Chapter 6. Guam Board of Nurse Examiners

§ 6506. APRN Education. (a) Required Criteria for APRN Education Programs. The Guam Board of Nurse Examiners shall determine whether an APRN education program meets the qualifications for the establishment of a program based upon the following standards: (1) An APRN program shall…

§ 6507. Prescriptive Authority. (a) An APRN applicant for prescriptive authority shall: (1) Be currently licensed as an APRN to practice in Guam. (2) Provide evidence from the national certifying body that differential diagnosis and prescribing practices are recognized as being w…

§ 6508. Lost, Stolen or Destroyed License. (a) A duplicate license shall be issued when the licensee submits a notarized statement to the Board that the document is lost, stolen, or destroyed, and pays a re-issuance fee. (b) The license will be marked “duplicate” and date of issu…

§ 6509. Name or Address Change. (a) A licensee whose name is legally changed shall be issued a replacement license following submission of the current license, along with an affidavit, copy of marriage license or court action, and the required re-issuance fee. (b) A licensee whos…

§ 6510. Disciplinary Provisions. 78 (a) The Board may deny licensure or re-licensure, revoke or suspend licensure, place on probation and censure or reprimand an APRN upon proof that the license holder has: (1) Had a license to practice nursing revoked or suspended or has been ot…

§ 6511. Standards of Education for APRNs. (a) The purpose, philosophy, and objectives of the program of study shall be in written form and shall meet the following criteria: (1) Purpose - the purpose shall be the preparation of registered nurses to provide primary health care. (2…

§ 6601. Legal Authorization. Title 10 Guam Code Annotated, Sections 12307 and 12321, authorizes the Board of Nurse Examiners to adopt administrative rules and regulations which establishes standards concerning approval of practical nursing, basic and advanced nursing education/tr…

§ 6602. Purpose of Nursing Education Standards. (a) To ensure that graduates of nursing education programs are prepared for safe and effective nursing practice. (b) To establish criteria for the development, evaluation and improvement of new and existing nursing education program…

§ 6603. Nursing Education Standards. 85 All nursing education programs shall meet these standards: (a) The purpose and outcomes of the nursing program shall be consistent with the Nurse Practice Act and Board- promulgated administrative rules, regulations and other relevant state…

§ 6604. Required Criteria For Nursing Education Programs. (a) The organization and administration of the nursing education program shall be consistent with the laws governing the practice of nursing. The nursing education program shall be an integral part of a governing academic …

§ 6605. Approval of Nursing Education Programs. Programs recognized by the Board shall have the status of either Initial Approval, Full Approval, Continuation of Full Approval, or Conditional (Probational) Approval. (a) Initial Approval: (1) Initial Approval constitutes an author…

§ 6606. Revocation of Approval. (a) The Board may initiate a revocation process for due cause in accordance with the Administrative Adjudication Law. (b) Grounds for withdrawal/revocation of a Full Approval status may include but are not limited to the following: (1) Substantial …

§ 6607. Reinstatement of Approval. 108 The Board shall reinstate Full Approval for a program on conditional approval if the program submits evidence that the program has met the standards set forth herein and has complied with the requirements the Board has imposed on it. The pro…

§ 6608. Voluntary Discontinuance of an Approved Nursing Education Program. (a) The governing institution that desires to voluntarily close its nursing education program shall: (1) Notify the Board in writing, stating the reasons for closure, the intended date of closure, and the …

§ 6609. Reopening Programs of Professional Nursing. The procedure for reopening a program of professional nursing is the same as for Initial Approval.

§ 6610. Program Changes Requiring Board Notification and/or Approval. 109 (a) Any of the following major program changes requires Board approval and shall be submitted along with the description of the change(s) to the Board in writing at least six months prior to the proposed ch…

§ 6611. List of Approved Schools of Nursing. The Board shall maintain a current list of ALL Board approved schools of nursing and nurse assistant educational programs in Guam.

§ 6612. Records. (a) The nursing education program shall maintain an accurate and complete system of records which shall: (1) Be safely stored to prevent loss, destruction or unauthorized use; and, (2) Be available to the faculty. (b) Records shall include: 110 (1) Course outline…

§ 6613. Student Records. (a) Each nursing education program shall maintain a file on each student which must include: (1) The student’s application, health record, high school transcript or a copy of high school equivalency or achievement and performance evaluations. (2) A final …

§ 6614. Faculty File Records. Records shall be kept current and shall include: (a) Curriculum vitae (filed with the Board upon employment and upon revision). (b) Job descriptions and terms of employment. (c) Evidence of appropriate educational degree for the level of the nursing …

§ 6615. Evaluations. (a) Written evaluations of students, which shall include academic achievement and clinical performance, shall be made by the faculty following the conclusion of each course. Students shall be allowed to participate in their evaluations. (b) Written evaluation…

§ 6616. School Bulletins or Catalogues. The nursing education program shall maintain written bulletins or catalogues which shall include information pertaining to: (a) Policies regarding admission, attendance, progression, and graduation of students; (b) The nature, philosophy, a…

§ 6617. Continuing Education. Continuing education courses offered shall meet the criteria and guidelines developed by a National Continuing Education approving organizations.

