Licensing

The Entry Level Masters of Science in Nursing at Pacific Lutheran University meets the educational requirements for professional RN licensure in all 50 US states and the following jurisdictions:

AlabamaIllinoisMontanaRhode IslandWyoming
AlaskaIndianaNebraskaSouth Carolina
ArizonaIowaNevadaSouth Dakota
ArkansasKansasNew HampshireTennessee
CaliforniaKentuckyNew JerseyTexas
ColoradoLouisianaNew MexicoUtah
ConnecticutMaineNew YorkUS Virgin Islands
DelawareMarylandNorth CarolinaVermont
District of ColumbiaMassachusettsNorth DakotaVirginia
FloridaMichiganOhioWashington
GuamMinnesotaOklahomaWest Virginia
IdahoMissouriPennsylvaniaWisconsin

Date Reviewed: July, 2020
Will be reviewed annually.
Note: The educational requirements for professional RN licensure requirements for American Samoa cannot be determined at the time of the last review.

Advanced Registered Nurse Practitioner Requirements by State

The following table was created in August 2020 and reflects Advanced Registered Nurse Practitioner (ARNP) education program curriculum requirements by state at this time. These requirements are subject to change, without notification, and may not be entirely inclusive of all state requirements. This information is fluid and is often in process of revision.

Requirements

610-X-5-.03 Qualifications for Approval to Practice as A Certified Registered Nurse Practitioner.

(1) The applicant for approval to practice as a certified registered nurse practitioner shall have:

(a) An active Alabama registered nurse license, or a multistate registered nurse license issued by a party state, as Nursing Chapter 610-X-5 Supp. 3/31/20 5-7 defined in Chapter 4 of these rules, unless authorized by the Board.
(b) Met all requirements for completion of or graduation from an organized program of study and clinical experience beyond the basic educational preparation as a registered nurse that prepares nurse practitioners and is recognized by the Board of Nursing and the appropriate specialty-certifying agency.
(c) At least a master’s or higher degree in advanced practice nursing from an accredited program recognized by the Board.
(d) Current certification as a certified registered nurse practitioner granted by a national certifying agency recognized by the Board of Nursing in the clinical specialty consistent with educational preparation and appropriate to the area of practice.

610-X-5-.12 Prescriptions and Medication Orders by Certified Registered Nurse Practitioners.

(1) Certified registered nurse practitioners engaged in collaborative practice with physicians may be granted prescriptive authority upon submission of evidence of completion of an academic course in pharmacology or evidence of integration of pharmacology theory and clinical application in the certified registered nurse practitioner curriculum.

** In addition to the requirements listed above, the State of Alabama also requires ARNP students complete courses in Advanced Physical Assessment, Advanced Pathophysiology, and Advanced Pharmacology as per its Director for Advanced Practice Nursing.

Requirements

12 AAC 44.400. REQUIREMENTS FOR INITIAL LICENSURE.

(a) Except as provided in (e) and (f) of this section, an applicant for initial licensure to practice as an advanced practice registered nurse (APRN) as defined in AS 08.68.850

(1) must have satisfactorily completed

(A) a formal accredited graduate educational course of study preparing in one of the APRN roles that

(i) is a minimum of one academic year in length;
(ii) prepares registered nurses to perform an expanded role in the delivery of health care;
(iii) includes a combination of classroom instruction and a minimum of 500 separate, non-duplicated hours of supervised clinical practice;
(iv) for a certified nurse practitioner, a certified nurse midwife, or a certified clinical nurse specialist, if completed on or after January 1, 1998, has distinct course offerings of three graduate credits or more in advanced pathophysiology, advanced pharmacotherapeutics, and advanced physical assessment, as evidenced by an official transcript or other official documentation received directly from a graduate program accredited by a nursing accrediting body that is recognized by the United States Secretary of Education or that is recognized by the Council for Higher Education Accreditation or its successor organization.

Requirements

R4-19-502. Requirements for APRN Programs

A. An educational institution or other entity that offers an APRN program in this state for RNP or CNS roles shall ensure that the program:

1. Is offered by or affiliated with a college or university that is accredited under A.R.S. § 32-1644;
2. For new programs, the college or university offering the program has at least one additional nationally accredited nursing program as defined in R4-19-101 or otherwise provides substantial evidence of the ability to attain national APRN program accreditation for all graduating cohorts;
3. Is a formal educational program, that is part of a masters or doctoral program or a post-master’s program in nursing with a concentration in an advanced practice registered nursing role and population focus under R4-19-501;
4. Is nationally accredited, or has achieved candidacy status for national accreditation by an approved national nursing accrediting agency as defined in R4-19-101;
5. Offers a curriculum that covers the scope of practice for both the role of advanced practice as specified in A.R.S. § 32-1601 and the population focus including;

a. Three separate graduate level courses in: RULES June 3, 2019 Page 38 of 69

i. Advanced physiology and pathophysiology, including general principles across the lifespan;
ii. Advanced health assessment, which includes assessment of all human systems, advanced assessment techniques, concepts and approaches;
iii. Advanced pharmacology, which includes pharmacodynamics, pharmacokinetics and pharmacotherapeutics of all broad category agents;

b. Diagnosis and management of diseases across practice settings including diseases representative of all systems;
c. Preparation that provides a basic understanding of the principles for decision making in the identified role;
d. Preparation in the core competencies for the identified APRN role including legal, ethical and professional responsibilities; and
e. Role preparation in an identified population focus under R4-19-501.

