††††† RELATES TO: KRS 314.011, 314.111, 314.131
††††† STATUTORY AUTHORITY: KRS 314.111(3), 314.131(1), (2)
††††† NECESSITY, FUNCTION, AND CONFORMITY: KRS 314.111(3) and 314.131(2) require the board to promulgate administrative regulations to set standards for the establishment and outcomes of nursing programs, to approve schools of nursing preparing persons for advanced practice registered nurse (APRN) licensure, and to monitor standards for APRN competency under KRS Chapter 314. KRS 314.131(1) authorizes the board to promulgate administrative regulations to implement KRS Chapter 314. This administrative regulation establishes APRN programs of nursing standards.
††††† Section 1. Definitions. (1) "APRN program coordinator" means that individual who is responsible for the oversight of the educational unit and is licensed as an APRN in the designated role and in the same population focus as the program.
††††† (2) "APRN program of nursing" means the educational unit that prepares a person for practice and licensure as an advanced practice registered nurse.
††††† (3) "Chief nursing academic officer" means the registered nurse who has academic and administrative authority for the overall nursing program.
††††† (4) "National nursing accrediting body" means the Accreditation Commission for Education in Nursing (ACEN), the Commission for Collegiate Nursing Education (CCNE), the Commission on Nursing Education Accreditation (CNEA), the Council on Accreditation of Nurse Anesthesia Educational Programs (COA), or the Accreditation Commission on Midwifery Education (ACME).
††††† (5) "Preceptor" means an advanced practice registered nurse, a physician, or a physician assistant who meets the standards established in Section 4 of this administrative regulation.
††††† Section 2. Establishing a New APRN Program of Nursing. (1) An institution may receive consultation from the board prior to establishing an APRN program of nursing.
††††† (2) An institution that desires to establish and conduct an APRN program of nursing shall be accredited as outlined in 201 KAR 20:260, Section 2(1)(a).
††††† (3) An institution shall submit information in the form of a letter of intent to establish an APRN program of nursing along with the fee required by 201 KAR 20:240, Section 1(2)(q).
††††† (4) When the information is submitted to the board, the institution shall begin the application process with a national nursing accrediting body and the Council on Postsecondary Education, if applicable.
††††† (5) The information shall be submitted to the board at least one (1) year prior to the first intended admission of students.
††††† (6) The information shall be completed under the direction of the registered nurse who shall serve as the chief nursing academic officer or the APRN program coordinator.
††††† (7) The information shall include:
††††† (a) General information about the governing institution including the:
††††† 1. Mission;
††††† 2. Ownership;
††††† 3. Accreditation;
††††† 4. Enrollment;
††††† 5. Area served; and
††††† 6. Resources that are sufficient to support defined outcomes and goals;
††††† (b) A description and rationale for the APRN role and population foci program which includes the certificate or degree to be awarded;
††††† (c) Approval from the governing body of the institution proposing the APRN program of nursing or other empowered approval bodies as applicable;
††††† (d) Results of a needs assessment, including availability of an adequate number of potential students and employment opportunities for program graduates;
††††† (e) Evidence of support from the community of interest;
††††† (f) A description of physical or virtual resources adequate to meet the needs of the faculty and students; and
††††† (g) Evidence of a sound financial base and demonstrated financial stability available for planning, implementing, and maintaining the proposed program of nursing.
††††† (8) If the information in the form of a letter of intent is approved by the board, the governing institution shall be notified in writing that it may move to the proposal phase. The proposal shall be submitted within one (1) year of the date of the approval of the information or it shall expire.
††††† (9)(a) A completed program proposal shall be submitted to the board by the governing institution for approval at least one (1) year prior to the first intended admission of students.
††††† (b) The program proposal shall include:
††††† 1. An organizational chart of the governing institution and a written plan which describes the organization of the program of nursing and its relationship to the governing institution;
††††† 2. A designation of the current or desired national nursing accrediting body to be used for the accreditation of the program;
††††† 3. A copy of the curriculum vitae of the APRN identified as the APRN program coordinator;
††††† 4. A timeline for the admission of students, projected graduation of the first class, and any plans for expansion;
††††† 5. The philosophy of the APRN program and program outcomes for graduates;
††††† 6. Curriculum design for each identified track to include:
††††† a. Proposed course sequence;
††††† b. Description of courses;
††††† c. Credit hours delineating those credits assigned to theory and practice; and
††††† d. The total number of clinical hours designated for each track or population foci;
††††† 7. A five (5) year plan for securing clinical sites and preceptors sufficient to accommodate the number of students;
††††† 8. A five (5) year plan for recruiting and retaining qualified nurse faculty; and
††††† 9. Recruitment plan and five (5) year projection for student enrollment and policies and procedures for student selection and progression.
††††† (10) The program shall not be announced or advertised, nor students admitted until the proposal has been approved and developmental status has been granted by the board.
††††† (11) Developmental status shall be the designation granted to an APRN program of nursing that has met all the requirements of this administrative regulation including evidence that it has applied for accreditation from a national nursing accrediting body. Developmental status shall be for no more than a two (2) year period of time pending review and accreditation by a national nursing accrediting body.
††††† (12) When developmental status has been granted by the board, the program may proceed with implementation including the admission of students. It shall be the responsibility of the chief nursing academic officer to notify the board of the admission and graduation of the first class.
††††† (13) Developmental status of an APRN program shall expire if a class of students is not admitted within two (2) years of receiving developmental status.
