Missouri Code of State Regulations
Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE
Division 2200 - State Board of Nursing
Chapter 8 - Minimum Standards for Approved Veteran's Bridge Programs of Practical Nursing
Section 20 CSR 2200-8.010 - Approval
Universal Citation: 20 MO Code of State Regs 2200-8.010
Current through Register Vol. 49, No. 18, September 16, 2024
PURPOSE: This amendment changes the submission deadlines.
(1) Veteran's Bridge Programs of Practical Nursing shall obtain approval from the board. An established program of practical nursing on full approval by the board may propose the Veteran's Bridge Program of Practical Nursing as a program expansion, pilot program, or LPN refresher course.
(2) Purposes of Approval-
(A) To promote the safe practice of practical
nursing by setting minimum standards for programs preparing entry-level
practical nurses;
(B) To assure
that educational requirements for admission to the licensure examination have
been met and to facilitate endorsement in other states, territories, countries,
or any combination of these;
(C) To
provide a facilitated pathway for qualifying military service members to gain
academic credentialing necessary to apply for Missouri licensure as an
intravenous therapy (IV) certified practical nurse;
(D) To provide a course of study that can be
utilized as an LPN refresher course;
(E) To encourage continuing program
improvement through assessment, evaluation, and consultation; and
(F) To assist Veteran's Bridge Programs of
Practical Nursing in developing and maintaining academic standards (theory and
clinical) that are congruent with current educational and nursing practice
standards.
(3) Classification of Approval.
(A) Initial
approval is the status granted a nursing program until full approval is granted
or approval is withdrawn.
(B) Full
approval is the status granted a nursing program after the program has met and
continues to meet regulations or requirements.
(C) Conditional approval is the status of a
program that has failed to meet or maintain the regulations or requirements set
by the board.
(4) Initial Approval Status.
(A) Process for Obtaining
Initial Approval-
1. An accredited
institution of education desiring to establish a Veteran's Bridge Program of
Practical Nursing shall submit a proposal to the board;
2. Prior to submission of a proposal, nursing
programs operating under the institution's sponsorship shall meet requirements
for full program approval;
3. A
program proposal shall be written and presented to the board by the
administrator of the proposed Veteran's Bridge Program of Practical Nursing.
The proposal shall comply with the Minimum Standards for Veteran's Bridge
Programs of Practical Nursing as prescribed in
20 CSR
2200-8.050 through
20 CSR
2200-8.130 and bear the signature of the administrator
who meets the criteria in
20 CSR
2200-8.060(1)(B) and has been active
in the position on a full-time basis for at least nine (9) months prior to the
entry of the first class;
4.
Application fees for establishment of Veteran's Bridge Programs of Practical
Nursing shall be waived. The proposal shall remain active for no more than one
(1) calendar year from the date of receipt at the board office. Members
designated by the board will review the proposal and make recommendations to
the board. Board approval of the proposal shall be obtained no later than three
(3) months prior to the anticipated opening date;
5. An established program of practical nursing on full
approval by the board may propose the Veteran's Bridge Program of Practical
Nursing as a program expansion, pilot program, or LPN refresher course. The
program expansion, pilot program, or LPN refresher course may be implemented
upon approval by the board. The board's approval may be granted contingent on a
site visit. If required by the board, the site visit shall be completed prior
to program start;
6. Each
sponsoring institution shall have only one (1) program proposal under
consideration for initial approval at any one time;
7. The proposal shall include:
A. Name and location of the sponsoring
institution and its accreditation status;
B. Evidence of institutional accreditation by
an agency recognized by the United States Department of Education;
C. Evidence of authorization to conduct the
Veteran's Bridge Program of Practical Nursing by the governing body of the
sponsoring institution;
D. Mission
statement of the sponsoring institution and philosophy and/or mission
statements of the proposed program;
E. Current organizational chart(s) illustrating the
relationship of the program to the sponsoring institution and the faculty
structure within the proposed program;
F. Proposed location (and satellites) in relation to
the administrative office of the sponsoring institution;
G. Evidence of financial stability and resources of
the sponsoring institution and the proposed program, to include a
sustainability plan for the purchase, replacement, and maintenance of skills
lab supplies, furnishings, and equipment to meet program outcomes;
H. Curriculum plan and sequence and graduate
competencies; recommended plan of study as outlined in
20 CSR
2200-8.100;
I. Course descriptions and objectives;
J. Policies for evaluation and awarding of
credit for military courses that shall be accepted as a significant portion of
the practical nurse program;
K.
