Current through Register Vol. 51, No. 3, September 1, 2024
NECESSITY, FUNCTION, AND CONFORMITY:
KRS
314.131(2) and
314.073(3)
require the Board of Nursing to promulgate administrative regulations
establishing requirements for continuing competency and approval of providers
of continuing education. This administrative regulation establishes
requirements for providers of continuing education.
Section 1. Definition. "Continuing education
activity" means an offering given by a provider of continuing education who has
been approved or accepted by the board and that relates to the practice of
nursing or contributes to the competency of a nurse extending knowledge beyond
that obtained in initial nursing preparation or pertinent to specific work
requirements.
Section 2.
(1) A provider of continuing education
applicant who wants approval by the board to offer a continuing education
activity shall submit an:
(a) Application for
Continuing Education Provider Approval; and
(b) Application fee as established in
201 KAR
20:240.
(2) If an application is approved, the board
shall issue a provider number to the applicant.
(3) On or before September 30 of the year in
which an approval period expires, an approved provider shall submit the:
(a) Application for Continuing Education
Provider Renewal; and
(b) Fee as
established in
201 KAR
20:240.
(4) Renewal shall be for two (2)
years.
(5)
(a) A continuing education activity that is
given by a continuing education provider that has received approval by one (1)
of the following organizations shall be accepted by the board:
1. American Association of Nurse
Practitioners;
2. American
Association of Critical Care Nurses;
3. American Association of Nurse
Anesthetists;
4. American College
of Nurse Midwives;
5. American
Nurses Credentialing Center;
6.
Association of Women's Health, Obstetric and Neonatal Nurses;
7. Nurse Practitioners in Women's
Health;
8. National Association of
Pediatric Nurse Practitioners;
9.
National Association for Practical Nurses Education and Service;
10. National Association of Licensed
Practical Nurses;
11. National
League for Nursing; or
12. State
Boards of Nursing.
(b)
Paragraph (a) of this subsection shall include a provider that offers a
continuing education activity related to the pharmacology requirement in
201 KAR
20:215.
(6)
(a) An
organization that approves nursing continuing education may request that it be
added to this administrative regulation.
(b) An organization shall be included in this
administrative regulation if its standards are comparable to the standards
established by the provisions of this administrative
regulation.
Section
3.
(1) The board may review a
provider's continuing education activities or approval status at any
time.
(2) Except as provided in
subsection (3) of this section, if after a review of a provider it is
determined that the provider does not comply with this administrative
regulation, the board shall send the provider notice of its intent to deny or
limit the provider's approval status.
(3) If after a review of a continuing
education activity it is determined that the activity does not comply with this
administrative regulation, the board shall send the provider notice of its
intent to deny approval status for subsequent offerings of that specific
continuing education activity.
(4)
(a) A request for a hearing before the board
shall be filed within ten (10) days of receipt of the board's notice.
(b) If a provider fails to submit a request
for a hearing within the time established in paragraph (a) of this subsection,
the board shall implement the action proposed in its
notice.
Section
4. Providers shall comply with the standards in this section.
(1)
(a) A
registered nurse who meets the qualifications established in paragraph (b) of
this subsection shall be administratively responsible for continuing education
activities, including:
1. Planning;
2. Development;
3. Implementation; and
4. Evaluation.
(b) A nurse administrator shall:
1. Hold a current license or privilege to
practice;
2. Have experience in
adult education; and
3. Hold a
baccalaureate or higher degree, in nursing.
(c) The provider may designate an alternate
nurse administrator who shall meet the requirements established in paragraph
(b) of this subsection.
(2) Organized learning activities shall be
based upon a reasonable justification supporting the need for the continuing
education that:
(a) Enhances the quality,
safety, and effectiveness of care provided by nurses; and
(b) Contributes directly to the competence of
a nurse.
(3) The content
of nursing continuing education shall be designed to:
(a) Present current theoretical knowledge to
enhance and expand nursing skills; and
(b) Promote competence in decision
making.
(4) Outcomes for
continuing education activities shall be:
(a)
Related to nursing practice and interventions;
(b) Stated in clearly defined expected
learner outcomes; and
(c)
Consistent with evidence of a need for the continuing education
activity.
(5) The
continuing education activity shall reflect planning among the nurse
administrator, faculty, and content experts.
(6)
(a) The
content for each educational activity shall be documented in provider files and
shall include the following:
1. The
presentation schedule;
2. The name
and credentials of the presenter and the topic to be covered;
3. Times for meals and breaks, if
applicable;
4. Teaching methods,
with corresponding time frames, for each content area; and
5. Learner outcomes.
(b)
1. The
content shall be relevant to and consistent with the learner
outcomes.
