655—7.2 (152) General requirements for the advanced registered nurse practitioner.
	   7.2(1) Specialty areas of nursing practice for the advanced registered nurse practitioner. The board derives its authority to define the educational and clinical experience that is necessary to practice at an advanced registered nurse practitioner level under the provisions of Iowa Code section 152.1(6) “d.” The specialty areas of nursing practice for the advanced registered nurse practitioner which shall be considered as legally authorized by the board are as follows:
	      a.    	 Certified clinical nurse specialist.
	      b.    	 Certified nurse-midwife.
	      c.    	 Certified nurse practitioner.
	      d.    	 Certified registered nurse anesthetist.
	   7.2(2) Supervision of fluoroscopy. An advanced registered nurse practitioner (ARNP) shall be permitted to provide direct supervision in the use of fluoroscopic X-ray equipment, pursuant to 641—subrule 42.1(2), definition of “supervision.”
	      a.    	 The ARNP shall provide direct supervision of fluoroscopy pursuant to the following provisions:
	       (1)  	 Completion of an educational course including content in radiation physics, radiobiology, radiological safety and radiation management applicable to the use of fluoroscopy, and maintenance of documentation verifying successful completion.
	       (2)  	 Collaboration, as needed, as defined in rule 655—7.1(152).
	       (3)  	 Compliance with facility policies and procedures.
	      b.    	 The ARNP shall complete an annual radiological safety course whose content includes, but is not limited to, time, dose, distance, shielding and the effects of radiation.
	      c.    	 The ARNP shall maintain documentation of the initial educational course and all annual radiological safety updates.
	      d.    	 The initial and annual education requirements are subject to audit by the board pursuant to 655—subrule 5.2(5).
	   7.2(3) Titles and abbreviations. A registered nurse who has completed all requirements to practice as an advanced registered nurse practitioner and who is registered with the board to practice shall use the title advanced registered nurse practitioner (ARNP). Utilization of the title which denotes the specialty area is at the discretion of the advanced registered nurse practitioner.
	      a.    	 No person shall practice or advertise as or use the title of advanced registered nurse practitioner for any of the defined specialty areas unless the name, title and specialty area appear on the official record of the board and on the current license.
	      b.    	 No person shall use the abbreviation ARNP for any of the defined specialty areas or any other words, letters, signs or figures to indicate that the person is an advanced registered nurse practitioner unless the name, title and specialty area appears on the official record of the board and on the current license.
	      c.    	 Any person found to be practicing under the title of advanced registered nurse practitioner or using the abbreviation ARNP without being registered as defined in this subrule shall be subject to disciplinary action.
	   7.2(4) General education and clinical requirements.
	      a.    	 The general educational and clinical requirements necessary for recognition by the board as a specialty area of nursing practice are as follows:
	       (1)  	 Graduation from a program leading to a master’s degree in a nursing clinical specialty area with preparation in specialized practitioner skills as approved by the board; or
	       (2)  	 Satisfactory completion of a formal advanced practice educational program of study in a nursing specialty area approved by the board and appropriate clinical experience as approved by the board.
	      b.    	 Additional requirements. Nothing in this rule shall be construed to mean that additional general educational or clinical requirements cannot be defined in a specialty area.
	   7.2(5) Application process. A registered nurse who wishes to practice as an advanced registered nurse practitioner shall submit the following to the office of the board:
	      a.    	 An advanced registered nurse practitioner application form which may be obtained from the office of the board.
	      b.    	 A registration fee as established by the board.
	      c.    	 A copy of the time-dated, advanced level certification by appropriate national certifying body evidencing that the applicant holds current certification in good standing; copy of official transcript directly from the formal advanced practice educational program maintaining the records necessary to document that all requirements have been met in one of the specialty areas of nursing practice as listed in subrule 7.2(1). The transcript shall verify the date of completion of the program/graduation and the degree conferred. A registered nurse may make application to practice in more than one specialty area of nursing practice.
	   7.2(6) Initial registration. The executive director or a designee shall have the authority to determine if all requirements have been met for registration as an advanced registered nurse practitioner. If it has been determined that all requirements have been met:
	      a.    	 Official licensure records of the registered nurse shall denote registration as an advanced registered nurse practitioner as well as the specialty area(s) of nursing practice.
	      b.    	 The registered nurse shall be issued a registration card and a certificate to practice as an ARNP which clearly denotes the name, title, specialty area(s) of nursing practice, and expiration date of registration. The expiration date shall be based on the same period of licensure to practice as a registered nurse.
	   7.2(7)  Registration completion. The registered nurse shall complete the registration process within 12 months of receipt of the application materials. The board reserves the right to destroy the documents after 12 months.
	   7.2(8) Denial of registration. If it has been determined that all requirements have not been met, the registered nurse shall be notified in writing of the reason(s) for the decision. The applicant shall have the right of appeal to the Iowa board of nursing within 30 days of denial by the executive director or designee.
	   7.2(9) Application process for renewal of registration. Renewal of registration for the advanced registered nurse practitioner shall be for the same period of licensure to practice as a registered nurse. The executive director or a designee shall have the authority to determine if all requirements have been met for renewal as an advanced registered nurse practitioner. A registered nurse who wishes to continue practice as an advanced registered nurse practitioner shall submit the following at least 30 days prior to the license expiration to the office of the Iowa board of nursing:
	      a.    	 Completed renewal application form.
	      b.    	 Renewal fee as outlined in rule 655—3.1(17A,147,152,272C), definition of “fees.”
	      c.    	 Documentation of current time-dated, advanced level certification by appropriate national certifying body.
	   7.2(10) Continuing education requirements. Continuing education shall be met as required for certification by the relevant national certifying body, as outlined in 655—subrule 5.2(3), paragraph “e.”
	   7.2(11) Denial of renewal registration. If it has been determined that all requirements have not been met, the applicant shall be notified in writing of the reason(s) for the decision. Failure to obtain the renewal will result in termination of registration and of the right to practice in the advanced registered nurse practitioner specialty area(s). The applicant shall have the right of appeal to the Iowa board of nursing within 30 days of denial of the executive director or designee.
	   7.2(12) Registration to practice as an advanced registered nurse practitioner restricted, revoked, or suspended. Rescinded IAB 12/29/99, effective 2/2/00.
[ARC 7888B, IAB 7/1/09, effective 8/5/09]