DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
DIRECTOR’S OFFICE
BOARD OF NURSING
- GENERAL RULES
Filed with the secretary of state on
These rules become effective immediately after filing with the secretary of state unless adopted under section 33, 44, or 45a(9) of the administrative procedures act of 1969, 1969 PA 306, MCL 24.233, 24.244, or 24.245a. Rules adopted under these sections become effective 7 days after filing with the secretary of state.
(By authority conferred on the director of the department of licensing and regulatory affairs by sections 16141, 16145, 16148, 16174, 16175, 16178, 16181, 16182, 16184, 16186, 16186a, 16201, 16204, 16205, 16206, 16215, 16287, 17210, 17213, and 17241 of the public health code, 1978 PA 368, MCL 333.16141, 333.16145, 333.16148, 333.16174, 333.16175, 333.16178, 333.16181, 333.16182, 333.16184, 333.16186, 333.16186a, 333.16201, 333.16204, 333.16205, 333.16206, 333.16215, 333.16287, 333.17210, 333.17213, and 333.17241, and Executive Reorganization Order Nos. 1991-9, 1996-2, 2003-1, and 2011-4, MCL 338.3501, 445.2001, 445.2011, and 445.2030)
PART 1. GENERAL PROVISIONS
R 338.10101 Definitions.
Rule 101. (1) As used in these rules:
(a) “Board” means the Michigan board of nursing.
(b) “CASN” means the Canadian Association of Schools of Nursing.
(c) “CES” means the Credential Evaluation Service.
(d) “CGFNS” means the Commission on Graduates of
Foreign Nursing Schools.
(e)(d) “Code” means the public health code,
1978 PA 368, MCL 333.1101 to 333.25211.
(f) “CP” means the CGFNS Certification Program.
(g)(e) “Department” means the department of
licensing and regulatory affairs.
(h)(f) “FBI” means the Federal Bureau of
Investigation.
(g) “IEE” means International Education Evaluations, LLC.
(i)(h) “JS&A” means the Josef Silny
& Associates, Inc. International Education Consultants.
(j)(i) “NACES” means the National
Association of Credential Evaluation Services.
(k)(j) “NCSBN” means the National Council
of State Boards of Nursing.
(2) Unless otherwise defined in these rules, the terms defined in the code have the same meaning as used in these rules.
R 338.10107 Telehealth.
Rule 107. (1) A licensee shall obtain consent for treatment before providing a telehealth service under section 16284 of the code, MCL 333.16284.
(2) A licensee shall maintain proof of consent for telehealth treatment in the patient’s up-to-date medical record and satisfy section 16213 of the code, MCL 333.16213.
(3) A licensee providing a telehealth service may prescribe a drug if the licensee is a prescriber acting within the scope of the licensee’s practice and complies with section 16285 of the code, MCL 333.16285, and if the licensee does both of the following:
(a) Refers the patient to a provider who is geographically accessible to the patient, if medically necessary.
(b) Makes the licensee available to provide follow-up care services to the patient, or to refer the patient to another provider, for follow-up care.
(4) A licensee providing any telehealth service shall do both of the following:
(a) Act within the scope of the licensee’s practice.
(b) Exercise the same standard of care applicable to a traditional, in-person healthcare service.
PART 2. LICENSURE
R 338.10204 Examinations; registered professional nurse; eligibility; reexaminations.
Rule 204. (1) To determine eligibility for the NCLEX-RN examination, an applicant shall submit a completed application on forms provided by the department, together with the requisite fee.
(2) To be eligible to take the NCLEX-RN examination,
an applicant must shall establish that the applicant has
successfully completed a registered nurse education program that satisfies 1 of
the following:
(a) The program is in this state and approved by the board.
(b) The program is accredited by CASN.
(c) The program is located in another state, and complies with either of the following:
(i) The program is accredited by a nursing education accrediting agency listed in R 338.10303d(2).
(ii) If the program is not accredited by a nursing education accrediting agency listed in R 338.10303d(2), the applicant shall provide both of the following:
(A) The applicant’s official transcripts from the academic institution where the nursing education program was completed.
(B) Either of the following:
(1) A letter to the department from the program, on official program letterhead, signed by the director of nursing, attesting that the program curriculum complies with both of the following:
(a) The registered nurse education program includes courses providing theory and clinical practice that comply with R 338.10306 to R 338.10308.
(b) The registered nurse education program curriculum contains the core curriculum for registered professional nurse students, as that term is defined in R 338.10301(l).
(2) If the program is closed, a letter from the state board of nursing where the program was located attesting that the nursing program was in good standing when the applicant completed the program.
(d) The program is a registered professional nurse education program or an equivalent education program outside the United States and, the applicant submits 1 of the following to the department that shows the applicant graduated from a program with substantially equivalent education credentials as a program approved by the board:
(i) A CES professional report from the CGFNS or its
successor agencyTruMerit.
(ii) A certification from the CGFNSTruMerit
Certification Program CP or its successor agency.
(iii) An Evaluation of Foreign Educational Credentials for Boards of Nursing from JS&A.
(iv) A professional licensure evaluation from IEE.
(3) The department shall evaluate the proof of
substantially equivalent education credentials in this subrule before the
applicant receives authorization from the department to take the NCLEX-RN
examination. Information about the CES professional report and CGFNSTruMerit
Certification Program CP can be obtained from the CGFNS TruMerit
website at www.cgfns.org www.trumerit.org. Information about
the Evaluation of Foreign Educational Credentials for Boards of Nursing from
JS&A can be obtained from the JS&A website at https://www.jsilny.org/. Information
about the professional licensure evaluation can be obtained from the IEE
website at https://myiee.org.
(4) An applicant who did not pass the NCLEX-RN examination within 3 years after 1 of the following events is not eligible to take or repeat the NCLEX-RN examination until the applicant receives a written certification of skills competency covering the subjects in subrule (5) of this rule, from a nurse education program approved under R 338.10303a or a program reviewed and approved by the board chair:
(a) Graduation from a board-approved registered nurse education program under subrule (2)(a) of this rule or from a registered nurse education program accredited by CASN under subrule (2)(b) of this rule.
(b) Satisfying the requirements of subrule 2(c) of this rule.
(c) Obtaining 1 of the required evaluations or the certification in subrule (2)(d) of this rule.
(5) A certification of skills competency must cover the following skills:
(a) Head-to-toe physical assessment, including vital signs.
(b) Medication administration.
(c) Documentation.
(d) Surgical asepsis and infection control.
(e) Safety, including fall prevention, body mechanics, and transfers.
(6) Except as otherwise provided under subrule (7) of this rule, the applicant has 1 year after the date of a certification of skills competency to pass the NCLEX-RN examination.
(7) As an alternative to subrule (6) of this rule, on written application and documentation to support the request to the board, the board may grant up to a 6-month extension to the time requirement in subrule (4) of this rule to sit for the NCLEX-RN examination if the board finds the failure of the licensee to sit for the NCLEX-RN examination was due to the applicant’s disability, military service, absence from the continental United States, or a circumstance beyond the applicant’s control that the board considers good and sufficient.
R 338.10207 Lapsed registered professional nurse license; relicensure requirements.
Rule 207. (1) An applicant for relicensure whose registered professional nurse license has lapsed in this state, under section 16201(3) or (4) of the code, MCL 333.16201, as applicable, may be relicensed by complying with the following requirements as noted by (√):
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(a) For a registered professional nurse who has let their license lapse in this state and is not currently licensed in another state or a Canadian province: |
License lapsed 0-3 |
License lapsed more than 3 years, but less than 7 years. |
License lapsed 7 or more years. |
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(i) Submit a completed application on a form provided by the department, together with the requisite fee. |
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(ii) Establish that the applicant is of good moral character, as that term is defined in, and determined under, 1974 PA 381, MCL 338.41 to 338.47. |
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(iii) Submit fingerprints as required under section 16174(3) of the code, MCL 333.16174. |
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(iv) Submit proof of having completed 25 hours of continuing education in courses and programs approved by the board, including not less than 2 hours in pain and symptom management, all of which were earned within the 2-year period immediately before the application for relicensure. However, if the continuing education hours submitted with the application are deficient, the applicant has 2 years after the date of the application to complete the deficient hours. The application must be held and the license may not be issued until the continuing education requirements are met. |
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(v) Submit proof of having completed 25 hours of continuing education in courses and programs approved by the board, including not less than 2 hours in pain and symptom management, with a minimum of 3 hours in each of the following areas, all of which were earned within the 2-year period immediately before the date of the application for relicensure: (A) Safe documentation for nurses. (B) Critical thinking skills for nurses. (C) Pharmacology. (D) Preventing medication errors. (E) Professional and legal accountability for nurses. (F) Delegation. However, if the continuing education hours submitted with the application are deficient, the applicant has 2 years after the date of the application to complete the deficient hours. The application must be held and the license may be issued until the continuing education requirements are met. |
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(vi) Meet the implicit bias training required under R 338.7004. |
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(vii) Within 3 years immediately before the application for relicensure, receive written certification of skills competency from a nurse education program approved under R 338.10303a or a program reviewed and approved by the board chair. Certification of competency must cover the following skills utilizing nursing process: (A) Head-to-toe physical assessment, including vital signs. (B) Medication administration. (C) Documentation. (D) Surgical asepsis and infection control. (E) Safety, including fall prevention, body mechanics, and transfers. |
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(ix) An applicant who is or has ever been licensed, registered, or certified in a health profession or specialty by another state, the United States military, the federal government, or another country, shall do both of the following: (A) Disclose each license, registration, or certification on the application form. (B) Satisfy the requirements of section 16174(2) of the code, MCL 333.16174, which include verification from the issuing entity showing that disciplinary proceedings are not pending against the applicant and sanctions are not in force at the time of application. |
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(b) For a registered professional nurse who has let their license lapse in this state, but who holds a current and valid registered professional nurse license in good standing in another state or a Canadian province: |
License lapsed 0-3 |
License lapsed more than 3 years, but less than 7 years. |
License lapsed 7 or more years. |
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(i) Submit a completed application on a form provided by the department, together with the requisite fee. |
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(ii) Establish that the applicant is of good moral character, as that term is defined in, and determined under, 1974 PA 381, MCL 338.41 to 338.47. |
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(iii) Submit fingerprints as required under section 16174(3) of the code, MCL 333.16174. |
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(iv) Submit proof of completion of 25 hours of continuing education, including not less than 2 hours in pain and symptom management, earned within the 2-year period immediately before the application for relicensure. However, if the continuing education hours submitted with the application are deficient, the applicant has 2 years after the date of the application to complete the deficient hours. The application must be held and the license may not be issued until the continuing education requirements are met. |
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(v) Meet the implicit bias training required under R 338.7004. |
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(vi) An applicant who is or has ever been licensed, registered, or certified in a health profession or specialty by another state, the United States military, the federal government, or another country, shall do both of the following: (A) Disclose each license, registration, or certification on the application form. (B) Satisfy the requirements of section 16174(2) of the code, MCL 333.16174, including verification from the issuing entity showing that disciplinary proceedings are not pending against the applicant and sanctions are not in force at the time of application. |
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(2) If relicensure is granted and it is determined that a sanction has been imposed by another state, the United States military, the federal government, or another country, the disciplinary subcommittee may impose appropriate sanctions under section 16174(5) of the code, MCL 333.16174.
