Register, 2013 PROFESSIONAL REGULATIONS. Chapter 44. Board of Nursing.

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1 Chapter 44. Board of Nursing. (Words in boldface and underlined indicate language being added; words [CAPITALIZED AND BRACKETED] indicate language being deleted. Complete new sections are not underlined.) 12 AAC (a)(1)(H) is amended to read: (H) if the applicant graduated from a registered nurse or practical nurse program offered by a school of nursing outside of the United States including territories or Canada, except Quebec, Canada, or a school in the United States and territories where English is not the primary language, verification of passing one of the following English proficiency examinations, with at least the following minimum scores: 12 AAC (a)(1)(H)(i) is amended to read: (i) International English Language Testing System (IELTS) academic examination - overall score of 6.5 with a minimum of 6.0 on all modules; (Eff. 4/27/83, Register 86; am 8/2/86, Register 99; am 4/29/91, Register 118; am 4/27/97, Register 142; am 9/25/98, Register 147; am 11/2/2001, Register 160; am 6/16/2002, Register 162; am 3/4/2007, Register 181; am 12/27/2012, Register 204; am / /, Register ) Authority: AS AS AS AS AAC (a) is amended to read: 08/19/13 Draft 1

2 (a) A practical nurse license must be renewed biennially on or before September 30 of even-numbered years. A registered nurse license, advanced nurse practitioner authorization, and certified registered nurse anesthetist authorization must be renewed biennially on or before November 30 of even-numbered years. A renewal reminder document will be mailed to each currently licensed nurse at least 60 days before the renewal date. (Eff. 4/27/97, Register 142; am 11/2/2001, Register 160; am 5/7/2010, Register 194; am / /, Register ) Authority: AS AS AS AAC is amended to read: (a) An advanced nurse practitioner may be authorized to practice as [EITHER] a nurse midwife, a clinical nurse specialist, or a nurse practitioner, or in more than one role. The individual must be authorized to practice in the role for which they have received specialized education [BOTH ROLES]. (b) An advanced [A] nurse practitioner must be authorized to practice in one or more of the following population focus areas: (1) family/individual across the lifespan [ACUTE CARE/EMERGENCY]; (2) adult/gerontology; (3) women s health/gender related [FAMILY]; (4) [GERIATRIC; (5)] neonatal; (5) [(6)] pediatric; (6) [(7) WOMEN'S HEALTH. 08/19/13 Draft 2

3 (8) FAMILY] psychiatric/mental health. [; (9) ADULT PSYCHIATRIC MENTAL HEALTH.] (Eff. 3/28/2008, Register 185; am 4/16/2010, Register 194; am / /, Register ) Authority: AS AS AAC (a)(6)(E) is amended to read: (E) if the applicant is a graduate of a foreign advanced nurse practitioner program outside of the United States and territories or Canada, except Quebec, Canada, or a program in the United States and territories where English is not the primary language, verification of passing one of the following English proficiency examinations, with at least the following minimum scores: 12 AAC (a)(6)(E)(i) is amended to read: (i) International English Language Testing System (IELTS) academic examination - overall score of 6.5 with a minimum of 6.0 on all modules; (Eff. 1/13/80, Register 73; am 5/16/81, Register 78; am 12/1/84, Register 91; am 11/7/87, Register 104; am 4/27/97, Register 142; am 11/2/2001, Register 160; am 11/16/2002, Register 164; am 3/28/2008, Register 185; am 11/19/2008, Register 188; am 4/16/2010, Register 194; am 10/3/2011, Register 200; am 12/27/2012, Register 204; am / /, Register ) Authority: AS AS AAC is amended by adding a new subsection to read: 08/19/13 Draft 3

4 (i) Contact hours used for initial authorization as an ANP cannot be used again for renewal of the authorization in the same renewal period. (Eff. 1/13/80, Register 73; am 12/1/84, Register 91; am 11/7/87, Register 104; am 8/9/92, Register 123; am 4/9/94, Register 130; am 4/27/97, Register 142; am 7/17/2003, Register 167; am 5/29/2005, Register 174; am 3/28/2008, Register 185; am 12/23/2009, Register 192; am 4/16/2010, Register 194; am 12/27/2012, Register 204; am / /, Register ) Authority: AS AS AAC (f) is amended to read: (f) An applicant who fails the certifying examination shall notify the board and surrender the nonrenewable permit issued under this section. (Eff. 1/13/80, Register 73; am 12/1/84, Register 91; am 11/23/2003, Register 168; am 10/3/2011, Register 200; am / /, Register ) Authority: AS AS AAC (a)(1) is amended to read: (1) completion of at least 30 contact hours of continuing education for renewal of a license; the applicant shall earn at least 20 of the contact hours in a continuing education program provided under the accreditation standards established or followed by [SPONSORED OR APPROVED BY] one of the following organizations: (A) American Nurses Credentialing Center (ANCC) [ASSOCIATION]; (B) Accreditation Council for Continuing Medical Education (ACCME) [ALASKA NURSES ASSOCIATION]; 08/19/13 Draft 4

5 (C) Accreditation Council for Pharmacy Education (ACPE) [AMERICAN MEDICAL ASSOCIATION]; (D) [ALASKA MEDICAL ASSOCIATION; (E)] a nurse practitioner certifying body; (E) [(F)] a nurse anesthetist certifying body; (F) [(G) AN ORGANIZATION INCLUDED ON A LIST THAT THE BOARD MAINTAINS OF APPROVED CONTINUING EDUCATION SPONSORS;] the board will approve only those sponsors who offer "continuing education" as defined in (c)(2) of this section; 12 AAC (a)(2) is amended to read: (2) that no more than 10 of the contact hours required under (1) of this subsection were earned through in-service nursing education offered by a licensed health care facility that does not meet the qualifications required under (a)(1) of this section; and (Eff. 1/1/87, Register 97; am 7/28/95, Register 135; am 11/2/2001, Register 160; am 3/28/2008, Register 185; am 11/19/2008, Register 188; am / /, Register ) Authority: AS AS AS AAC (a) is amended by adding a new paragraph to read: (21) battery. (Eff. 11/2/2001, Register 160; am 7/17/2003, Register 167; am 7/22/2004, Register 171; am 10/30/2004, Register 172; am / /, Register ) Authority: AS AS AS /19/13 Draft 5

