WSR 24-10-063
PERMANENT RULES
DEPARTMENT OF HEALTH
(Board of Nursing)
[Filed April 26, 2024, 3:14 p.m., effective May 27, 2024]
Effective Date of Rule: Thirty-one days after filing.
Purpose: Initial licensure via an out-of-state traditional nursing education program approved by another United States nursing board and applicants applying via interstate endorsement. The Washington state board of nursing amended WAC 246-840-030 and 246-840-090 to clarify specific licensing requirements for out-of-state registered nurse and licensed practical nurse applicants.     
Citation of Rules Affected by this Order: Amending WAC 246-840-030 and 246-840-090.
Statutory Authority for Adoption: RCW 18.79.010, 18.79.110, 18.80.020.
Adopted under notice filed as WSR 24-03-103 on January 18, 2024.
A final cost-benefit analysis is available by contacting Jessilyn Dagum, P.O. Box 47864, Olympia, WA 98504-7864, phone 360-236-3538, fax 360-236-4738, TTY 711, email WABONRules@doh.wa.gov, website www.nursing.wa.gov.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at the Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 2, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 2, Repealed 0.
Date Adopted: April 26, 2024.
Alison Bradywood, DNP, MH/MPH, RN, NEA-BC
Executive Director
Washington State Board of Nursing
OTS-4435.6
AMENDATORY SECTION(Amending WSR 21-04-016, filed 1/22/21, effective 2/22/21)
WAC 246-840-030Initial licensure for registered nurses and practical nursesOut-of-state traditional nursing education program approved by another United States nursing board.
(1) Registered ((nursing))nurse and practical ((nursing))nurse applicants educated in a traditional nursing education program approved by another United States nursing board and applying for initial licensure ((must))shall:
(((1)))(a) Successfully complete a ((board approved)) nursing education program in another U.S. state, which:
(i) Is approved by the nursing board in that state; and
(ii) Substantially meets requirements for nursing education approved in Washington state. The board retains authority to evaluate and determine the sufficiency of academic preparation for all applicants.
((Applicants from a board approved registered nurse program who are applying for a practical nurse license:
(a) Complete all course work required of board approved practical nurse programs as listed in WAC 246-840-575(2). Required courses not included in the registered nurse program may be accepted if the courses were obtained through a commission approved program.
(b) Be deemed as capable to safely practice within the scope of practice of a practical nurse by the nurse administrator of the applicant's nursing education program.
(2)))(b) Successfully pass the ((commission))board-approved licensure examination as provided in WAC 246-840-050.
(((3)))(c) Submit the following documents:
(((a)))(i) A completed licensure application with the required fee as defined in WAC 246-840-990.
(((b)))(ii) An official transcript sent directly from the applicant's nursing education program to the ((commission))board. The transcript must include course names and credits accepted from other programs. The transcript must show:
(((i)))(A) The applicant has graduated from an approved nursing program or has successfully completed the prelicensure portion of an approved graduate-entry registered nursing program; or
(((ii)))(B) That the applicant has completed all course work required in a ((commission))board-approved practical nurse program as listed in WAC ((246-840-575(2)))246-840-539.
(((c) Applicants))(iii) An applicant from a board-approved registered nurse program who ((are))is applying for a practical nurse license ((must))shall also submit an attestation sent from the nurse administrator of the applicant's nursing education program indicating that the applicant is capable to safely practice within the scope of practice of a practical nurse.
(2) An applicant from an out-of-state board-approved registered nurse program who is applying for a practical nurse license shall:
(a) Complete all course work required of board-approved practical nurse programs as listed in WAC 246-840-539. Required courses not included in the registered nurse program may be accepted if the courses were obtained through a board-approved program.
(b) Be deemed as capable to safely practice within the scope of practice of a practical nurse by the nurse administrator of the applicant's nursing education program.
AMENDATORY SECTION(Amending WSR 21-04-016, filed 1/22/21, effective 2/22/21)
WAC 246-840-090Licensure for nurses by interstate endorsement.
