Healthy Communities

ASBN - Adv. Practice

Advanced Practice Registered Nurses (APRNs) are registered nurses who have been educated beyond the requirements for a registered nurse in one of the four roles of advanced practice nurses – Certified Nurse Practitioner (CNP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA) and Certified Nurse Midwife (CNM).

Licensure
Initial Overview
Endorsement Overview
Advanced Practice Licensure Verification Form – Endorsement
Verification of RN Practice Hours
Prescriptive Authority Application
(Prescriptive Authority is not automatically issued with an Arkansas APRN License)
Overview - Initial
Overview - Endorsement 
Prescriptive Authority Verification Form for Endorsement Applicants

Collaborative Practice Agreement

Review the laws for APRN Prescribing prior to submitting a Collaborative Practice Agreement.

Quality Assurance Plan

Prescriptive Protocols (You may use one of the examples below making changes as needed).

APRNs with prescriptive authority must have prescriptive protocols (indications for and classifications of legend and controlled substances.  You must modify the examples provided to meet your specialty as this is a generic form.  To prescribe a legend drug, medicine or therapeutic device not included in the written protocols the APRN shall obtain a specific written or verbal order obtained from the collaborating physician or podiatrist before the prescription or order is issued. The APRN shall document the consultation in the client’s medical record.

Laws & Rules

DEA Registration

An advanced practice registered nurse with prescriptive authority must obtain a DEA registration number to prescribe controlled substances (schedule II - V).

APRNs holding a certificate of prescriptive authority may contact the New Orleans office of the DEA to receive an application for a DEA registration number. Do not apply for the DEA registration prior to being issued Prescriptive Authority. The application form can be found on the web at the Diversion Control Program web site: www.DEAdiversion.usdoj.gov. At the website, select “New Registration Applications."     

Common questions concerned controlled substance applications are answered in the "Frequently Asked Questions" section of the website, or applicants can contact the Registration Call Center at 800-882-9539.

The ASBN Rules require that you submit a copy of your DEA number to the ASBN. You should upload a copy in your Arkansas Nurse Portal.

The Pharmacy Services of the Arkansas Department of Health is responsible for enforcing the Controlled Substances Act. A copy of the Rules and Regulations Pertaining to Controlled Substances and the List of Controlled Substances for the State of Arkansas may be obtained by mail:

Arkansas Dept. of Health Pharmacy Services
4815 West Markham, Slot 25
Little Rock, AR 72205

Prescriptive authority may be terminated by the Board of Nursing for failure to maintain an active APRN license or violation of any state or federal law or regulation applicable to prescriptions.

Advanced Practice Continuing Education Mandatory 

In an effort to help curtail the national epidemic of opioid abuse, new prescribing guidelines have been enacted for Advanced Practice Registered Nurses (APRNs) in Arkansas.

Act 1208 of A.C.A. §20-7-704 specifically states that all APRNs issued a certificate of prescriptive authority after December 31, 2015, shall obtain a minimum of three (3) hours of prescribing education which includes information on maintaining professional boundaries and the prescribing rules, regulations and laws that apply to APRNs in the state within two (2) years of issuance of the prescriptive authority certificate (ASBN Rules, Chapter 4, Section VIII, A.7.). In order to meet this requirement, you will need to complete two courses, Advanced Practice Nursing in Arkansas (2 contact hours) and Prescription Drug Misuse and Abuse (1 contact hour). 

APRNs with prescriptive authority shall complete five (5) contact hours of pharmacotherapeutics continuing education in the APRN’s area of certification each biennium prior to license renewal. Two (2) of the prescribing hours must contain information related to maintaining professional boundaries and the prescribing rules, regulations and laws that apply to APRNs in Arkansas (ASBN Rules, Chapter 4, Section III,F.7.). In order to meet this requirement you will need to complete the course Advanced Practice Nursing in Arkansas (2 contact hours). This must be completed prior to renewal of your license.

In order to help APRNs meet these requirements, continuing education courses have been prepared. After review of each course a post-test is to be completed with a mandatory score of 70 percent or better. Once completed, a certificate will be available for download. Please note that this requirement has not been satisfied until you are in possession of the certificate of completion.

The mandatory courses are located on the Table Mesa platform.  You will need to register for your FREE Table Mesa account in order to access the courses and tests.

