<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.27.07.05" title_num="10" subtitle_num="27" chapter_num="07" heading="Practice Before Maryland Certification.">
  <paragraph num="A.">
    <text>A registered nurse who has completed a Board-approved educational program for nurse practitioners and who has applied to take a Board-approved national certifying examination may practice as a nurse practitioner graduate before certification in this State upon approval of the Board if the nurse has:</text>
    <paragraph num="(1)">
      <text>Submitted a completed application for certification as a nurse practitioner in this State in accordance with Regulation .02 of this chapter;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Completed a nurse practitioner education program approved by the Board;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Presented evidence of submission of an application to take a Board-approved national certification examination;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Provided the name of a certified nurse practitioner, who has an active unencumbered Maryland license to practice as a registered nurse or a multistate privilege to practice registered nursing, who will directly supervise the nurse practitioner graduate; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Paid all fees.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>If a certified nurse practitioner is not available in the graduate’s practice setting, as required in §A(4) of this regulation, a physician may provide this direct supervision if the nurse practitioner graduate provides the Board with the name of a certified nurse practitioner, who has an active unencumbered Maryland license to practice registered nursing or a multistate licensure privilege to practice registered nursing, with whom the nurse practitioner graduate has regular consultation.</text>
  </paragraph>
  <paragraph num="C.">
    <text>A nurse practitioner graduate who fails the Board-required examination shall immediately cease practice as a nurse practitioner graduate.</text>
  </paragraph>
  <paragraph num="D.">
    <text>An application for Maryland certification shall remain on file for a period of 18 months. During this time, applicants who have failed a national certifying examination may retake the examination and, upon proof of passing, may become eligible for Maryland certification.</text>
  </paragraph>
</regulation>