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 2200-8.100 - Educational Program
Universal Citation: 20 MO Code of State Regs 2200-8.100
Current through Register Vol. 49, No. 18, September 16, 2024
PURPOSE: This amendment aligns clinical simulation and distance education with the nursing curriculum.
(1) General Purpose.
(A) The program shall have a philosophy
and/or mission which guides the curriculum practices.
(B) The curriculum incorporates established
professional standards, guidelines, and competencies with clearly stated
objectives, graduate competencies, and program outcomes.
(C) The educational program shall provide
planned learning experiences essential to the achievement of the stated
philosophy and/or mission and graduate competencies of the program and
demonstrate logical progression.
(D) The educational program shall provide
clinical education to facilitate transition to practice as a practical nurse,
which includes clinical decision making, leadership, and management under the
supervision of a registered nurse or a physician.
(E) Clinical learning should focus on
Maternal/Newborn, Pediatric, Geriatric, and Complex Care Nursing (chronic
illness care and multiple comorbidities); although Medical-Surgical Nursing
should be included.
(F) The program
that uses clinical simulation shall adhere to model standards of best practice.
Mapping of clinical simulation experiences to course and clinical objectives as
well as graduate competencies should be documented.
(G) The plan of study may be implemented in
traditional or blended format. No more than twenty-five percent (25%) of theory
instruction shall be delivered through distance learning.
(2) Curriculum Organization and Development.
(A) The nursing faculty shall have the
authority and the responsibility to develop, implement, and evaluate the
curriculum. Student learning experiences shall be directed and evaluated by the
faculty and be consistent with the curriculum plan.
(B) There shall be a written curriculum plan
that is logically structured to achieve expected individual and aggregate
student outcomes.
(C) Curriculum
design of the program shall foster seamless academic articulation toward a
program of professional nursing.
(D) Policies for evaluation and awarding of
credit for military education, training, and service that shall be in
place.
(E) Number of credit or
clock hours required for completion of the program shall not exceed seventeen
(17) credit hours equivalent to four hundred (400) clock hours of instruction.
This shall 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.
(F) Adjustments in credit or clock hour
requirements shall be approved by the board.
(G) Total number of clock or credit hours, to
include credit transcripted for military education, training, and service,
shall not exceed clock or credit hour requirements of a comparable (generic)
program of practical nursing.
(3) Curriculum Requirements. Content may be developed as a separate course or integrated. Integrated concepts shall be evident in the course objectives.
(A) Nursing
Science. Theory and clinical instruction in nursing shall be based on the
nursing process and encompass the promotion, maintenance, and restoration of
physical and mental health and the prevention of illness for individuals and
groups throughout the life cycle. Content shall enable the student to develop
competency in each of the following areas while preparing for safe and
effective practice as a practical nurse.
(B) The following program outcomes and
competencies shall be addressed:
1. Discuss
the differences between current military healthcare role and practical
nursing;
2. Demonstrate therapeutic
communication skills and caring behaviors to clients and their families across
the lifespan;
3. Demonstrate
critical thinking skills and problem-solving to provide holistic nursing care
to clients;
4. Review types,
classifications, pharmacokinetics, and pharmacodynamics properties of selected
drugs;
5. Apply principles of safe
medication administration for childbearing, pediatric, adult, and geriatric
clients;
6. Perform data collection
techniques for childbearing, pediatric, adult, and geriatric clients;
7. Implement the established plan of care for
childbearing, pediatric, adult, and geriatric clients;
8. Apply anatomy, physiology, and
pathophysiologic concepts to the care of clients with selected health
alterations across the lifespan;
9.
Apply integrated nutritional concepts that support health promotion and disease
prevention to clients across the lifespan;
10. Describe laboratory and diagnostic
examinations utilized for selected health alterations throughout the
lifespan;
11. Identify
developmental stages and transitions for adult, child-bearing, pediatric, and
geriatric clients;
12. Demonstrate
safe techniques and competent care in providing interventions for clients
receiving intravenous therapy;
13.
Calculate medication dosages safely and accurately;
14. Practice within the regulatory, legal,
and ethical frameworks of practical nursing;
15. Demonstrate safe performance of selected
clinical skills/procedures;
16.
