Steps to Becoming an APRN in Vermont

vermont nursing

Get your Graduate Degree in Vermont
Earn your National Certification in Vermont
Apply for your APRN License in Vermont
Renewing your APRN License in Vermont
Vermont Job Statistics

  • 2015 mean salary for NPs:$84,000
  • 2013 NCLEX-RN pass rate for Vermont: 80.7%
  • 535 licensed APRNs in VT in 2015
    • NPs: 413
    • CNSs: 35
    • CNMs: 48
    • CNAs: 42
  • As of 2015, 31% of APRNs in VT were age 60 or older, compared with 6% in 2002
  • As of 2015, 90% of APRNs in VT were female

The Vermont State Board of Nursing (phone: 802-828-2396, nmorin@sec.state.vt.us), under the Vermont Secretary of State, administers the nursing laws for the State of Vermont, which includes professional standards, statutes, administrative rules, and licensure for advanced practice registered nurses (APRN).

Holding an active RN license is a prerequisite to APRN licensure in Vermont. To become an APRN, you must hold a current, unencumbered license as a professional nurse in Virginia.

If your initial license to practice was in a foreign country, and you do not hold a license in one of the jurisdictions of the United States, you cannot apply for licensure by examination until your information is translated into English and is filed with the Board and your completed secondary education has been approved by a state department of education.

You may also apply for application by endorsement if you are registered in another country that has requirements for registration or licensing equal to or exceeding the requirements in Vermont.

  • If you have a lapsed or inactive license and you have not practiced nursing for at least 120 days in the previous five years or 50 days in the previous two years, you may apply for licensure by endorsement using the Registered Nurse Renewal Application. In order to be granted a temporary permit (good for no more than one year), you must also complete the Registered Nurse Re-Entry Application for Temporary Permit form, in addition to your renewal application. Within that time period you must complete a re-entry program and complete an application for licensure to be granted a current license to practice.

With an active RN license, you may pursue advanced practice licensure in Vermont as detailed in the following steps.


Step 1. Get your Graduate Education

To be considered for an APRN license in Vermont, you must complete an educational program for APRNs through an accredited college or university that offers a graduate-level education that prepares nurses for advanced practice.

Qualified Graduate Programs

The Board recognizes and licenses APRNs in the following clinical specialties:

  • Nurse practitioners (NP)
  • Certified nurse-midwives (CNM)
  • Certified registered nurse anesthetists (CRNA)
  • Clinical nurse specialists in psychiatric/mental health nursing (CNS)

The graduate program must meet a set of standards created by the national accrediting body specific to each clinical specialty. See Institutional and Specialized and Programmatic certifying agencies listed in the United States Department of Education (USDE) database.

The national certifying board recognized by the Vermont Board of Nursing for your particular area of advanced practice nursing must also recognize and approve of your graduate program:

Course Requirements

The Vermont State Board of Nursing requires all APRN graduate programs to include biological, behavioral, social sciences and medicine in pharmacotherapeutics relevant to practice as an APRN and prescriptive authority in the role and population focus.

A graduate education for APRNs must include graduate-level courses in:

  • Advanced pharmacotherapeutics
  • Advanced patient assessment
  • Advanced pathophysiology

Prescriptive Authority

As a licensed APRN in Vermont, prescriptive authority is granted as standard protocol. You may prescribe medications consistent with your scope of practice and in compliance with all applicable statutes and regulations. The only exception to this is Psychiatric/Mental Health Clinical Nurse Specialists, who, at the Board’s discretion, may receive an APRN license without prescriptive authority.


Step 2. Earn your National Certification

After you complete your graduate education, you are then eligible to take an exam to become nationally certified in your nursing specialty:

  • Nurse practitioners (NP)
  • Certified nurse-midwives (CNM)
  • Certified nurse anesthetists (CNA)
  • Clinical nurse specialists in psychiatric/mental health nursing (CNS)

The following national certifying bodies for APRNs are recognized by the Vermont State Board of Nursing:

Population Focus Areas

In addition to receiving certification through a national certifying body in your chosen APRN specialty role, you must choose at least one population focus. The Board licenses APRNs in the following population focus areas:

  • Family/individual across the life span
  • Adult
  • Neonatal
  • Pediatrics
  • Women’s health/gender related
  • Psychiatric/mental health


Step 3. Apply for an APRN License

Transition to Practice: Collaborative Provider Agreement

If you have fewer than 24 months and 2,400 hours of active advanced nursing practice in a specialty and population focus, you must establish a formal agreement with a collaborating provider for no fewer than 12 months or 1,600 hours before you can be licensed and begin practicing as an APRN.

A collaborating provider is recognized as an APRN, a licensed physician or an osteopathic physician who has practiced in the same specialty for at least four years.

All new graduates, all APRNS applying by endorsement, and all APRNs adding new credentials are required to complete the Advanced Practice Registered Nurse Attestation Form Completion of Transition to Practice Requirement.

Creating Practice Guidelines/Collaborative Agreement form

In order to begin a collaborative agreement, you must create a set of practice guidelines, through a collaborative agreement, that includes the following information:

  • Your name
  • Your role (CNM, CNA, CNS, or NP) and your population focus (adult, family, pediatric, etc.)
  • Your specialty certification
  • The collaborating professional’s (APRN, MD, or DO) information, including name, specialty, Vermont license number, practice name, practice address, contact phone number, clinical practice name, practice address, practice telephone number, client population served, and type of care provided
  • A brief description of the standards of clinical practice, including the types of standards used to guide and evaluate the practice. A national certifying body, a professional organization, the employing organization, or the Vermont Department of Health may dictate standards.
  • References used for clinical practice guidelines, which may include books and online clinical guidelines
  • Criteria for professional consultation and referral, including an emergency referral
  • A quality assurance plan, which should include a plan specific to the APRN role, population focus and specialty practice area

The collaborative agreement must be signed and dated by you and the collaborating APRN, DO, or MD. You can view a Collaborative Agreement template to help guide you.

