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WAC 246-840-340

Initial ARNP requirements.

(1) An applicant for licensure as an ARNP must have the following qualifications:
(a) An active Washington state RN license, without sanctions or restrictions;
(b) A graduate degree from an advanced nursing education program accredited by a national nursing accreditation body recognized by the United States Department of Education;
(c) Certification from a certifying body as identified in WAC 246-840-302;
(d) Completion of advanced clinical practice hours, when applicable, in situations under subsection (3) of this section.
(2) An applicant for ARNP licensure must submit:
(a) A completed ARNP application for licensure to the commission;
(b) The license fee as specified in WAC 246-840-990;
(c) A request to the certifying body, as identified in WAC 246-840-302, to send official documentation of certification directly to the commission;
(d) A request to the advanced nursing educational program to send an official transcript directly to the commission showing courses, grades, degree or certificate granted, official seal, and appropriate registrar; and
(e) Program objectives and course descriptions when requested by the commission.
(3) To be granted a license without meeting the advanced clinical practice requirements identified in subsection (4) of this section, the ARNP shall initiate the application process within one year of earning a graduate degree from an advanced nursing education program.
(4) An ARNP applicant who does not apply within one year of earning a graduate degree from an advanced nursing education program must complete one hundred twenty-five hours of advanced clinical practice for each additional year following graduation, not to exceed one thousand hours.
(a) An ARNP applicant's clinical practice must be supervised by an ARNP, a physician licensed under chapter 18.71 RCW, an osteopathic physician licensed under chapter 18.57 RCW, or equivalent licensure in another state or United States jurisdiction. The ARNP must complete supervised advanced clinical practice as defined in subsections (3) through (5) of this section.
(b) The supervisor must be in the same practice specialty in which the applicant is seeking licensure. The supervising ARNP or physician must:
(i) Have an active ARNP or physician license, without sanctions or restrictions, for two or more years;
(ii) Not be a relative of the applicant;
(iii) Not have a personal or financial relationship with the applicant;
(iv) Not have current disciplinary action on their license;
(v) Submit a written evaluation to the commission verifying the applicant's successful completion of the required supervised clinical practice hours and that the applicant's knowledge and skills are at a safe and appropriate level to practice as an ARNP.
(5) An ARNP applicant needing to complete supervised advanced clinical practice must:
(a) Meet the requirements of subsection (1)(a) and (b) of this section; and
(b) Have commission approval for the following:
(i) The clinical site in which the supervision will take place; and
(ii) The supervising ARNP or physician.
(6) The nursing commission may request additional evidence supporting the applicant's completion of advanced clinical practice hours for the purposes of this section. The commission reserves the right to conduct on-site visits.
(7) The nurse will not use the designation ARNP during the time of the supervised practice hours.
(8) An applicant holding an active RN license, without sanctions or restrictions, and current national certification as a CNS, and is practicing in Washington state in an advanced nursing role, will be exempt from the supervised practice requirement if they can provide evidence of two hundred fifty hours of advanced clinical practice within the last two years.
[Statutory Authority: RCW 18.79.050, 18.79.110, and 18.79.160. WSR 16-08-042, § 246-840-340, filed 3/30/16, effective 4/30/16. Statutory Authority: RCW 18.79.010, [18.79.]050, [18.79.]110, and [18.79.]210. WSR 09-01-060, § 246-840-340, filed 12/11/08, effective 1/11/09. Statutory Authority: RCW 43.70.280. WSR 98-05-060, § 246-840-340, filed 2/13/98, effective 3/16/98. Statutory Authority: Chapter 18.79 RCW. WSR 97-13-100, § 246-840-340, filed 6/18/97, effective 7/19/97.]
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