Communicate significant client findings and events to the registered nurse and
other members of the healthcare team;
17. Demonstrate culturally sensitive,
patient-centered care;
18. Describe
the role of the practical nurse in the management of a group of clients under
the direction of a registered nurse using time management, interpersonal
communication, delegation, and organizational skills;
19. Apply elements of technology and
information management to document and report client findings and
conditions;
20. Demonstrate safe
and competent care in providing nursing interventions for clients across the
lifespan;
21. Identify various
healthcare roles that are part of the healthcare team and differentiate the LPN
role as defined by the Missouri State Board of Nursing;
22. Identify and complete the necessary steps
of the licensure process;
23.
Demonstrate skills that will aid in obtaining a position as a licensed
practical nurse;
24. Apply
principles of lifelong learning; and
25. Demonstrate preparedness to face unique
psychosocial, spiritual, and physical stressors that healthcare professionals
may encounter while carrying out their duties.
(4) Instruction shall be provided in the following areas:
(A) Foundations/Fundamentals
of Nursing Care: Theory-four (4) credit hours (sixty (60) clock hours);
lab/clinical/simulation- one and one-half (1.5) credit hours (sixty-eight (68)
clock hours).
1. Clinical skills and
therapeutic procedures.
A. Assisting with
activities of daily living-
(I)
Feeding;
(II) Dressing;
(III) Bathing;
(IV) Positioning;
(V) Ambulating/transferring
patients;
(VI) Toileting;
and
(VII) Grooming.
2. Vital
Signs-Measurement of body temperature, pulse, respirations, and blood
pressure.
3. Pain
management.
4. Internal/external
disaster planning.
5. Handling of
hazardous and infectious materials.
6. Ergonomic principles.
7. Restraints and safety devices.
8. Admission/discharge/transfer
procedures.
9. Wound
care.
10. Oxygen therapy,
tracheostomy care.
11. Urinary
catheterization.
12. Ostomy
care.
13. Care of nasogastric and
feeding tubes.
14. Chest tube
management.
15.
Electrocardiogram/cardiac monitoring.
16. Medication administration throughout the
lifespan-
A. Medication orders;
B. Drug preparations;
C. Dosage calculations;
D. Preparation of medications;
E. Medication administration methods;
and
F. Documentation.
17. Collection of patient data-
A. Full-body assessment; and
B. Focused assessment.
18. Intravenous infusion
therapy/venipuncture.
A. Scope of the
practical nurse to include review of the-
(I)
Missouri State Board of Nursing-Nursing Practice Act;
(II) Legal implications; and
(III) Documentation.
B. Blood collection.
C. Principles of IV therapy-
(I) Routine care and maintenance;
(II) Catheter site care;
(III) Flushing with saline or heparinized
saline;
(IV) Client evaluation;
and
(V) Equipment.
D. Complications/adverse
reactions-
(I) Local;
(II) Mechanical; and
(III) Systemic.
E. Insertion of peripheral-short IV
catheters.
F. Discontinuation of
peripheral IV catheters-
(I)
Peripheral-short.
G.
Pharmacokinetics/pharmacodynamics for select IV fluids and medications-
(I) Hypo-/iso-/hypertonic
solutions;
(II) Premixed/admixture
medications; and
(III) Care of the
blood transfusion patient.
H. Dosage calculations/regulating
rates.
I. Administration of select
intravenous solutions-
(I) Un-medicated
solutions; and
(II)
Premixed/admixed medications.
J. Care and maintenance of central
line.
19. Clinical
skills/therapeutic procedures for the child-bearing. Client/family/neonate.
A. Data collection.
20. Clinical skills/therapeutic procedures
for the pediatric client.
A. Data
collection;
(B)
Medical-Surgical Nursing Through the Lifespan: Theory- four (4) credit hours
(sixty (60) clock hours); Lab/clinical/simulation- two and one-half (2.5)
credit hours (one hundred twelve (112) clock hours).
1. Holism.
A. Developmental life span
considerations.
B. Stages of growth
and development for pediatric/adult/geriatric and childbearing
patients.
C. Health promotion and
disease prevention for pediatric/adult/geriatric and childbearing
patients.
2. Safe nursing
practice.
