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4 A.A.C. 19Supp. 20-4December 31, 2020Title 4TITLE 4. PROFESSIONS AND OCCUPATIONSCHAPTER 19. BOARD OF NURSINGThe table of contents on the first page contains quick links to the referenced page numbers in this Chapter. Refer to the notes at the end ofa Section to learn about the history of a rule as it was published in the Arizona Administrative Register.Sections, Parts, Exhibits, Tables or Appendices codified in this supplement. The list provided contains quick links to the updated rules.This Chapter contains rule Sections that were filed to be codified in the Arizona Administrative Code between the dates ofOctober 1, 2020 through December 31, -504.Definitions . 3Time-frames for Licensure, Certification, orApproval . 5New Programs; Proposal Approval; ProvisionalApproval . 12Full Approval of a New Nursing Program . 14Nursing Program Change . 14Renewal of Approval of Nursing Programs NotAccredited by a National Nursing AccreditingAgency . 14Approval of a Refresher Program . 17Licensure by Examination . 19Temporary License . 22License Renewal . 22Change of Name or Address . 23Roles and Population Foci of Advanced PracticeRegistered Nursing (APRN); CertificationPrograms . 29Requirements for APRN Programs . 30Application for Approval of an Advanced PracticeRegistered Nursing Program; Approval by Board;Provisional Approval by Executive Director . 32Notice of Deficiency; Unprofessional APRNProgram Conduct . 4.R4-19-806.R4-19-809.R4-19-815.Requirements for Initial APRN Certification .33Expiration of APRN Certificate; PracticeRequirement; Renewal .34Temporary Advanced Practice Certificate;Temporary Prescribing and Dispensing Authority.35Standards Related to RNP, CNM, and CNS Scopeof Practice .36Prescribing and Dispensing Authority; ProhibitedActs .37Prescribing Drugs and Devices .38Dispensing Drugs and Devices .39Standards Related to Clinical Nurse SpecialistScope of Practice .40Notice of Hearing; Response .40Initial Approval and Re-Approval of TrainingPrograms .49Initial Nursing Assistant Licensure (LNA) andMedication Assistant Certification .52Nursing Assistant Licensure and MedicationAssistant Certificate Renewal .53Reissuance or Subsequent Issuance of a NursingAssistant License or Medication AssistantCertificate .56Questions about these rules? Joey Ridenour RN, MS, FAANExecutive Director1740 W. Adams Ave., Suite 2000Phoenix, AZ 85007(602) 771-7801(602) 771-7888jridenour@azbn.govwww.azbn.govThe release of this Chapter in Supp. 20-4 replaces Supp. 19-3, 1-56 pagesPlease note that the Chapter you are about to replace may have rules still in effect after the publication date of this supplement. Therefore,all superseded material should be retained in a separate binder and archived for future reference.i

PREFACEUnder Arizona law, the Department of State, Office of the Secretary of State (Office), accepts state agency rule filings and is the publisherof Arizona rules. The Office of the Secretary of State does not interpret or enforce rules in the Administrative Code. Questions about rulesshould be directed to the state agency responsible for the promulgation of the rule.Scott Cancelosi, DirectorADMINISTRATIVE RULES DIVISIONnote to make rules is often included at the beginning of a chapter.Other Arizona statutes may be referenced in rule under the A.R.S.acronym.RULESThe definition for a rule is provided for under A.R.S. § 41-1001.