R 338.10208 Graduate from registered professional nurse education program outside of
the United States or Canada; licensure requirements.
Rule 208. (1) An applicant for a registered nurse license who graduated from a registered professional nurse education program from a country outside of the United States or Canada, shall submit a completed application on a form provided by the department, together with the requisite fee, and comply with the following requirements:
(a) Meet the requirements of section 16174(3) of the code, MCL 333.16174, by providing the applicant’s fingerprints to the department of state police to have a criminal background check conducted by the department of state police and the FBI.
(b) If the applicant has not passed the NCLEX-RN examination, the applicant shall establish that the applicant meets the eligibility requirements to sit for the NCLEX-RN examination set forth in R 338.10204 and pass the NCLEX-RN examination.
(c) Except as provided in subrule (2) of this rule, if the applicant is a graduate of a registered professional nurse education program that is located outside of the United States or Canada, has passed the NCLEX-RN examination, and is not licensed in another state or is licensed in another state for less than 5 years, the applicant shall submit 1 of the following to the department that shows the applicant graduated from a program with substantially equivalent education credentials as a program approved by the board:
(i) A CES professional report from the CGFNS or its
successor agencyTruMerit.
(ii) A certification from the CGFNS TruMerit
Certification Program CP or its successor agency.
(iii) An Evaluation of Foreign Educational Credentials for Boards of Nursing from JS&A.
(iv) A professional licensure evaluation from IEE.
(d) Disclose each license, registration, or certification in a health profession or specialty issued by another state, the United States military, the federal government, or another country on the application form.
(e) Satisfy the requirements of section 16174(2) of the code, MCL 333.16174, including verification from the issuing entity showing that disciplinary proceedings are not pending against the applicant and sanctions are not in force at the time of application.
(f) Meet R 338.7001 to R 338.7005 and any rules promulgated under the code.
(2) Under section 17213(2) of the code, MCL 333.177213
333.17213, if the applicant is a graduate of a registered professional
nurse education program that is located outside of the United States or Canada,
the applicant is exempt from obtaining an evaluation or certification of their
educational credentials as required in subrule (1)(c) of this rule if the
applicant meets both of the following requirements:
(a) The applicant has passed the NCLEX-RN examination.
(b) The applicant has maintained an active license in good standing with no disciplinary sanctions in another state for 5 years or more immediately before the application for a license in this state.
R 338.10208a Graduate from registered professional nurse education program in
Canada; licensure requirements.
Rule 208a. An applicant for a registered nurse license in this state, who graduated from a registered professional nurse education program in Canada, and is not licensed in Canada, shall submit a completed application on a form provided by the department, together with the requisite fee, and comply with the following requirements:
(a) Meet the requirements of section 16174(3) of the code, MCL 333.16174, by providing the applicant’s fingerprints to the department of state police to have a criminal background check conducted by the department of state police and the FBI.
(b) If the applicant has not passed the NCLEX-RN examination, the applicant shall establish that the applicant meets the eligibility requirements to sit for the NCLEX-RN examination set forth in R 338.10204 and pass the NCLEX-RN examination.
(c) If the applicant has passed the NCLEX-RN examination, the applicant shall submit 1 of the following to the department that shows the applicant graduated from a program with substantially equivalent education credentials as a program approved by the board:
(i) Proof of program accreditation by the CASN.
(ii) A CES professional report from the CGFNS or its
successor agencyTruMerit.
(iii) A certification from the CGFNS TruMerit
Certification Program CP or its successor agency.
(iv) An Evaluation of Foreign Educational Credentials for Boards of Nursing from JS&A.
(v) A professional licensure evaluation from IEE.
(d) Disclose each license, registration, or certification in a health profession or specialty issued by another state, the United States military, the federal government, or another country on the application form.
(e) Satisfy the requirements of section 16174(2) of the code, MCL 333.16174, including verification from the issuing entity showing that disciplinary proceedings are not pending against the applicant and sanctions are not in force at the time of application.
(f) Meet R 338.7001 to R 338.7005 and any rules promulgated under the code.
R 338.10210 Examinations; licensed practical nurse; eligibility; reexaminations.
Rule 210. (1) To determine eligibility for the NCLEX-PN examination, an applicant shall submit a completed application on forms provided by the department, together with the requisite fee.
(2) To be eligible to take the NCLEX-PN examination, an applicant shall establish that the applicant has successfully completed a licensed practical nurse education program that satisfies 1 of the following:
(a) The applicant has successfully completed a practical nurse education program that is located in this state and is approved by the board.
(b) The applicant has successfully completed a practical nurse education program accredited by CASN.
(c) The applicant has successfully completed a practical nurse education program that is located in another state and that program complies with either of the following:
(i) Is accredited by a nursing education accrediting agency listed in R 338.10303d(2).
(ii) If the program is not accredited by a nursing education accrediting agency listed in R 338.10303(d)(2), the applicant shall provide all the following:
(A) The applicant’s official transcripts from the academic institution where the nursing education program was completed.
(B) Provide either of the following:
(1) A letter to the department from the program, on official program letterhead, signed by the director of nursing, attesting that the program curriculum complies with both of the following:
(a) The practical nursing education program is not less than 40 weeks in duration and includes courses in both theory and clinical practice that comply with R 338.10306, R 338.10307, and R 338.10309.
(b) The practical nursing education program curriculum contains the core curriculum for licensed practical nurse students, as that term is defined in R 338.10301(k).
(2) If the program is closed, a letter from the state board of nursing where the program was located attesting that the nursing program was in good standing when the applicant completed the program.
(d) The applicant is a graduate of a practical nurse education program or an equivalent education program that is outside the United States and the applicant submits 1 of the following to the department that shows the applicant graduated from a program with substantially equivalent education credentials as a program approved by the board:
(i) A CES professional report from
the CGFNS, or its successor agencyTruMerit.
(ii) An Evaluation of Foreign Educational Credentials for Boards of Nursing from JS&A.
(iii) A professional licensure evaluation from IEE.
(iii)(iv) A certification
program evaluation from the an evaluation agency that is a
member of the NACES, or it successor agency.
(e) The applicant has completed a registered nurse education program and requests to sit for the NCLEX-PN examination. The applicant shall comply with both of the following:
(i) The applicant has completed a registered nurse education program that meets the requirements of R 338.10204(2).
(ii) The applicant is certified to take the NCLEX-PN examination by a practical nurse program from the same institution as the registered nurse education program that has been approved by the board under subdivision (a) of this subrule.
(3) The department shall evaluate the proof of
substantially equivalent education credentials in subrule (2)(c) of this rule
before the applicant receives authorization from the department to take the
NCLEX-PN examination. Information about the CES professional report can be
obtained from the CGFNS TruMerit website at www.cgfns.org www.trumerit.org. Information about
the Evaluation of Foreign Educational Credentials for Boards of Nursing from
JS&A can be obtained from the JS&A website at https://www.jsilny.org/. Information
about the professional licensure evaluation can be obtained from the IEE
website at https://myiee.org. A
list of the NACES approved credentialing member agencies
can be found on its website at www.naces.org.
(4) Except as otherwise provided in subrule (7) of this rule, an applicant who did not pass the NCLEX-PN examination within 3 years after 1 of the following events is not eligible to take or repeat the NCLEX-PN examination until the applicant receives a written certification of skills competency covering the subjects in subrule (5) of this rule, from a nurse education program approved under R 338.10303a or a program reviewed and approved by the board chair:
(a) Graduation from a board-approved practical nurse education program under subrule (2)(a) of this rule or from a practical nurse education program accredited by CASN under subrule (2)(b) of this rule.
(b) Satisfying the requirements of subrule (2)(c) of this rule.
(c) Obtaining 1 of the required evaluations or certifications in subrule (2)(d) of this rule.
(d) Graduation from a board approved registered nurse education program under subrule (2)(e) of this rule.
(5) A certification of skills competency must cover the following skills:
(a) Head-to-toe physical assessment, including vital signs.
(b) Medication administration.
(c) Documentation.
(d) Surgical asepsis and infection control.
(e) Safety, including fall prevention, body mechanics, and transfers.
(6) The applicant has 1 year after the date of a certification of skills competency to pass the NCLEX-PN examination.
(7) On written application and documentation to support
the request to the board, the board may grant up to a 6-month extension to the
time requirement in subrule (4) of this rule to sit for the NCLEX-PN
examination if the board finds the failure of the licensee to sit for the
NCLEX-PN examination was due to the applicant’s disability, military service,
absence from the continental United States, or a circumstance beyond their
control which that the board considers good and sufficient.
R 338.10212 Graduate of a practical nurse education program outside of the United
States and Canada; licensure requirements.
Rule 212. (1) An applicant for a practical nurse license who graduated from a nurse education program from a country outside of the United States or Canada, shall submit a completed application on a form provided by the department, together with the requisite fee, and comply with the following requirements:
(a) Meet the requirements of section 16174(3) of the code, MCL 333.16174, by providing the applicant’s fingerprints to the department of state police to have a criminal background check conducted by the department of state police and the FBI.
(b) If the applicant has not passed the NCLEX-PN examination, the applicant shall establish that the applicant meets the eligibility requirements to sit for the NCLEX-PN examination set forth in R 338.10210 and pass the NCLEX-PN examination.
(c) Except as provided in subrule (2) of this rule, if the applicant is a graduate of a licensed practical nurse education program that is located outside of the United States, or Canada, has passed the NCLEX-PN examination, and is not licensed in another state or is licensed in another state for less than 5 years, the applicant shall submit 1 of the following to the department that shows the applicant graduated from a program with substantially equivalent education credentials as a program approved by the board:
(i) A CES professional report from
the CGFNS, or its successor agencyTruMerit.