A. Nursing care of
adult/geriatric/pediatric patients with select alterations in health, human
anatomy/physiology/pathophysiology, applicable laboratory and diagnostic
examinations, medical management, nursing process, pharmacokinetics and
pharmacodynamics of applicable medication classifications, diet and nutritional
therapy-
(I) Disorders of the cardiovascular
and peripheral vascular system;
(II) Disorders of the respiratory
system;
(III) Disorders of the
gastrointestinal system;
(IV)
Disorders of the endocrine system;
(V) Disorders of the immune system;
(VI) Disorders of the integumentary
system;
(VII) Disorders of the
hematologic and lymphatic system;
(VIII) Disorders of the reproductive
system;
(IX) Disorders of the
musculoskeletal system;
(X)
Disorders of the genitourinary system;
(XI) Disorders of the neurologic
system;
(XII) Fluid/electrolyte and
acid/base imbalances;
(XIII)
Cancer;
(XIV) Mental health
disorders-
(a) Behavior management;
(b) Crisis intervention;
(XV) Surgical patient-
(a) Preoperative;
(b) Intraoperative;
(c) Postoperative;
(C)
Maternal/Newborn Nursing Practice: theory- two (2) credit hours (thirty (30)
clock hours); lab/clinical/simulation- one (1) credit hour (forty (40) clock
hours).
1. Nursing care of the antepartum
patient and family.
2. Nursing care
of the intrapartum patient and family.
3. Nursing care of the postpartum patient and
family.
4. Nursing care of the
neonate;
(D) Personal and
vocational concepts shall exist as a discrete course in the curriculum; and
include the following content and meet credit or clock hour requirements:
Theory- two (2) credit hours (thirty (30) clock hours).
1. Critical thinking.
A. Nursing process-
(I) Data collection (assessment)-
(a) Components of a health history;
(b) Full versus focused assessment;
(II) Diagnosis;
(III) Planning;
(IV) Implementation;
(V) Evaluation.
B. Documentation-
(I) Electronic health records.
C. Therapeutic communication-
(I) Caring for the pediatric/adult/geriatric
and childbearing patient.
2. Role development.
A. Collaboration within the healthcare team-
(I) Communication;
(II) Conflict resolution;
(III) Delegation;
(IV) Role in patient education, discharge
planning, and patient involvement;
(V) Inter-professional patient
care;
(VI) Continuous quality
improvement.
B. Scope of
practice-
(I) Nursing history and
trends;
(II) Role
transition;
(III) Standards of
practice for the PN, RN;
(IV) State
Nurse Practice Act;
(V) Agency
specific guidelines.
C.
Legal and ethical considerations in patient care.
D. Licensure process-
(I) National Council Licensure
Examination;
(II) State Board of
Nursing.
E. Transition
into employment/further education-
(I)
Professional appearance;
(II)
Professional communication;
(III)
Resumes;
(IV) Interview
skills;
(V) Leadership and
management-
(a) Concepts of
delegation;
(b) Prioritization of
care;
(VI) Life-long
learning.
3.
Holism.
A. Religious and spiritual
considerations.
B. Cultural
considerations;
(E) External nursing examinations, if used,
shall not be used solely for program progression or
graduation.
(5) Syllabus Construction. Syllabi shall be current and available to all faculty, students, and cooperating agencies. Each syllabus shall include:
(A) Course title, current date and year the
course is offered, and required pre-requisites;
(B) Course description;
(C) Course objectives;
(D) Teaching or learning
strategies;
(E) Evaluation
methodologies;
(F) Grading
scale;
(G) Course policies;
and
(H) Clock hour requirements
related to theory, lab, and clinical instruction. Each syllabus should reflect
credit hour requirements for theory, lab, and clinical instruction, if
used.
(6) Distance Education Measures and Opportunities.
(A)
Veteran's Bridge programs and courses to practical nursing in part through
distance education technologies shall meet the same academic program and
learning standards as programs provided in face-to-face format, to include the
following:
1. Budgetary support specific to
distant learning resources;
2.
Course management/delivery platform(s) that are reliable and navigable for
students and faculty including measures to ensure exam security shall be in
place;
3. Sufficient technical
support to assist students and faculty to consistently meet program outcomes
including communication of available technical support should be provided to
students;
4. Learning and
technology resources, to include library resources, that are selected with
input of the nursing faculty and are comprehensive, current, and accessible to
students and faculty;
5. Student
outcomes consistent with stated mission, goals, and objectives of the
program;
6. Collaborative and
interactive learning activities that assist students in achieving course
objectives;
7. Planned,
faculty-guided clinical learning experiences that involve direct contact with
patients;
8. Learning opportunities
that facilitate development of students' clinical competence and judgment, role
socialization, and transition to nursing practice;
9. Evaluation of student outcomes at set
intervals;
10. Tracking of student
retention and completion rates;
11.
Faculty and student input into the evaluation process; and
12. Evidence that outcome data are
consistently utilized to plan and improve distance learning.
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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