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Application Forms - Six Month Limited Permits

 

LVN - VOCATIONAL NURSING

Six-month temporary permits are issued to nurses who have not been employed as a Licensed Vocational Nurse during the past four years and are used for the purpose of completing a refresher program, extensive orientation, or a nursing program of study under the supervision of an RN Instructor. In order to renew or be issued a license, you must successfully complete ONE of the following:


(a) A refresher course, which is defined as an organized course for Vocational Nurses designed to update nursing knowledge, and which meets all content criteria as indicated on the attached form;


(b) An extensive orientation to the practice of vocational nursing which meets all content criteria as indicated on the attached form; or


(c) Academic nursing course(s), in an approved vocational nursing education program, which meets all the content criteria as indicated on the attached form.


The temporary permit will be valid for six-months from the date of issuance. The permit cannot be extended!


Please be sure that you are prepared to begin and complete the course, orientation, or nursing program of study within the required time limit.

 

Download PDF Form: LVN Six Month Limited Permit Adobe Acrobat PDF

RN - REGISTERED NURSING

Six-month temporary permits are issued to nurses who have not been employed as a Registered Nurse during the past four years and are used for the purpose of completing a refresher program, extensive orientation to the practice of nursing, or a nursing program of study under the supervision of an RN Instructor. In order to reactivate or be issued a license, you must successfully complete ONE of the following:


(a) A refresher course, which is defined as an organized course for Registered Nurses designed to update nursing knowledge, and which meets all content criteria as indicated on the attached form;


(b) An extensive orientation to the practice of Registered Nursing which meets all content criteria as indicated on the attached form; or


(c) Academic nursing course(s), in an approved Registered Nursing education program, which meets all the content criteria as indicated on the attached form

Download PDF Form: RN Six Month Limited Permit Adobe Acrobat PDF

APRN- ADVANCED PRACTICE REGISTERED NURSING

A six month temporary APRN permit may be issued for one of the following purposes:

(i) obtaining 400 hours of practice in the APRN’s role and population focus area under direct supervision, because the APRN has not completed 400 hours of practice in the APRN’s role and population focus area within the last 24 months;

(ii) completing a course in advanced assessment, advanced pathophysiology, or advanced pharmacotherapeutics to meet initial APRN licensure requirements; or

(iii) completing a refresher course/extensive orientation because the APRN has not practiced in the APRN’s role and population focus area within the last four years.

The six month temporary APRN permit will be valid for six months from the date of its issue. The permit time cannot be extended! Please be sure that you are prepared to begin and complete your supervised practice hours, refresher course/extensive orientation, or academic course within the time period allotted.

Download PDF Form: APRN Six Month Limited Permit Adobe Acrobat PDF