6. Verifies that each student has an unencumbered license to practice as an RN in the state of clinical practice;
7. Includes a minimum of 500 hours of faculty supervised clinical practice (programs that prepare students for more than one role or population focus shall have 500 hours of clinical practice in each role and population focus);
8. Notifies the Board of any changes in hours of clinical practice, accreditation status, denial or deferral of accreditation or program administrator and responds to Board requests for information;
9. Has financial resources sufficient to support accreditation standards and the educational goals of the program;
10. Establishes academic, professional, and conduct standards that determine admission to the program, progression in the program, and graduation from the program that are consistent with sound educational practices and recognized standards of professional conduct;
11. Establishes provisions for advanced placement for individuals holding a graduate degree in nursing who are seeking education in an APRN role and population focus, provided that advanced placement students master the same APRN competencies as students in the graduate-level APRN program; and
12. Provides the Board an application for approval under the provisions of R4-19-209(B) before making changes to the: a. Scope of the program, or b. Level of educational preparation provided.

Requirements

ARKANSAS STATE BOARD OF NURSING RULES Chapter 4

C. EDUCATION PROGRAM

1. The education program for advanced practice nursing shall meet the nursing accrediting body standards for advanced practice registered nursing.
2. The curriculum plan for advanced practice registered nursing shall include:

a. Preparation in one of the four identified APRN roles (CRNA, CNM, CNS, and CNP); and ARKANSAS STATE BOARD OF NURSING RULES 4-13
b. Preparation in at least one of the approved population foci:

(1) Family/Individual Across the Lifespan
(2) Adult-Gerontology
(3) Neonatal
(4) Pediatrics
(5) Women’s Health/Gender-Related
(6) Psychiatric/Mental Health; and

c. Three separate graduate level courses (the APRN Core):

(1) Advanced physiology and pathophysiology
(2) Advanced health assessment
(3) Advanced pharmacology

3. Clinical Experiences

a. All graduate or post-graduate programs leading to advanced practice licensure shall have a minimum of 500 supervised clinical hours in direct clinical practice during the program.
b. APRN programs preparing for two population foci shall have a minimum of 500 supervised clinical hours for each population focus.
c. Clinical supervision must be congruent with current national professional organizations and nursing accrediting body standards applicable to the APRN role and population focus.
d. Student clinical experiences shall be congruent with the population focus of the role.

Requirements

1484. Standards of Education.

(d) Curriculum

(1) The program shall include all theoretical and clinical instruction necessary to enable the graduate to provide primary health care for persons for whom he/she will provide care.
(2) The program shall provide evaluation of previous education and/or experience in primary health care for the purpose of granting credit for meeting program requirements.
(3) Training for practice in an area of specialization shall be broad enough, not only to detect and control presenting symptoms, but to minimize the potential for disease progression.
(4) Curriculum, course content, and plans for clinical experience shall be developed through collaboration of the total faculty.
(5) Curriculum, course content, methods of instruction and clinical experience shall be consistent with the philosophy and objectives of the program.
(6) Outlines and descriptions of all learning experiences shall be available, in writing, prior to enrollment of students in the program.
(7) The program may be full-time or part-time and shall be comprised of not less than thirty (30) semester units, (forty-five (45) quarter units), which shall include theory and supervised clinical practice.
(8) The course of instruction shall be calculated according to the following formula:

(A) One (1) hour of instruction in theory each week throughout a semester or quarter equals one (1) unit.
(B) Three (3) hours of clinical practice each week throughout a semester or quarter equals one (1) unit.
(C) One (1) semester equals 16-18 weeks and one (1) quarter equals 10-12 weeks.

(9) Supervised clinical practice shall consist of two phases:

(A) Concurrent with theory, there shall be provided for the student, demonstration of and supervised practice of correlated skills in the clinical setting with patients.
(B) Following acquisition of basic theoretical knowledge prescribed by the curriculum the student shall receive supervised experience and instruction in an appropriate clinical setting.
(C) At least 12 semester units or 18 quarter units of the program shall be in clinical practice.

(10) The duration of clinical experience and the setting shall be such that the student will receive intensive experience in performing the diagnostic and treatment procedures essential to the practice for which the student is being prepared.
(11) The program shall have the responsibility for arranging for clinical instruction and supervision for the student.
(12) The curriculum shall include, but is not limited to:

(A) Normal growth and development
(B) Pathophysiology
(C) Interviewing and communication skills
(D) Eliciting, recording and maintaining a developmental health history
(E) Comprehensive physical examination BP2834-R 9/1998 Rev. 2/2010; BRN NP Committee 8-1-2013; Board Approved 9-11-2013
(F) Psycho-social assessment
(G) Interpretation of laboratory findings
(H) Evaluation of assessment data to define health and developmental problems
(I) Pharmacology
(J) Nutrition
(K) Disease management
(L) Principles of health maintenance
(M) Assessment of community resources
(N) Initiating and providing emergency treatments
(O) Nurse practitioner role development
(P) Legal implications of advanced practice
(Q) Health care delivery systems

(13) The course of instruction of a program conducted in a non-academic setting shall be equivalent to that conducted in an academic setting.