(ii) An Evaluation of Foreign Educational Credentials for Boards of Nursing from JS&A.
(iii) A professional licensure evaluation from IEE.
(iii)(iv) A certification
program evaluation from the an evaluation agency that is a
member of the NACES or its successor agency.
(d) Disclose each license, registration, or certification in a health profession or specialty issued by another state, the United States military, the federal government, or another country on the application form.
(e) Satisfy the requirements of section 16174(2) of the code, MCL 333.16174, including verification from the issuing entity showing that disciplinary proceedings are not pending against the applicant and sanctions are not in force at the time of application.
(f) Meet R 338.7001 to R 338.7005 and any rules promulgated under the code.
(2) If the applicant is a graduate of a licensed practical nurse education program that is located outside of the United States or Canada, the applicant is exempt from obtaining an evaluation or certification as required in subrule (1)(c) of this rule if the applicant meets both of the following requirements:
(a) The applicant has passed the NCLEX-PN examination.
(b) The applicant has maintained an active license in good standing with no disciplinary sanctions in another state for 5 years or more immediately before the application for a license in this state.
R 338.10212a Graduate from practical nurse education program in Canada; licensure
requirements.
Rule 212a. An applicant for a practical nurse license who graduated from a practical nurse education program in Canada, and is not licensed in Canada, shall submit a completed application on a form provided by the department, together with the requisite fee, and comply with the following requirements:
(a) Meet the requirements of section 16174(3) of the code, MCL 333.16174, by providing the applicant’s fingerprints to the department of state police to have a criminal background check conducted by the department of state police and the FBI.
(b) If the applicant has not passed the NCLEX-PN examination approved by the board, the applicant shall establish that the applicant meets the eligibility requirements to sit for the NCLEX-PN examination set forth in R 338.10210 and pass the NCLEX-PN examination.
(c) If the applicant has passed the NCLEX-PN examination, the applicant shall submit 1 of the following to the department that shows the applicant graduated from a program with substantially equivalent education credentials as a program approved by the board:
(i) Proof of program accreditation by the College of Nurses of Ontario.
(ii) A CES professional report from the CGFNS or its
successor agencyTruMerit.
(iii) An Evaluation of Foreign Educational Credentials for Boards of Nursing from JS&A.
(iv) A certification program evaluation from
an evaluation agency that is a member of the NACES or its successor
agency.
(d) Disclose each license, registration, or certification in a health profession or specialty issued by another state, the United States military, the federal government, or another country on the application form.
(e) Satisfy the requirements of section 16174(2) of the code, MCL 333.16174, including verification from the issuing entity showing that disciplinary proceedings are not pending against the applicant and sanctions are not in force at the time of application.
(f) Meet R 338.7001 to R 338.7005 and any rules promulgated under the code.
R 338.10213 Lapsed licensed practical nurse license; relicensure requirements.
Rule 213. (1) An applicant for relicensure whose licensed practical nurse license in this state has lapsed under section 16201(3) or (4) of the code, MCL 333.16201, may be relicensed by complying with the following requirements as noted by (√):
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(a) For a licensed practical nurse who has let their licensed practical nurse license in this state lapse and is not currently licensed in another state or a Canadian province: |
License lapsed 0-3 |
License lapsed more than 3 years, but less than 7 years. |
License lapsed 7 or more years. |
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(i) Submit a completed application on a form provided by the department, together with the requisite fee. |
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(ii) Establish that the applicant is of good moral character, as that term is defined in, and determined under, 1974 PA 381, MCL 338.41 to 338.47. |
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(iii) Submit fingerprints as set forth in section 16174(3) of the code, MCL 333.16174. |
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(iv) Submit proof of having completed 25 hours of continuing education in courses and programs approved by the board, including not less than 2 hours in pain and symptom management, all of which were earned within the 2-year period immediately before the application for relicensure.
However, if the continuing education hours submitted with the application are deficient, the applicant has 2 years after the date of the application to complete the deficient hours. The application must be held and the license may not be issued until the continuing education requirements are met. |
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(v) Submit proof of having completed 25 hours of continuing education in courses and programs approved by the board, including not less than 2 hours in pain and symptom management, with a minimum of 3 hours in each of the following areas, all of which were earned within the 2-year period immediately before the application for relicensure: (A) Safe documentation for nurses. (B) Critical thinking skills for nurses. (C) Pharmacology. (D) Preventing medication errors. (E) Professional and legal accountability for nurses.
However, if the continuing education hours submitted with the application are deficient, the applicant has 2 years after the date of the application to complete the deficient hours. The application must be held and the license may not be issued until the continuing education requirements are met. |
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(vi) Meet the implicit bias training required under R 338.7004. |
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(vii) Within 3 years immediately before the application for relicensure, receive written certification of skill competency from a nurse education program approved under R 338.10303a or program reviewed and approved by the board chair. Certification of competency must cover the following skills: (A) Head-to-toe physical assessment, including vital signs. (B) Medication administration. (C) Documentation. (D) Surgical asepsis and infection control. (E) Safety, including fall prevention, body mechanics, and transfers. |
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(viii) Within 2 years immediately after approval of the application for relicensure, retake and pass the NCLEX-PN examination. |
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(ix) An applicant who is or has ever been licensed, registered, or certified in a health profession or specialty by another state, the United States military, the federal government, or another country, shall do both of the following: (A) Disclose each license, registration, or certification on the application form. (B) Satisfy the requirements of section 16174(2) of the code, MCL 333.16174, including verification from the issuing entity showing that disciplinary proceedings are not pending against the applicant and sanctions are not in force at the time of application. |
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(b) For a licensed practical nurse who has let their license in this state lapse, but who holds a current and valid licensed practical nurse license in good standing in another state or a Canadian province: |
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(i) Submit a completed application on a form provided by the department, together with the requisite fee. |
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(ii) Establish that the applicant is of good moral character, as that term is defined in, and determined under, 1974 PA 381, MCL 338.41 to 338.47. |
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(iii) Submit fingerprints as set forth in section 16174(3) of the code, MCL 333.16174. |
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(iv) Submit proof of completion of 25 hours of continuing education, including not less than 2 hours in pain and symptom management, all of which was earned within the 2-year period immediately before the application for relicensure. However, if the continuing education hours submitted with the application are deficient, the applicant has 2 years after the date of the application to complete the deficient hours. The application must be held and the license may not be issued until the continuing education requirements are met. |
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(v) Meet the implicit bias training required under R 338.7004. |
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(vi) An applicant who is or has ever been licensed, registered, or certified in a health profession or specialty by another state, the United States military, the federal government, or another country, shall do both of the following: (A) Disclose each license, registration, or certification on the application form. (B) Satisfy the requirements of section 16174(2) of the code, MCL 333.16174, including verification from the issuing entity showing that disciplinary proceedings are not pending against the applicant and sanctions are not in force at the time of application. |
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(2) If relicensure is granted and it is determined that a sanction has been imposed by another state, the United States military, the federal government, or another country, the disciplinary subcommittee may impose appropriate sanctions under section 16174(5) of the code, MCL 333.16174.
PART 3. NURSING EDUCATION PROGRAMS
R 338.10301 Definitions.
Rule 301. (1) As used in this part:
(a) “Accreditation” means a self-regulatory process that meets or exceeds educational quality standards and criteria set forth by a national nursing education accrediting organization.
(b) “Accrediting organization” means a board approved accrediting organization of nursing education programs listed in R 338.10303d.
(c) “Accredited program” means a program that has obtained accreditation from a board approved accrediting organization of nursing education programs, as that term is defined in R 338.10303d.
(d) “ADN” means an associate’s associate degree
in nursing.
(e) “Capstone course” means a clinical experience completed in the final year of the nursing education program that synthesizes the cognitive, affective, and psychomotor skills acquired throughout the program to prepare the student for professional nursing practice.
(f) "Clinical experience" means direct nursing care experiences with actual patients or clients that offer students the opportunity to integrate, apply, and refine specific skills and abilities that are based on theoretical concepts and scientific principles. Clinical experience may include simulated nursing experiences subject to R 338.10306 and R 338.10309.
(g) "Clinical laboratory hours" means those hours of the curriculum that are assigned to laboratory practice, basic skills training, and observational experiences that offer the student the opportunity to meet educational outcomes.
(h) “Cohort” means a group of students admitted in the same academic semester or term with the intention of completing the nursing program at the same graduation date. Cohort includes students who transfer into the program at the same academic level.
(i) “Conceptual framework” means the distinct, systematic organization of concepts and planned student outcomes of the program that are consistent with relevant professional nursing standards and the mission, goals, philosophy, and purposes of the sponsoring institution, and gives direction to the curriculum.
(j) “Cooperating agency” means an individual, organization, or institution that, by written agreement or letter of intent, accepts students and faculty for nursing educational experiences.
(k) “Core curriculum for licensed practical nurse students” means courses in didactic instruction and planned clinical experience, which encompass the LPN scope of practice, in each of the following areas of nursing:
(i) Adult health nursing, which must consist of the
study of nursing care throughout the adult lifespan;, providing
care for the acute and chronic phases of a medical illness;,
health promotion;, and disease prevention.
(ii) Maternal and reproductive nursing, which must consist of the study of nursing care for women and their families in the gynecological, antepartum, labor and delivery, and postpartum phases of pregnancy, and includes the care of a newborn infant.
(iii) Children’s nursing, which must consist of the study of nursing care for children whose ages range from birth through adolescence and who are receiving nursing care for both medical and surgical reasons.
(iv) Surgical nursing, which must consist of the study of nursing care throughout the adult lifespan, providing care before, during, and after a surgical procedure, health promotion, and disease prevention.
(l) “Core curriculum for registered professional nurse students” means didactic instruction and planned clinical experience, which encompass the RN scope of practice, in each of the following areas of nursing:
(i) Adult health nursing, which must consist of the
study of nursing care throughout the adult lifespan;, providing
care for the acute or chronic phases of a medical illness;,
health promotion;, and disease prevention.
(ii) Maternal and reproductive nursing, which must consist of the study of nursing care for women and their families in the gynecological, antepartum, labor and delivery, and postpartum phases of pregnancy, and includes the care of a newborn infant.
(iii) Children’s nursing, which must consist of the study of nursing care for children whose ages range from birth through adolescence and who are receiving nursing care for both medical and surgical reasons.
(iv) Psychiatric/mental health nursing, which must consist of the study of nursing care of individuals with an acute or chronic mental health or psychiatric disorder.
