New Mexico Administrative Code
Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING
Chapter 12 - NURSING AND HEALTH CARE RELATED PROVIDERS
Part 3 - NURSING EDUCATIONAL PROGRAMS
Section 16.12.3.8 - TYPES OF APPROVAL
Universal Citation: 16 NM Admin Code 16.12.3.8
Current through Register Vol. 35, No. 18, September 24, 2024
A. Initial approval:
(1) Initial approval shall be
granted as outlined in numbers 16.12.3.11 NMAC "requirements for the
establishment of new programs and 16.12.3.12 NMAC "minimum standards for
nursing programs" of these rules. Initial approval is valid from the time
granted through the graduation of the first nursing class.
(2) The program shall have initial approval
prior to recruiting and enrolling students into the nursing program.
(3) Immediately preceding graduation of the
first nursing class, an approval site visit shall be made by representatives of
the board to determine compliance with "minimum standards for nursing programs"
and for consideration of continued approval.
B. Initial approval with warning:
(1) When a program fails to meet the minimum
standard requirements with the initial graduating class then initial approval
with warning will be granted.
(2)
The program must correct all the identified deficiencies of the minimum
standards not met.
(3) Initial
approval with warning shall not exceed two years.
(4) When a program fails to meet the minimum
standards for nursing programs within two years, the program will be placed in
conditional approval.
C. Full approval:
(1) Full approval status shall
be granted after the board verifies that the "minimum standards for nursing
programs" have been met.
(2) Full
approval for a continuing period not to exceed ten years, shall be granted to
nursing education programs if, in the opinion of the board, the program
continues to demonstrate compliance with minimum standards for nursing
programs.
(3) National nursing
accreditation.
(a) All currently board
approved nursing programs shall achieve national nursing accreditation by
January 1, 2018.
(b) New programs
shall be required to achieve national nursing accreditation by two years after
the graduation of the first cohort.
(c) Programs which have received
accreditation from a board-recognized national nursing accreditation agency
shall file evidence of initial accreditation with the board, and thereafter
shall file notice of any change in program accreditation status and report from
accrediting agency's board of review; the board shall grant approval based upon
evidence of such accreditation.
(d)
Programs holding approval based upon national accreditation are also
responsible for complying with "minimum standards for nursing
programs".
(e) Full approval for a
continuing period not to exceed 10 years, shall be granted to nursing programs
with full national nursing accreditation.
(f) Programs that do not meet or maintain
this requirement will be placed on full approval with warning.
(4) Ongoing approval status is
assessed annually by the board and is based on information reported or provided
in the program's annual report, NCLEX exam pass rates, and information related
to the minimum standards.
(a) An annual report
which includes information regarding compliance with 16.12.3.12 NMAC minimum
standards for nursing programs shall be submitted to the board by the nursing
education program.
(b) The annual
NCLEX pass rate for each nursing education program is determined by the
percentage of first-time test takers who have graduated within three years and
who pass the examination during the exam year, from January
1st through December 31st
of the calendar year.
(i) Eighty percent of
the first-time NCLEX candidates are required to achieve a passing score on the
NCLEX examination during the exam year.
(ii) A program must submit corrections to any
errors on the candidates reports within 90 days of the receipt of a report from
the agency.
(iii) When a program
fails to maintain a passing rate of eighty percent of first-time candidates for
one year, the program will receive notification from the board of
nursing.
(iv) The program is
required to submit a self-study report with corrective action to the board of
nursing by June 1st of the calendar year.
(v) When a program fails to maintain a
passing rate of eighty percent of first-time candidates for two consecutive
calendar years the nursing education program will be granted full approval with
warning.
(c) A nursing
program affiliated with a public higher education institution whose high risk
student population to number of students enrolled by headcount is greater than
fifty percent may request full approval with a seventy-five percent first-time
NCLEX pass rate. The high risk student percentage will be calculated based on
the definitions and numbers of the most recent fiscal year reported to the
department of finance and administration.
D. Full approval with warning:
(1) the program must correct all the
identified deficiencies of the minimum standards not met;
(2) nursing programs shall provide a
corrective action plan (CAP);
(3)
full approval with warning shall not exceed two years;
(4) any other discretion or conditions deemed
necessary by the board may be imposed;
(5) a nursing program with full approval with
warning status shall not expand their respective programs or increase student
admissions.
E. Conditional approval:
(1) The nursing
education program shall be placed on conditional approval not to exceed two
years when there is evidence of substantial non-compliance with the "minimum
standards for nursing programs" as specified in these rules.
(2) When on conditional approval status, the
nursing program shall cease admissions.
(3) The following situations are cause for
review or a site visit by the board to determine if the minimum standards for
nursing programs are being met:
(a) complaints
relating to violations of the "minimum standards for nursing
programs";
(b) denial, withdrawal
or change of program accreditation status by a board-recognized national
nursing accreditation agency or general academic accreditation
agency;
(c) failure to obtain board
approval of changes that require approval of the board under "program
changes";
(d) providing false or
misleading information to students or the public concerning the nursing
program;
(e) violation of the rules
16.12.3 NMAC;
(f) continuous
disruptions in retaining a qualified director or faculty, resulting in
disorganization and breakdown of supervision and teaching of
students;
(g) non-compliance with
the program's stated philosophy, objectives, policies, and curriculum resulting
in unsatisfactory faculty/student achievement;
(h) failure to provide clinical experiences
necessary to meet the objectives of the nursing program;
(i) less than a passing rate of eighty
percent of first time writers of the national licensing examination for more
than three consecutive calendar years or is on full approval with warning for
two years and has not met the "minimum standards of a nursing programs"
including maintaining an adequate pass rate;
(4) Conditional approval is not renewable.
Failure to correct deficiencies within the designated time period will result
in withdrawal of approval and involuntary closure of the program by the board.
Full approval status shall be granted after the board verifies through a site
visit that correction of deficiencies have occurred within the designated time
period.
(5) The board may deny
approval or withdraw approval of a nursing education program that does not meet
the "minimum standards for nursing programs."
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