Guam Administrative Code

§ 6406. Retakes. (a) All applicants wishing to retake the National Council Licensing Examination (NCLEX) exam shall submit a Retake 45 Application for examination to the Board with a 2x2 passport- size photo taken within the past 3 months and payment of the retake examination fee…

§ 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. --------- ARTICLE 5 ADVANCED PRACTICE REGISTERED NURSE (APRN) 52 SOURCE: Rules establishing the board were filed with …

§ 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. 53 (b) Advanced Nursing Practice means the delivery of nursing care at an advanced level of independent nursing practice that maximizes the use of graduate educational preparation, and in-de…

§ 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…

§ 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 …