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 section 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)
R 338.10101, R 338.10105, R 338.10202, R 338.10203, R 338.10204, R 338.10206, R 338.10207, R 338.10208, R 338.10208a, R 338.10209, R 338.10210, R 338.10211, R 338.10212, R 338.10212a, R 338.10213, R 338.10301, R 338.10303, R 338.10303a, R 338.10303b, R 338.10303c, R 338.10303d, R 338.10304, R 338.10305, R 338.10305a, R 338.10305b, R 338.10305c, R 338.10307, R 338.10308, R 338.10309, R 338.10310, R 338.10310a, R 338.10312, R 338.10402, R 338.10404, R 338.10404b, R 338.10404c, R 338.10405, R 338.10405a, R 338.10405b, R 338.10601, R 338.10602, R 338.10703, and R 338.10704 of the Michigan Administrative Code are amended, as follows: 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.
(be) “Code” means the
public health code, 1978 PA 368, MCL 333.1101 to 333.25211.
(f) “CP” means the CGFNS Certification Program.
(cg) “Department”
means the department of licensing and regulatory affairs.
(h) “FBI” means the Federal Bureau of Investigation.
(i) “JS&A” means the Josef Silny & Associates, Inc. International Education Consultants.
(j) “NACES” means the National Association of Credential Evaluation Services.
(k) “NCSBN” means the National Council of State Boards of Nursing.
(2) Unless
otherwise defined in these rules, the terms Terms defined in the
code have the same meaningsmeaning whenas used in these
rules.
R 338.10105 Training standards for identifying victims of human trafficking;
requirements.
Rule 105. (1) Pursuant toUnder section 16148
of the code, MCL 333.16148, anthe individual who is licensed
or seeking licensure shall have completecompleted training
in identifying victims of human trafficking that meets the following standards:
(a) Training content must cover all of the following:
(i) Understanding the types and venues of human trafficking in this state or the United States.
(ii) Identifying victims of human trafficking in health
carehealthcare settings.
(iii) Identifying the warning signs of human trafficking
in health carehealthcare settings for adults and minors.
(iv) Identifying resources for reporting the suspected victims of human trafficking.
(b) Acceptable providers or methods of training include any of the following:
(i) Training offered by a nationally recognized or state-recognized health-related organization.
(ii) Training offered by, or in conjunction with, a state or federal agency.
(iii) Training obtained in an educational program that has been approved by the board for initial licensure, or by a college or university.
(iv) Reading an article related to the identification of
victims of human trafficking that meets the requirements of subdivision (a) of
this subrule and is published in a peer reviewpeer-review journal,
health carehealthcare journal, or professional or scientific
journal.
(c) Acceptable modalities of training include any of the following:
(i) Teleconference or webinar.
(ii) Online presentation.
(iii) Live presentation.
(iv) Printed or electronic media.
(2) The department may select and audit a sample of
individualsan individual and request documentation of proof of
completion of training. If audited by the department, anthe individual
shall provide an acceptable proof of completion of training, including either
of the following:
(a) Proof of completion certificate issued by the training provider that includes the date, provider name, name of training, and individual’s name.
(b) A self-certification statement by anthe
individual. The certification statement must include the individual’s name and
either of the following:
(i) For training completed pursuant tounder
subrule (1)(b)(i) to (iii) of this rule, the date, training provider name, and
name of training.
(ii) For training completed pursuant tounder
subrule (1)(b)(iv) of this rule, the title of article, author, publication name
of peer reviewpeer-review journal, health carehealthcare
journal, or professional or scientific journal, and the date, volume,
and issue of publication, as applicable.
(3) Pursuant to section 16148 of the code, MCL
333.16148, the requirements specified in subrule (1) of this rule apply for
license renewals beginning March 31, 2018 and for initial licenses issued after
January 6, 2022.
PART 2. LICENSURE
R 338.10202 Examination; adoption; passing scores.
Rule 202. The board approves and adopts the examinations developed by the National
Council of State Boards of Nursing, Inc.NCSBN, identified as
the "NCLEX-RN" for the registered nurse and the "NCLEX-PN"
for the practical nurse. Examinees shall achieve a score of pass on the NCLEX
computerized adaptive test. The passing score is determined by the National
Council of State Boards of Nursing (NCSBN).
R 338.10203 Licensure by examination; registered professional nurse; requirements.
Rule 203. (1) An applicant for licensure by examination shall submit a completed application on a form provided by the department, together with the requisite fee.
(2) In addition to meeting the other
requirements of the code R 338.7001 to R 338.7005, and any rules
promulgated under the code, an applicant shall satisfy the requirements of
this rule.
(2)(3) An applicant for a registered nurse
license shall establish that he or shethe applicant meets the
eligibility requirements to sit for the NCLEX-RN examination set forth in R 338.10204
and shall pass the NCLEX-RN examination.