(v) Surgical nursing, which must consist of the study of nursing care throughout an adult lifespan, providing care before, during, and after a surgical procedure, health promotion, and disease prevention.
(m) “Course student learning outcomes” means statements of educational expectations written in measurable terms for the knowledge, skills, or behaviors students must demonstrate by the end of the course. The statements must reflect contemporary evidence-based nursing practice and enhance achievement of end of program student learning outcomes.
(n) “Curriculum” means implementation of appropriate learning experiences that accomplish measurable course and program outcomes, which incorporate the nursing program’s purpose, philosophy, and conceptual framework of the nursing program through the systematic arrangement of courses. This includes outcomes stated in measurable terms and accomplished through appropriate learning experiences planned for a clearly defined group of students and extending over a defined period of time depending on the type of nursing education program. Systematic and ongoing evaluation within the context of measurable outcomes is inherent in the curriculum.
(o) “End of program student learning outcomes” means statements of educational expectations written in measurable terms for the knowledge, skills, or behaviors students must demonstrate by the end of the program. The statements must reflect professional standards, guidelines, contemporary nursing practice, guide the curriculum, and increase in complexity as students progress through the curriculum.
(p) “Final program approval report” means an updated self-study done after the graduation of the second cohort and before the graduation of the fourth cohort that is submitted to the board when the program is seeking full program approval.
(q) “Full program approval” means approval of a program granted after satisfactory demonstration to the board of compliance with these rules.
(r) “Initial approval” means approval that is granted by the board to inaugurate a program of nursing education.
(s) “Instruction” means educational methodology for achieving curriculum outcomes.
(t) “Learning experiences” means planned learning situations, which may include clinical experiences, clinical laboratory hours, or classroom instruction.
(u) “MSN” means a master’s master of
science in nursing.
(v) “Nurse site reviewer” means a nurse with expertise in curriculum development and nursing program administration or education that independently examines a nursing program applying for program approval.
(w) “Nursing education program report” means a report
completed and submitted between the self-study submissions. It provides the board
with information as to about the program’s admissions, attrition,
courses, clinical experience, faculty program evaluation, and outcomes and is submitted as follows:
(i) For programs that have received initial approval under R 338.10303, the report must be submitted each year during the program approval phase.
(ii) For programs that have received full approval under R 338.10303a, the report must be completed and submitted at the halfway point between the self-study submissions.
(x) “Nursing faculty” means a member of the faculty
qualified to teach nursing courses and evaluate learning individuals employed
full or part time by an academic institution who are responsible for
developing, implementing, evaluating, teaching, or updating the nursing program
curricula.
(y) “Nursing process” means the ongoing assessment,
analysis, nursing diagnosis, planning, implementation, and evaluation of
nursing care ongoing systematic rational method of planning that guides
all nursing responsibilities in the delivery of patient -focused or
patient-centered care.
(z) “Observational experience” means a planned learning situation that is not direct patient care, does not require intervention by the student, meets preplanned stated outcomes, and provides for student evaluation.
(aa) “Philosophy” means the stated beliefs of faculty about nursing education and practice that determine the design of the curriculum and the evaluation of the program and that are consistent with the educational philosophy of the sponsoring agency.
(bb) “Practical nurse program” means a nursing program to prepare students for practical nurse licensure.
(dd) “Probationary status” means the period when a program is under disciplinary action by the board.
(ee) “Program director” means a nurse who is delegated
the authority and accountability for the nursing program by the sponsoring
agency an individual who is a professionally and academically qualified
registered nurse with institutional authority and administrative responsibility
for the program.
(ff) “Program of nursing education” means a plan or design indicating the relationship of the components necessary to achieve the goal of preparing individuals for licensure as registered or practical nurses under the code.
(gg) “Program outcomes” means documented and measurable indicators that reflect the program’s overall effectiveness, including, but not limited to, program completion rates, NCLEX pass rates, and job placement data.
(hh) “Registered professional nurse program” means a nursing program to prepare students for initial registered nurse licensure.
(ii) “Self-study report” means an in-depth written review of all aspects of a nursing education program that contains evidence of the program’s compliance with all the requirements of these rules.
(jj) “Simulation laboratory” means a technique
to replace or amplify real experiences with guided experiences that evoke or replicate
substantial aspects of the real world in a fully interactive manner. This
includes activities that replicate patient care scenarios and are designed
to foster clinical decision-making and critical thinking. These activities Scenarios
may include the use of medium or high-fidelity mannequins, standardized
patients, role playing, skills stations, and computer-based critical thinking
simulations.
(kk) “Site visit” means a physical inspection of an institution and all the components of its program of nursing education for the purpose of determining compliance with the requirements of this part.
(ll) “Sponsoring agency” means the organization or institution of which the nursing program is a component.
(mm) “Unaccredited program” means a program that has not obtained accreditation from a board approved accrediting organization of nursing education programs, as that term is defined in R 338.10303d.
(2) Unless otherwise defined in the rules, the terms defined in the code have the same meaning as used in these rules.
R 338.10303 Initial program approval; procedure.
Rule 303. The following requirements are established for initial approval of a program of nursing education:
(a) The sponsoring agency shall submit all the following to the board:
(i) A letter of intent to initiate a program of nursing education.
(ii) A feasibility study that demonstrates all the following, with supporting documentation relative to the proposed program location:
(A) Need for the program.
(B) Need for graduates of the proposed program.
(C) Availability of students.
(D) Impact on all existing
nursing education programs in a 50-mile radius of the proposed program. The
applying institution is responsible for surveying schools within the radius to
determine the perceived impact the proposed program will have on the
availability of the existing program’s clinical placements, faculty, and
student recruitment.
(E) Ability of proposed
clinical education sites to provide students with clinical experiences that
meet course outcomes, provide students the opportunity to practice skills with
individuals or groups across the life span and meet the requirements of R
338.10307(5), (6), (7), and (8). Evidence must also include documentation of
the effect on other schools utilizing the proposed clinical facilities and letters
of intent from the proposed clinical education sites, signed by the chief
nursing officer, or an equivalent position, outlining the plan to accommodate
all the sponsoring agency’s students.
(iii) Evidence that the mission of the sponsoring agency is consistent with the philosophy and purpose of a program to prepare students for the practice of nursing.
(iv) Evidence that the sponsoring agency shall provide funding and other support for the nursing education program that meets all the following requirements:
(A) A 5-year budget in which the first 2 years of the budget do not include tuition and the remaining 3 years of the budget includes tuition.
(B) A financial statement
prepared and signed by an independent certified public accountant or
auditor, a bank line of credit, or a surety bond attesting that there is
evidence of adequate financial resources equating to that equals the
total tuition for all students who have been enrolled for the first
2 years of operation.
(C) Submission of evidence that the sponsoring agency shall provide appropriate physical facilities and other support services for the nursing education program, in conjunction with other departments in the sponsoring agency, including faculty, administration, and student participation in governance of the sponsoring agency, a grievance or complaint process, counseling, academic advising, career placement, financial aid, and learning resource centers or a library.
(v) Evidence of approval to
provide financial aid for students, under Title IV of the Higher Education Act
of 1965, 20 USC 1070 to 1099d. If the sponsoring agency is unable to
submit evidence that it is approved to provide financial aid under Title IV of
the Higher Education Act of 1965, 20 USC 1070 to 1099d, until after the board
approves the program, the program, with board approval, may submit the evidence
to the department before enrolling students to the program. This
means that the sponsoring agency must be accredited by an institutional
accrediting agency approved by the United States Department of Education and
demonstrate eligibility to participate in the Title IV financial aid programs.
(vi) A sponsoring agency that is an institution requiring approval from the department’s proprietary schools unit, or its successor agency, to conduct a nursing education program or to confer a particular degree or certificate on the graduates of the program shall submit to the board a copy of the approval. A proprietary school shall possess a state-issued license, be in operation for 2 years, offer health-related programs, and demonstrate student success with results that meet or exceed state or national averages.
(vii) Proposed number of students to be enrolled in the program annually, the number of times that enrollment periods are held per year, and the dates when enrollment periods are held annually.
(viii) Proposed first date of admission of students to the nursing sequence of the program.
(ix) Plans to recruit and
employ a program director and other nursing faculty members sufficiently in
advance of admitting students to the nursing sequence to ensure consistency in
the planning and implementation of the curriculum. The plan should include a
timeline for recruitment and disclose recruitment resources. If already
appointed, the names and qualifications of the program director of the program and other nursing faculty
members must be provided.
(x) The sponsoring agency shall provide evidence of a tuition policy in which students pay as they proceed through the program either by semesters, terms, units, or other time frame as specified by the sponsoring agency. The sponsoring agency shall also provide evidence of a refund policy that adheres to the refund policies of applicable state, federal, and accrediting agencies.
(xi) Evidence that students possess the necessary prerequisite education before admission to the program. The program shall not be the provider of the prerequisite education, unless it is a state-approved higher educational institution or has the approval of this state to offer prerequisite courses.
(xii) A student contract or enrollment application that outlines the nursing education program’s admission requirements, a tuition refund policy that complies with paragraph (x) of this subdivision, a withdrawal and failure policy, and academic progression and program completion requirements.
(xiii) History of sponsoring agency.
(b) Following board approval of
the required documentation in subdivision (a) of this rule and before
admitting the first cohort, the program director shall submit a self-study
report to be approved by the board. The report must set forth evidence of
plans for and compliance with the following:
(i) History of sponsoring agency.
(ii) Philosophy.
(iii) Conceptual framework.
(iv) Curriculum to include end of program student learning outcomes and course student learning outcomes.
(v) Course descriptions and outlines.
(vi) Detailed plan of study that includes all of the following:
(A) Program plan of study including all required courses.
(B) Course sequence.
(C) Credits per course including theory, laboratory, clinical and simulation hours.
(vii) Signed clinical contracts for clinical placements.
(viii) Evaluation methods
and tools. Methods and tools for evaluation of student learning.
(ix) Program outcomes.
(x) Program director Director and nursing faculty credentials.
(xi) Student policies and support services.
(c) Prospective programs that do not satisfy subdivisions (a) and (b) of this rule are allowed no more than 2 submissions after the initial rejection of the application for initial approval to cure deficiencies that were found. If the documents supporting the application for initial approval are not approved on the second resubmission, the board may void the application, and the program must wait for a period determined by the board before reapplying for initial approval.
