Chapter 6. Guam Board of Nurse Examiners

§ 61004. Preservation of Other Remedies . The emergency proceedings herein described shall be in addition to, not in lieu of, all penalties and other remedies provided by law. --------- A RTICLE 11 R EPORTING R EQUIREMENTS SOURCE: Added by P.L. 29-071:1 (May 7, 2008).

§ 6101. Title. The Nurse Practice Act shall be known and may be cited as the “Act” of the Guam Board of Nurse Examiners (GBNE) in accordance with Article 3 of Title 10 Guam Code Annotated (1983; 1997, 1998 and 2003 Updates). The Guam Board of Nurse Examiners (GBNE) may also be re…

§ 6102 . Description of the Act. The Act establishes the regulation of the practice of nursing. The Act also creates, authorizes and empowers the GBNE to regulate the practice of nursing and to enforce the provisions of the Act. P.L. 24-20 further authorizes the Board to regulate…

§ 6103. Purpose. The Legislature finds that the practice of nursing is directly related to the public welfare of the citizens of Guam and is subject to regulations and control in the public interest to assure that practitioners are qualified and competent. It is further declared …

§ 61101. Duty to Report by Licensed Nurses or Certified Nurse Assistants. A licensed nurse or a certified nurse assistant shall report names of subject individuals to the Board if the licensed nurse or certified nurse assistant has reasonable cause to suspect that an individual/p…

§ 61102. Duty to Report by Other Individuals. (a) Hospitals, nursing homes, temporary staffing agencies, and other employers of registered nurses, licensed practical nurses, advanced practice registered nurses or certified nursing assistants shall report to the Board the names of…

§ 61103. Immunity of Persons Making Reports. Any member of the Board or professional review committee authorized by the Board and any witness appearing before the Board, a hearing office, or such a professional review committee shall be immune from suit in any civil action taken …

§ 61104. Board Surveillance. (a) The Board may query the National Practitioner Data Bank any information pertaining to nurses licensed or nurse assistant certified in Guam. (b) The Board will request information from the Superior Court of Guam four (4) times a year, by the first …

§ 61105. Minor Incidents. (a) The chief administrative nurse or designee responsible for reviewing incidents of practice breakdown may determine that an incident need not be reported to the Board if all of the following factors exist: (1) The potential risk of physical, emotional…

§ 61201. No Provisions of this Act Shall be Construed to Prohibit: (a) The practice of nursing that is an integral part of a program by nursing students enrolled in Board-approved nursing education programs leading to initial licensure/certification; (b) The clinical practice nee…

§ 61301. Licensure Fees.

§ 61302. Nurse Assistant Certification Fees.

§ 61303. APRN Fees.

§ 61304. Nurse Assistant Certification Fees.

§ 61305. Renewal Fees.

§ 61306. Other Fees. GUAM BOARD OF NURSE EXAMINERS Government of Guam P.O. Box 2816 Hagåtña, Guam 96932 RECORD OF PAYMENT I. IDENTIFICATION NAME __________________________________________________________________ (Last) (First) (Middle) MAILING ADDRESS ____________________________…

§ 6201. Establishment. There is within the Department of Public Health & Social Services of the Government of Guam the Guam Board of Nurse Examiners.

§ 6202. Board Composition. (a) The Board shall be composed of seven (7) members appointed by the Governor. The term of office shall be three (3) years. No member shall serve more than two (2) consecutive terms. All members shall serve, in addition to their regular term, until the…

§ 6203. Qualifications of Members. (a) The Board members shall include five (5) Registered Nurses (RNs), one (1) Licensed Practical Nurse (LPN) and one (1) public member. Of the six (6) licensed nurses (5 RNs and 1 LPN), there will always be at least one representation from: (1) …

§ 6204. Powers and Duties of the Board. (a) The Board shall: (1) Meet annually in the month of January and elect a Chairperson, a Vice Chairperson, and a Secretary. The Board may hold other meetings as necessary to conduct its business. Four (4) members, including one officer, sh…

§ 6205. Removal of a Board Member. The Governor may remove any member from the Board for cause including, but not limited to, neglect of any duty required by law, incompetence, unprofessional or dishonorable conduct. A member subject to disciplinary proceedings shall disqualify h…

§ 6206. Compensation. Each member of the Board shall be compensated in the same manner as are other members of board and commissions of the Government of Guam.

§ 6207. Executive Officer. (a) The Board shall ensure the employment of the Executive Officer with the following qualifications: (1) Master’s degree or higher from an accredited college or university with at least three (3) yearsexperience in nursing practice, including administr…

§ 6301. Professional Conduct. (a) The Registered Nurse (RN), including all Advanced Practice Registered Nurses (APRNs) shall: (1) Practice in accordance with the Act and the GBNE Administrative Rules and Regulations; (2) Uphold federal and state regulations regarding controlled s…

§ 6302. Scope of Practice. (a) Registered Nurse (RN). (1) The scope of practice for a Registered Nurse means that full scope of professional nursing, with or without compensation or personal profit that incorporates caring for all clients in all settings and, it includes, but is …

§ 6303. Pronouncement of Death (P.L. 27-15:2). A Registered Nurse may pronounce death in compliance with the following: (a) The health care facility, agency or licensed home health care provider has adopted written policies and procedures that provide for the determination and pr…