Requirements

CHAPTER XIV – RULES AND REGULATIONS TO REGISTER PROFESSIONAL NURSES QUALIFIED TO ENGAGE IN ADVANCED PRACTICE NURSING

2. REQUIREMENTS FOR INCLUSION ON THE ADVANCED PRACTICE REGISTRY

2.1 A professional nurse may request inclusion on the APR by:

2.1.1 Educational Requirements: The successful completion of a graduate or post-graduate nursing degree in the Role and, where applicable, the Population Focus for which the Applicant seeks inclusion on the APR. Verification of educational requirements shall be evidenced by receipt of a sealed, official transcript from a graduate or post-graduate APN program accredited by a nursing Accrediting Body. The transcript shall verify date of graduation, credential conferred, and Population Focus of the program.

CHAPTER XV – RULES AND REGULATIONS FOR PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSES

2 EDUCATIONAL REQUIREMENTS FOR PRESCRIPTIVE AUTHORITY

2.1 An Applicant for prescriptive authority must have successfully completed a graduate degree or postgraduate nursing degree in the Role/Specialty and Population Focus for which the Applicant seeks prescriptive authority. Such coursework shall include a minimum of three (3) graduate semester hours or four (4) quarter hours in each of the following: Pathophysiology, Pharmacology and Physical Assessment. The coursework in Pharmacology shall include education on prescribing drugs and controlled substances.

2.2 The transcript shall verify date of course completion, grade and credits awarded. Applicants must provide copies of course descriptions or course syllabi when the required coursework in Physical Assessment, Pathophysiology, and Pharmacology is integrated into broad categories of advanced practice courses or when course titles do not accurately reflect course content.

Requirements

Sec. 20-94a. Licensure as advanced practice registered nurse.

(a) The Department of Public Health may issue an advanced practice registered nurse license to a person seeking to perform the activities described in subsection (b) of section 20-87a, upon receipt of a fee of two hundred dollars, to an applicant who:

(1) Maintains a license as a registered nurse in this state, as provided by section 20-93 or 20-94;
(2) holds and maintains current certification as a nurse practitioner, a clinical nurse specialist or a nurse anesthetist from one of the following national certifying bodies that certify nurses in advanced practice: The American Nurses’ Association, the Nurses’ Association of the American College of Obstetricians and Gynecologists Certification Corporation, the National Board of Pediatric Nurse Practitioners and Associates or the American Association of Nurse Anesthetists, their successors or other appropriate national certifying bodies approved by the Board of Examiners for Nursing;
(3) has completed thirty hours of education in pharmacology for advanced nursing practice; and
(4) (A) holds a graduate degree in nursing or in a related field recognized for certification as either a nurse practitioner, a clinical nurse specialist, or a nurse anesthetist by one of the foregoing certifying bodies

Requirements

8.0 Rules and Regulations Governing the Practice of Nursing as an Advanced Practice Registered Nurse in the State of Delaware

8.9.2 An application for licensure to practice as an Advanced Practice Registered Nurse shall be submitted on forms supplied by the Board along with the required non-refundable fee. A completed application provides the following information: Graduation from an APRN graduate or post-graduate program 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 its successor organization; documentation shall verify date of graduation, credential conferred, number of clinical hours completed, completion of three separate graduate level courses in advanced physiology and pathophysiology, advanced health assessment, advanced pharmacokinetics and pharmacotherapeutics of all broad categories of agents, role and population focus of the education program, and evidence of meeting the standards of nursing education in this state.

Requirements

5610 ADVANCED PRACTICE REGISTERED NURSING EDUCATION STANDARDS

5610.8 The program of study shall:

(a) Be comprehensive and prepare the graduate with the core competencies for one (1) of the four (4) APRN roles and at least one of the six (6) foci;
(b) Prepare the graduate to assume responsibility and accountability for health promotion and maintenance, as well as the assessment, diagnosis, and management of patient problems, including the use and prescription of pharmacologic and non-pharmacologic interventions;
(c) Include a minimum of three (3) separate core graduate-level courses in the following:

(1) Advanced physiology/pathophysiology, including general principles that apply across the lifespan;
(2) Advanced health assessment, which includes assessment of all human systems, advanced assessment techniques, concepts and approaches; and
(3) Advanced pharmacology, which includes pharmacodynamics, pharmacokinetics, and pharmacotherapeutics of all broad categories of agents.

(d) Include a minimum of five hundred (500) hours of supervised direct care clinical, with a minimum of fifty (50) minutes constituting one (1) hour.

Requirements

The State of Florida has the following educational requirements for ARNPs, taken from the Florida Administrative Code Section 64B9

Licensure of Advanced Practice Registered Nurses; Fees; Controlled Substance Prescribing Reflected in the Nurse Practice Act Section 464.012

• Graduation from a program resulting in a master’s degree in a nursing clinical specialty area with preparation in specialized practitioner skills.
• An APRN may prescribe or dispense a controlled substance as defined in s. 893.03 only if the advanced practice registered nurse has graduated from a master’s or doctoral degree program in a clinical nursing specialty area with training in specialized practitioner skills.[flsenate.gov, 2017]

Web address
Requirements

The State of Georgia has the following educational requirement for ARNPs, taken from the Georgia Administrative Code Chapter 410-11:

Rule 410-11-.03. Rules for Nurse Practitioners

(a) Official transcript which verifies graduation with a master’s or higher degree in nursing for the respective nurse practitioner specialty or a graduate level post-master’s certificate in an advanced practice registered nurse practitioner specialty and evidence of advanced pharmacology within the curriculum or as a separate course, advanced physical assessment, and pathophysiology.