(3)(4) An applicant for
licensure shall comply with section 16174(3) of the code, MCL 333.16174(3),
and submitby
providing
his or hertheir fingerprints to the
department of state police to have a criminal background check conducted by the
state police and the federal bureau of investigationFBI.
(5) An applicant shall 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.
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 establish
that he or shethe
applicant
has successfully completed a registered nurse education program that satisfies
1 of the following:
(a) The applicant has successfully completed a registered professional nurse
education program that is located in this state and is approved by the
board.
(b) The applicant has successfully completed a registered professional nurse education program accredited by CASN.
(bc) The applicant
has successfully completed a registered professional nurse education program that
is located in another state of the United States, and that program 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) Provides 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:
(1a) The registered
nurse education program is at least 60 weeks in duration and includes courses
providing theory and clinical practice that comply with R 338.10303d and
R 338.10306 to R 338.10308.
(2b) The
registered nurse education program curriculum contains the core curriculum for
registered professional nurse students as that term is defined in R
338.10301(hl).
(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.
(cd) The applicant is
a graduate of a registered professional 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 he or shethe applicant graduated from a
program with substantially equivalent education credentials as a program approved
by the board:
(i) A Credentials Evaluation Service (CES) professional report
from the Commission on Graduates of Foreign Nursing Schools (CGFNS)
or its successor agency.
(ii) A certification from the CGFNS Certification Program (CP) or
its successor agency.
(iii) An Evaluation of Foreign Educational Credentials for Boards of Nursing
from Josef Silny & Associations, Inc. International Education
Consultants (JS&A).
(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 CGFNS CP can be obtained from the CGFNS website at www.cgfns.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/.
(4) An applicant who did not pass the NCLEX-RN examination within 3 years after
1 of the following events is not eligible to repeat the NCLEX-RN examination
until he or shethe
applicant
receives a written certification of skills competency covering the subjects in subrule
(5) of this rule, from a nurse education program approved pursuant tounder R 338.10303a:
(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(bc) of this rule.
(c) Obtaining 1 of the required evaluations or the certification in subrule
(2)(cd) of this rule.
(5) A certification of skillskills 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-RN examination.
(67) As an alternative
to subrule (6), Uponon written application and documentation
to support the request to the board, an applicant may request anthe 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 338.10206 Licensure by endorsement from another state or reciprocity from Canada;
registered professional nurse; requirements.
Rule 206. (1) An applicant who currently holds an active registered professional nurse license in good standing in another state and who has never been licensed as a registered professional nurse in this state may apply for a license by endorsement.
(2) The applicant and is presumed to meet
the requirements of section 16186 of the code, MCL 333.16186, if he or shethe applicant meets the requirements
of section 16174 of the code, MCL 333.16174; R 338.7001 to R 338.7005;
any
rules promulgated under the code; submits a completed application, on a form
provided by the department, together with the requisite fee; and complies with all
of the following requirements:
(a) Meets either of the following requirements:
(i) Has been licensed or registered for not less than 5 years as a registered professional nurse in another state, was initially licensed by taking the NCLEX-RN examination, holds their license in good standing, and provides transcripts showing graduation from a nursing education program in another state.
(ii) Is currently licensed in good standing in another state for less than 5 years, was initially licensed by taking the NCLEX-RN examination, and meets all of the following requirements:
(aA) Completes a
registered nurse education program that meets either of the following requirements:
(i1) The program is
located in this state and is approved by the board.
(ii2) The program is located
in another state of the United States and complies with either1 of the following:
(Aa) The program is
accredited by a nursing education accrediting agency listed in R 338.10303d(2).
(Bb) If the program
is not accredited by a nursing education accrediting agency listed in R 338.10303d(2),
the applicant shall provide all the following:
(1i) The
applicant’s official transcripts.
(2ii) Provides
either of the following:
(A) 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:
(a1) The
registered nurse education program is not less than 60 weeks or more in duration
and that includes courses providing theory and clinical practice that comply
with R 338.10303d and R 338.10306 to R 338.10308.
(b2) The
registered nurse education program curriculum contains the core curriculum for
registered professional nurse students as that term is defined in R
338.10301(hl).
(b) Is currently licensed in
good standing in another state and was initially licensed by taking the
NCLEX-RN examination in another state.
(B) 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.
(cb) Discloses each
license, registration, or certification in a health profession or specialty
issued by any otheranother state, the United States military, the
federal government, or another country on the application form.
(dc) Satisfies the
requirements of section 16174(23) of the code, MCL 333.16174, which includes 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.
(d) Satisfies 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.