§ 6618. Advisory Committee. All nursing programs approved by the Board shall have an advisory committee which meets at least two (2) times during the school year whose major function shall be advisory and supportive. There shall be written rules describing its purpose, objectives…

§ 6619. School Offices. The Director of a program shall have an office which will provide privacy for work and individual conferences. Faculty members shall be provided with offices which shall be accessible to students and convenient to classrooms.…

§ 6620. Nurse Assistant Educational Program. The nurse assistant educational program shall prepare students to function in the role of nurse assistants under the supervision of a registered nurse. The nurse assistant shall be able to perform basic, non-invasive nursing procedures…

§ 6621. Requirements for Establishing a Nurse Assistant Educational Program. 113 To establish a Nurse Assistant educational program, the institution shall have employed a Registered Nurse (RN) Director for the proposed program for at least one (1) year. (a) Application to the Boa…

§ 6622. Approval Process for the Nurse Assistant Educational Program. The institution of the proposed Nurse Assistant educational program shall provide verification to the Board that the following program components and processes have been completed in order for the Board to appr…

§ 6623. Conditional Approval of the Program. (a) The program shall be placed on conditional approval if: (1) The program fails to comply with the requirements of the statute of these rules and regulations; (2) Less than eighty percent (80%) of the students in the program pass the…

§ 6624. Personnel Requirements for Nurse Assistant Program. (a) Program Director. The program director shall be a Registered Nurse (RN) who shall be administratively responsible and accountable for the nurse assistant educational program and has been employed for at least one (1)…

§ 6625. Instruction Requirements for Nurse Assistant Programs. Instructions in the classroom, laboratory and clinical practice shall include: (a) Basic nursing care; (b) Personal care; (c) Basic rehabilitation; (d) Mental health and social needs; (e) Care of the cognitively impai…

§ 6626. Unit Objectives for Nurse Assistant Program. (a) Objectives for each unit of instruction shall be stated in behavioral terms which are measurable. 121 (b) Objectives shall be reviewed with the students at the beginning of each unit.…

§ 6627. Characteristics of Nurse Assistant Graduates. The graduate of the Nurse Assistant educational program shall be prepared to: (a) Communicate and interact competently, effectively and respectfully on a one-to-one basis with clients, co- workers and supervisors; (b) Demonstr…

§ 6628. Records of Nurse Assistant Approved Programs. The Program Director of an approved nurse assistant program shall maintain the permanent records and reports of the program. The records shall include: (a) The name, address, birth date, and social security number of each stud…

§ 6629. Faculty File Records. Records shall be kept current and shall include: (a) Curriculum vitae (filed with the Board upon employment and upon revision). (b) Job descriptions and terms of employment. (c) Evidence of appropriate educational degree for the level of the nursing …

§ 6630. Evaluations. (a) Written evaluations of students, which shall include academic achievement and clinical performance, shall be made by the faculty following the conclusion of each course. Students shall be allowed to participate in their evaluations. 123 (b) Written evalua…

§ 6631. Revisions of Approved Programs. (a) The following major program revisions requires Board approval and must submitted along with the description of the change(s) to the Board in writing prior to implementation. (1) Curriculum changes or course content and description; (2) …

§ 6632. Revocation of Approval of a Nurse Assistant Program. (a) The Board may revoke its approval of a nurse assistant program if the program fails to correct the deficiencies within the required time frame. (b) The executive director of the Board shall send a written notice by …

§ 6633. Voluntary Discontinuance of an Approved Nursing Education Program. (a) The governing institution that desires to voluntarily close its nursing education program shall: (1) Notify the Board in writing, stating the reasons for closure, the intended date of closure, and the …

§ 6634. Reinstatement of Approval. The Board shall reinstate Full Approval for a program on conditional approval if the program submits evidence that the program has met the standards set forth herein and has complied with the requirements the Board has imposed on it. The procedu…

§ 6635. Reopening of Nursing Programs. The procedure for reopening a nursing program begins with the same process as the Initial Approval. --------- ARTICLE 7 CERTIFICATION OF NURSE ASSISTANTS SOURCE: Added by P.L. 24-020: (May 12, 1997). Entire chapter repealed and adopted by P.…

§ 6701. Purpose. (a) The purpose of these rules and regulations is to ensure that persons functioning as Nurse Assistants on Guam have met minimum standards of competency as prescribed in these rules; and (b) To ensure that Nurse Assistants meet minimum standards of proficiency a…

§ 6702. Legal Authority. (a) Public Law 24-20 and § 12316.1 of Title 10, Guam Code Annotated empowers the Guam Board of Nurse Examiners to establish minimum qualifications through rules and 127 regulations and to set standards for Certified Nurse Assistant educational programs. S…

§ 6703. Powers and Duties. The Board shall enforce the provisions of section12316.1 of Title 10, Guam Code Annotated, as well as other duties, powers and authority as granted by appropriate statutes to include the following: (a) Adopt, and from time to time, revise such rules and…

§ 6704. Definitions. For purposes of these Rules and Regulations, the following terms are defined to mean: (a) “Abuse” includes, but is not limited to physical injury caused by other than accidental means; neglect which leads to physical harm; failure to provide direct care for r…

§ 6705. Certification Requirements. Certification with the Guam Board of Nurse Examiners is mandatory and is the responsibility of the individual Nurse Assistant who provides services for compensation on Guam. The certification shall be obtained prior to employment. (a) In order …

§ 6706. Scope of Practice. The Nurse Assistant, under the supervision of a Registered Nurse shall: (a) Demonstrate competence in providing patient personal care, basic treatment procedures and exercise plan as directed; (b) Facilitate the maintenance of a safe, clean, healthful e…

§ 6707. Responsibilities of the Nurse Assistant Applicant. 134 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 application is completed. (c) Periodica…

§ 6708. Responsibilities of the Employer. Nursing administrators, agency heads or other employers, who employ Nurse Assistants without current certification, are in violation of the Guam Nurse Practice Act, Article 3, Chapter 12 135 of Title 10, Guam Code Annotated and these rule…

§ 6709. Certification by Examination. The following certification by examination shall apply to those applicants who wish to be certified as a Nurse Assistant: (a) The Nurse Assistant certification examination of the National Council of State Boards of Nursing is the Board’s exam…