Montana Administrative Code

24.159.1252 LICENSEE PROBATION OR REPRIMAND OF A LICENSEE (REPEALED) Authorizing statute(s): 37-1-136, 37-8-202, MCA Implementing statute(s): 37-1-136, 37-1-137, 37-1-316, MCA History: NEW, 1982 MAR p. 1603, Eff. 8/27/82; AMD, 1991 MAR p. 2435, Eff. 12/13/91; AMD, 2004 MAR p. 239…

24.159.1253 LICENSE REAPPLICATION CONSIDERATIONS AFTER DENIAL, REVOCATION, OR SUSPENSION (REPEALED) Authorizing statute(s): 37-8-202, MCA Implementing statute(s): 37-1-136, 37-8-202, MCA History: NEW, 1982 MAR p. 1603, Eff. 8/27/82; AMD, 1985 MAR p. 1556, Eff. 10/18/85; TRANS, fr…

24.159.1401 DEFINITIONS (REPEALED) Authorizing statute(s): 37-8-202, MCA Implementing statute(s): 37-8-202, MCA History: NEW, 1991 MAR p. 2435, Eff. 12/13/91; AMD, 1994 MAR p. 2518, Eff. 9/9/94; AMD, 2002 MAR p. 3399, Eff. 12/13/02; TRANS, from Commerce, & AMD, 2006 MAR p. 2035, …

24.159.1403 PURPOSE OF STANDARDS OF PRACTICE FOR THE ADVANCED PRACTICE REGISTERED NURSE (REPEALED) Authorizing statute(s): 37-8-202, MCA Implementing statute(s): 37-8-202, MCA History: NEW, 2002 MAR p. 3399, Eff. 12/13/02; TRANS, from Commerce, & AMD, 2006 MAR p. 2035, Eff. 8/25/…

24.159.1404 STANDARDS RELATED TO THE ADVANCED PRACTICE REGISTERED NURSE'S RESPONSIBILITY TO APPLY THE NURSING PROCESS (REPEALED) Authorizing statute(s): 37-1-131, 37-8-202, MCA Implementing statute(s): 37-1-131, 37-8-202, MCA History: NEW, 2002 MAR p. 3399, Eff. 12/13/02; TRANS, …

24.159.1405 STANDARDS RELATED TO THE ADVANCED PRACTICE REGISTERED NURSE The APRN shall: adhere to the standards for the RN in Title 24, chapter 159, subchapter 12, Administrative Rules of Montana; abide by the current practice standards and guidelines established by a national pr…

24.159.1406 APRN PRACTICE The APRN licensed in Montana may only practice in the role and population focus in which the APRN has current national certification. APRN practice is an independent and/or collaborative practice and may include: establishing medical and nursing diagnose…

24.159.1411 TEMPORARY PERMITS FOR GRADUATE APRNS (REPEALED) Authorizing statute(s): 37-8-202, 37-8-409, MCA Implementing statute(s): 37-8-202, 37-8-409, MCA History: NEW, 1996 MAR p. 419, Eff. 2/9/96; AMD, 2000 MAR p. 2681, Eff. 10/6/00; TRANS, from Commerce, & AMD, 2006 MAR p. 2…

24.159.1412 APPLICATION FOR INITIAL APRN LICENSURE The applicant for APRN licensure must possess a current Montana RN license. The applicant shall request that an official transcript, from an accredited graduate-level education program, be sent to the board directly from the appl…

24.159.1413 ADVANCED PRACTICE NURSING TITLE Only a licensed RN holding a current Montana APRN license has the right to use the title of APRN, and the appropriate title of Certified Nurse Practitioner (CNP), Certified Nurse Midwife (CNM), Certified Registered Nurse Anesthetist (CR…

24.159.1414 EDUCATIONAL REQUIREMENTS AND QUALIFICATIONS FOR APRN (REPEALED) Authorizing statute(s): 37-1-131, 37-8-202, MCA Implementing statute(s): 37-1-131, 37-8-202, 37-8-409, MCA History: NEW, 1983 MAR p. 10, Eff. 1/14/83; AMD, 1985 MAR p. 108, Eff. 2/1/85; AMD, 1988 MAR p. 2…

24.159.1415 GENERAL REQUIREMENTS FOR LICENSURE (REPEALED) Authorizing statute(s): 37-8-202, MCA Implementing statute(s): 37-8-406, 37-8-416, MCA History: Eff. 12/31/72; AMD, Eff. 6/4/77; TRANS, from Dept. of Prof. & Occup. Lic., Ch. 274, L. 1981, Eff. 7/1/81; AMD, 1982 MAR p. 160…