(23) An applicant who
currently holds an active professional nurse license in Canada, who has
never been licensed as a registered professional nurse in this state, may
apply for a license by reciprocity, and is presumed to meet the requirements
of section 16186 of the code, MCL 333.16186, if he or shethe
applicant meets the requirements of section 16174 of the code, MCL 333.16174,
submits a completed application, on a form provided by the department, together
with the requisite fee, and complies with all of the following:
(a) Meets the requirements of section 16174(3) of the code, MCL
333.16174, and submitsubmits his or herthe applicant’s fingerprints to
the department of state police to have a criminal background check conducted by
the department of state police and the Federal Bureau of Investigation (FBI).
(b) Meets either of the following:
(i) Has been licensed or registered for not less than 5 years as a registered professional nurse in Canada, was initially licensed by passing the NCLEX-RN or the Canadian Registered Nurse Examination before 2015, holds their license in good standing, and provides transcripts showing the applicant graduated from a nursing education program in another state or Canada.
(bii) Meets both of the
following:
(A) Is currently licensed in good standing in Canada for less than 5 years, and was initially licensed by passing the NCLEX-RN or the Canadian Registered Nurse Examination before 2015.
(cB) Completes a nursing education program
accredited by a nursing education accrediting agency listed in R 338.10303d(2)
or by the Canadian Association of Schools of Nursing (CASN).
(dc) Discloses each
license, registration, or certification in a health profession or specialty
issued by any otheranother state, the United States military, the federal
government, or another country on the application form.
(ed) Satisfies the
requirements of section 16174(2) of the code, MCL 333.16174, which includesincluding 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.
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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For a registered professional nurse who has let |
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Establish that |
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(iii) Submit fingerprints as required under section 16174(3) of the code, MCL 333.16174. |
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(v)
(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 |
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(vi) Meet the implicit bias training required under R 338.7004. |
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( (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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( (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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For a registered professional nurse who has let |
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Establish that |
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(iii) Submit fingerprints as required under section 16174(3) of the code, MCL 333.16174. |
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( (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, |
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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) MeetsMeet
section
16174(3) of the code, MCL
333.16174, and submit by providing his or herthe
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 he or shethe applicant meets the
eligibility requirements to sit for the NCLEX-RN examination set forth in R
338.10204 and must 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, he
or shethe
applicant
shall submit 1 of the following to the department that shows he or shethe 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 agency.
(ii) A certification from the CGFNS CP or its successor agency.
(iii) An Evaluation of Foreign Educational Credentials for Boards of Nursing from JS&A.
(d) DisclosesDisclose each license,
registration, or certification in a health profession or specialty issued by any
otheranother state, the United States military, the federal
government, or another country on the application form.
(e) SatisfiesSatisfy the requirements of
section 16174(2) of the code, MCL 333.16174, which includeincluding
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) Pursuant toUnder section 17213(2)
of the code, MCL 333.177213, if the applicant is a graduate of a registered
professional nurse education program, that is located outside of the United
States or Canada, he or shethe applicant is exempt from
obtaining an evaluation or certification of his or hertheir educational
credentials as required in subrule (1)(c) of this rule if he or shethe 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 the
United Statesanother 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, and submit by
providing his or herthe 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 he
or shethe applicant meets the eligibility requirements to sit for the
NCLEX-RN examination set forth in R 338.10204 and shall 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 he or shethe applicant graduated from a
program with substantially equivalent education credentials as a program
approved by the board:
(i) Proof of program accreditation by the CASNCanadian
Association of Schools of Nursing.
(ii) A CES professional report from the Commission on CGFNS or its
successor agency.
(iii) A certification from the CGFNS CP or its successor agency.
(iv) An Evaluation of Foreign Educational Credentials for Boards of Nursing from JS&A.
(d) Disclose each license, registration, or certification
in a health profession or specialty issued by any otheranother
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, which includesincluding 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 338.10209 Licensure by examination; licensed practical nurse; requirements.
Rule 209. (1) An applicant for licensure by examination shall submit a completed application on a form provided by the department, together with the requisite fee.
(2) In
addition to meeting the other requirements of the code R 338.7001 to R
338.7005, and
the administrative any rules promulgated pursuant tounder the code, an
applicant shall satisfy the requirements of this rule.
(23) An applicant for
a licensed practical nurse license shall establish that he or shethe applicant meets the eligibility
requirements to sit for the NCLEX-PN examination set forth in R 338.10210 and shall
pass the NCLEX-PN examination.
(34) An applicant for
licensure shall comply with section 16174(3) of the code, MCL 333.16174(3),
and submit by
providing his
or hertheir fingerprints to
the department of state police to have a criminal history check conducted by
the state police and the federal bureau of investigationFBI.
(5) An applicant shall 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.
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 he or shethe
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.
(bc) The applicant
has successfully completed a practical nurse education program that is located
in another state of the United States and that program 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 338.10303(d)(2), the applicant mustshall 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:
(1a) 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 338.10303d,
R 338.10306, R 338.10307, and R 338.10309.