“‘Rule’ means an agency statement of general applicability thatimplements, interprets, or prescribes law or policy, or describesthe procedures or practice requirements of an agency.”SESSION LAW REFERENCESArizona Session Law references in a chapter can be found at theSecretary of State’s website, under Services- Legislative Filings.THE ADMINISTRATIVE CODEThe Arizona Administrative Code is where the official rules of thestate of Arizona are published. The Code is the official codification of rules that govern state agencies, boards, and commissions.EXEMPTIONS FROM THE APAIt is not uncommon for an agency to be exempt from the stepsoutlined in the rulemaking process as specified in the ArizonaAdministrative Procedures Act, also known as the APA (ArizonaRevised Statutes, Title 41, Chapter 6, Articles 1 through 10).Other agencies may be given an exemption to certain provisionsof the Act.The Code is separated by subject into titles. Titles are divided intochapters. A chapter includes state agency rules. Rules in chaptersare divided into Articles, then Sections. The “R” stands for “rule”with a sequential numbering and lettering outline separated intosubsections.An agency’s exemption is written in law by the Arizona StateLegislature or under a referendum or initiative passed into law byArizona voters.Rules are codified quarterly in the Code. Supplement releasedates are printed on the footers of each chapter.First Quarter: January 1 - March 31Second Quarter: April 1 - June 30Third Quarter: July 1 - September 30Fourth Quarter: October 1 - December 31For example, the first supplement for the first quarter of 2019 iscited as Supp. 19-1.When an agency files an exempt rulemaking package with ourOffice it specifies the law exemption in what is called the preamble of rulemaking. The preamble is published in the Registeronline at www.azsos.gov/rules, click on the Administrative Register link.Please note: The Office publishes by chapter, not by individualrule section. Therefore there might be only a few sections codified in each chapter released in a supplement. Historical notes atthe end of a section provide an effective date and informationwhen a rule was last updated.Editor’s notes at the beginning of a chapter provide informationabout rulemaking sections made by exempt rulemaking. Exemptrulemaking notes are also included in the historical note at the endof a rulemaking Section.The Office makes a distinction to certain exemptions becausesome rules are made without receiving input from stakeholders orthe public. Other exemptions may require an agency to proposeexempt rules at a public hearing.AUTHENTICATION OF PDF CODE CHAPTERSThe Office began to authenticate chapters of the AdministrativeCode in Supp. 18-1 to comply with A.R.S. § 41-1012(B) andA.R.S. § 5302(1), (2)(d) through (e), and (3)(d) through (e).EXEMPTIONS AND PAPER COLORAt one time the office published exempt rules on either blue orgreen paper. Blue meant the authority of the exemption was givenby the Legislature; green meant the authority was determined by acourt order. In 2001 the Office discontinued publishing rulesusing these paper colors.A certification verifies the authenticity of each Code chapterposted as it is released by the Office of the Secretary of State. Theauthenticated pdf of the Code includes an integrity mark with acertificate ID. Users should check the validity of the signature,especially if the pdf has been downloaded. If the digital signatureis invalid it means the document’s content has been compromised.PERSONAL USE/COMMERCIAL USEThis chapter is posted as a public courtesy online, and is forprivate use only. Those who wish to use the contents for resale orprofit should contact the Office about Commercial Use fees. Forinformation on commercial use fees review A.R.S. § 39-121.03and 1 A.A.C. 1, R1-1-113.HOW TO USE THE CODERules may be in effect before a supplement is released by theOffice. Therefore, the user should refer to issues of the ArizonaAdministrative Register for recent updates to rule Sections.ARIZONA REVISED STATUTE REFERENCESThe Arizona Revised Statutes (A.R.S.) are available online at theLegislature’s website, www.azleg.gov. An agency’s authorityRhonda Paschal, managing rules editor, assisted with the editingof this chapter.ii