Requirements

5.11 Standards of Education for APRNs.

(d) The curriculum of the program shall meet the following criteria:

(1) The program shall include all theoretical and clinical instruction necessary to enable the graduate to provide primary health care for persons for whom she/he will provide care.
(2) The program shall provide evaluation of previous education and/or experience to primary health care for the purpose of granting credit for meeting program requirements.
(3) Training for practice in an area of specialization shall be broad enough to not only detect and control presenting symptoms but to minimize the potential for disease progression.
(4) Curriculum, course content, and plans for clinical experience shall be developed through collaboration of the total faculty.
(5) Curriculum, course content, methods of instruction and critical experience shall he consistent with the philosophy and objectives of the program.
(6) Outlines and descriptions of all learning experiences shall be available, in writing, prior to enrollment of students in the program.
(7) The program shall be a minimum of one academic year in length. It may be full-time or part-time and shall be comprised of not less than thirty (30) semester units or forty-five (45) quarter units. It shall include theory and planned clinical practice under the direction of a preceptor.
(8) The course of instruction shall be calculated according to the following formula:

(i) One (1) hour of instruction in theory each week throughout a semester or quarter, equal one (1) unit/credit.
(ii) Three (3) hours of clinical practice each week throughout a semester or quarter equals one (1) unit/credit.
(iii) One (1) semester equals 16 to 15 weeks and one (1) quarter equals 10 to 12 weeks.

(9) Following acquisition of basic theoretical knowledge prescribed by the curriculum, the student shall receive supervised experience and instruction in an appropriate clinical setting.
(10) The duration of clinical experience and the setting shall be such that the student will receive intensive experience in performing the diagnostic and treatment procedures essential to the practice for which the student is being prepared.
(11) The program shall have responsibility for arranging the supervised clinical instruction of the student.
(12) The curriculum shall include, but is not limited to, the following courses which shall be relevant to the practice of the APRN in the specialized field:

(i) Normal growth and development
(ii) Pathophysiology
(iii) Interviewing and communication skills
(iv) Eliciting, recording and maintaining a developmental health history
(v) Comprehensive physical examination
(vi) Psychosocial assessment
(vii) Interpretation of laboratory findings
Evaluation assessment data to define health and developmental problems
(viii) Pharmacology
(ix) Nutrition
(x) Disease management
(xi) Principles of health maintenance
(xii) Assessment of community resources
(xiii) Initiating and providing emergency treatments
(xiv) Practitioner role development
(xv) Instruction in legal ethical and professional responsibilities of an APRN
(xvi) Health care delivery systems
(xvii) Supervised clinical practice of those skills essential for the APRN in the specialized field

(13) The course of instruction of a program conducted in a nonacademic setting shall be equivalent to that conducted in an academic setting.
(14) Major curriculum changes must first be approved by the Board.

Requirements

§16-89-46 Curriculum. Curriculum shall be subject to the following requirements. The curriculum shall be:

(1) Planned, implemented, and evaluated by faculty;
(2) Based on the philosophy or mission and program objectives of outcomes of the nursing education program;
(3) Consistent with the policies of the controlling institution, current standards and competencies of nursing practice, and laws governing the practice of nursing;
(4) Logically organized and sequenced appropriately; and
(5) For a period of time that shall ensure sufficient preparation for the safe and effective practice of nursing.

(2) Nursing care of clients, as individuals and groups, through the lifespan in a variety of settings for the promotion, maintenance, and restoration of health; and
(3) Legal and ethical issues, history and trends in nursing, and professional responsibility.

§16-89-49 The minimum curriculum for programs preparing advanced practice registered nurses.

The minimum curriculum for nursing programs preparing advanced practice registered nurses shall meet national accreditation standards. [Eff and comp 6/22/90; am and comp 9/5/97; comp 8/9/01; am and comp 5/5/05; comp 12/27/10; comp 3/28/13; comp 10/27/18] (Auth: HRS §457-5) (Imp: HRS §457-11)

Requirements

IDAHO ADMINISTRATIVE CODE IDAPA 24.34.01 DOPL – Board of Nursing Rules of the Idaho Board of Nursing Section 681 Page 42 nurse as defined in Section 401 of these rules.

681. CURRICULUM REQUIREMENTS FOR NURSING EDUCATION PROGRAMS. 01. General Curriculum. For licensed practical nurses, registered nurses, and advanced practice registered nurses the general curriculum is as follows:

a. Be planned, implemented, and evaluated by the faculty with provisions for student input;
b. Reflect the mission and purpose of the nursing education program;
c. Be organized logically and sequenced appropriately;
d. Facilitate articulation for horizontal and vertical mobility;
e. Have a syllabus for each nursing course;
f. Have written, measurable terminal outcomes that reflect the role of the graduate; and
g. Be responsive to changing healthcare environment.
03. Practice Sites. The program will have sufficient correlated practice experiences to assure development of nursing competencies.