Availability and accessibility of student services, to include evidence of
support staff with expertise in evaluation of military transcripts;
L. Number of credit or clock hours for all
courses required for completion of the Veteran's Bridge Program of Practical
Nursing. Credit or clock hour allocations specific to theory, lab, and clinical
portions shall be included. The plan of study shall require no more than
seventeen (17) credit hours equivalent to four hundred (400) clock hours of
instruction, to include no more than twelve (12) credit hours (one hundred
eighty (180) clock hours) of theory and five (5) credit hours (two hundred
twenty (220) clock hours) of lab/clinical/simulation instruction. Credit or
clock hour requirements may be adjusted according to the individual program and
local population needs. Proposed adjustments in credit or clock hours should be
clearly indicated in the proposal. Detailed justification for variation in
credit or clock hour allocations shall be included;
M. Proposed final transcript for the nursing program;
total number of clock or credit hours shall not exceed the number of clock or
credit hours required for a similar (generic) program of practical
nursing;
N. Maximum number of
students per class;
O. Number of
classes admitted per year;
P.
Number of students anticipated in initial class;
Q. Plan for increase to maximum enrollment, if
applicable;
R. Admission and
readmission criteria; any person who completed military health care training to
include, but not limited to, Basic Medical Technician Corpsman (Navy and Air
Force), Air Force Independent Duty Medical Technician, or Army Health Care
Specialist may be eligible to enroll in this Veteran's Bridge Course. The
course may also be offered as an LPN refresher course;
S. Plans for progression and retention of
students;
T. Appeal policies and
procedures;
U. Systematic
evaluation plan;
V. Evidence of
eligibility for articulation of credits related to completion of a program of
professional nursing;
W. Plan for
hiring full-time and part-time theory and clinical faculty. This shall include
full-time equivalents, student to faculty ratios, and full-time to part-time
faculty ratios to meet initial and increasing enrollment;
X. Position descriptions for the program
administrator, nursing faculty, and support staff;
Y. Facilities.
(I)
Description of educational facilities to be used by the proposed program such
as classrooms, library, offices, clinical skills and simulation laboratories,
and other facilities.
(II)
Description of planned or available learning resources to include such items as
equipment, supplies, library services, computers, simulation technology, and
online educational resources to be utilized for instructional
purposes;
8.
The board will electronically notify existing nursing programs approved by this
board that a proposal for establishment of a new nursing program is under
review;
9. Site survey.
Representatives from the board will make an on-site survey to verify
implementation of the proposal and compliance with
20 CSR
2200-8.050 through
20 CSR
2200-8.130; and
10. The board's decision to grant initial approval is
contingent upon evidence from the site survey that the program is being
implemented in compliance with
20 CSR
2200-8.050 through
20 CSR
2200-8.130.
(B) Initial program approval contingent on
the site survey will remain active for no more than one (1) calendar year prior
to program start.
(C) Throughout
the period of initial approval, the program shall submit an annual report and
annual registration. Annual registration fees shall be waived.