(cd) The board
shall require a site visit to the program by a board-approved nurse site
reviewer. The report of the site visit must be prepared by the nurse site
reviewer and provided to the board and the sponsoring agency. The
program If deficiencies are mentioned in the report, the program may
not admit students until after the board determines that all
deficiencies noted in the report are sufficiently resolved and grants
initial approval.
(de) After the
first cohort has been admitted and while the program is under initial
approval period, the program director shall submit to the board an
annual nursing education program report, on a form provided by the
department to the board.
The annual nursing education program report must include information about each of the following:
(i) Admission, progression, and retention of students.
(ii) Student achievement on the required licensure NCLEX examination.
(iii) Systematic program evaluation results, including analysis of end of program student learning outcomes and program outcomes, including, but not limited to, NCLEX pass rates for first time takers, program completion rates, and employment rates.
(iv) Program changes.
(v) Nursing faculty qualifications, assignments, and any nursing faculty exceptions.
R 338.10303a Full program approval; procedure.
Rule 303a. (1) The sponsoring agency may shall
apply to the board for full approval of the program after graduation of the
second cohort, but no later than graduation of the fourth cohort. The
sponsoring agency shall comply with the following requirements for full
approval of a nursing education program:
(a) The sponsoring agency shall submit a final program approval report to the board. The report must provide an update of the self-study that was submitted for initial approval under R 338.10303(b), review the program’s progress since initial approval was granted, and include a review and evaluation of program implementation.
(b) The board may require a site visit to the program
by a board-approved nurse site reviewer before considering full approval. If
conducted, a report of the site visit must be prepared by the nurse site
reviewer and provided to the board and the sponsoring agency. If deficiencies
are noted in the report, the program shall resolve the deficiencies within the
timeline set by the board. Provide evidence that the program has selected an approved
accrediting agency listed in R 338.10303d, including a timeline for application
for accreditation.
(2)(c) NCLEX scores for the program up to
at the point of application of full approval
must equate to the passage rates as required in R 338.10310.
(2) The board may require a site visit by a board-approved nurse site reviewer before considering full approval. If conducted, a site visit report must be prepared by the nurse site reviewer and be provided to the board and the sponsoring agency. If deficiencies are noted in the report, the program shall resolve them within the timeline set by the board before full approval may be granted.
(3) If by the end of the fourth cohort, a program
does not satisfy the criteria for full approval set forth in this rule or
has failed to apply for full approval as required under this rule, or
has failed to timely resolve deficiencies stemming from a site visit conducted
pursuant to subrule (2) of this rule, the board may deny full approval
and begin the evaluation process of the program under section 17242 of the
code, MCL 333.17242, and R 338.10310.
(4) When granted full approval for the program of nursing education, the sponsoring agency shall continue to meet all the requirements of this part.
R 338.10303b Continued program approval; self-study and nursing education program
report requirements.
Rule 303b. (1) Self-study reports: After full approval has been granted under R 338.10303a, a sponsoring agency of an unaccredited program shall submit a comprehensive self-study report every 8 years. The report must include all the following information for all of the years since the last self-study report was approved by the board.
(a) History of sponsoring agency.
(b) Philosophy.
(c) Conceptual framework.
(d) Curriculum to include end of program student learning outcomes and course student learning outcomes.
(e) Detailed plan of study that includes all the following:
(i) Program plan of study including all required courses.
(ii) Course sequence.
(iii) Credits per course including theory, laboratory, clinical and simulation hours.
(f) Course descriptions and outlines.
(g) Signed clinical contracts or current letters of commitment for clinical placements.
(h) Evaluation methods and
tools. Methods and tools for evaluation of student learning.
(i) Program outcomes.
(j) Program director Director
and nursing faculty credentials.
(k) Student policies and support services.
(l) The fiscal, human, physical, clinical, and technical learning resources necessary to support the program outcomes. The physical learning resources include access to a library.
(2) Sponsoring agencies of accredited programs shall comply with all the following:
(a) All reporting requirements set forth by the accrediting organization.
(b) A sponsoring agency may submit to the board a letter of accreditation or reaccreditation from the accrediting organization instead of submitting a self-study report prepared for the board if no deficiencies were found.
(i) The letter must be submitted to the board within 90 days after the date on the decision letter.
(ii) If the sponsoring agency fails to submit the letter within 90 days, a self-study report must be prepared for the board in accordance with subrule (1) of this rule.
(c) If the letter of
accreditation or reaccreditation from the accrediting organization noted
deficiencies, the program shall provide the decision letter and supporting
documentation from the accrediting organization along the board with all follow-up
reports, supporting documentation, and resulting decision letters from the
accrediting organization to the board.
(i) The letter of accreditation or reaccreditation and any follow up report decision letters must be submitted to the board within 90 days after the date on the letter.
(ii) The board may request further documentation from the sponsoring agency.
(d) Programs A
sponsoring agency shall immediately notify the board of changes in the
accreditation status, cycle, or reporting dates.
(3) Nursing education program reports: After a program has been granted full approval under R 338.10303a, the sponsoring agency of an unaccredited program shall submit a nurse education program report to the board every 4 years. Subject to subrule (4) of this rule, the sponsoring agency of an accredited program shall submit a nurse education program report, on a form provided by the department, to the board at the midpoint of the accreditation cycle. The nursing education program report must include all the following information for each year since the last self-study report was approved by the board:
(a) Program information pertaining to total program length, required credits, and all required courses, including any prerequisite courses, in the program’s plan of study.
(b) Analysis and action plans for program performance outcomes including program completion rates, first-time NCLEX pass rates, and job placement rates.
(c) Systematic program evaluation results and action plan, including
analysis of end of program student learning outcomes, including, but not limited to, NCLEX pass rates for first time takers, program completion rates, and employment rates.
(d) Major program changes.
(e) Nursing faculty qualified to teach nursing courses, assignments, and any nursing faculty exceptions.
(f) End of program student learning outcomes for each program option.
(g) The plan of study that demonstrates progression of
learning across the curriculum.
(4) Sponsoring agencies of accredited programs that are required to submit a
midcycle report shall comply with all the following:
(a) All midcycle reporting requirements set forth by the accrediting organization.
(b) A sponsoring agency
may submit to the board a midcycle report prepared for its accrediting organization,
along with a decision letter from the accrediting organization if no deficiencies requiring a supplemental report were
found.
(i) The letter must be submitted to the board within 90 days after the date on the decision letter.
(ii) If the sponsoring agency fails to submit the letter within 90 days, a nursing education program report must be prepared for the board in accordance with subrule (3) of this rule.
(c) If the midcycle
accreditation report decision letter from the accrediting organization noted
deficiencies, the program shall provide the decision letter and supporting
documentation from the accrediting organization along with the
board with all
follow-up reports, supporting documentation, and resulting decision letters
from the accrediting organization to the board.
(i) The midcycle report decision letter and any follow up report decision letters must be submitted to the board within 90 days after the date on the letter.
(ii) The board may request further documentation from the sponsoring agency.
(5) The board shall notify the program director of the date by which a nursing education program report must be submitted.
R 338.10303c Major program changes and temporary seat increase requirements.
Rule 303c. (1) A major program change means any of the following:
(a) Revision of the program’s
philosophy, conceptual framework, course sequence-plan of study, curriculum,
program outcomes, student learning outcomes, or changes that increase the use
of simulation more than 10% of the current total clinical hours in a
the program.
(b) Change in primary instruction delivery methods for more than 50% of the program, if the delivery method does not allow for live or synchronous instruction, in-person or virtual, that provides for the opportunity of direct interaction between faculty and participants, including, but not limited to, lectures, symposia, live teleconferences, and workshops.
(c) A permanent expansion in the number of students served.
(d) Increase or decrease in overall program credits.
(e) Providing the theory
portion of the curriculum at an additional location that is separate from
the primary campus using the same curriculum as the primary campus. A site
visit may be required before the change is approved. Initial approval under
R 338.10303 must be obtained if the additional location serves a different group of students
not previously approved by the board. more
than theory is taught at the additional location
(2) A nursing education program shall submit major program changes to the board in writing. The changes must be approved before implementation. All the following must be provided when requesting a major program change:
(a) A comparative description of the current and proposed program or portion of the program which is proposed for change.
(b) Rationale for the change.
(c) Plans to evaluate the effect of the change.
(d) If a program requests a permanent increase in students, a campus relocation, or to utilize an additional site, it shall provide all the following:
(i) The number of additional seats requested.
(ii) Documentation that there is sufficient faculty on staff to handle the increase in students.
(iii) A list identifying current and additional clinical sites available for use.
(e) Documents evidencing support for the requested change.
(3) Requests for a temporary expansion of students must be submitted in writing and approved by the board before implementation.
(4) (a) All the following must
be provided when requesting a temporary expansion of students:
(ai) The number of additional seats.
(bii) Rationale for the change.
(ciii) Documentation that there is sufficient faculty on staff to
handle the increase in students.
(div) Documentation that there is sufficient classroom and
laboratory space to handle the increase in students.
(e v) A list identifying current and additional clinical sites
available for use.
(5) (b) A temporary expansion of students requested under subrule (4)(3)
of this rule is valid for 1 year. If the nursing
education program desires to make the temporary expansion of students
permanent, a major program change must be submitted under subrule (1) of this
rule.
(64) If a program closure occurs, the department or board may
grant a temporary expansion of students to another program to assist displaced
students if the criteria in subrule (4)(3) of this rule is satisfied.
(75) The type of program approval, initial or full, under
which a program is conducted, shall must not be altered when
program changes are approved.
R 338.10303d Accreditation and board reporting requirements.
Rule 303d. (1) A nursing education program approved by the board shall be accredited under 1 of the following:
(a) A nursing education
program that has received full board approval
under R 338.10303a, before, March 188,
2018, shall receive nursing accreditation by a
board-recognized nursing accreditation organization no later than January 1, 2025.
(b) A nursing education program that has initial approval of the board shall receive nursing accreditation by a board-recognized nursing accreditation organization within 6 years after receiving full program approval under R 338.10303a.
(c) A nursing education program that fails to achieve nursing accreditation by a board-recognized nursing accreditation organization, as set forth by this rule, shall, after a reasonable length of time as determined by the board to cure the deficiency, be removed from the list of approved programs under section 17242 of the code, MCL 333.17242. During the time to cure, the program is prohibited from admitting any new student or new cohort of students in accordance with R 338.10311(5).
(2) The board recognizes the following nursing education accrediting agencies or their successor organizations:
(a) Accreditation Commission for Education in Nursing (ACEN).
(b) Commission for Nursing Education Accreditation (CNEA).