Registered nurse and practical nurse applicants for interstate endorsement may be issued a license without examination provided the applicant meets the following requirements:
(1) The applicant graduated and holds a degree from:
(a) A ((commission or)) state board-approved program preparing candidates for licensure as a nurse, which substantially meets requirements for nursing education approved in Washington state, as determined by the board; or
(b) A nursing program that is equivalent to ((commission))board-approved nursing education in Washington state at the time of graduation as determined by the ((commission))board.
(2) The applicant holds a current active nursing license in another state or territory, or holds an inactive or expired license in another state or territory and successfully completes a ((commission))board-approved refresher course.
(a) An applicant whose license was inactive or expired must be issued a limited education authorization by the ((commission))board to enroll in the clinical portion of the refresher course.
(b) The limited education authorization is valid only while working under the direct supervision of a preceptor and is not valid for employment as a registered nurse.
(3) The applicant was originally licensed to practice as a nurse in another state or territory after passing the National Council Licensure Examination (NCLEX).
(4) ((Applicants))An applicant graduating from a nursing program((s)) outside the U.S. ((must))shall demonstrate English proficiency by:
(a) Passing a ((commission))board-approved English proficiency test if the nursing education is not in one of the following countries: Canada (except for Quebec), United Kingdom, Ireland, Australia, New Zealand, American Samoa, Guam, Northern Mariana Islands, and U.S. Virgin Islands((, or complete one thousand)); or
(b) Completing 1,000 hours of employment as a licensed nurse in another state((, or provide)). The 1,000 hours of employment must be in the same licensed role as the nurse is applying for licensure in Washington state. Proof of employment must be submitted to the board; or
(c) Providing evidence directly from the ((school))program of earning a high school diploma or college degree from a United States institution.
((The one thousand hours of employment must be in the same licensed role as the nurse is applying for licensure in Washington state. Proof of employment must be submitted to the commission.))
(5) For RNs: If the applicant is a graduate of a nontraditional nursing education program and:
(a) Was licensed as a practical/vocational nurse prior to licensure as a registered nurse, the applicant ((must submit evidence of two hundred hours of preceptorship in the role of a registered nurse as defined in WAC 246-840-035, or at least one thousand hours of practice as a registered nurse without discipline of the registered nurse license by any other state or territory))shall meet the requirements defined in WAC 246-840-048.
(b) Was not licensed as a practical/vocational nurse prior to licensure as a registered nurse, the applicant ((must))shall submit evidence of at least ((one thousand))1,000 hours of practice as a registered nurse without discipline of the registered nurse license by any other state or territory.
(6) All applicants must submit the following documents:
(a) A completed licensure application with the required fee as defined in WAC 246-840-990.
(b) An official transcript sent directly from the applicant's nursing education program to the ((commission))board if the education cannot be verified from the original board of nursing, or ((commission))board-approved evaluation agency.
(i) The transcript must contain adequate documentation demonstrating that the applicant graduated from an approved nursing program or successfully completed the prelicensure portion of an approved graduate-entry registered nursing program.
(ii) The transcripts ((shall))must include course names and credits accepted from other programs.
(c) Verification of an original registered or practical nurse license from the state or territory of original licensure. The verification must identify that issuance of the original licensure included passing the NCLEX.
(d) For an applicant((s)) educated outside the United States and in territories or countries not listed in subsection (4)(a) of this section, successful results of a ((commission))board-approved English proficiency exam, or, evidence of ((one thousand))1,000 hours worked as a nurse.
(e) For RNs: If the applicant is a graduate of a nontraditional program in nursing and:
(i) Was licensed as a practical/vocational nurse prior to licensure as a registered nurse, the applicant ((must))shall submit ((documentation of two hundred hours of preceptorship in the role of a registered nurse as defined in WAC 246-840-035 or at least one thousand hours of practice as a registered nurse without discipline of the registered nurse license by any other state or territory))the requirements outlined in WAC 246-840-048.
(ii) Was not licensed as a practical/vocational nurse prior to licensure as a registered nurse, the applicant ((must))shall submit documentation of at least ((one thousand))1,000 hours of practice as a registered nurse without discipline of the registered nurse license by any other state or territory.