examination of a personal and vocational concepts course by an
				approved practical nursing program or graduation from the Army Practical Nurse
				Program.
(C) Pursuant to section
				324.007,
				RSMo, the education, training, and/or service received and completed through
				the Air Force Basic Medical Technician Corpsman Program (BMTCP) - 4N051-5 Skill
				Level is an approved program for practical nursing. Any applicant for licensure
				for practical nursing who has successfully completed the BMTCP - 4N051-5 Skill
				Level, or above, has met the educational qualifications for licensure by
				examination.
(D) The candidate must
				file a complete application containing data and documents required by the board
				and attest that all information contained in, or referenced by, the application
				is complete and accurate and is not false or misleading. Any application for
				licensure submitted to the board is valid from one (1) year from the date the
				application is submitted. After the expiration of one (1) year, an applicant
				shall submit a new application.
1. Any
				applicant applying for the practical nurse licensing examination who is
				deficient in theory, clinical experience, or both, as stated in 20 CSR 2200,
				Chapter 3-Practical Nursing, and has not earned a practical nursing degree or
				met the requirements for a comparable period of training as determined by the
				board pursuant to 20 CSR 2200-4.020(1)(B) or
				(C), will not be approved.
(E) The applicant shall
				submit to state and federal fingerprint or other biometric criminal background
				checks.
(F) An application for
				licensure by examination shall include verification of graduation or
				eligibility for graduation from an approved nursing program.
(G) The term first licensing examination
				scheduled by the board, as used in section
				335.081,
				RSMo, means the first licensure examination taken by the applicant which must
				be taken within ninety (90) days of graduation.
(H) An applicant for licensure by endorsement
				or licensure by examination who answers yes to one (1) or more of the questions
				on the application or the fingerprint checks reveal charges and/or convictions
				which relate to possible grounds for denial of licensure under section
				335.066, RSMo, shall submit
				copies of appropriate documents, as requested by the board, related to that
				answer, evidence of rehabilitation, and/or the fingerprint check before his/her
				application will be considered complete. The copies shall be certified if they
				are records of a court or administrative government agency. An applicant for
				licensure by endorsement or licensure by examination who the executive director
				or designee determines may not meet the requirements for licensure or
				examination shall be notified that the application will be reviewed by the
				members of the board at the board's next regular scheduled meeting following
				receipt of all requested documents. The Missouri State Board of Nursing shall
				notify any individual who is refused permission to take an examination for
				licensure or an individual licensed in another state, territory, or foreign
				country that is denied a license by endorsement without examination. At the
				time of notification, this individual is to be made aware of his/her avenue of
				appeal through the Missouri Administrative Hearing Commission.
(I) A passing designation as determined by
				the Missouri State Board of Nursing shall be attained by candidates to qualify
				for licensure to practice professional/practical nursing in Missouri. Results
				of the licensing examination shall be reported only by pass/fail designation to
				candidates and to directors of programs of professional/practical
				nursing.
(J) An original
				examination report will be forwarded to the examinee. A copy will be retained
				in the permanent application on file in the Missouri State Board of Nursing
				office. A composite report will be forwarded to the director of each program of
				professional/ practical nursing listing the names of the candidates and the
				pass/fail designation for each candidate.
(K) An official final transcript. The
				transcript must include the degree/designation awarded and date of graduation
				and must be received directly from the primary source or directly from an
				electronic transcript service approved by the board.
A candidate cannot take the licensure examination until all
				  licensure requirements are met, including providing a transcript.
(L) Proof of United States
				citizenship or alien status as specified in
				8
				U.S.C.A. section 1621 or lawful presence as
				specified in section
				208.009,
				RSMo.
(M) Requests for Examination
				Modification.
1. The Missouri State Board of
				Nursing and its test service will determine if a candidate will be allowed
				modification of the examination if the candidate requests the modification
				because of a disability defined by the Americans with Disabilities
				Act.
2. The candidate requesting
				modification shall submit a request to the Missouri State Board of Nursing. The
				request shall contain-
A. A letter from the
				candidate's nursing education program indicating what modifications, if any,
				were granted by that program;
B.
				Appropriate documentation supporting the request for accommodation from a
				qualified professional with expertise in the areas of the diagnosed disability.
				Documentation must include:
(I) A history of
				the disability and any past accommodation granted the candidate and a
				description of its impact on the individual's functioning;
(II) Identification of the specific
				standardized and professionally recognized tests/assessments given (e.g.,
				Woodcock-Johnson, Weschler Adult Intelligence Scale);
(III) Clinical diagnoses of disability (where
				applicable, list the DSM Code Number and Title);
(IV) The scores resulting from testing,
				interpretation of the scores, and evaluations; and
(V) Recommendations for testing
				accommodations with a stated rationale as to why the requested accommodation is
				necessary and appropriate for the diagnosed disability; and
C. A letter from the applicant
				requesting the modifications detailing the specific modifications and
				explaining the rationale for the modifications.
3. When the request is received from the
				candidate with the previously listed items, the request will be
				reviewed.
4. If approved, a request
				for modification of an examination will be submitted to the test
				service.