10.27.01.10

.10 Licensure by Endorsement.

A. An applicant licensed to practice registered nursing or practical nursing in another state, territory, or country is eligible for licensure without examination if the applicant:

(1) Complies with all of the requirements under Regulation .04A of this chapter;

(2) Pays the required fee;

(3) Submits the following verifications directly to the Board from the appropriate authority:

(a) That at the time that applicant graduated from the nursing education program, it was approved as a registered nursing or licensed practical nursing education program in that state, territory, or country;

(b) That the applicant meet the educational qualifications of this State at the time of the applicant's graduation from the nursing education program;

(c) Verification of successful completion of the licensure examination under the laws of another state, territory, or country;

(d) That the examination used for licensure was the:

(i) "State Board Test Pool Examination — Registered Nurse or Practical Nurse", from 1952—1982;

(ii) "National Council Licensure Examination — Registered Nurse or Practical Nurse", from 1982 to the present;

(iii) "National League for Nursing State-Constructed Board Examination, Registered Nurse or Practical Nurse", before 1952; or

(iv) "Canadian Nurses Association Test Service Examination for Registered Nurses" taken before 1982; and

(e) Proof of oral and written competency in the English language;

(4) Whose basic nursing education was completed in another country, has the applicant's transcript evaluated by the Commission on Graduates of Foreign Nursing Schools; and

(5) Presents evidence of 1,000 hours of active nursing practice within the last 5 years or successful completion of a Board-approved refresher course or preceptor program.

B. Supervised Clinical Learning Experience Requirement.

(1) A nursing education program approved in another state or country that does not have a supervised clinical learning experience requirement is not substantially equivalent to an approved nursing education program in this State.

(2) An applicant who graduated from a nursing education program in another state or country that did not have a supervised clinical learning requirement does not meet the educational qualifications required by the laws of this State.

(3) The Board may waive the supervised clinical learning experience requirement required by this State for an applicant for licensure by endorsement as a registered nurse who:

(a) Has an active unencumbered license to practice registered nursing from another state or country;

(b) Has graduated from a registered nursing program accredited by a nursing accreditation agency recognized by the Board;

(c) Submits to the Board evidence of completing 1,000 hours of active practice as a registered nurse within the 12-month period immediately preceding the date of the application; and

(d) Otherwise meets the requirements for licensure by endorsement as a registered nurse.

(4) The Board may waive the supervised clinical learning experience requirement required by this State for an applicant for licensure by endorsement as a licensed practical nurse who:

(a) Has an active unencumbered license to practice licensed practical nursing from another state or country;

(b) Has graduated from a licensed practical nursing program accredited by a nursing accreditation agency recognized by the Board;

(c) Submits to the Board evidence of 1,000 hours of active practice as a licensed practical nurse within the 12-month period immediately preceding the date of the application; and

(d) Otherwise meets the requirements for licensure by endorsement as a licensed practical nurse.

(5) The Board shall accept the following documentation as evidence of completing 1,000 hours of active practice as a registered nurse or licensed practical nurse within the 12-month period immediately preceding the date of the application:

(a) A letter from an employer on the facility’s letterhead, signed and mailed by the employer to the Board of Nursing that states the:

(i) Applicant’s name and license number;

(ii) Dates of employment;

(iii) Job description; and

(iv) Number of hours worked within the previous 12-month period immediately preceding the date of the application; and

(b) Pay stubs that indicate the hours of employment within the 12-month period immediately preceding the date of the application.

(6) The Board will accept pay stubs by mail from the applicant.

C. An applicant who is unable to prove proficiency in the English language in accordance with Health Occupations Article, §8-302(e), Annotated Code of Maryland, may be required to submit evidence of competency in the English language by obtaining a minimum passing score on a Board-approved English language competency examination in accordance with Regulation .05C of this chapter.

D. Those applicants who cannot present evidence of 1,000 hours of active nursing practice within the last 5 years, or successful completion of a Board-approved refresher course or preceptor program, may apply for inactive license.