(c) Commission on Collegiate Nursing Education (CCNE).
(3) Failure of a nursing education program to maintain
accreditation from an approved national nursing accrediting organization shall result
in the prohibition of admittance of any new student or new cohort and result
in withdrawal of school approval under in accordance with section
17242 of the code, MCL 333.17242, and R 338.10311, after the graduation of the
last cohort of currently enrolled students. If the program wishes to
restart admission, it must apply for approval from the board as a new program
under R 338.10303.
(4) A nursing education program that is accredited shall submit copies to the board of all notifications and decision letters received from the nursing accreditation organization within 90 days of the date on the correspondence.
(5) Failure to comply with this rule will result in withdrawal of school approval under section 17242 of the code, MCL 333.17242, after the graduation of the last cohort of currently enrolled students.
R 338.10304 Program approval; decision.
Rule 304. (1) Within 90 days after all materials
requested by the board have been receivedreviewed, the board
shall do either of the following:
(a) Grant initial or full approval of the program or approve the program change when the board finds that the requirements of this part are substantially met.
(b) Deny initial or full approval or approval of the program change when the board finds that the requirements of this part are not substantially met.
(2) The board shall issue its decision in writing.
(3) If approval is denied, the sponsoring agency may request a hearing that is conducted under the provisions of the administrative procedures act of 1969, 1969 PA 306, MCL 24.201 to 24.328.
R 338.10305 Registered professional nurse and licensed practical nurse programs;
program requirements.
Rule 305. Programs of registered professional nursing education and licensed practical nursing education shall meet all the following requirements:
(a) Comply with the curriculum requirements established by the board and with other requirements in this part.
(b) Contribute to the safe and effective practice of nursing by including the standards of practice, nursing behaviors, and other skills and knowledge in the curriculum to prepare students for the practice of nursing.
(c) Prepare students to meet the requirements for
eligibility to take the required licensure NCLEX examination.
(d) Establish requirements for admission, progression, and graduation which must be made known and available in written form to prospective and current students.
(e) Establish a system for the permanent maintenance of course descriptions and student and graduate transcripts.
R 338.10305a Registered professional nursing education program; program
requirements; faculty requirements.
Rule 305a. (1) Subject to subrule (2) of this rule, tThe
program director and all nurse faculty members shall hold a current
unrestricted license to practice as a registered professional nurse in this
state.
(2) If clinical experiences are offered by the nursing
education program at sites that are not located in this state, then any nurse
faculty members at those sites shall hold a current unrestricted license to
practice as a registered nurse in thisthe state or Canadian
province where the clinical experience is located and in this state.
(3) The program director shall hold a minimum of a graduate degree with a major in nursing with educational preparation or experience in academic teaching, experience in nursing practice, and current knowledge of registered nursing practice. Written notification of a change in program director must be provided to the board within 30 days and include a copy of the new director’s curriculum vitae and school contact information.
(4) A member of the nursing faculty who provides didactic/theory instruction shall hold a minimum of a graduate degree, and the program shall ensure that the majority of the didactic/theory faculty hold a graduate degree with a major in nursing, unless an exception is granted under subrule (7) of this rule. If the graduate degree is not in nursing, the faculty member shall hold a minimum of a baccalaureate degree in nursing or an equivalent standing in a nationally nursing accredited ADN to MSN nursing education program with attestation of baccalaureate level competency from that educational program. Courses that are non-nursing in content but are health-related are exempt from the requirements of this subrule and may be taught by non-nurse faculty.
(5) A member of the nursing faculty who provides instruction in either the clinical, skills, laboratory, or simulation laboratory shall hold a minimum of a baccalaureate degree in nursing or an equivalent standing in a nationally nursing accredited ADN to MSN nursing education program with attestation of baccalaureate level competency from that educational program.
(6) The nursing faculty shall be academically and experientially qualified and demonstrate current clinical experience related to the area of assigned clinical teaching responsibilities.
(6)(7) Notwithstanding section 16148(6) of
the code, MCL 333.16148, all nursing faculty shall meet the requirements of
subrules (4) and (5) of this rule.
(7)(8) Using a form provided by the
department, the program director may apply to the board for an An
exception, may be made to the requirements of subrule (4) of this
rule for full-time or part-time nursing faculty based on the faculty member’s
progress toward meeting the requirements of these rules during each year for
which the exception is requested. Board approval for faculty exception requests
must be received before the faculty member begins course instruction. A maximum
of 5 yearly exceptions are granted to any full-time or part-time faculty member.
The faculty exception request must include all the following:
(a) Evidence of enrollment, which may include a letter of acceptance from the academic institution that the faculty member is enrolled.
(b) An education plan signed by the academic advisor.
(c) A copy of the faculty member’s current nursing license.
(d) The faculty member’s résumé indicating qualifications to teach the course or courses indicated.
(e) Official transcripts from the academic institution where the faculty member is currently enrolled.
(8)(9) Nursing faculty is sufficient in
number to prepare students to achieve the outcomes of the program. Nursing faculty
shall be professionally, academically, and clinically qualified, sufficient in
number, and have the expertise to accomplish program outcomes and quality
improvement.
(10) The maximum ratio of students to faculty in clinical areas involving direct care of patients must be not more than 8 students to 1 faculty member. The maximum ratio of students to faculty in clinical areas involving non-direct and precepted patient care must meet the clinical affiliate’s guidelines and maintain patient and community safety.
R 338.10305b Licensed practical nursing education program; program requirements;
faculty requirements.
Rule 305b. (1) Subject to subrule (2) of this rule, tThe
program director and all nurse faculty members shall hold a current
unrestricted license to practice as a registered professional nurse in this
state.
(2) If clinical experiences are offered by the nursing
education program at sites that are not located in this state, then any nurse
faculty members at those sites shall hold a current unrestricted license to
practice as a registered professional nurse in thisthe state or
Canadian province where the clinical experience is located and in this state.
(3) The nursing faculty shall be academically and experientially qualified and demonstrate current clinical experience related to the area of assigned clinical teaching responsibilities.
(3)(4) The program director shall hold a
minimum of a graduate degree in nursing. Written notification of a change in program
director must be provided to the board within 30 days and include a copy of
the new director’s curriculum vitae and school contact information.
(4)(5) Every member of the nursing faculty
shall hold a minimum of a baccalaureate degree in nursing, unless an exception
is granted under subrule (6) of this rule. Courses that are non-nursing in
content but are health-related are exempt from the requirements of this subrule
and may be taught by non-nurse faculty.
(5)(6) Notwithstanding section 16148(7) of
the code, MCL 333.16148, all nursing faculty shall comply with the requirements
of subrule (4) of this rule.
(6)(7) Using a form provided by the
department, the program director may apply to the board for an An
exception may be made to the requirements of subrule (4) of this rule
for full-time or part-time nursing faculty and is based on the faculty member’s
progress toward meeting the requirements of these rules during each year for
which the exception is requested. Board approval for faculty exception requests
must be received before the faculty member begins course instruction. A maximum
of 5 yearly exceptions may be granted to any full-time or part-time faculty
member. The faculty exception request must include all the following:
(a) Evidence of enrollment, which may include a letter of acceptance from the academic institution that the faculty member is enrolled.
(b) An education plan signed by the academic advisor.
(c) A copy of the faculty member’s current nursing license.
(d) The faculty member’s résumé indicating qualifications to teach the course or courses indicated.
(e) Official transcripts from the academic institution where the faculty member is currently enrolled.
(7)(8) Nursing faculty is sufficient in
number to prepare students to achieve the outcomes of the program. The
maximum ratio of students to faculty in clinical areas involving direct care of
patients must be not more than 8 students to 1 faculty member. The maximum
ratio of students to faculty in clinical areas involving non-direct patient
care must meet the clinical affiliate’s guidelines and maintain patient and
community safety.
(9) Nursing faculty shall be professionally, academically, and clinically qualified, sufficient in number, and have the expertise to accomplish program outcomes and quality improvement.
R 338.10305c Registered professional nursing and licensed practical nursing education
programs; preceptor requirements.
Rule 305c. (1) A program of nursing education that uses the personnel of a clinical facility as preceptors to facilitate the faculty-directed clinical experience of students to meet the requirements for an internship or to meet the clinical requirements in the capstone course, shall meet all the following requirements:
(a) Each preceptor is approved by the nursing faculty of the program.
(b) Each preceptor shall possess a minimum of 1 year of clinical nursing experience as a registered nurse and supervisor recommendation.
(c) Each preceptor shall hold an unencumbered license
in this state where the clinical experience occurs Clinical preceptors
shall have an unencumbered license to practice as a nurse in the state or Canadian
province where the clinical experience occurs. The license must be at
or above the level of licensure for which the student is being prepared.
(d) Each preceptor is provided education including the roles and responsibilities of students, faculty members, and preceptors. The program shall maintain documentation of preceptor education.
(e) Before the preceptor begins instruction of the students, the nursing faculty of the program shall develop written learning outcomes for the clinical experience and provide a copy of those outcomes to each preceptor.
(f) The nursing faculty member shall retain authority and responsibility for the student’s learning experiences and confer routinely and periodically with the preceptor and student to monitor and evaluate the learning experiences.
(g) The maximum ratio of precepted students to a supervising nursing faculty member must be not more than 10 students to 1 nursing faculty member.
(h) If the nursing faculty member is not physically present in the area in which students are practicing, the nursing faculty member is immediately available by telephone or other means of telecommunication when students are engaged in clinical activities with a preceptor.
(i) Preceptors shall not be used to replace clinical nursing faculty in prelicensure certificate, associate, or baccalaureate degree nursing programs.
(j) A preceptor shall supervise not more than 1 student during any 1 scheduled work time or shift.
(2) This rule does not apply to staff nurses used by faculty intermittently during non-precepted clinical experiences.
R 338.10306 Registered nursing and practical nursing education programs; curriculum
requirements; generally.
Rule 306. The sponsoring agency’s curriculum shall must include
all of the following:
(a) A statement of philosophy shall must be established that is
consistent with the philosophy of the sponsoring agency and that is implemented
in the program of nursing education.
(b) End of program student learning outcomes and course student learning
outcomes shall must be established to serve as a guide in the
development, implementation, and evaluation of the curriculum. The outcomes
shall must be leveled in a manner that shows progression throughout
the program, and shall must be reviewed periodically and
revised as necessary.
(c) Curriculum must include experiences that promote clinical judgment; skill in clinical management, supervision, and delegation; interprofessional collaboration; quality and safety; and navigation and understanding of healthcare systems.