††††† (14) All formal communication between the APRN program of nursing and the national nursing accrediting body shall be forwarded to the board by the APRN program coordinator within thirty (30) days of receipt by the program.
††††† (15) The APRN program coordinator shall notify the board within thirty (30) days of any change in accreditation status.
††††† (16) The APRN program coordinator shall notify the board of pending site visits by the national nursing accrediting body and shall provide to the board copies of any formal communication submitted to the national nursing accrediting body within thirty (30) days of submission.
††††† (17) The decision to grant program approval by the board shall be based on review of the following:
††††† (a) Achievement and continued approval by a national nursing accrediting body; and
††††† (b) Reports of site visits conducted by a board representative to evaluate program compliance with administrative regulations.
††††† (18) The board may grant program approval for a period of time not to exceed the approval period of the national nursing accrediting body.
††††† Section 3. Compliance with National Nursing Accrediting Body Standards. An APRN program shall comply with the standards of its national nursing accrediting body.
††††† Section 4. Preceptor Standards. In addition to the standards of the national nursing accrediting body, the APRN program shall comply with the preceptor standards established in this section. (1) The APRN program shall secure all necessary preceptors to students enrolled in the program. A student shall not be required to obtain their own preceptor, but may have input into the process.
††††† (2) During the studentís enrollment in the program, the student shall have some clinical experience with a preceptor who is an APRN with the same role and population focus for which the student is preparing.
††††† (3) The preceptor who is an APRN shall have at least one (1) year of clinical experience in the role and population focus for which the student is preparing.
††††† (4)(a) A physician or a physician assistant (PA) may serve as a preceptor.
††††† (b) The physician or PA who serves as a preceptor shall have at least one (1) year of clinical experience and shall practice in the same or similar population focus for which the student is preparing.
††††† (5) A preceptor shall not precept more than two (2) students at a time.
††††† (6) The APRN program shall have a written plan for orienting and evaluating a preceptor.
††††† (7) This section shall become effective on January 1, 2016.
††††† Section 5. Ongoing Approval. (1)(a) The chief nursing academic officer shall notify the board within thirty (30) days of any change in the APRN program coordinator.
††††† (b) Approved APRN programs of nursing accredited by a national nursing accrediting body may be subject to a site visit at intervals associated with their national nursing accreditation.
††††† (2) The board requires continuous accreditation by a national nursing accrediting body.
††††† (3) The board may perform a site visit of a program on an announced or unannounced basis.
††††† (4) Factors that may indicate the need for a site visit and that jeopardize program approval status shall include:
††††† (a) Reported deficiencies in compliance with this administrative regulation;
††††† (b) Noncompliance with the governing institution or program of nursingís stated philosophy, mission, program design, objectives, outcomes, or policies;
††††† (c) Ongoing failure to submit records or reports to the board within the designated time frame;
††††† (d) Failure to provide sufficient clinical learning opportunities including securing preceptors for students to achieve stated outcomes;
††††† (e) Failure to comply with requirements of the board or to respond to recommendations of the board within the specified time;
††††† (f) Failure to submit communication from the accrediting agencies within the time frames identified in Section 2 of this administrative regulation;
††††† (g) Withdrawal of accreditation of either the program of nursing, college, or university by a national or regional accrediting body, or if accredited for less than the maximum accreditation period;
††††† (h) Failure to obtain approval of a change that requires board approval prior to implementation;
††††† (i) Providing false or misleading information to students or the public concerning the program of nursing; or
††††† (j) A change in the ownership or organizational restructuring of the governing institution.
††††† (5) If the APRN program of nursing achieves reaccreditation, it shall submit documentation from the national nursing accrediting body to the board for action. If the board finds that all requirements have been met, the program shall continue to be eligible for approval.
††††† (6) Action following a site visit:
††††† (a) The board shall evaluate a program of nursing in terms of its compliance with this administrative regulation.
††††† (b) Following a site visit and prior to board consideration, a draft of the site visit report shall be made available to the chief nursing academic officer and to the APRN program coordinator for review and correction of factual data.
††††† (c) The APRN program coordinator or designee shall be available during the discussion of the report at the board committee meeting to provide clarification.
††††† (d) Following the boardís review and decision, a letter shall be sent to the chief nursing academic officer, the APRN program coordinator, and the head of the governing institution regarding any requirements to be met along with required timelines.
††††† Section 6. Withdrawal of Approval of an APRN Program. (1) Approval of an APRN program may be withdrawn if:
††††† (a) It loses its national nursing accreditation; or
††††† (b) It is unable to or does not meet the requirements of this administrative regulation.
††††† (2) The board shall send notice to the chief nursing academic officer, the APRN program coordinator, and the head of the governing institution of its intent to withdraw approval.
††††† (3) Within thirty (30) days of receipt of this notice, the chief nursing academic officer may request an administrative hearing pursuant to KRS Chapter 13B. If an administrative hearing is not requested, approval shall be withdrawn and the program shall be closed. A closed program shall comply with 201 KAR 20:360, Section 5(2).
††††† (4)(a) If a program requests an administrative hearing, that hearing shall be held within sixty (60) days of the request.
††††† (b) The board shall decide whether the hearing shall be held before a hearing officer or before the full board. (37 Ky.R. 637; Am. 1217; 1415; eff. 12-15-2010; 2895; eff. 8-17-2011; 40 Ky.R. 1328; 1708; eff. 2-19-2014; 483; 1135; eff. 11-6-2015.)