§ 6304. Definitions. (a) Abuse – physical injury caused by other than accidental means; neglect which leads to physical harm; failure to provide direct care for resident or client; verbal abuse; theft or misuse of resident funds or property; wrongful touching; or any other depriv…

§ 6401. Requirements. (a) In order to practice nursing in Guam, it is mandatory to obtain a license from the Guam Board of Nurse Examiners. Obtaining a Guam license to practice nursing is the responsibility of the individual nurse pursuant to P.L. 16-123, Nurse Practice Act of Ti…

§ 6402. Responsibility of the Applicant. It shall be the responsibility of the applicant to: (a) Correspond or communicate directly with the Board. (b) Follow through with the submission of all required documents until his/her application is completed. (c) Periodically contact th…

§ 6403. Responsibility of the Employer. (a) Nursing Administrators, agency heads or other employers, who hire individuals without a license or who allow nurses to practice after the expiration of the licenses or temporary licenses, may be cited for aiding and abetting the unlicen…

§ 6404. Licensure by Examination for RNs and LPNs. In order to be licensed in Guam, all registered nurse or practical nurse applicants shall take and pass the National Council Licensure Examination for Registered Nurses (NCLEX- RN) or Licensed Practical Nurses (NCLEX-PN). The res…

§ 6405. Temporary Work Permits/Licenses/Certifications. (a) The Board may issue a temporary work permit to graduate of an accredited U.S., foreign or Guam professional C H . 6 G UAM B OARD OF N URSE E XAMINERS 44 nursing education program, upon application, payment of the require…

§ 6406. Retakes. (a) All applicants wishing to retake the National Council Licensing Examination (NCLEX) exam shall submit a Retake C H . 6 G UAM B OARD OF N URSE E XAMINERS 46 Application for examination to the Board with a 2x2 passport- size photo taken within the past 3 months…

§ 6407. Arrival of Results. (a) Candidates who pass shall receive: (1) A “PASS” result; (2) The initial license; (3) An employment data information sheet; (4) A Certificate of Licensure; (5) A letter of transmittal which shall instruct the licensee that his/her score shall not be…

§ 6408. Licensure by Endorsement. (a) An RN or LPN applicant for licensure by endorsement in Guam shall submit to the Board the required fee for licensure by endorsement and a completed application for licensure by endorsement. Verification of current licensure in another jurisdi…

§ 6409. Special Licensure Situations. (a) Nurses transporting patients in and out of Guam shall be currently licensed in the jurisdiction in which they are employed. (b) Nurses from other U.S. jurisdictions or its territories attending or providing short (90 days or less) continu…

§ 6410. Continuing Education Requirements. (a) All licensed nurses shall submit evidence of thirty (30) hours of Continuing Education (CE) activities/seminars within the renewal period. (b) Exemptions for first-time renewals. If a licensed nurse obtained his/her initial RN or LPN…

§ 6411. Application for Renewal of License as a Registered Nurse or Licensed Practical Nurse. (a) Registered, Practical and APRN nurse licenses shall be renewed biennially by September 30 of odd numbered years. (b) The licensee shall submit to the Board a completed renewal applic…

§ 6412. Reinstatement of Lapsed or Inactive License. (a) A nurse who has allowed his or her license to lapse or become inactive may apply for reinstatement upon: (1) Submission of completed application for reinstatement. (2) Verification of at least thirty (30) hours of approved …

§ 6413. Reinstatement Following Disciplinary Action. Individuals applying for reinstatement following disciplinary action must meet compliance with all Board licensure requirements as well as any specific requirements set forth in the Board’s discipline proceedings.

§ 6414. Verification of License to Another Jurisdiction. (a) Nurses requesting verification of license to another jurisdiction shall submit a signed release of information. (b) The request shall be accompanied by the fee for license verification.

§ 6415. Licensure/Certification Issued in Error. The Board reserves the right to revoke licenses/certifications issued in error by the previous or current Board. --------- A RTICLE 5 A DVANCED P RACTICE R EGISTERED N URSE (APRN) C H . 6 G UAM B OARD OF N URSE E XAMINERS 53 SOURCE…

§ 6501. Purpose. To assure the health, safety, and welfare of the people of Guam by regulating the practice of the Advanced Practice Registered Nurse (APRN). (a) The APRN shall comply with the standards for RNs as specified in Title 25, Chapter 6, Article 3, Guam Administrative R…

§ 6502. Definitions. (a) Act means the Nurse Practice Act, 10 GCA, Chapter 12, Article 3. C H . 6 G UAM B OARD OF N URSE E XAMINERS 54 (b) Advanced Nursing Practice means the delivery of nursing care at an advanced level of independent nursing practice that maximizes the use of g…

§ 6503. Titles and Abbreviations. (a) Individuals are licensed or granted privilege to practice as APRNs in the roles of nurse practitioner (NP), certified registered nurse anesthetist (CRNA), certified nurse-midwife (CNM), and clinical nurse specialist (CNS) in the population fo…

§ 6504. Scope of Practice for the Advanced Practice Registered Nurse (APRN). The scope of practice of a licensed APRN is as provided in this Section. (a) The APRN is prepared and qualified to assume primary responsibility and accountability for the care of patients. (b) APRN prac…

§ 6505. Licensure. (a) Application for Initial Licensure. (1) An applicant for licensure as an APRN in Guam shall submit to the Board the required nonrefundable fees, verification of licensure or eligibility for licensure as an RN in this jurisdiction, and a completed notarized a…