Current through Register Vol. 47, No. 17, September 10, 2024
General authority sections
12-20-204(1) and
12-255-107(1)(k),
C.R.S.
Specific Authority sections
12-20-204(1) and
12-255-107(1)(k)
(II, III, and IV), C.R.S.
A.
Purpose: To specify procedures and criteria relating to the
approval of psychiatric technician training programs.
B.
DEFINITIONS
Approval: Recognition that a psychiatric technician program
(hereinafter referred to as program) is meeting the standards as established by
the Board.
C.
PURPOSE
OF APPROVAL To establish eligibility of graduates of approved programs
to apply for licensure.
D.
INITIAL PROCEDURES FOR APPROVAL Phase I, Application Approval
1. The governing body establishing a new
psychiatric technician program shall inform the Board in writing before
initiation and such program shall have the approval of the Board.
2. An application shall be submitted on forms
provided by the Board with the following information:
a. Description of the program to be
established and an operational plan of how the body will develop a program
which meets the standards for approval set forth in Rule 1.6.
b. Organizational structure.
c. Financial resources.
d. Ability of the geographic community to
support adequately the program in relation to:
(1) Potential students,
(2) Student support services,
(3) Faculty,
(4) Written commitment of clinical
resources,
(5) Physical facilities,
and
(6) Number of patient
populations with a variety of nursing needs.
e. Approval of the university, college,
vocational technical school or institution by the appropriate national or
regional accrediting agency.
f.
Philosophy and purposes of the university, college, vocational technical school
or institution.
g. Tentative time
table for initiating the program.
h. Signatures of appropriate administrative
officers.
3. The Board
shall review the application within ninety days and may direct that a site
visit occur before approval of the application. Such visit shall occur within a
reasonable period of time after the Board directs a site visit.
4. A written report of the site visit shall
be submitted to the Board and the appropriate administrative officers within a
reasonable amount of time, not to exceed sixty days unless extended by the
Board.
5. The Board shall advise
the governing body concerning approval or disapproval of the application within
thirty days of the Board's review. The Board shall specify the grounds for
disapproval.
6. In the event of
disapproval of the application, the Board shall grant a hearing, if requested,
pursuant to the Nurse and Nurse Aide Practice Act and the Administrative
Procedures Act.
Phase II, Interim Accreditation
7. The governing body shall secure a
Director, with qualifications set forth in Section (E)(4) (b)(3) of Rule 1.5 ,
for the psychiatric technician program. The Director shall be responsible for
providing compliance with this Rule.
8. The Director shall prepare a written
report for the Board showing evidence of meeting the requirements of Section
(E)(2) of Rule 1.5.
9. The Board
shall determine whether the program is prepared to admit students and if so,
grant interim approval. If not, the Board shall specify the grounds for
disapproval and the program can request a hearing pursuant to the Nurse and
Nurse Aide Practice Act and the Administrative Procedures Act.
Phase III, Full Approval
10. The Director shall:
a. Ensure the program is developed according
to the rules and regulations for approval of this Rule.
b. Provide written progress reports as
requested by the Board.
11. Prior to graduation of the first class, a
report by the program shall be submitted to the Board addressing criteria as
outlined in section (E) of Rule 1.5 and a survey visit shall be made by site
visitor(s) designated by the Board on a time frame established by the Board for
consideration of approval of the program.
a.
Notice of the Board's action to approve or disapprove shall be sent in writing
to the administrative officer and the Director of the program within fourteen
days of the Board's decision. If a program is disapproved, the Board shall
provide with specificity the grounds for such.
b. In the event of disapproval of the
application, the Board shall grant a hearing, if requested, pursuant to the
Nurse and Nurse Aide Practice Act and the Administrative Procedures
Act.
E.
STANDARDS FOR APPROVING A PSYCHIATRIC TECHNICIAN PROGRAM
All psychiatric technician education programs must conform
with generally accepted psychiatric technician nursing education
standards.
1. Philosophy, purposes and
objectives:
a. The faculty develops, approves,
and periodically evaluates the philosophy, purposes and objectives of the
psychiatric technician program. Such statements shall express the educational
principles of the program and include a description of the graduate.
b. The statements of philosophy, purposes and
objectives shall be utilized in planning, implementing and evaluating the total
program.
2. Organization
and administration:
a. There shall be a
governing body which has the legal authority to conduct the psychiatric
technician program, determine general policy and provide financial support for
such program.
b. The governing body
shall have in place policies regarding refunds of fees and tuition, and ethical
standards for recruitment and advertising.
c. There shall be an organizational plan
which demonstrates and describes the relationship of the psychiatric technician
program to the governing body and the internal organization of the
program.
d. There shall be a
qualified Director with the authority, in accordance with the policies of the
governing body, to:
(1) Prepare and
administer a financial plan.
(2)
Develop, implement and evaluate the psychiatric technician program.
(3) Arrange for educational facilities,
clinical resources, and student services.