As you set up your Table Mesa account, please keep the following items in mind:

Direct Link to Table Mesa (follow registration instructions above): https://www.mytablemesa.com/account/registermain

For assistance with Table Mesa, e-mail support@mytablemesa.com.


Prescriptive Authority Application for Initial Applicants

Prescriptive Authority

Prescriptive authority is not automatically issued with an APRN license in Arkansas.

You may apply online for Prescriptive Authority which includes a separate fee. You cannot submit the application prior to issuance of an Arkansas APRN license.

Eligibility Requirements

Provide documentation of successful completion of pharmacology coursework which shall contain a minimum of:

Provide documentation of a minimum of three hundred (300) clock hours of preceptorial experience in the prescription of drugs, medicines and therapeutic devices with a qualified preceptor, to be initiated with the pharmacology course and to be completed within one year of the beginning of the course. Preceptorial experience completed as a part of the formal educational program in which the pharmacology course is taught will meet the three hundred (300) clock hour requirement.

In addition to the online application, you are required to submit two items:

  1. Collaborative Practice Agreement
  2. Quality Assurance (QA) Plan

Examples of both documents are provided on our website (under the Adv. Practice tab). Read Collaborative Practice Guidelines and Quality Assurance Guidelines for APRNs prior to completing the documents.

Both of these documents must be signed by the APRN and the collaborating physician(s). The preferred method of sending to ASBN is by uploading the documents through your Arkansas Nurse Portal account.

Prescribing protocols  APRNs with Prescriptive Authority must have prescriptive protocols (indications for classifications of legend medications, controlled substances and therapeutic devices.) The protocols must be agreed upon by both the APRN and collaborating physician and signed and dated. They must be updated at least annually.  Do not submit protocols to the ASBN unless requested. Examples are located under the Adv. Practice tab.

DEA Number Applications Instructions

After receiving full APRN licensure and a Prescriptive Authority Certificate number (PAC #), you must apply for a DEA Certificate if you plan to prescribe Schedules II - V controlled substances. Directions for applying for a DEA number are provided on our website under the Adv. Practice tab, DEA registration link. Submit a copy of your DEA # card to the ASBN after you receive it.

TO BEGIN THE ONLINE APPLICATION FOR PRESCRIPTIVE AUTHORITY, SELECT THE FOLLOWING LINK: https://www.arsbn.org/nurse-portal.


Prescriptive Authority Application for Endorsement Applicants

Prescriptive authority is not automatically issued with an APRN license in Arkansas.

You may apply for prescriptive authority online, which includes a separate fee. You cannot submit the application prior to issuance of an Arkansas APRN license.

Eligibility Requirements

An applicant for endorsement of prescriptive authority shall:

In addition to the online application, you are required to submit two items:

  1. Collaborative Practice Agreement
  2. Quality Assurance (QA) Plan

Examples of both documents are provided on our website (under the Adv. Practice tab). Feel free to make changes to accommodate the agreement between you and your collaborating physician(s). However, there is required criteria that must be included in each document. Please read the Collaborative Practice Guidelines and Quality Assurance Guidelines for APRNs prior to completing the documents.

Both of these documents must be signed by the APRN and the collaborating physician(s).  The preferred method of sending to ASBN is by uploading the documents through your Arkansas Nurse Portal account.

Prescribing protocols APRNs with Prescriptive Authority must have prescriptive protocols (indications for & classifications of legend medications, controlled substances and therapeutic devices). The protocols must be agreed upon by both the APRN and collaborating physician(s) and signed and dated. They must be updated at least annually. Do not submit protocols to the ASBN unless requested. Examples are located on the ASBN website under the Adv. Practice tab.

DEA Number Application Instructions

After receiving full APRN licensure and a Prescriptive Authority Certificate number (PAC #), you must apply for a DEA certificate if you plan to prescribe Schedules II - V controlled substances. Directions for applying for a DEA number are provided on our website under the Adv. Practice tab, DEA registration link. Submit a copy of your DEA # card to the ASBN after you receive.

TO BEGIN THE ONLINE APPLICATION FOR PRESCRIPTIVE AUTHORITY, SELECT THE FOLLOWING LINK: https://www.arsbn.org/nurse-portal.

Public Health Accrediation Board
Arkansas Department of Health
© 2017 Arkansas Department of Health. All Rights Reserved. www.healthy.arkansas.gov
4815 W. Markham, Little Rock, AR 72205-3867
1-800-462-0599