Arkansas Administrative Code
Agency 007 - Arkansas Department of Health
Division 34 - Arkansas Board of Nursing
Rule 007.34.24-008 - Proposed Chapter Eleven- Full Independent Practice Credentialing Committee
Universal Citation: AR Admin Rules 007.34.24-008
Current through Register Vol. 49, No. 9, September, 2024
CHAPTER ELEVEN FULL INDEPENDENT PRACTICE CREDENTIALING COMMITTEE
SECTION I
PURPOSE & AUTHORITY
A.
PURPOSE - The purpose of the Full Independent Practice
Credentialing Committee is to:
1. Review and
act on applications for full independent practice authority submitted by
Certified Nurse Practitioners and Clinical Nurse Specialist; and
2. Review and act on complaints filed against
Certified Nurse Practitioners and Clinical Nurse Specialist who have full
independent practice authority.
B.
LEGAL AUTHORITY - The
authority of the Full Independent Practice Authority Committee is pursuant to
Ark. Code Ann. §
17-87-314, et seq.
Amended: June 15, 2024
SECTION II
GENERAL MATTERS
A.
DEFINITION OF TERMS
1. Full Independent Practice Authority: the
ability of a Certified Nurse Practitioner or Clinical Nurse Specialist to
practice with prescriptive authority without a collaborative practice agreement
as described in Ark. Code Ann. §
17-87-310.
2. Prescriptive Authority: the ability to
receive and prescribe drugs, medicines, or therapeutic devices appropriate to
the advanced practice registered nurse's area of practice.
3. Certified Nurse Practitioner: a registered
nurse who has successfully completed a nationally accredited graduate or
post-graduate APRN education program that prepares nurses for the advanced
practice role of nurse practitioner, is nationally certified in the population
foci appropriate to the educational preparation and licensed at the advanced
practice level.
4. Clinical Nurse
Specialist: a registered nurse who has successfully completed a nationally
accredited graduate or post-graduate APRN education program that prepares
nurses for the advanced practice role of clinical nurse specialist, is
nationally certified in the population foci appropriate to the educational
preparation and licensed at the advanced practice level.
B.
MEETING
1. The Committee shall meet at least
quarterly and shall have the power to call and hold special meetings at such
times and places as it deems necessary.
2. Five members shall constitute a quorum at
any meeting of the Committee.
C.
MEMBERS
The Committee shall be comprised of eight members appointed according to ACA 17-87-314 who may serve up to two 3-year terms, or until successor is appointed.
D.
OFFICERS
1. The Committee shall
elect a Chair, and a Vice-Chair.
2.
Officers may serve no more than two consecutive 1-year terms.
3. Powers & Duties of the Chair:
a. Sign subpoenas,
b. Administer oaths,
c. Authenticate all notices and other actions
of the Committee, and
d. Issue
notices of hearings and other processes and as directed by the
Committee
4. The
Vice-Chair shall assume all duties and privileges of the Chair in the absence
of the Chair.
E.
DUTIES
1. Review all
applications, initial or renewal, for full independent practice authority
submitted by Certified Nurse Practitioners or Clinical Nurse Specialist
licensed by the Arkansas State Board of Nursing.
2. Approve or deny applications for full
independent practice authority.
a. All
actions shall be provided, in writing, to the applicant.
b. Denial of an application shall include the
reason(s) for denial.
3.
Review complaints filed in writing against Certified Nurse Practitioners or
Clinical Nurse Specialist with full independent practice authority.
a. The Committee shall review complaints
against Certified Nurse Practitioners or Clinical Nurse Specialist who hold a
certificate of full independent practice authority.
b. The Committee may take action, suspend or
revoke the certificate for full independent practice authority based on the
complaint; however, the Committee may not take action against the nursing
license of a certified nurse practitioner.
c. All complaints and actions shall be
reported to the Arkansas State Board of Nursing.
F.
HEARINGS
1. Hearings will be conducted when the
Committee takes action to suspend or revoke the certificate of full independent
practice authority.
2. Hearings
will be conducted according to the Arkansas Administrative Procedures
Act.
3. The Certified Nurse
Practitioner or Clinical Nurse Specialist will be provided ten (10) days'
notice, in writing, to appear before the Full Independent Practice
Credentialing Committee.
G.
APPEAL
If a Certified Nurse Practitioner's or Clinical Nurse Specialist's certificate of full independent practice authority is denied, suspended, or revoked they may appeal the action of the Committee under the Arkansas Administrative Procedure Act, § 25-15-201.
F.
REPORTS
A quarterly report will be provided to the Senate Committee on Public Health, Welfare and Labor and the House Committee on Public Health, Welfare and Labor. The report will contain, at a minimum, the number of applicants approved and denied a certificate of independent practice authority.
Amended: June 15, 2024
SECTION III
QUALIFICATIONS FOR FULL INDEPENDENT PRACTICE AUTHORITY
A.
INITIAL
1. Submission of an
application for full independent practice authority.
2. Submission of two (2) letters of
recommendation.
3. Hold an active
unencumbered Arkansas Certified Nurse Practitioner or Clinical Nurse Specialist
license.
4. Hold an unencumbered
prescriptive authority certificate or equivalent in the state of
licensure.
5. Submission of
documentation showing a minimum of 6,240 hours of practice:
a. Under a board required agreement with a
physician. Such documentation shall include:
1) An affidavit from a collaborating
physician attesting to the number of hours the Certified Nurse Practitioner
practiced under a collaborative practice agreement with the physician. Multiple
attestations are acceptable.; or
2)
Other evidence of meeting the qualifications for full independent practice and
an affidavit signed by the nurse practitioner, in the event a collaborating
physician has died, become disabled, retired, relocated to another state, or
any other circumstance that inhibits the ability of the nurse practitioner from
obtaining an affidavit.
i. Other evidence may
include employment records, military service, Medicare or Medicaid
reimbursement records, or other similar records that verify clinical practice
in the population foci for which the nurse practitioner is licensed and
certified.
ii. The burden shall be
on the nurse practitioner to provide sufficient evidence to support the nurse
practitioner's inability to obtain an affidavit from a collaborating
physician.
b.
In another state, territory, or foreign country that authorizes a certified
nurse practitioner or a clinical nurse specialist to practice with prescriptive
authority if the certified nurse practitioner or clinical nurse specialist
provides proof of:
1) Holding prescriptive
authority in the state; and
2) The
APRN license is in good standing.
6. Submission of any other relevant documents
requested by the Committee in support of application.
HISTORY: Adopted: August 1, 2022
Amended: June 15, 2024
B.
RENEWAL
1. The Certificate for full independent
practice authority shall be renewed every three years by submitting the
required application and corresponding fee.
2. Renewal applicants must hold an active
unencumbered Arkansas Certified Nurse Practitioner or Clinical Nurse Specialist
license.
Amended: June 15, 2024
SECTION IV
FEES
A. The Committee shall establish fees for
services relating to application for full independent practice authority and
renewal of the full independent practice certificate.
1. The initial application fee shall be
$150.00.
2. The certificate renewal
fee shall be $50.00.
3. All funds
received shall be deposited in the State Treasury to the credit of the
Committee.
4. Fees paid shall be by
credit card.
5. Fees paid are
processing fees and are not refundable.
HISTORY: Adopted: August 1, 2022
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