(4) Arrange for qualified faculty.
(5) Plan for learning experiences with a
variety of patient needs and obtain written agreements with the providers of
clinical resources.
(6) Develop
policies relating to admission, retention, progression, reentry and graduation
of students.
(7) Provide for a
system of permanent records and reports essential to the operation of the
psychiatric technician program which shall include:
(a) Current and final official records for
students.
(b) Current records of
program activities such as minutes and reports.
(c) Faculty records which demonstrate
compliance with faculty requirements as delineated in Section (E)(4) of Rule
1.5.
(d) Annual report due on a
schedule determined by the Board to be submitted to the Board (form furnished
by the Board office) shall include, at a minimum:
(i) Developments in the psychiatric
technician program;
(ii) Student
policies, including student health;
(iii) Current problems and
recommendations;
(iv) Curriculum
plan;
(v) Clinical resources
including confirmation of adequate patient populations;
(vi) Faculty list for the year including
qualifications and area of responsibility;
(vii) Listing of hours of
instruction;
(viii) School
catalog;
(ix) Audited financial
report of the governing institution including statement of income and
expenditures. This needs to be submitted only every two years on a schedule
determined by the Board; and
(x)
Proposals and plans for future development including either increases or
decreases of twenty-five percent or greater in student numbers admitted, types
of students, admission times and progression options.
(e) Biannual report including, but not
limited to numbers of student admissions, graduations and faculty
list.
e. The
amount of time allocated the Director for psychiatric technician administrative
duties for one campus shall be related to the number of students enrolled in
the psychiatric technician program at that campus. The Director may delegate
administrative duties and reflect appropriate release time for the delegated
activities.
(1) In a program with no more
than fifty students, there shall be allotted a minimum of twenty-five percent
of an FTE for administration.
(2)
In a program with at least fifty-one students but no more than 110 students,
there shall be allotted a minimum of fifty percent of an FTE to
administration.
(3) In a program
with at least 111 students but no more than 180 students, there shall be
allotted a minimum of seventy-five percent of an FTE to
administration.
(4) In a program
with at least 181 students, there shall be at least the equivalent of a full
FTE position devoted to administration.
f. Personnel policies for the faculty of the
psychiatric technician program shall be consistent with the faculty policies
for the controlling body.
g. There
shall be a plan for an ongoing systematic evaluation of all aspects of the
psychiatric technician program with evidence of implementation which includes
student and community input.
h.
Written student policies shall be developed and made available to all students
including, but not limited to, admission, progression and graduation
requirements. These policies shall be consistent with those of the governing
body. The school shall have a written policy regarding the dismissal of
students for scholastic or other reasons and potential reentry. The program
shall adhere to its set policies or have a rationale for exceptions.
3. Curriculum
a. The curriculum shall be developed,
implemented, controlled and evaluated by the faculty within the framework of
the philosophy, purposes and objectives of the psychiatric technician program
and policies of the governing body.
b. The program outcomes shall identify the
expectations for the students who complete the program and are used to:
(1) Develop, organize, implement, evaluate
and revise the curriculum.
(2)
Identify objectives for courses.
(3) Select content related to the care of
individuals experiencing mental and/or developmental disabilities. Program
outcomes shall reflect the current scope of practice and, at a minimum, shall
include 200 clock hours of theory and 200 clock hours of clinical practice. A
psychiatric technician curriculum shall include, but not be limited to:
(a) Nursing principles, which shall include,
but not be limited to, learning experiences to develop:
(i) An understanding of the principles of
mental and physical health and the maintenance of health;
(ii) A knowledge of health services,
community resources and the role of the psychiatric technician in these health
services. The ability to perform the following functions as required:
(a) Activities concerned with daily
hygiene;
(b) Activities concerned
with prescribed therapeutic measures with an understanding of basic principles;
and
(c) Observing the appearance
and behavior of patients and reporting to appropriate persons.
(iii) Ability to work with
licensed physicians, professional nurses, dentists, and other treatment
personnel in assisting with nursing situations;
(b) For psychiatric technicians working with
the mentally ill, the curriculum shall include, but not be limited to,
fundamentals of psychiatric and mental health nursing with learning experiences
planned to develop the following:
(i) The
knowledge, skills and attitudes necessary to function adequately as a
contributing member of the psychiatric team;
(ii) Understanding of self and patient
relationship;
(iii) Principles of
psychiatric nursing including social and cultural studies, rehabilitation and
special therapies.
(c)
For psychiatric technicians working with the developmentally disabled, the
curriculum shall include, but not be limited to:
(i) Intellectual Developmental Disability
theory and practice;
(ii) Human
development; and
(iii) Behavior
management.
(4) The number of faculty shall be determined
by size of enrollment, number of classes admitted per year, number of agencies
utilized for clinical instruction and methods of instruction.
(5) Faculty-student ratio for clinical
instruction should not exceed a 1:10 ratio.
c. The implementation of the curriculum shall
include:
(1) Development of outlines that
identify essential aspects of each course.