24.159.1416 GROUNDS FOR DENIAL OF A LICENSE (REPEALED) Authorizing statute(s): 37-1-136, 37-8-202, MCA Implementing statute(s): 37-1-136, 37-1-137, 37-1-316, MCA History: NEW, 1982 MAR p. 1603, Eff. 8/27/82; AMD, 1991 MAR p. 2435, Eff. 12/13/91; AMD, 2004 MAR p. 2393, Eff. 10/8/0…

24.159.1417 LICENSURE BY EXAMINATION REQUIREMENTS (REPEALED) Authorizing statute(s): 37-8-202, MCA Implementing statute(s): 37-1-131, 37-8-406, 37-8-416, MCA History: Eff. 12/31/72; AMD, Eff. 6/4/77; AMD, 1981 MAR p. 143, Eff. 2/14/81; TRANS, from Dept. of Prof. & Occup. Lic., Ch…

24.159.1418 LICENSURE BY ENDORSEMENT An applicant for APRN licensure by endorsement shall submit to the board: completed applications for both RN and APRN licensure in Montana; transcript from an advanced nursing education program, which must be sent to the board directly from th…

24.159.1424 CONTINUING EDUCATION REQUIREMENTS (REPEALED) Authorizing statute(s): 37-1-131, 37-1-319, 37-8-202, MCA Implementing statute(s): 37-1-131, 37-1-141, 37-8-202, MCA History: NEW, 2008 MAR p. 2346, Eff. 11/7/08; REP, 2013 MAR p. 1609, Eff. 9/6/13.

24.159.1426 PREPARATION OF LICENSES (REPEALED) Authorizing statute(s): 37-1-131, 37-8-202, MCA Implementing statute(s): 37-1-101, 37-8-202, 37-8-401, MCA History: Eff. 12/31/72; TRANS, from Dept. of Prof. & Occup. Lic., Ch. 274, L. 1981, Eff. 7/1/81; AMD, 1985 MAR p. 1556, Eff. 1…

24.159.1427 RENEWALS (REPEALED) Authorizing statute(s): 37-1-131, 37-8-202, MCA Implementing statute(s): 37-1-131, 37-1-134, 37-1-141, 37-8-202, MCA History: Eff. 12/31/72; AMD, Eff. 6/4/77; TRANS, from Dept. of Prof. & Occup. Lic., Ch. 274, L. 1981, Eff. 7/1/81; AMD, 1982 MAR p.…

24.159.1428 INACTIVE APRN STATUS (REPEALED) Authorizing statute(s): 37-1-131, 37-1-319, 37-8-202, MCA Implementing statute(s): 37-1-131, 37-1-319, MCA History: Eff. 12/31/72; TRANS, from Dept. of Prof. & Occup. Lic., Ch. 274, L. 1981, Eff. 7/1/81; AMD, 1982 MAR p. 1603, Eff. 8/27…

24.159.1430 DUPLICATE OR LOST LICENSES (REPEALED) Authorizing statute(s): 37-8-202, MCA Implementing statute(s): 37-1-134, 37-8-202, MCA History: Eff. 12/31/72; TRANS, from Dept. of Prof. & Occup. Lic., Ch. 274, L. 1981, Eff. 7/1/81; AMD, 1991 MAR p. 2435, Eff. 12/13/91; AMD, 199…

24.159.1431 VERIFICATION OF LICENSURE (REPEALED) Authorizing statute(s): 37-1-131, 37-8-202, MCA Implementing statute(s): 37-1-131, 37-8-202, MCA History: NEW, 1987 MAR p. 1620, Eff. 9/25/87; AMD, 1994 MAR p. 1424, Eff. 5/27/94; AMD, 2003 MAR p. 2863, Eff. 12/25/03; TRANS, from C…

24.159.1436 SUPERVISION OF PROBATIONARY LICENSEES An APRN working pursuant to a probationary license must work under the direct supervision of another APRN or physician who has prior board approval and possesses a current, unencumbered license. Authorizing statute(s): 37-1-131, 3…

24.159.1442 LICENSEE PROBATION OR REPRIMAND OF A LICENSEE (REPEALED) Authorizing statute(s): 37-1-136, 37-8-202, MCA Implementing statute(s): 37-1-136, 37-1-137, 37-1-316, MCA History: NEW, 1982 MAR p. 1603, Eff. 8/27/82; AMD, 1991 MAR p. 2435, Eff. 12/13/91; AMD, 2004 MAR p. 239…

24.159.1443 LICENSE REAPPLICATION AFTER DENIAL, REVOCATION, OR SUSPENSION (REPEALED) Authorizing statute(s): 37-1-136, 37-8-202, MCA Implementing statute(s): 37-1-136, 37-1-314, 37-8-202, MCA History: NEW, 1982 MAR p. 1603, Eff. 8/27/82; AMD, 1985 MAR p. 1556, Eff. 10/18/85; TRAN…