signed byArizona DigitallyArizona SecretaryStateSecretary ofDate:2021.02.05of State 10:37:40 -07'00'4 A.A.C. 19Arizona Administrative CodeAdministrative Rules DivisionThe Arizona Secretary of State electronically publishes each A.A.C. Chapter with a digitalcertificate. The certificate-based signature displays the date and time the document was signedand can be validated in Adobe Acrobat Reader.TITLE 4. PROFESSIONS AND OCCUPATIONSCHAPTER 19. BOARD OF NURSING(Authority: A.R.S. § 32-1606 et seq.)Editor’s Note: The Arizona State Board of Nursing amended Sections in this Chapter under an exemption from the provisions ofA.R.S. Title 41, Chapter 6 under Laws 2015, Chapter 262 § 22. Exemption from A.R.S. Title 41, Chapter 6 means the Board was notrequired to submit proposed rules for publication in the Arizona Administrative Register, conduct a public hearing on the rules, orrequired to submit the rules for approval by the Governor’s Regulatory Review Council. Refer to the historical notes for more information (Supp. 16-2).ARTICLE 1. DEFINITIONS AND TIME-FRAMESR4-19-303.New Article 1, consisting of R4-19-101, adopted effective July19, 1995 (Supp. 95-3).Article 1, consisting of R4-19-101 through R4-19-102,repealed effective July 19, 1995 (Supp. 95-3).SectionR4-19-101.R4-19-102.Table 1.Definitions . 3Time-frames for Licensure, Certification, orApproval . 5Time-frames . 7ARTICLE 2. ARIZONA REGISTERED AND PRACTICALNURSING PROGRAMS; REFRESHER PROGRAMSArticle 2, consisting of R4-19-201 through R4-19-214,adopted effective July 19, 1995 (Supp. 14.R4-19-215.R4-19-216.R4-19-217.Organization and Administration . 9Repealed . 10Administrator; Qualifications and Duties . 10Repealed . 11Students; Policies and Admissions . 11Curriculum . 11New Programs; Proposal Approval; ProvisionalApproval . 12Full Approval of a New Nursing Program . 14Nursing Program Change . 14Renewal of Approval of Nursing Programs NotAccredited by a National Nursing AccreditingAgency . 14Unprofessional Conduct in a Nursing Program;Reinstatement or Reissuance . 15Repealed . 15Nursing Programs Holding National ProgramAccreditation; Changes in Accreditation . 15Pilot Programs for Innovative Approaches inNursing Education . 16Voluntary Termination of a Nursing Program or aRefresher Program . 16Approval of a Refresher Program . 17Distance Learning Nursing Programs; Out-of-StateNursing Programs . 18ARTICLE 3. LICENSURELicensure by Examination . 19Licensure by Endorsement . 20December 31, 2020ARTICLE 4. REGULATIONArticle 4, consisting of R4-19-401 through R4-19-404,adopted effective July 19, 1995 (Supp. 04.R4-19-405.Standards Related to Licensed Practical NurseScope of Practice .25Standards Related to Registered Nurse Scope ofPractice .26Unprofessional Conduct .27Re-issuance or Subsequent Issuance of License 28Board-ordered Evaluations .28ARTICLE 5. ADVANCED PRACTICE 508.Article 3, consisting of R4-19-301 through R4-19-308,adopted effective July 19, 1995 (Supp. 10.R4-19-311.R4-19-312.R4-19-313.Requirements for Credential Evaluation Service.21Temporary License .22License Renewal .22Inactive License .23Repealed .23Change of Name or Address .23School Nurse Certification Requirements .24Certified Registered Nurse .24Nurse Licensure Compact .24Practice Requirement .24Background .25R4-19-509.R4-19-510.R4-19-511.R4-19-512.Supp. 20-4Roles and Population Foci of Advanced PracticeRegistered Nursing (APRN); CertificationPrograms .29Requirements for APRN Programs .30Application for Approval of an Advanced PracticeRegistered Nursing Program; Approval by Board;Provisional Approval by Executive Director .32Notice of Deficiency; Unprofessional APRNProgram Conduct .32Requirements for Initial APRN Certification .33Expiration of APRN Certificate; PracticeRequirement; Renewal .34Temporary Advanced Practice Certificate;Temporary Prescribing and Dispensing Authority.35Standards Related to RNP, CNM, and CNS Scopeof Practice .36Delegation to Medical Assistants .37Expired .37Prescribing and Dispensing Authority; ProhibitedActs .37Prescribing Drugs and Devices .38Page 1