Arkansas Administrative Code
Agency 007 - Arkansas Department of Health
Division 34 - Arkansas Board of Nursing
Rule 007.34.24-002 - Proposed Chapter One- General Provisions
Current through Register Vol. 49, No. 9, September, 2024
CHAPTER ONE GENERAL PROVISIONS
PURPOSE AND AUTHORITY
THE PRACTICE OF NURSING
The performance for compensation of any acts involving the observation, care, and counsel of the ill, injured, or infirm; the maintenance of health or prevention of illness of others; the supervision and teaching of other personnel; the delegation of certain nursing practices to other personnel as set forth in rules established by the board; or the administration of medications and treatments as prescribed by practitioners authorized to prescribe and treat according to state law where such acts require substantial specialized judgment and skill based on knowledge and application of the principles of biological, physical, and social sciences.
The practice of advanced practice registered nursing means the delivery of health care services for compensation by professional nurses who have gained additional knowledge and skills through successful completion of an organized program of nursing education that certifies nurses for advanced practice roles as certified nurse practitioners, certified registered nurse anesthetists, certified nurse midwives, and clinical nurse specialists.
The delivery of health care services for compensation in collaboration with and under the direction of a licensed physician or under the direction of protocols developed with a licensed physician. Registered nurse practitioners shall be authorized to engage in activities as recognized by the nursing profession and as authorized by the Board. Nothing in this subdivision is to be deemed to limit a registered nurse practitioner from engaging in those activities which normally constitute the practice of nursing or those which may be performed by persons without the necessity of the license to practice medicine.
The performance for compensation of acts involving the care of the ill, injured, or infirm or the delegation of certain nursing practices to other personnel as set forth in rules established by the board; under the direction of a registered professional nurse, an advanced practice nurse, a licensed physician, or a licensed dentist, which acts do not require the substantial specialized skill, judgment, and knowledge required in professional nursing.
The performance for compensation of acts involving the care of the physically and mentally ill, retarded, injured, or infirm or the delegation of certain nursing practices to other personnel as set forth in rules established by the board, and the carrying out of medical orders under the direction of a registered professional nurse, an advanced practice nurse, a licensed physician or a licensed dentist, where such activities do not require the substantial specialized skill, judgment, and knowledge required in professional nursing.
Amended: February 15, 2022
IDENTIFICATION INSIGNIA
DEFINITION OF TERMS
ACCREDITED - The status granted by an accrediting agency through a voluntary process.
ACTIVE PRACTICE - The act of performing for compensation those acts within specified scope of practice and authorized by the board.
ACTIVITIES OF DAILY LIVING - Those self-care activities which must be accomplished each day in order for the client to care for his own needs and participate in society.
ADVANCED PRACTICE REGISTERED NURSE CATEGORIES - Certified nurse practitioner, certified registered nurse anesthetist, certified nurse midwife, and clinical nurse specialist.
APPROVAL - Recognized by the Board as meeting the education standards for preparing graduates for registered or practical nurse licensure.
APPROVAL TYPES:
PREREQUISITE - Status authorizing a program to proceed in establishing a program of nursing.
INITIAL - Status awarded to a program that has met all initial requirements and authorizes the program to proceed to admission of students and completion of educational standards.
FULL - Status awarded to a program that has met all educational standards.
CONTINUED FULL - Status awarded to a program that continues to maintain the educational standards.
CONDITIONAL - Status of a program that has not maintained the educational standards. Serves as a warning that if the standards are not followed withdrawal of approval may be initiated.
ATD - Alternative to Discipline program.
BOARD - The Arkansas State Board of Nursing.
BOARD-APPROVED EVALUATOR - An individual who meets board approved standards.
BOARD REPRESENTATIVE - A person appointed, hired, or otherwise authorized by the Board to carry out its functions.
CASE MANAGER - The ATD Program staff person who monitors participants' compliance.
CLINICAL EXPERIENCE- a faculty planned and guided learning activity that is designed to support students in meeting identified programs educational and course outcomes. The clinical settings include a variety of clinical of clinical practice settings or affiliating agencies, including but not limited to:
ACUTE CARE SETTING- A hospital based clinical site where students provide direct patient care and associated clinical conferences.