6 AS AS AAC (17) is amended to read: (17) for any person not authorized to practice as a certified registered nurse anesthetist to use the title registered nurse anesthetist, nurse anesthetist or certified registered nurse anesthetist or the abbreviation CRNA or any other words, letters, signs, or figures to indicate that the person is a certified registered nurse anesthetist; 12 AAC (18) is amended to read: (18) for a certified registered nurse anesthetist to perform duties outside the scope of practice described in 12 AAC ; (Eff. 4/27/83, Register 86; am 11/7/87, Register 104; am 4/9/94, Register 130; am 11/10/2002, Register 164; am 7/22/2004, Register 171; am 10/15/2004, Register 172; am 5/18/2006, Register 178; am 11/19/2008, Register 188; am 12/23/2009, Register 192; am / /, Register ) Authority: AS AAC (a) is amended to read: (a) One year after revocation of a license or authorization, the nurse, certified registered nurse anesthetist, or advanced [AUTHORIZED] nurse practitioner may apply to the board in writing for reinstatement. 12 AAC (c) is amended to read: 08/19/13 Draft 6

7 (c) The board will, in its discretion, impose restrictions upon the nurse, certified registered nurse anesthetist, or advanced [AUTHORIZED] nurse practitioner when reinstating a license or authorization. (Eff. 1/13/80, Register 73; am 4/29/91, Register 118; am / /, Register ) Authority: AS AAC (a)(2) is amended to read: (2) submits verification of passing one of the following English proficiency examinations, with at least the following minimum scores, if the applicant applies under (1)(A), (B), (C), or (E) of this subsection, and if the school or program was outside of the United States or Canada, except Quebec, Canada, or a school or program in the United State and territories where English is not the primary language: 12 AAC (a)(2)(A) is amended to read: (A) International English Language Testing System (IELTS) academic examination - overall score of 6.5 with a minimum of 6.0 on all modules; (Eff. 2/14/99, Register 149; am 5/29/99, Register 150; am 5/29/2005, Register 174; am 12/27/2012, Register 204; am / /, Register ) Authority: AS AS AS AAC (4) is amended to read: (4) if the nurse aide program was taken outside of the United States and 08/19/13 Draft 7

8 territories or Canada, except Quebec, Canada, or at a school in the United States and territories where English is not the primary language, verification of passing one of the following English proficiency examinations, with at least the following minimum scores: 12 AAC (4)(A) is amended to read: (A) International English Language Testing System (IELTS) academic examination - overall score of 6.5 with a minimum of 6.0 on all modules; (Eff. 2/14/99, Register 149; am 3/28/2008, Register 185; am 12/27/2012, Register 204; am / /, Register ) Authority: AS AS AAC (b)(7) is amended to read: (7) a schedule of classroom and clinical instruction hours which includes skill lab hours; and (Eff. 2/14/99, Register 149; am / /, Register ) Authority: AS AS AAC (b) is amended to read: (b) If an approved certified nurse aide training program fails to achieve at least an 80 percent cumulative annual pass rate, the board will issue a letter of concern by certified mail, with return receipt requested, to the program. Within 90 days after receipt of a letter of concern from the board, the approved certified nurse aide training program must submit to the board a report that 08/19/13 Draft 8

9 (1) analyzes the factors that are believed to be contributing to the low pass rate; and (2) sets out the program's plan to achieve at least an 80 percent cumulative annual pass rate. 12 AAC is amended by adding a new subsection to read: (h) If the training program does not respond to the letter of concern or warning within 90 days, as required under (b) of this section, the board will withdraw approval for the nurse aide program as set out in 12 AAC (Eff. 11/19/2008, Register 188; am / /, Register ) Authority: AS AS AAC (c) is amended to read: (c) The certified medical assistant to whom the administration of an injectable medication is to be delegated must successfully complete a training course in administration of medication approved by the board and must include information specific to the allowed medications. 12 AAC (f) is repealed and readopted to read: (f) It is also the responsibility of the advanced nurse practitioner to ensure the patient s response to the injection is monitored for a minimum of 15 minutes and reports and responds to any adverse reactions. 08/19/13 Draft 9

10 12 AAC is amended by adding a new subsection to read: (g) In this section, (1) "certified medical assistant" means a person who is currently nationally certified as a medical assistant by a national body accredited by the National Commission for Certifying Agencies (NCCA) and meets the requirements of this section; (2) "immediately available on site" means that the advanced nurse practitioner is present on site in the unit of care and not otherwise engaged in a procedure or task that the nurse practitioner may not immediately leave when needed; (3) "allowed injectable medication" means (A) B vitamins; (B) diphenhydramine; (C) medroxyprogesterone acetate; (D) epinephrine delivered by autoinjector; (E) ketoralac; (F) vaccines; (G) purified protein derivative (PPD); (H) antibiotics that do not require reconstitution; (I) rocephin; (J) kenalog; (K) rhogam; (L) imitrex; (M) clindamycin; (N) reglan; 08/19/13 Draft 10

11 (O) erythropoetin stimulating agent (procrit, aranesp) - SQ. (Eff. 5/7/2010, Register 194; am / /, Register ) Authority: AS AS AS /19/13 Draft 11