IDAHO ADMINISTRATIVE CODE IDAPA 24.34.01 DOPL – Board of Nursing Rules of the Idaho Board of Nursing Section 285 Page 25:

285. QUALIFICATIONS FOR ADVANCED PRACTICE REGISTERED NURSE. To qualify as an advanced practice registered nurse, an applicant shall provide evidence of: (3-20-20)T

01. Current Licensure. Current licensure to practice as a registered nurse in Idaho; (3-20-20)T
02. Completion of Advanced Practice Registered Nurse Program. Successful completion of a graduate or post-graduate advanced practice registered nurse program which is accredited by a national organization recognized by the Board; and (3-20-20)T
03. National Certification. Current national certification by an organization recognized by the Board for the specified APRN role. (3-20-20)T

Requirements

The State of Illinois has the following educational requirement for ARNPs, taken from the Illinois Administrative Code Title 68 Chapter VII Subchapter b Part 1300:

Section 1300.400 Application for Licensure

4) Proof of successful completion of a graduate degree appropriate for national certification in the clinical advanced practice registered nursing specialty or a graduate degree or post-master’s certificate from a graduate level program in a clinical advanced practice registered nursing specialty.

Requirements

The Advanced Practice Registered Nurse (ADVANCED PRACTICE REGISTERED NURSE) application is for the authority to prescribe independently as an advanced practice registered nurse. This is not a license to practice as a nurse practitioner or clinical nurse specialist, as no such license exists in the state of Indiana.

Instructions & Information for Prescriptive Authority as an Advanced Practice Registered Nurse (ADVANCED PRACTICE REGISTERED NURSE)

II. Requirement

D. Enclose a copy of your current, unrestricted license as a registered nurse in the State of Indiana or another compact state. If you are in the process of applying for an Indiana license, please write “Pending Indiana Licensure” on the application in the space provided for listing of regulated health occupations.
E. Have your nursing program directly provide to the Indiana State Board of Nursing an official transcript showing successful completion of a graduate program offered by a college or university accredited by the Commission on Recognition of Postsecondary Accreditation. If you received a bachelor’s degree rather than a graduate degree, you must submit proof of current national certification. Transcripts may be sent by mail or a secure electronic method (password to be provided by transcript service) to pla2@pla.in.gov.
F. Submit proof of having successfully completed a graduate level pharmacology course consisting of at least two (2) semester hours of academic credit from a college or university accredited by the Commission on Recognition of Postsecondary Accreditation:

1. within five (5) years of the date of application; or
2. if the pharmacology course was completed more than five (5) years immediately preceding the date of filing the application, the applicant must submit proof of the following:

a. Completion of at least thirty (30) actual contact hours of continuing education during the two (2) years immediately preceding the date of the application, including a minimum of at least eight (8) actual contact hours of pharmacology, all of which must be approved by a nationally approved sponsor of continuing education for nurses; and
b. Prescriptive experience in another jurisdiction within the five (5) years immediately preceding the date of the application.*this is generally a letter from a physician in another state verifying their prescriptive experience.

Requirements

655—2.10(152) Curriculum. 2.10

(1) The curriculum of a program shall: IAC 12/6/17 Nursing Board[655] Ch 2, p.7

a. Reflect the philosophy/mission and program outcomes supported by the nursing faculty.
b. Identify program outcomes and define how learning experiences support outcomes.
c. Reflect current standards of nursing practice and education.
d. Be consistent with laws governing the practice of nursing.
e. Ensure sufficient preparation for the safe and effective practice of nursing.
f. Include planned learning experiences and strategies that demonstrate integration of knowledge and attainment of the program outcomes.
g. Reflect the roles for which the student is being prepared.
h. Be evaluated on a regular basis by the faculty and reflect achievement of student outcomes as demonstrated in the program evaluation plan.
i. When offered within a college or university:

(1) Be comparable in quality and requirements to other degree programs within the college or university.
(2) Be planned in accordance with the college or university calendar.
(3) Assign credit hours for learning experiences that are consistent with the college or university pattern.
(4) Provide a teaching/learning environment (classroom, clinical, laboratory, or simulation) that supports achievement of expected outcomes.

2.10(2) Standardized examinations may be used to supplement a program’s curriculum but shall not prevent a student’s academic progression or graduation. At the time of enrollment, students shall be informed of the schedule and procedure for any standardized examinations utilized in the curriculum. The program shall have a process and procedure for remediation of students who do not pass the standardized examinations.

(1) Be consistent with the scope of practice of a registered nurse as outlined in rules 655—6.2(152) and 655—6.7(152). Ch 2, p.8 Nursing Board[655] IAC 12/6/17
(2) Focus on attaining, maintaining and regaining health and safety for individuals and groups by utilizing the principles of leadership, management, nursing informatics, and client education.
(3) Provide learning experiences in medical, surgical, mental health and gerontological nursing.
(4) Provide content in nursing of childbearing families and children that is supported by one or more of the following: clinical instruction, lab/simulation, or observation experiences adequate to meet program outcomes.
(5) Provide content in nursing research when the program leads to a baccalaureate, master’s or doctoral degree.
(6) Provide learning experiences in community health nursing when the program leads to a baccalaureate, master’s or doctoral degree.