(cd) Learning experiences and methods of instruction shall
must be selected to fulfill the stated outcomes of each nursing course. Distance
education methods must be held to the same curricular teaching/learning and
evaluation standards.
(de) Related clinical experiences and clinical laboratory and
simulation laboratory hours shall must be provided concurrently
with, or immediately after, the theoretical presentation of the course
content. Simulation laboratory hours shall must be limited to no
more than 50% of each clinical experience. In practical nursing
education programs, simulation laboratory hours for obstetrics and pediatrics
courses are unlimited and may equal 100% of the clinical experience hours.
(ef) Evaluation methods and tools to be used for measuring
student achievement shall must be determined by the nursing faculty
in keeping with the assessment methods of the sponsoring agency. These methods
and tools shall must be known to the students in the program.
(fg) The program director and nursing faculty shall
evaluate all aspects of the curriculum on a systematic basis. Records of the
results of the evaluation shall must
be
maintained for board review, if requested.
R 338.10307 Registered professional nursing and licensed practical nursing education
programs; curriculum; organization, development, implementation, control, and
evaluation.
Rule 307. (1) The program director and nursing faculty shall organize, develop, implement, control, and evaluate the curriculum on a regularly scheduled basis within the framework of the philosophy, purposes, and outcomes of the sponsoring agency and those approved by the board.
(2) The curriculum outcomes must identify the behavioral expectations of the graduate of the program and be used for all of the following purposes:
(a) Developing, organizing, implementing, and evaluating the curriculum.
(b) Identifying outcomes for levels of progression and course and program completion.
(c) Providing to the student an organized pattern to follow in which the sequence of learning is from the simple to the complex.
(d) Organizing the courses to approximate, as closely as possible, the schedules of the sponsoring agency in terms, quarters, semesters, or trimesters.
(e) Distributing the courses throughout the curriculum so that an unreasonable overload does not exist in any segment of the sequence.
(3) The philosophy and conceptual framework or rationale for the program must be the basis for the organization of the nursing content of the curriculum.
(4) The course content and other learning experiences must promote student growth in all the following areas:
(a) The understanding of the roles and responsibilities of the members of the nursing profession.
(b) The application of the principles of nursing and the
sciences which that are basic to nursing practice in the
development of plans of care for the patient or client.
(c) The provision of direct and indirect nursing care.
(d) The understanding of effective human relations and demonstrating the ability to use these principles in nursing situations.
(e) The recognition of physical, psychosocial, and spiritual needs of diverse patient/client populations in the provision of nursing care.
(f) The understanding of health, including the manifestations of disease and the initiation, organization, and application of the principles underlying the nursing care provided.
(g) Developing skills and abilities in the administration of all aspects of nursing care using the nursing process, including all the following:
(i) Communications.
(ii) Critical thinking, clinical judgment, and problem solving.
(iii) Understanding legal and professional responsibilities.
(iv) Inter-professional relationships with other healthcare providers.
(v) Evidence-based practice.
(vi) Quality and safety.
(h) Understanding and protecting the rights of patients or clients.
(5) All cooperating agencies selected for clinical laboratory and simulation laboratory experiences shall have standards of nursing care that demonstrate concern for the patient or client and evidence the skillful application of all measures of quality and safe, evidence-based nursing practice.
(6) All cooperating agencies shall have a current license,
if required, for their the cooperating agencies’ operation and
adhere to the local zoning ordinances governing their operation.
(7) When a nurse site reviewer visits a site, the nurse site reviewer may survey cooperating agencies as a part of the review process to determine the contribution each makes to the course and program outcomes. Selection must be made by the nurse site reviewer.
(8) Each resource selected to provide clinical experience shall indicate a willingness to cooperate in the curriculum by providing a letter of intent, a written agreement, or a formal contract. Each cooperating agency shall provide experiences of a quality and quantity that enable all students to meet the outcomes established for the clinical experience under R 338.10303.
R 338.10308 Registered professional nursing education program; curriculum;
implementation.
Rule 308. (1) The program director and nursing faculty of a program of nursing education leading to licensure as a registered professional nurse shall comply with all the following provisions:
(a) Select courses and ensure teaching concepts for basic content in the biological, physical, behavioral, and other courses supportive of the nursing major, which assist the student by allowing the student to succeed in the nursing sequence.
(b) Provide courses and clinical laboratory, skills laboratory, and simulation laboratory experiences in the care of individuals across diverse age groups, genders, races, and cultures, in medical, surgical, pediatric, geriatric, obstetrical, and psychiatric/mental health nursing and provide supervised practice in the administration of medication. Opportunities for learning experiences in community aspects of nursing must be made available. The elements of the nursing process and clinical judgment must be emphasized in all nursing courses. Clinical laboratory, simulation laboratory, and clinical experience hours must be sufficient in number to meet the course and program outcomes.
(c) Ensure that courses include content relating to all the following:
(i) The legal scope of practice of a registered nurse.
(ii) The standards of practice and performance and code of ethics for the nursing profession.
(iii) Historical perspectives of nursing and current legal-ethical issues.
(iv) Licensure requirements.
(v) A sound foundation in biological, physical, social, and behavioral sciences.
(vi) Didactic content that must include prevention of illness and the promotion, restoration, and maintenance of health in patients across the lifespan and from diverse cultural, ethnic, social, and economic backgrounds.
(vii) Didactic and clinical concepts that must include medical/surgical, obstetrics, pediatrics, psychiatric/mental health nursing, and pharmacology.
(viii) Fifty percent or more of clinical experiences, in each clinical course, that must include direct patient care.
(d) Select cooperating agencies that meet the requirements of R 338.10307(5), (6), and (8).
(e) Clinical experiences must be supervised, occur directly with patients, and be sufficient for meeting program outcomes.
(2) A registered professional nurse program may substitute
up to 50% of clinical hours per specialty content area within a course with
simulation laboratory experiences. For simulation laboratory experiences, the
board adopts by reference either of the following standards:
of the
(a) International Nursing Association for
Clinical Simulation and Learning, as specified in the publication titledentitled,
“Standards of Best Practice: Simulation” 2021. The standards are available
from the International Nursing Association for Clinical Simulation and
Learning’s website at http://www.inacsl.org
at no cost. Copies of the standards are available for inspection and
distribution at a cost of 10 25 cents per page from the Board of
Nursing, Bureau of Professional Licensing, Department of Licensing and
Regulatory Affairs, 611 West Ottawa Street, P.O. Box 30670, Lansing, Michigan
48909.
(b) Society for Simulation in Health Care, as specified in the publication entitled, “Core Accreditation Standards” 2021. The standards are available from the Society for Simulation in Healthcare’s website at https://www.ssih.org/ at no cost. Copies of the standards are available for inspection and distribution at a cost of 25 cents per page from the Board of Nursing, Bureau of Professional Licensing, Department of Licensing and Regulatory Affairs, 611 West Ottawa Street, P.O. Box 30670, Lansing, Michigan 48909.
R 338.10309 Licensed practical nursing education program; curriculum; implementation.
Rule 309. (1) The program director and nursing faculty of a program of nursing education leading to licensure as a licensed practical nurse shall comply with all the following provisions:
(a) Select courses and ensure teaching concepts on which the theory and practice of practical nursing are based. The basic principles of the natural and applied sciences that are fundamental to the theory and practice of practical nursing and that are applied in the planning and implementation of nursing care must be included.
(b) Provide courses and clinical laboratory, skills laboratory, and simulation laboratory experiences in the care of individuals across diverse age groups, genders, races, and cultures, in medical, surgical, pediatric, obstetrical, acute and chronic mental illness, and geriatric nursing and provide supervised practice in the administration of medications. The elements of the nursing process and clinical judgment must be emphasized in all nursing courses. Clinical laboratory, skills laboratory, simulation laboratory, and clinical experience hours must be sufficient to meet the course and program outcomes of the curriculum.
(c) Ensure that courses include content relating to all the following:
(i) The legal scope of practice of a licensed practical nurse.
(ii) The standards of conduct for members of the nursing profession and, in particular, a licensed practical nurse.
(iii) Historical perspectives of nursing and current legal-ethical issues.
(iv) Licensure requirements.
(v) A sound foundation in biological, physical, social, and behavioral sciences.
(vi) Didactic content that must include prevention of illness and the promotion, restoration, and maintenance of health in patients across the lifespan and from diverse cultural, ethnic, social, and economic backgrounds.
(vii) Didactic and clinical concepts that must include medical/surgical, obstetrics, pediatrics, psychiatric/mental health nursing, and pharmacology.
(viii) Fifty percent or more of clinical experiences, in each course, that must include direct patient care.
(d) Select cooperating agencies that meet the requirements of R 338.10307(5), (6), and (8).
(e) Clinical experiences must be supervised, occur directly with patients, and be sufficient for meeting program outcomes.
(2) A licensed practical nursing education program may
substitute up to 50% of clinical hours per specialty content area within a
course with simulation laboratory experiences, except for pediatric and
obstetric clinical hours. A licensed practical nursing education program may
substitute up to 100% of pediatric and obstetric clinical hours with simulation
laboratory. For simulation laboratory experiences, the board adopts by reference
either of the following standards: of the
(a) International Nursing Association for Clinical
Simulation and Learning, as specified in the publication titledentitled,
“Standards of Best Practice: Simulation” 2021. The standards are available
from the International Nursing Association for Clinical Simulation and
Learning’s website at http://www.inacsl.org
at no cost. Copies of the standards are available for inspection and
distribution at a cost of 10 25 cents per page from the Board of
Nursing, Bureau of Professional Licensing, Department of Licensing and
Regulatory Affairs, 611 West Ottawa Street, P.O. Box 30670, Lansing, Michigan
48909.
(b) Society for Simulation in Health Care, as specified in the publication entitled, “Core Accreditation Standards” 2021. The standards are available from the Society for Simulation in Healthcare’s website at https://www.ssih.org/ at no cost. Copies of the standards are available for inspection and distribution at a cost of 25 cents per page from the Board of Nursing, Bureau of Professional Licensing, Department of Licensing and Regulatory Affairs, 611 West Ottawa Street, P.O. Box 30670, Lansing, Michigan 48909.
R 338.10310 Board evaluation of a nursing education program.
Rule 310. The board may evaluate a program of nursing education when any of the following occurs:
(a) A request for initiating a program of nursing education is submitted.
(b) A request for full approval of a program is submitted.
(c) A request for approval of a major program change is submitted.