NON-ACUTE CARE SETTING- A long term, extended care, or nursing home based clinical site where students provide direct patient care and associated clinical conferences.
COMMUNITY SETTING- Community partner experiences with nurses and or professional staff in settings other than acute and non - acute settings where students provide indirect or direct patient care and associated clinical conferences.
CLINICAL FACILITY - A facility outside the framework of the program which provides educational experiences for the student.
COLLABORATING PHYSICIAN - A physician, licensed under the Arkansas Medical Practices Act, § 17-93-201 et seq., who has a practice comparable in scope, specialty or expertise to that of the advanced practice nurse or registered nurse practitioner.
COLLABORATIVE PRACTICE AGREEMENT - Document setting out how an advanced practice registered nurse and physician intend to cooperate in the delivery of client care.
CONSULTATION - The manner and process utilized between a certified registered nurse anesthetist and a licensed physician, licensed dentist, or other person lawfully entitled to order anesthesia performing the procedure or directly involved with the procedure when working jointly toward a common goal of providing services for the patient.
CONSULTING PHYSICIAN - A physician licensed by the Arkansas Medical Practices Act who has privileges in a hospital.
CONTRACT - The written agreement executed by a licensee or an applicant for licensure and the Board which establishes the terms for participation in the ATD program.
CONTACT HOUR- A measurement for continuing education; either a 50 or 60-minute clock hour of continuing education.
CONTINUING EDUCATION UNIT (CEU)- A measurement for continuing education; one CEU equals ten (10) contact hours.
CONTROLLED SUBSTANCE - Drug substance or immediate precursor in Schedules I-V.
CO-PRESCRIBE - Provide a prescription for an opioid antagonist when prescribing an opioid.
CREDENTIAL - A license, certificate, or other evidence of qualifications.
DELEGATION - Entrusting the performance of a selected nursing task to an individual who is qualified, competent, and able to perform such tasks. The nurse retains the accountability for the total nursing care of the individual.
DISTANT LEARNING SITE - A location separate from the main campus where course offerings are delivered.
DOCUMENTATION - Written proof or evidence to substantiate factual claims or statements satisfactory to the Board.
DRUG SAMPLE - A unit of a legend drug which is distributed to a practitioner by a manufacturer or a manufacturer's representative at no charge, is not intended to be sold, and is intended to promote the sale of the drug.
EMERGENCY CARE - Unanticipated care provided to a person who is unconscious, ill, or injured, when the circumstances require prompt decisions and actions, and when the necessity of immediate care is so apparent that any delay would seriously worsen the physical condition or endanger the life of the person.
FIRST LEVEL NURSE - A nurse who provides and coordinates patient care after graduating from an approved program of at least two years in length. Regionally, the nurse may be referred to as a professional or a registered nurse (RN).
FAILED DRUG SCREEN - The analysis of a biological specimen which is determined to be dilute, substituted, abnormal, adulterated, or tests positive for controlled substances, abuse potential substances or their metabolites without a valid prescription.
FULL PRACTICE AUTHORITY/FULL INDEPENDENT PRACTICE - The ability of a certified nurse midwife, certified nurse practitioner, or clinical nurse specialist to practice independently with prescriptive authority without a collaborative practice agreement.
GRADUATE COMPETENCIES - Educational outcomes expected of the nursing program's graduates.
IMPAIRED NURSE - A licensee or applicant for licensure who is impaired by alcohol use, a substance use disorder, or co-occurring disorder.
LEGEND DRUG - A drug limited by Section 503(b)(1) of the Federal Food, Drug, and Cosmetic Act to being dispensed by or upon a practitioner's prescription.
MAY - Indicates permission.
MEDICAL PROCEDURE - a course of action intended to achieve a result in the delivery of health care as consulted by a licensed physician, licensed dentist, or other person lawfully entitled to order anesthesia.
MISSION - Beliefs accepted by the parent institution for the framework of the school's programs and offerings.
NONCOMPLIANCE - Failure of the ATD participant to comply with the terms and conditions of the contract.
OBSERVATIONAL EXPERIENCE - One in which the nursing student provides no nursing care.
PARENT INSTITUTION - The official institution sponsoring the nursing program.
PARTICIPANT - A licensee who executes a contract with the Board.
PATIENT HARM - Actual or potential physical or mental injury, abuse or neglect of a patient.