2.10(5) Master’s, post-master’s, and doctoral programs for registered nurses who hold a baccalaureate degree in nursing.

a. The curriculum of a program leading to a master’s or doctoral degree in nursing shall include in-depth study of:

(1) Nursing science, which includes content, practicum experiences and research.
(2) Advanced role areas in nursing.

b. The curriculum of a program leading to a master’s degree or post-master’s certificate in a nursing population focus, eligibility to apply for certification in the population focus by a national professional nursing organization approved by the board, and licensure as an advanced registered nurse practitioner shall:

(1) Be consistent with the scope of practice of the advanced registered nurse practitioner as described in 655—Chapter 7.
(2) Include advanced learning experiences in a specialty area of nursing.

Requirements

60-11-103. Educational requirements for advanced practice registered nurses.

(a) To be issued a license as an advanced practice registered nurse in any of the roles of advanced practice, as identified in K.A.R. 60-11-102, each applicant shall meet at least one of the following criteria:

(1) Complete a formal, post-basic nursing education program located or offered in Kansas that has been approved by the board and prepares the nurse to function in the advanced role for which application is made;
(2) complete a formal, post-basic nursing education program that is not located or offered in Kansas but is determined by the board to meet the standards for program approval established by K.A.R. 60-17-101 through 60-17-108;
(3) have completed a formal, post-basic nursing education program that could be no longer in existence but is determined by the board to meet standards at least as stringent as those required for program approval by the board at the time of graduation; 45
(4) hold a current license to practice as an advanced practice registered nurse in the role for which application is made and that meets the following criteria:

(A) Was issued by a nursing licensing authority of another jurisdiction; and
(B) required completion of a program meeting standards equal to or greater than those established by K.A.R. 60-17-101 through 60-17-108; or

(5) complete a formal educational program of post-basic study and clinical experience that can be demonstrated by the applicant to have sufficiently prepared the applicant for practice in the role of advanced practice for which application is made. The applicant shall show that the curriculum of the program is consistent with public health and safety policy and that it prepared individuals to perform acts generally recognized by the nursing profession as capable of being performed by persons with post-basic education in nursing.

(b) Each applicant for a license as an advanced practice registered nurse in a role other than anesthesia or midwifery shall meet one of the following requirements:

(1) Have met one of the requirements of subsection (a) before July 1, 1994;
(2) if none of the requirements in subsection (a) have been met before July 1, 1994, meet one of the requirements of subsection (a) and hold a baccalaureate or higher degree in nursing; or
(3) if none of the requirements in subsection (a) have been met before July 1, 2002, meet one of the requirements of subsection (a) and hold a master’s or higher degree in a clinical area of nursing.

ADVANCED NURSING EDUCATION PROGRAM

60-17-105. Curriculum requirements.

(a) The faculty in each advanced nursing education program shall fulfill these requirements:

(1) Identify the competencies of the graduate for each role of advanced nursing practice for which the program provides instruction;
(2) determine the approach and content for learning experiences;
(3) direct clinical instruction as an integral part of the program; and
(4) provide for learning experiences of the depth and scope needed to fulfill the objectives or outcomes of advanced nursing courses.

(b) The curriculum in each advanced nursing education program shall include all of the following:

(1) Role alignment related to the distinction between practice as a registered professional nurse and the advanced role of an advanced practice registered nurse as specified in K.A.R. 60-11-101;
(2) theoretical instruction in the role or roles of advanced nursing practice for which the program provides instruction;
(3) the health care delivery system;
(4) the ethical and legal implications of advanced nursing practice;
(5) three college hours in advanced pharmacology or the equivalent;
(6) three college hours in advanced pathophysiology or its equivalent and three college hours in advanced health assessment or its equivalent for licensure as an advanced practice registered nurse in a role other than nurse anesthesia and nurse midwifery;
(7) if completing an advanced practice registered nurse program after July 1, 2009, three college hours in advanced pathophysiology or its equivalent and three college hours in advanced health assessment or its equivalent; and
(8) clinical instruction in the area of specialization, which shall include the following:

(A) Performance of or ordering diagnostic procedures;
(B) evaluation of diagnostic and assessment findings; and
(C) the prescription of medications and other treatment modalities for client conditions.

(c) (1) Each program shall consist of at least 45 semester credit hours or the academic equivalent. As used in this regulation, “academic equivalent” shall mean the prorated proportionate credit for formal academic coursework if that coursework is completed on the basis of trimester or quarter hours rather than semester hours.

(2) The clinical component shall consist of at least 260 hours of clinical learning. After January 1, 2003, the clinical component shall consist of at least 500 hours of clinical learning. After July 1, 2009, the clinical component shall consist of at least 500 hours of clinical learning in each clinical track, or the program shall provide documentation of the overlap if any clinical track consists of less than 500 clinical hours.

Requirements

201 KAR 20:056. Advanced practice registered nurse licensure and certification requirements.

Section 2. Education and Clinical Experience.

(1) An applicant for licensure as an advanced practice registered nurse shall complete an accredited education program that prepares a registered nurse for one (1) of the four (4) APRN roles established under Section 12(5) of this administrative regulation and clinical experience. This program shall conform to 201 KAR 20:062 or its substantial equivalence if from an out of state program.
(2)(a) If the applicant for licensure as an advanced practice registered nurse completed a program of study after January 1, 2005, the applicant shall hold a master’s degree, doctorate, or postmaster’s certificate awarding academic credit by a college or university related to the advanced practice registered nurse designation.

(b) If the applicant for licensure as an advanced practice registered nurse completed a program of study before January 1, 2005, the program shall be evaluated by the board on an individual basis to find if the program sufficiently prepares a student for advanced practice registered nursing by complying with the requirements of 201 KAR 20:062.