2. The learner outcomes
shall provide statements of observable behaviors that present a clear
description of the competencies to be achieved by the learner.
(7) Teaching methods
shall be consistent with the content and learning outcomes and objectives, and
shall reflect the use of adult learning principles. Activities of both the
teacher and the learner shall be specified.
(8) Faculty for continuing education
activities shall have:
(a) Documented
expertise in the subject matter; and
(b) Experience in presenting to adult
learners.
(9) The name,
title and credentials identifying the educational and professional
qualifications for each faculty member shall be retained in the provider
offering files.
(10) Resources
allocated for the continuing education activity shall be adequate in terms of
education unit organization, with fiscal support for adequate staff,
facilities, equipment, and supplies to ensure quality teaching and learning in
a comfortable environment that is accessible to the target audience.
(11) Participants shall be provided with
essential information for review prior to registration. This information shall
include:
(a) Learner outcomes;
(b) Content overview;
(c) Date, time, and presentation
schedule;
(d) Presenter;
(e) Number of contact hours;
(f) Fee and refund policy;
(g) Target audience and any prerequisites;
and
(h) Requirements for successful
completion that shall be clearly specified and shall include a statement of
policy regarding candidates who fail to successfully complete the continuing
education activity.
(12)
Published information about continuing education activities offered by
providers approved by the board shall include the provider number.
(13)
(a) A
provider shall notify the board in writing within thirty (30) days of any
changes in its administration, such as nurse administrator, mailing address, or
telephone number.
(b) Information
relevant to the qualifications of the new nurse administrator as established in
subsection (1)(b) of this section shall be sent to the board.
(c) If a qualified nurse is not available to
serve in the capacity of the administrator, the provider shall not offer any
continuing education activity until a qualified nurse administrator is
appointed.
(14) A
provider shall designate and publish the number of hours of any portion of an
offering dedicated to the pharmacology requirement of
201 KAR 20:215.
(15) Records of continuing education
activities shall be maintained for a period of five (5) years, including the
following:
(a) Title, date, and format of the
activity;
(b) Name of the person
responsible for coordinating and implementing the activity;
(c) Purpose, documentation of planning,
learner outcomes, faculty, teaching, and evaluation methods;
(d) Method of verification of participant
attendance;
(e) Participant roster
including the participant's name, license number, and signature or similar
electronic verification;
(f)
Summary of participant evaluations;
(g) Number of continuing education contact
hours awarded:
1. Contact hours shall be
calculated by taking the total number of minutes that the participants will be
engaged in the learning activities, excluding breaks, and divide by fifty (50);
and
2. Partial hours shall be
permissible;
(h) Master
copy of certificate of completion awarded; and
(i) Identification of required instructional
materials and references.
(16) Participants shall receive a certificate
of completion that documents participation with the following information:
(a) Name of participant;
(b) Offering title, date, and the format of
presentation;
(c) The provider's
name, address, telephone number, approval number, and expiration date of the
providership;
(d) Name and
signature of authorized provider representative; and
(e) Number of continuing education contact
hours awarded.
(17) There
shall be a clearly defined method for evaluating the continuing education
activity, which shall include:
(a) An
evaluation tool that includes participant appraisal of achievement of each
outcome, teaching effectiveness of each presenter, relevance of content to
expected outcomes, effectiveness of teaching methods, and appropriateness of
the format of presentation; and
(b)
A mechanism for periodic, systematic evaluation of the provider's total program
of educational activities.
(18) There shall be a summary of the
participants' evaluations for each continuing education activity with an action
plan with time lines for resolution of identified deficiencies.
(19) The provider shall have current policies
and procedures for the management of the providership that demonstrate
compliance with the required standards.
(20) For an offering that includes clinical
practice, the instructor-student ratio for the clinical experience shall not
exceed one (1) to ten (10).
(21)
The following constitute in-service education and shall not be considered as a
continuing education activity for purposes of this administrative regulation:
(a) An activity that is part of an employing
agency's staff development program designed to provide information related to
the work setting;
(b) On the job
training;
(c)
Orientation;
(d) Basic
cardiopulmonary resuscitation; and
(e) Equipment demonstration.
Section 5.
(1) The following material is incorporated by
reference:
(a) "Application for Continuing
Education Provider Approval", 10/2023; and
(b) "Application for Continuing Education
Provider Renewal", 10/2023.
(2) This material may be inspected, copied,
or obtained, subject to applicable copyright law, at the Kentucky Board of
Nursing, 312 Whittington Parkway, Suite 300, Louisville, Kentucky 40222, Monday
through Friday, 8 a.m. to 4:30 p.m. This material is also available on the
board's Web site at
https://kbn.ky.gov/document-library/Pages/default.aspx.