(2) Utilization of a variety of teaching
methods.
(3) Development and
maintenance of an environment consistent with the philosophy and purposes of
the program.
(4) Facility and
resource coordination.
d. The organizational plan of the curriculum
shall provide for time periods (terms, semesters, quarters) and identified
sequencing of courses.
e.
Evaluation of the curriculum shall include a plan for ongoing systematic
assessment of student achievement.
4. Faculty
a. Only qualified nurse faculty shall teach
basic nursing concepts.
b. All
nursing faculty shall:
(1) Hold a current
license in good standing to practice as a Registered Nurse in
Colorado.
(2) Have a minimum of one
year of experience as a Registered Nurse in psychiatric nursing if teaching in
a program preparing technicians to care for the mentally ill or in nursing care
of the developmentally disabled if teaching in a program preparing technicians
to care for the developmentally disabled.
(3) The Director of the psychiatric
technician program, in addition to Section (E)(4), shall have:
(a) A minimum of a baccalaureate degree in
nursing.
(b) One years' teaching
experience in a health related program.
c. Non-nurse faculty shall have appropriate
academic and professional preparation and experience in their field of
teaching.
5. Resources
and facilities:
a. The Director shall be
responsible for recommending and/or obtaining resources and facilities in
accord with the program's philosophy and objectives as well as the policies of
the governing body.
(1) Including:
(a) Classrooms, laboratories, conference
rooms, and equipment for utilizing a variety of teaching methods.
(b) Library resources.
(c) Health care facilities sufficient to
achieve the objectives of the program, with consideration given to:
(i) Quality of nursing service, including
organization and nursing care.
(ii)
Administrative support.
(iii)
Number of programs and students using the facility.
(iv) Daily average census.
(v) Licensure or approval by the appropriate
authorities.
6. An approved psychiatric technician
training program must maintain an average minimum pass rate for first-time test
takers of at least sixty-five percent during any eight quarter period.
First-time test takers are those individuals that test for the first time
within one year of completion from a Board approved psychiatric technician
program.
F.
CONTINUED APPROVAL
1. Regular
periodic surveys for continued approval may be conducted by the Board on a date
mutually acceptable to the Board and the program.
2. Approval of a program shall be continued
by the Board provided the standards of the Board are met as set forth in this
Rule.
3. The Board's action
regarding program review shall be sent to the governing body and the Director
of the program with recommendations, if indicated.
4. The school may be visited at times other
than the regularly scheduled survey visit, if deemed necessary by the
Board.
5. Major program revisions
shall be reported to the Board for approval Major program revision shall be
defined to include, but not be limited to:
a.
Major changes in program goals,
b.
The number of hours required for successful completion of the
program,
c. Change in required
clinical practice hours.
d. Either
an increase or decrease of twenty-five percent or greater in student numbers
admitted, types of students, admission times and progression options.
G.
WITHDRAWAL OF
APPROVAL
1. The governing body and the
Director of the program shall be notified in writing if the requirements of the
statute and the standards set forth in this Rule are not fulfilled.
Deficiencies shall be specified in the written communication.
2. The program shall have thirty days from
the date of the letter to respond to deficiencies. Such response would be
reviewed by the Board and a determination made to continue approval or withdraw
approval.
3. The governing body and
the Director shall be advised that requirements must be met within a year from
the date of service of the notice of deficiencies at which time another survey
visit shall be made to confirm the corrections or remaining
deficiencies.
4. Conditional
approval shall be given for the year to allow the identified deficiencies to be
corrected.
5. Status reports
regarding progress in meeting the identified deficiencies shall be submitted to
the Board at each regularly scheduled Board meeting during the year of
conditional approval.
6. At any
time during the year, the program Director may request restoration to full
approval if the program demonstrates correction of the deficiencies. The
decision to restore full accreditation rests solely with the Board. If full
approval is not restored, the original time period for conditional approval is
still retained.
7. At any time
during conditional approval, the Board staff shall be available for
consultation with the program.
8.
All students enrolled during the conditional approval must be informed in
writing by the school that they shall not be eligible to take the licensure
examination if the program loses its approval.
9. Approval of the program shall be withdrawn
by the Board if the identified deficiencies are not corrected as confirmed on a
survey visit within the one year period.
10. The program may appeal the decision to
withdraw approval by requesting a hearing within sixty days of service of the
notice to withdraw.
11. Such a
hearing shall be heard before the Board subject to the provisions of the
Administrative Procedures Act and the Nurse and Nurse Aide Practice Act
regarding the conducting of hearings.
H.
CLOSING OF PROGRAMS
1. Programs desiring to close shall notify
the Board of such intention.
2. If
the program is closed, the controlling agency shall be responsible for the
permanent safekeeping of the student transcripts.
I.
CHANGE OF CONTROL
1. When a program changes administrative
control, the new authority shall notify the Board.
Revised: July 26, 2017