(D) Upon graduation of the program's first
class and receipt of results of the first official National Council Licensure
Examination for Practical Nurses (NCLEX-PN®
examination) program pass rate, as reported after completion of the fourth
quarter of the respective calendar year, the board will review the following:
1. The program's compliance with minimum
standards during initial approval including the program's adherence to the
approved proposal and changes authorized by the board;
2. Report of an on-site survey;
3. Report of the National Council Licensure
Examination for Practical Nurses results (as per
20 CSR
2200-8.180(1));
4. Identification and analysis of class
graduation rate; and
5. Submission
of program's ongoing systematic evaluation plan with available
data.
(E) After its
review, the board shall decide to continue initial approval for a specific
period of time determined by the board, withdraw approval, or grant full
approval.
(F) On-Site Surveys. At
least two (2) representatives of the board will make on-site surveys on a
regular basis throughout the initial approval period. A program may request
additional visits. Programs retained on initial approval status will have
on-site surveys on an annual basis and as directed by the board.
(G) A program's approval may be withdrawn
pursuant to section 335.071.3., RSMo, for
noncompliance with minimum standards. A program which fails to correct
identified deficiencies to the satisfaction of the board shall, after notice
and hearing, be removed from the board's listing of approved
programs.
(5) Full Approval Status.
(A) Annual Report. Each
program and each campus of each program shall complete and submit the board's
annual report by the established deadline. Following review by the board, each
program will be notified of the board's action(s).
(B) A program's approval status is subject to
review by the board if the required annual report, annual registration, or
annual registration fee is not received by the established deadline.
(C) On-Site Surveys. On-site surveys will be
made on a scheduled basis, at the direction of the board, or upon request of
the nursing program. Each program will be surveyed typically at five- (5-) year
intervals. If the program is accredited by a national nursing accreditation
agency, the program may request that the on-site survey be scheduled in
coordination with a national nursing accreditation agency visit.
Representatives of the board will form a survey team to conduct each on-site
survey. Each survey team is to consist of two (2) or more persons qualified to
conduct on-site surveys. The program shall solicit public comments in
preparation for each routine on-site survey. Evidence of solicitation of public
comments shall be available for review during the on-site survey.
(6) Conditional Approval Status.
(A) Should circumstances warrant, the board
will notify the program administrator of concerns regarding the program and the
administrator will be requested to respond to those concerns.
(B) A program may be placed on conditional
approval status if it has failed to meet or maintain the rules/regulations or
requirements, or both, set by the board. The program will remain on conditional
approval status until such time as the deficiencies are corrected to the
satisfaction of the board.
(C)
On-Site Surveys. At least two (2) representatives of the board will make
on-site surveys. On-site surveys are conducted on a regular basis throughout
the conditional approval period as directed by the board. A program may request
additional visits.
(D) Throughout
the period of conditional approval, the program shall submit an annual report,
an annual registration, and the annual registration fee as set by the
board.
(E) A program's approval
may be withdrawn pursuant to section
335.071.3., RSMo, for
noncompliance with minimum standards. A program which fails to correct
identified deficiencies to the satisfaction of the board shall, after notice
and hearing, be removed from the board's listing of approved
programs.
(7) Moratorium on Student Admissions.
(A) Should
circumstances be such that instructional quality and integrity for the program
is jeopardized as determined by the board, the board may impose a moratorium on
student admissions. A moratorium on student admissions may be imposed by the
board during initial, full, and conditional approval status of the program. The
moratorium may be lifted by the board upon proof submitted to the board that
the program has cured any deficiencies in the instructional quality and
integrity of the program.
(8) Annual Registration Requirements.
(A) The board will send an application for
annual registration to each approved program. Failure to receive the annual
registration form does not relieve the program of its obligation to register.
(B) A separate annual registration
form and designated fee as established in
20 CSR
2200-4.010(1)(F) shall be submitted
to the board for each approved program prior to June 1 of each year. Satellite
locations do not qualify as a campus of an approved program.
(C) A program's approval status is subject to
review by the board if the required registration fee is not received by the
June 1 deadline.
Disclaimer: These regulations may not be the most recent version. Missouri may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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