Section 12. Dual Designations.

(5) Role designations shall be the Certified Registered Nurse Anesthetist, Certified Nurse Midwife, Certified Nurse Practitioner, and Clinical Nurse Specialist pursuant to KRS 314.042. (See section 2.1 above)

Requirements

Section XLVII-3521 – Curriculum: Undergraduate and Graduate Nursing Education Degree Programs

A. The faculty shall periodically review, evaluate and revise as appropriate the mission/philosophy, and goals of the undergraduate and/or graduate nursing education degree program(s); the goals and program outcomes shall be consistent with the mission of the nursing education degree program and flow from the mission of the institution.
B. The mission/philosophy, goals and program outcomes shall be used by the faculty in planning, implementing and evaluating the total undergraduate and/or graduate nursing education degree program(s).

C. Graduate and Undergraduate Curriculum Content

2. Graduate Curriculum

a. The curriculum shall include, but not be limited to separate courses in advanced pathophysiology, advanced pharmacology, advanced assessment and diagnostic reasoning, and management of health care status courses and shall evidence appropriate course sequencing.
b. The APRN role and population shall have supervised experiences in accordance with accreditation, certification, and education requirements and standards.

i. Specialty roles and populations that provide care to multiple age groups and care settings will require additional hours as distributed in a way that represents the populations served.
ii. Dual role and population APRN programs shall include and address content and clinical experiences for both roles and populations. Each role and population shall have documented clinical hours in accordance with certification agency requirements. The population foci of the dual roles and populations will determine the extent to which overlap may occur. Overlapping clinical hours between roles and populations must be documented and addressed as to the preparation for the two areas of practice.

c. Simulated laboratory experiences may also be utilized as a teaching strategy in classroom and clinical settings to meet outcomes and may be counted as either classroom or clinical hours for the purpose of calculating the hours in the curriculum.
d. There shall be provisions for the recognition of prior learning and advanced placement in the curriculum for those individuals who hold a master’s or practice doctorate (APRN) in nursing and are seeking to qualify for recognition in a different APRN role and population. Post-graduate nursing students must complete the requirements of a master’s or practice doctorate (APRN) program through a formal graduate level certificate or master’s or practice doctorate level APRN role and population in the desired functional role. Post-graduate students must master the same outcome criteria as master’s or practice doctorate level students. Post-graduate APRN students shall have supervised experiences in the role and population in accordance with accreditation, certification, and education requirements and standards.

D. Undergraduate and graduate distant nursing education degree programs leading to licensure must meet the standards and requirements of Louisiana undergraduate and graduate education degree programs contained in LAC 46:XLVII.Chapter 35.
E. Undergraduate and graduate distance nursing education degree programs leading to licensure and utilizing Louisiana agencies must be approved by the board at a regularly scheduled meeting (refer to §3539).
F. Undergraduate and graduate student learning outcomes of the course and content shall reflect society’s concern with the bioethical and legal parameters of health care and professional practice.
G. The undergraduate and graduate nursing courses shall provide for classroom and clinical laboratory instruction that shall be under the supervision of a faculty member of the nursing program.

1. The faculty to student ratio per clinical experience shall not exceed 1 to 10 (1:10) per clinical day for undergraduate clinical instruction unless the students are engaged in a board-approved preceptorship experience, which permits a maximum of 1 to 15 (1:15) faculty to undergraduate student ratio and 1 to 9 (1:9) faculty to APRN student ratio per clinical day.
2. Repealed.

H. Provision shall be made for the development of other knowledge and skills as deemed necessary by the faculty and as appropriate to the role expectations of the graduate.
I. The undergraduate and graduate curriculum shall be arranged to provide opportunities for upward career mobility for students who have completed other nursing programs and have met appropriate requirements for licensure as follows.

1. Mechanisms for the recognition of prior learning and advanced placement in the undergraduate and graduate curriculum shall be in place.
2. Any formalized agreements between programs to facilitate the transfer of credit between undergraduate and graduate nursing education degree programs shall be identified and described.

Requirements

Chapter 8 REGULATIONS RELATING TO ADVANCED PRACTICE REGISTERED NURSING

Sec. 8.2. Special provisions

A. A registered professional nurse who is approved by the Board to practice as an advanced practice registered nurse prior to January 1, 1996 is considered to have met the requirements of 32 M.R.S.A. Section 2201-A (2) and (3) regarding education and certification.
B. An applicant for approval as an advanced practice registered nurse who has been -3- approved as such in another jurisdiction may be approved by the Board as set forth below:

(1) If approved in another jurisdiction prior to September 8, 1993, an applicant must have completed an advanced practice registered nurse program.
(2) If approved in another jurisdiction on or after September 8, 1993, an applicant must have completed an advanced practice registered nurse program, and must hold a national certification in the specialty area of practice.

C. As of January 1, 2006, an applicant for initial approval as an advanced practice registered nurse in Maine must hold at least a master’s degree with preparation in the specialty area for which application is made.
D. As of January 1, 2006, an applicant from another U.S. jurisdiction seeking approval by endorsement as an advanced practice registered nurse in Maine must have met requirements comparable to what was current Maine law at the time of graduation.