(d) The pass rate for first-time test takers on the required licensure NCLEX examination is less than 80% for any 1 year of compiled statistics provided from the NCSBN.
(e) Complaints regarding the conduct of the program are received and it is necessary to validate the complaints, under section 17242 of the code, MCL 333.17242.
(f) Failure of a nursing education program to submit a
nursing education program report, or self-study report under the time frames
set forth in R 338.10303b. Turnover of program director, consisting of
more than 3 individuals holding the program director position in a 5-year
period.
(g) Finding of deficiencies or loss of accreditation by
the national accrediting body nursing education accrediting
organization that is listed in R 338.10303d or by an institutional
accrediting agency approved by the United States Department of Education or a
successor agency.
(h) Failure of a nursing education program to submit
faculty exception requests before the start date of the semester under R
338.10305a and R 338.10305b. Full-time nursing faculty turnover,
reduction in the number of full-time nursing faculty, or a full-time nursing
faculty to part-time nursing faculty ratio of less than 35% in conjunction with
a decline in achievement of program outcomes.
(i) Program completion rate as submitted on a nursing education program report is below the standard set by the national accrediting organization for an accredited program or less than 70% for an unaccredited program.
(j) Failure of a nursing
education program to apply for full approval by the end of the fourth cohort.
(k) Any violation or inconsistency with the code or rules or
as determined by the board.
R 338.10310a Nursing education program; board action following evaluation.
Rule 310a. (1) A nursing education program that
was evaluated under R 338.10310, and determined to be in noncompliance with any
provision of the code or these rules shall be given written notice from the
board specifying the areas of deficiency pursuant to section 17242 of the code,
MCL 333.17242.The board shall require an unaccredited nursing education program
evaluated under section 17242 of the code, MCL 333.17242, and R 338.10310
and determined to be in noncompliance with any provision
of the code or the rules
to have an action plan or NCLEX improvement plan as the first step for
improvement of the identified problem areas. The sponsoring agency shall submit
the action plan or NCLEX improvement plan within 6 months after the evaluation
or with the next nursing education program report, as that term is defined in R
338.10303b, whichever comes first. The plan must include all the following:
(2) The nursing education program shall submit an action plan as directed by the board. The action plan must address identified program deficiencies or problem areas as directed by the board.
(a) A statement that the evaluation of the
nursing education program was conducted by the program’s director and faculty
to identify problem areas.
(b) Specific steps that are being taken to affect
changes in the program.
(c) Improvements to the
curriculum, student admission and progression, faculty expertise in nursing and
teaching, and institutional support.
(d) A method
for the evaluation of the changes and further
action to be taken if program performance continues to be out of compliance. The
evaluation method should include, but is not limited to, an evaluation of
student achievement of course learning outcomes and end of program student
learning outcomes that reflect the changes.
(2) If there is no evidence of improvement 1 year from the plan’s implementation, the program shall
submit an amended action plan, progress report, or NCLEX improvement plan that contains
the steps being taken to improve the problem areas of the program.
(3) If there is no evidence
of improvement 2 years after the initial improvement plan is submitted was
approved, the board may proceed under R 338.10311.
( 4 ) The board shall require
an accredited nursing education program evaluated under section 17242 of the code, MCL 333.17242, and R 338.10310
and determined to be in noncompliance with any provision
of the code or the rules to comply with all the following:
(a) Follow the reporting requirements of its national
accrediting organization.
(b) Submit copies of all
reports required by the accrediting organization and decision letters received
from the organization to the board.
(c) If a program is placed
in a probationary status by its accrediting organization, this notation must be
made on the board’s website.
(d)
If a program loses accreditation from its national accrediting organization, it
shall immediately cease enrolment of new cohorts and the boar shall proceed under
R 338.10311 and begin the process to withdraw approval of the program.
R 338.10311 Failure of program to comply with rules; withdrawal of approval.
Rule 311. (1) The board shall proceed under section 17242 of the code, MCL 333.17242, if the board determines that a program of nursing education does not meet the requirements of this part.
(2) A sponsoring agency of a nursing education program, whose approval by the board was withdrawn, shall wait no less than 1 year from the graduation date of the last cohort of currently enrolled students before applying to the board as a new program under R 338.10303.
(3) Withdrawal of board approval of the program of nursing education
a nursing education program for stated deficiencies which were not
remediated does not necessarily make any bona fide student enrolled in the
program at the time of withdrawal of approval ineligible for the required
NCLEX licensure examination upon satisfactory completion of that program or
another program of nursing education which has been approved by the board.
(34) Failure of a nursing program to meet all of the requirements
of this part shall not, in and of itself, make a graduate from the program
ineligible for licensure in this state. Approval of the program in a
jurisdiction that maintains substantially equivalent requirements shall be
considered in compliance with these rules.
( 4 5) Failure to comply with R 338.10303d will prohibit
admittance of any new cohort. and result in withdrawal of school
approval under section 17242 of the code, MCL 333.17242, after the graduation
of the last cohort of currently enrolled students.
R 338.10312 Program termination; interruption or reduction of admissions.
Rule 312. (1) The following applies to programs that terminate admissions:
(a) The program director shall do all the following:
(i)
inform Inform the board if a of the date is established
for termination of the program of nursing education.
(2)(ii) The
program director shall inform Inform the board regarding the system
of retention of student records which that are needed for
endorsement purposes and proof of scholastic achievement. The system of
records retention must comply with R 338.10305(e) and all applicable
federal and state laws and regulations. The program shall inform the board of
where the records are maintained so that graduates may be given the source of
information on request.
(iii) Provide a plan that is approved by the board for students to complete the program.
(iv) Provide the board with written confirmation that the completion plan, specified in paragraph (iii) of this subdivision, has been fully implemented within 30 days of completion.
(b) A program owner or sponsoring agency of a nursing education program that terminates admissions for any reason may not apply for initial approval of a program for no less than 1 year after the last cohort of students graduates.
(3)(2) The
program director shall inform the board if admissions to the program of nursing
education are to be reduced, suspended, or interrupted.
(4)(3) A
licensed practical nursing program that has suspended admissions for 2 years
shall apply for initial program approval under R 338.10303 and obtain board
approval before resuming admissions.
(5)(4) A registered professional nursing
program that is 2 years in duration that has suspended admissions for 2 years
shall apply for initial program approval under R 338.10303 and obtain board
approval before resuming admissions.
(6)(5)A registered professional nursing
program that is 4 years in duration that has suspended admissions for 4 years
shall apply for initial program approval under R 338.10303 and obtain board
approval before resuming admissions.
(76) The board shall withdraw approval of
any program that has suspended admissions for more than 4 years.
(7) Failure to comply with the requirements of this rule may negatively affect the ability of the program owner or sponsoring agency to restart the program under the same or a different name.
PART 4. NURSE SPECIALTY CERTIFICATION
R 338.10402 Automatic suspension or revocation of specialty certification.
Rule 402. The suspension or revocation of a license as a
registered nurse shall automatically void the specialty certification
results in the suspension or revocation of the specialty certification or
specialty certifications.
R 338.10403 Advertisement of services.
Rescinded.
Rule 403. Only nurses certified
in a nursing specialty field may hold themselves out to the public as nurse
specialists using the title clinical nurse specialist, nurse anesthetist, nurse
midwife, or nurse practitioner. Conduct contrary to this rule is considered a
violation of section 16221(d) of the code, MCL 333.16221(d).
R 338.10404a Specialty certification qualifications; nurse midwife.
Rule 404a. A specialty certification for nurse midwife
shall must be granted to a registered professional nurse who
satisfies all of the following requirements:
(a) Holds a current and valid license to practice nursing in this state.
(b) Submits an application for certification as a nurse midwife on a form provided by the department with the required fee.
(c) Possesses a current certification from the American
Midwifery Certification Board, Inc. (AMBC AMCB), or a successor
organization.
R 338.10404b Specialty certification qualifications; nurse practitioner.
Rule 404b. A specialty certification for nurse
practitioner shall must be granted to a registered professional
nurse who satisfies all of the following requirements:
(a) Holds a current and valid license to practice nursing in this state.
(b) Submits an application for certification as a nurse practitioner, on a form provided by the department with the required fee.
(c) Possesses advanced practice certification from 1 of the following certification organizations, or successor organizations:
(i) The American Nurses Credentialing Center for Family Nurse Practitioner, Adult-Gerontology Primary Nurse Practitioner, Adult-Gerontology Acute Nurse Practitioner, and Psychiatric Mental-Health Nurse Practitioner.
(ii) The Pediatric Nursing Certification Board.
(iii) The National Certification Corporation for Women’s Health Care Nurse Practitioner and Neonatal Nurse Practitioner.
(iv) The American Academy of Nurse Practitioners for
Emergency Nurse Practitioners Practitioner, Family Nurse Practitioners
Practitioner, and Adult-Gerontology Primary Care Nurse Practitioners
Practitioner, and Psychiatric-Mental Health Nurse Practitioner.
(v) The Oncology Nursing Certification Corporation.
(vi) The American Association of Critical Care Nurses Certification Corporation for Acute Care Nurse Practitioner.
R 338.10405b Nurse practitioner specialty certification renewal or reregistration;
schedule; requirements; maintenance of evidence of compliance.
Rule 405b. (1) Specialty certification renewal must correspond with the same schedule as the license renewal.
(2) An applicant for renewal or reregistration of a lapsed certification who holds national certification as a nurse practitioner shall have obtained recertification or maintained certification within the 2-year period immediately before the application from 1 of the following organizations or successor organizations:
(a) The American Nurses Credentialing Center for Family Nurse Practitioner, Adult-Gerontology Primary Nurse Practitioner, Adult-Gerontology Acute Nurse Practitioner, and Psychiatric Mental-Health Nurse Practitioner.
(b) The Pediatric Nursing Certification Board.
(c) The National Certification Corporation for Women’s Health Care Nurse Practitioner and Neonatal Nurse Practitioner.
(d) The American Academy of Nurse Practitioners for
Family Nurse Practitioners Practitioner, Emergency Nurse Practitioners
Practitioner, and Adult-Gerontology Primary Care Nurse Practitioners
Practitioner, and Psychiatric-Mental Health Nurse Practitioner.
(e) The Oncology Nursing Certification Corporation.
(f) The American Association of Critical Care Nurses Certification Corporation.
(g) The American Association of Nurse Practitioners.
(3) An applicant or licensee shall maintain evidence of compliance with the requirements of this rule for a period of 4 years after the date of application, during which time the board may require the licensee to submit the evidence for audit.