24.159.1461 PRESCRIPTIVE AUTHORITY FOR ELIGIBLE APRNS Only an APRN granted prescriptive authority by the board may prescribe, procure, administer, and dispense legend and controlled substances pursuant to applicable state and federal laws and within the APRN's role and population…

24.159.1462 ADVANCED PRACTICE NURSING COMMITTEE (REPEALED) Authorizing statute(s): 37-1-131, 37-8-202, MCA Implementing statute(s): 37-1-131, 37-8-202, MCA History: NEW, 1991 MAR p. 2435, Eff. 12/13/91; AMD, 2000 MAR p. 2683, Eff. 10/6/00; AMD, 2001 MAR p. 2152, Eff. 10/26/01; AM…

24.159.1463 APPLICATION FOR PRESCRIPTIVE AUTHORITY The APRN seeking prescriptive authority shall submit a completed application and the appropriate fee for prescriptive authority as specified in ARM 24.159.401. There are three options for receiving initial or endorsed prescriptiv…

24.159.1464 PRESCRIBING PRACTICES Prescriptions must comply with all applicable state and federal laws. All written prescriptions must include the following information: name, title, address, and phone number of the APRN who is prescribing; name of client; date of prescription; t…

24.159.1465 SPECIAL LIMITATIONS RELATED TO THE PRESCRIBING OF CONTROLLED SUBSTANCES (REPEALED) Authorizing statute(s): 37-1-131, 37-8-202, MCA Implementing statute(s): 37-8-202, MCA History: NEW, 1991 MAR p. 2435, Eff. 12/13/91; AMD, 1994 MAR p. 2518, Eff. 9/9/94; AMD, 2000 MAR p…

24.159.1466 QUALITY ASSURANCE OF APRN PRACTICE (REPEALED) Authorizing statute(s): 37-1-131, 37-8-202, MCA Implementing statute(s): 37-1-131, 37-8-202, 37-8-409, MCA History: NEW, 1991 MAR p. 2435, Eff. 12/13/91; AMD, 1994 MAR p. 2518, Eff. 9/9/94; AMD, 1999 MAR p. 1294, Eff. 6/18…

24.159.1467 SUSPENSION OR REVOCATION OF PRESCRIPTIVE AUTHORITY The board may suspend or revoke an APRN's prescriptive authority when the APRN has not met requirements necessary to maintain licensure. Authorizing statute(s): 37-1-131, 37-1-136, 37-8-202, MCA Implementing statute(s…

24.159.1468 PRESCRIPTIVE AUTHORITY RENEWAL The term of an APRN's prescriptive authority is concurrent with licensure and ends every two years on the date set by ARM 24.101.413. To renew prescriptive authority, the APRN shall submit a completed prescriptive authority renewal appli…

24.159.1469 APRN COMPETENCE DEVELOPMENT The APRN is expected to engage in ongoing competence development. Competence development is the method by which an APRN gains, maintains, or refines practice, knowledge, skills, and abilities. This development can occur through formal educa…

24.159.1470 CERTIFIED NURSE PRACTITIONER PRACTICE Certified Nurse Practitioner (CNP) practice means the independent and/or collaborative management of primary and/or acute health care of individuals, families, and communities across settings. The CNP is certified in acute or prim…

24.159.1475 CERTIFIED NURSE MIDWIFERY PRACTICE Certified Nurse Midwifery (CNM) practice means the independent and/or collaborative management of care of women throughout the lifespan. The CNM is certified in the population focus of women's/gender-related health and provides a ful…

24.159.1477 CIRCUMSTANCES CONSTITUTING A LOW RISK OF ADVERSE HOMEBIRTH OUTCOMES A low risk of adverse birth outcomes indicates a clinical scenario for which there is not clear demonstratable benefit for a medical intervention or transfer to a physician's care. Consultation with a…

24.159.1480 CERTIFIED REGISTERED NURSE ANESTHETIST PRACTICE Certified Registered Nurse Anesthetist (CRNA) practice is the independent and/or collaborative performance of any act involving the determination, preparation, administration, or monitoring of anesthesia care and anesthe…

24.159.1485 CLINICAL NURSE SPECIALIST PRACTICE Clinical Nurse Specialist (CNS) practice means the independent and/or collaborative delivery and management of individuals, families, groups, and communities. CNS practice integrates nursing practice, which focuses on assisting patie…