PERI-OBSTETRICAL - preanesthetic preparation or evaluation, anesthesia induction, maintenance or emergence or postanesthesia care of the pregnant female.
PERIOPERATIVE - preanesthetic preparation or evaluation, anesthesia induction, maintenance or emergence, or postanesthesia care of clients.
PERSONAL CARE - Assistance with activities of daily living not requiring a medical prescription.
PHILOSOPHY - Beliefs adopted by the nursing faculty for the framework of the program.
PRACTICE- FOCUSED- Academic study or continuing education targeted to meet the needs of the nurse in his / her nursing practice role.
PRECEPTOR - A currently licensed nurse or physician, meeting the requirements of these rules, who serves as a facilitator of student learning in a practice setting.
PRECEPTORSHIP - Practice under the supervision of a qualified preceptor in the care of consumers of health services while a student in a Board approved program.
PRESCRIPTIVE AUTHORITY - Authorization, given by the Board, for an advanced practice nurse who meets established requirements to prescribe. Prescriptive authority for controlled substances shall only extend to drugs listed in Schedules II through V subject to the provisions of Chapter 4, Section VIII.
PROFESSIONAL BOUNDARIES - Social, physical, and psychological limits in a therapeutic relationship between a nurse and a patient or their family which promotes the client's dignity, independence, and best interests.
PROGRAM - An education unit that offers courses and learning experiences preparing graduates who are competent to practice nursing safely and who are eligible to take the NCLEX-PN or RN® examination. The program is often referred to as a pre-licensure nursing program. Types of pre-licensure nursing education programs are:
ASSOCIATE DEGREE PROGRAM - A professional nursing program leading to an associate degree with a major in nursing.
BACCALAUREATE DEGREE PROGRAM - A professional nursing program leading to a baccalaureate degree with a major in nursing.
DIPLOMA PROGRAM - A professional nursing program leading to a diploma with a major in nursing.
MASTER'S DEGREE PROGRAM - A professional nursing program leading to a master's degree which is an individual's first professional degree in nursing.
PRACTICAL NURSING PROGRAM - A nursing program leading to a certificate in practical nursing.
PSYCHIATRIC TECHNICIAN NURSING PROGRAM - A nursing program leading to a certificate in psychiatric technician nursing.
PROGRAM DIRECTOR- The individual employed by the board to administer the ATD program or the person responsible for the specific educational unit in nursing, regardless of the official title in the institution.
PROGRAM OUTCOMES - Measurable indicators that reflect the extent to which the results of the nursing program are achieved and by which nursing program effectiveness is documented.
PROTOCOL - A written statement which delineates agreed-upon approaches in client care and management.
REFRESHER COURSE- A formal course of instruction designed to provide a review and update of nursing theory and practice.
QUALIFIED PROVIDER - Individuals engaged in the treatment of substance use disorder, including alcohol, with sufficient education, training and experience.
RELAPSE - Use of any unauthorized controlled or abuse potential substance including alcohol as reported by the participant or the submission of any confirmed positive drug screen.
SATELLITE CAMPUS - A separate geographic location where a program is offered which has a separate student body and a separate faculty leader/coordinator and/or faculty.
SELF-REPORT - A licensee or an applicant for licensure who provides voluntary written notification to board staff or the ATD program director that the licensee or applicant for licensure is or has been impaired.
SHALL, WILL, MUST - Indicates a mandatory requirement.
SHOULD - Indicates a recommendation.
SUD - Substance Use Disorder is defined by the Substance Abuse and Mental Health Services Administration as the recurrent use of alcohol and/or drugs which causes clinically and functionally significant impairment, such as health problems, disability, and failure to meet major responsibilities at work, school, or home.
SURVEY - A visit to determine compliance with minimum requirements.
THERAPEUTIC DEVICE - An instrument or apparatus, requiring a prescription, that is intended for use in diagnosis or treatment, and in the prevention of disease or maintenance or restoration of health.
TRANSMITTING - Relaying an order for a medication, treatment, or therapeutic device.
UNDER THE DIRECTION OF A LICENSED PHYSICIAN - The performance of specific acts and procedures which have been authorized by a licensed physician and which may be performed outside the presence of the physician under conditions where a physician is readily available for consultation.