Once you have satisfied the requirements for a collaborative agreement set forth by the Board, you can inform the Board by completing the Advanced Practice Registered Nurse Attestation Form Completion of Transition to Practice Requirement found at the end of the Advanced Practice Registered Nurse Endorsement Application. Once your application has been approved by the Board, you will no longer need to hold a collaborative agreement.

You must also hold a formal agreement with a collaborative provider for no fewer than 12 months or 1,600 hours of practice if you are obtaining subsequent certification in an additional role or population focus.

Initial APRN Application

To become licensed as an APRN you must (in addition to establishing a collaborative agreement and completing your practice guidelines):

  • Graduate from a Board-approved graduate nursing program within the last two years of applying for licensure

OR

  • Complete a Board-approved APRN refresher course within the last two years (a combined clinical and classroom program approved by the Board)

To apply for Advanced Practice Registered Nurse Endorsement, you must complete the application and provide the Board with the following:

  • Evidence of a current and unencumbered Vermont RN license
  • Official transcript(s) from your graduate nursing program
  • Evidence of a certification from a national certifying body approved recognized by the Board (or, for new graduates, an application to take a Board-approved national certification exam)
  • Documentation of your APRN practice history
  • A 2”x2” passport-sized photo of your head and shoulders taken within the last six months
  • A check or money order for $75.00 made payable to the “Office of the Secretary of State.”

Note: If you practice as an APRN without compensation (pro bono) at a free or reduced-fee Vermont health clinic and meet all APRN licensure requirements, you may be eligible to receive your APRN license without paying license fees. You must contact the Board at 802-828-2396 to receive a copy of an APRN Pro Bono Endorsement Application.

Send the completed application, fee, and all required documents to: Attn: Board of Nursing, Office of Professional Regulation, National Life Building, North, Floor 2, Montpelier, VT 05620-3402.


Step 4. Renew your APRN License

APRN licensed are renewed on April 1 of every odd year (the current renewal period is from 4/1/11 to 3/31/13).

To renew your APRN license you must:

  • Provide documentation of the completion of your APRN practice requirement (show evidence that you have practiced as an APRN for at least 960 hours in the last five years or at least 400 hours in the last two years or have completed a Board-approved APRN refresher course within the last two years if you are not employed)
  • Provide evidence of your current certification by a national certifying body
  • Provide evidence of current practice guidelines (if employed)
  • Provide current collaborating provider agreement (if applicable)

To apply for your biennial APRN license renewal, you must complete the Advanced Practice Registered Nurse Renewal Application and send it to the Board, along with a $145 check or money order made payable to the “Office of the Secretary of State.”

Send the completed application, fee, and all required documents to: Attn: Board of Nursing, Office of Professional Regulation, National Life Building, North, Floor 2, Montpelier, VT 05620-3402.

If you are not currently employed, you may complete the Advanced Practice Registered Nurse Renewal of Licensure application and attach your most recent practice guidelines to your application. There is no fee associated with this application.

If you are an APRN who is not practicing and does not plan to practice nursing, you may place your APRN license on inactive status by filling out the RN and APRN Request for Inactive Status application. There is no fee associated with this application.

Advanced Practice Registered Nurse Associations in Vermont

There are a number of professional organizations that support APRNs in Vermont:


Vermont Nurse Practitioner Salary

Nurse practitioners in Vermont saw the biggest salary increase in the nation in recent years.  According to a survey conducted by Advance for NPs and PAs, the average nurse practitioner salary in Vermont increased from $68,625 in 2010 to $81,442 in 2011, a positive growth of more than 17%. NPs in the city of Burlington reported an average salary of $83,666 in 2011. According to a survey conducted by the American Academy of Nurse Practitioners in 2011, New England, including Vermont, has some of the highest paid health care professionals in the nation, with nurse practitioners earning an average base salary of $87,653 and a total average income of $96,916 when factoring in additional compensation like benefits and bonuses.

Registered Nurse Salary

Area name
Employment
Annual mean wage
Burlington-South Burlington VT
2510
66450
Southern Vermont nonmetropolitan area
2280
62330
Northern Vermont nonmetropolitan area
1190
58070

Health Diagnosing and Treating Practitioners Salary

Area name
Employment
Annual mean wage
Southern Vermont nonmetropolitan area
40
64800

Nurse Administrator Salary
(Includes Nurse Managers, Directors, and Chief Nursing Officers)

Area name
Employment
Annual mean wage
Burlington-South Burlington VT
390
96730
Southern Vermont nonmetropolitan area
270
85200
Northern Vermont nonmetropolitan area
110
91850

These tables provide salary and employment information compiled by the US Department of Labor’s Bureau of Labor Statistics in May 2011. The data contained herein does not include self-employed nurses in independent practice.

When responding to the salary survey, some advanced practice registered nurses identified themselves as RNs while others identified themselves as health diagnosing and treating practitioners. When available, both sets of data were included for comparative purposes.

* These figures represent earnings that are at or above $90.00 per hour or $187,199 per year. The Bureau of Labor Statistics does not publish earnings beyond $90.00 hourly or $187,199 yearly.

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