24.159.1490 PSYCHIATRIC-MENTAL HEALTH PRACTITIONER PRACTICE (REPEALED) Authorizing statute(s): 37-1-131, 37-8-202, MCA Implementing statute(s): 37-1-131, 37-8-202, 37-8-409, MCA History: NEW, 2003 MAR p. 2863, Eff. 12/25/03; TRANS, from Commerce, & AMD, 2006 MAR p. 2035, Eff. 8/2…

24.159.1601 PURPOSE (REPEALED) Authorizing statute(s): 37-1-131, 37-8-202, MCA Implementing statute(s): 37-1-131, 37-8-202, MCA History: NEW, 2005 MAR p. 1022, Eff. 7/1/05; TRANS, from Commerce, & AMD, 2006 MAR p. 2035, Eff. 8/25/06; AMD, 2016 MAR p. 1010, Eff. 6/4/16; AMD, 2021 …

24.159.1602 DEFINITIONS (REPEALED) Authorizing statute(s): 37-1-131, 37-8-202, MCA Implementing statute(s): 37-1-131, 37-8-202, MCA History: NEW, 2005 MAR p. 1291, Eff. 7/1/05; TRANS, from Commerce, & AMD, 2006 MAR p. 2035, Eff. 8/25/06; REP, 2016 MAR p. 1010, Eff. 6/4/16.

24.159.1604 TASKS WHICH MAY BE ROUTINELY ASSIGNED TO AN UNLICENSED PERSON IN ANY SETTING WHEN A NURSE-PATIENT RELATIONSHIP EXISTS (REPEALED) Authorizing statute(s): 37-8-202, MCA Implementing statute(s): 37-8-202, MCA History: NEW, 1994 MAR p. 1424, Eff. 5/27/94; TRANS & AMD, 200…

24.159.1605 STANDARDS RELATED TO THE FACILITY'S CHIEF NURSING OFFICER REGARDING DELEGATION PRACTICES (REPEALED) Authorizing statute(s): 37-1-131, 37-8-202, MCA Implementing statute(s): 37-1-131, 37-8-202, MCA History: NEW, 2005 MAR p. 1291, Eff. 7/1/05; TRANS, from Commerce, & AM…

24.159.1610 ACCOUNTABILITY (REPEALED) Authorizing statute(s): 37-1-131, 37-8-202, MCA Implementing statute(s): 37-1-131, 37-8-202, MCA History: NEW, 2005 MAR p. 1022, Eff. 7/1/05; TRANS, from Commerce, 2006 MAR p. 2035; REP, 2016 MAR. p. 1010, Eff. 6/4/16.

24.159.1611 CRITERIA FOR DELEGATION OF NURSING TASKS Delegation is a nursing act distinct from teaching, supervising, consulting, and advising. Before delegating, the LPN or RN should consider the five rights of delegation: the right task, the right person to whom the delegation …

24.159.1612 STANDARDS RELATED TO THE NURSE FUNCTIONING AS A DELEGATOR (REPEALED) Authorizing statute(s): 37-1-131, 37-8-202, MCA Implementing statute(s): 37-1-131, 37-8-202, MCA History: NEW, 2005 MAR p. 1291, Eff. 7/1/05; TRANS, from Commerce, 2006 MAR p. 2035; REP, 2016 MAR p. …

24.159.1616 NURSING TASKS RELATED TO MEDICATIONS THAT MAY BE DELEGATED (REPEALED) Authorizing statute(s): 37-1-131, 37-8-202, MCA Implementing statute(s): 37-1-131, 37-8-202, MCA History: NEW, 2005 MAR p. 1291, Eff. 7/1/05; TRANS, from Commerce, 2006 MAR p. 2035; REP, 2016 MAR p.…

24.159.1625 GENERAL NURSING FUNCTIONS AND TASKS THAT MAY NOT BE DELEGATED The following nursing tasks require nursing knowledge, judgment, and skill and may not be delegated: the nursing assessment; development of the nursing diagnosis; establishment of the nursing care goal; dev…

24.159.1630 ADVANCED DELEGATION, GENERALLY (REPEALED) Authorizing statute(s): 37-1-131, 37-8-202, MCA Implementing statute(s): 37-1-131, 37-8-202, MCA History: NEW, 2005 MAR p. 1022, Eff. 7/1/05; TRANS, from Commerce, 2006 MAR p. 2035; REP, 2016 MAR p. 1010, Eff. 6/4/16.

24.159.1631 ADVANCED DELEGATION TO UAP NURSING STUDENTS (REPEALED) Authorizing statute(s): 37-1-131, 37-8-202, MCA Implementing statute(s): 37-1-131, 37-8-202, MCA History: NEW, 2005 MAR p. 1291, Eff. 7/1/05; TRANS, from Commerce, & AMD, 2006 MAR p. 2035, Eff. 8/25/06; REP, 2016 …