UNENCUMBERED LICENSE - Free of disciplinary limitations.
HISTORY: Amended January 1, 2018 Amended: January 1, 2020; June 4, 2021 Amended: February 15, 2022; June 15, 2024
GENERAL MATTERS
The office of the Board is in Little Rock, Arkansas. The office shall be open during business hours each day; Saturday, Sunday, and holidays excepted.
The Board may, through one or more of its members, or staff especially authorized, conduct at its office in Little Rock, Arkansas, or in any part of the state, any examination, inquiry or investigation, hearing, or other proceeding necessary to perform its duties and functions. The executive director shall have custody of the seal and official records and shall be responsible for the maintenance and custody of the files and records of the Board, including the credentials for all Arkansas licensed nurses, transcripts of testimony and exhibits, the minutes of all actions taken by the Board and all of its findings, determinations, reports, opinions, orders, rules, and approved forms.
All notices and other actions of the Board shall be authenticated or signed by the president, secretary, or such other person as may be authorized by the Board.
Upon order of the Board, the president, secretary, or director shall issue all notices of hearings and other process as may be directed by the Board.
The director of the Board shall be a registered nurse and meet the qualifications required by the Board.
|
Initial Licensure | |
|
APRN |
$125.00 |
|
RN/LPN |
$100.00 |
|
Medication Assistant-Certified |
$35.00 |
|
International Nurse |
$200.00 |
|
Endorsement | |
|
APRN |
$125.00 |
|
RN & LPN |
$125.00 |
|
LPTN |
$100.00 |
|
Certification to another state |
$30.00 |
|
Medication Assistant-Certified |
$65.00 |
|
Renewal of Licensure | |
|
APRN |
$65.00 |
|
RN |
$100.00 |
|
LPN/LPTN |
$90.00 |
|
RNP |
$40.00 |
|
Lapsed (expired) Reinstatement |
$100.00 |
|
Medication Assistant-Certified |
$40.00 |
|
Miscellaneous Fees | |
|
Prescriptive Authority |
$160.00 |
|
Temporary permit |
$30.00 |
|
CE Late Fee |
$50.00/contact hour |
|
CRNA Corporation Registration |
$25.00 |
|
CRNA Corporation Renewal |
$10.00 |
|
Continuing Education Workshop Registration |
$45.00 |
|
Criminal Records Review (prelicensure waiver) |
$75.00 |
|
CE Approval Request |
$10.00 |
|
Returned Check Fee |
$30.00 |
|
VISA Screening |
$30.00 |
Effective January 1, 2022, application fees shall be waived if the applicant:
The director shall enter, in permanent form, credentials of all nurses, records of official transactions and proceedings, and keep such records in safekeeping.
Meetings may be taped as necessary for purposes of minute taking.
The director may destroy or dispose of records in the office in accord with applicable law.
Upon written request and payment of a fee, the director shall provide to any nurse holding Arkansas licensure a certified copy of any of his or her records on file in the Board office.
Records shall be open to public inspection except as may be specifically exempted by statute.
Copies of rules of the Board will be furnished free of charge to any official of a government agency requesting them in the performance of his or her duties.
A registered nurse, practical nurse, or psychiatric technician nurse candidate who has failed the licensure examination may review his or her examination and/or challenge examination items according to the policies and procedures of the test development vendor.
HISTORY: Amended February 15, 2022; June 15, 2024
FAITH A. FIELDS NURSING SCHOLARSHIP/LOAN PROGRAM
As funds are made available, any Arkansas resident who is enrolled in, or has been accepted for admission to, an approved school of nursing in this state or in a nationally accredited school outside the state, in a course of study leading to qualification as a registered nurse, licensed practical nurse, or nurse educator shall be eligible to make application to the Arkansas State Board of Nursing for a nursing educator loan or a nursing practice loan. The Board may, depending upon available funds, make a nursing educator loan or a nursing practice loan to an applicant when it determines that the applicant:
If the recipient of a loan ceases to be enrolled in good standing in a recognized nursing program before completing the education requirements to qualify as a registered nurse, licensed practical nurse, or nursing educator, the principal and interest of all loans made to the recipient shall become due and payable immediately or as provided in the loan agreement.
HISTORY: Amended January 1, 2020