Sec. 6.2. Provision for certified nurse practitioners, certified registered nurse anesthetists and certified nurse-midwives with prescriptive authority in other U.S. jurisdictions

A. A certified nurse practitioner, certified registered nurse anesthetist or certified nurse midwife who holds prescriptive authority in another U.S. jurisdiction must submit evidence of the following:

(1) minimum of 200 hours of practice in an expanded specialty role within the preceding 2 years; and
(2) 45 contact hours (or 3 credits) of pharmacology equivalent to the requirements set forth in Section 6(3)(A) and (B).

B. If the applicant has not prescribed drugs within the past 2 years, the applicant shall provide evidence of satisfactory completion of 15 contact hours of pharmacology within the 2 years prior to applying for approval to practice.
C. If the applicant has not prescribed drugs within the past 5 years, the applicant shall provide evidence of satisfactory completion of 45 contact hours (or 3 credits) of pharmacology within the 2 years prior to applying for approval to practice.

Sec. 6.3. Pharmacology course requirements

A. The required 45 contact hours (or 3 credits) of pharmacology may be obtained in a formal academic setting as a discrete offering or as non-credit continuing education offerings.
B. A pharmacology course acceptable to the Board shall include:

(1) applicable federal/state laws;
(2) prescription writing;
(3) drug selection, dosage and route;
(4) drug interactions;
(5) information resources; and
(6) clinical application of pharmacology related to specific scope of practice.

C. The applicant shall submit evidence of successful completion of the course and/or continuing education offering in pharmacology.

Requirements

Chapter 10.27.07 Practice of the Nurse Practitioner

Sec. 10.27.07.06. Education

A. An applicant certified by a national certifying body before October 1, 2010, who is certified by the Board and in good standing shall be deemed to meet the education requirements under this regulation.
B. An applicant for certification shall be a graduate from a Board-approved nationally accredited education program for nurse practitioners in a school of nursing that:

(1) Provides advanced practice instruction at the Masters level or higher in a clinical nursing program;
(2) Is accredited by a nursing accrediting body recognized by the United States Department of Education, the Council for Higher Education Accreditation or any other national accrediting body recognized by the Board;
(3) Follows established educational standards that build upon educational preparation and experience as a registered nurse;
(4) Ensures completion of the advanced practice core, nurse practitioner core, and population specific core competencies;
(5) Has a didactic and clinical curriculum that, at a minimum, includes advanced courses in:

(a) Physiology and pathophysiology;
(b) Physical and health assessment;
(c) Pharmacology; and
(d) Diagnosis and management of health problems and diseases commonly encountered within the respective nurse practitioner’s population focus;

(6) Provides didactic courses and supervised clinical experiences of sufficient depth and breadth in the nurse practitioner role and the specific population focus of the program; and
(7) Ensures that graduates of the program are eligible for national certification and Maryland certification.

C. To be a Board-approved education program the program shall:

(1) Be a nationally accredited education program; and
(2) Ensure ongoing competence and maintenance of certification by:

(a) Providing a mechanism for renewing certification;
(b) Having a renewal of certification process that is acceptable to the Board; and
(c) Developing a mutually agreeable procedure that ensures communication with the Board.

Requirements

4.05: Eligibility Requirements for Advanced Practice Registered Nurse (APRN) Authorization

(3) Certified Nurse Practitioner (CNP).

(d) Initial Authorization of CNP by Reciprocity. To be eligible for reciprocal Board authorization to practice as a CNP from another jurisdiction an applicant must provide proof satisfactory to the Board of the following:

3. Compliance with the following academic requirements:

a. Graduation from a graduate degree program designed to prepare the graduate for practice as a CNP that is approved by a national accrediting organization for academic programs acceptable to the Board; or
b. Satisfactory completion of a formal educational program for RNs which has been approved by a national professional nurses accrediting body which the Board recognizes as such. The program must have as its objective the preparation of professional nurses to practice in an advanced role as a CNP. The Board will accept in satisfaction of this requirement only those educational programs whose attendance and training requirements are the equivalent of at least one academic year; and
c. Successful completion of, at minimum, core content at the graduate level in advanced assessment, advanced pathophysiology and advanced pharmacotherapeutics.

Requirements

The State of Michigan does not have specific educational requirements for ARNPs, however they must be board certified as noted below:

PART 4. NURSE SPECIALTY CERTIFICATION

R 338.10404b Specialty certification qualifications; nurse practitioner.

Rule 404b. A specialty certification for nurse practitioner shall be granted to a registered professional nurse who satisfies all of the following requirements:

(a) Holds a current and valid license to practice nursing in this state.
(b) Submits an application for certification as a nurse practitioner, on a form provided by the department with the required fee.
(c) Possesses advanced practice certification from 1 of the following certification organizations, or successor organizations:

(i) The American Nurses Credentialing Center.
(ii) The Pediatric Nursing Certification Board.
(iii) The National Certification Corporation for Women’s Health Care Nurse Practitioner and Neonatal Nurse Practitioner.
(iv) The American Academy of Nurse Practitioners for Adult Nurse Practitioners, Family Nurse Practitioners, and Adult-Gerontology Primary Care Nurse Practitioners.
(v) The Oncology Nursing Certification Corporation.
(vi) The American Association of Critical Care Nurses Certification Corporation for Acute Care Nurse Practitioner.

Date Reviewed: July, 2020
Will be reviewed annually.