(2b) The
practical nursing education program curriculum contains the core curriculum for
licensed practical nurse students as that term is defined in R
338.10301(gk).
(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.
(cd) 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 he or shethe 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 agency.
(ii) An Evaluation of Foreign Educational Credentials for Boards of Nursing from JS&A.
(iii) A certification from the National Association of Credential Evaluation
Services (NACES), or its successor agency.
(de) 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 pursuant tounder 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 website at www.cgfns.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/. A list of NACES approved credentialing agencies can be found on its website at www.naces.org.
(4) An applicant who did not pass the NCLEX-PN examination within 3 years after
1 of the following events is not eligible to repeat the NCLEX-PN examination until
he or shethe
applicant
receives a written certification of skills competency covering the subjects in subrule
(5) of this rule, from a nurse education program approved pursuant tounder R 338.10303a:
(a) Graduation from a board-approved practical nurse education program under
subrule (2)(a) of this subrule or from a practical nurse education
program accredited by CASN under subrule (2)(b) of this rule. or meet the requirements
of subrule (2)(b) of this rule.
(b) Satisfying
the requirements of subrule (2)(c) of this rule. Graduation
from a board approved registered nurse education program under subrule (2)(d)
of this rule.
(c) Obtaining 1 of the required evaluations or certifications in subrule (2)(cd) of this
rule.
(d) Graduation from a board approved registered nurse education program under subrule (2)(e) of this rule.
(5) A
Certificationcertification 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.
(67) UponOn written
application and documentation to support the request to the board, an
applicant may request anthe board may grant up to a 6-month extension to the time
requirementsrequirement 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 his or hertheir control which the board considers
good and sufficient.
R 338.10211 Licensure by endorsement from another state; licensure by reciprocity from Canada; licensed practical nurse; requirements.
Rule 211. (1) An applicant who currently holds an active practical nurse license in good standing from another state and who has never been licensed as a practical nurse in this state may apply for a license by endorsement.
(2) The applicant and is
presumed to meet the requirements of section 16186 of the code, MCL 333.16186,
if he or shethe applicant meets the requirements of section 16174 of the code, MCL 333.16174;
R
338.7001 to R 338.7005; any rules promulgated under the code; submits a completed
application, on a form
provided by the department, together with the
requisite fee; and complies with all of the following requirements:
(a) Meets 1 of the following requirements:
(i) Has been licensed or registered for not less than 5 years as a practical nurse in another state, was initially licensed by taking the NCLEX-PN examination, holds their license in good standing, and provides transcripts showing graduation from a nursing education program in another state.
(ii) Is currently licensed in good standing in another state for less than 5 years, was initially licensed by taking the NCLEX-PN examination, and meets all of the following requirements:
(aA) Completes a practical nurse
education program that meets either of the following requirements:
(i1) The program is located in
this state and is approved by the board.
(ii2) The program is located in
another state of the United States and the program complies with either
of the following:
(Aa) The program is accredited by
a nursing education accrediting agency listed in R 338.10303d(2).
(Bb) If the program is not accredited
by a nursing education accrediting agency listed in R 338.10303(d)(2), the
applicant shall provide all of the following:
(1i) The applicant’s official
transcripts.
(2ii) Provides either of the following:
(A) A letter to the department on official program letterhead, signed by the director of nursing, attesting that the program curriculum complies with both of the following:
(a1) 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 338.10303d,
R 338.103036338.10306, R 338.10307, and R 338.10309.
(b2) The practical
nursing education program curriculum contains the core curriculum for licensed practical nurse students as that term is defined in R 338.10301(gk).
(B) 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.
(b) Is licensed in good standing in another state and was initially
licensed by taking the NCLEX-PN examination in another state.
(cb) Discloses each
license, registration, or certification in a health profession or specialty
issued by any otheranother state, the United States military, the federal government,
or another country on the application form.
(dc) Satisfies the requirements of section 16174(2)
of the code, MCL 333.16174, which includeincluding 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.
(d) Satisfies 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.
(2)(3) An applicant who
currently holds an active practical nurse license in Canada who has never been
licensed as a practical nurse in this state may apply for a license by
reciprocity and is presumed to meet the requirements of section 16186 of the
code, MCL 333.16186, if he or shethe applicant meets the
requirements of section 16174 of the code, MCL 333.16174, submits a
completed application, on a form provided by the department, together with the
requisite fee, and complies with all of the following:
(a) Meets the requirements
of section 16174(3) of the code, MCL 333.16174, and submits by
providing his or herthe 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) Meets either of the following:
(i) Has been licensed or registered for not less than 5 years as a practical nurse in Canada, was initially licensed by passing the NCLEX-PN examination or the Practical Nurse Registration Examination, holds their license in good standing, and provides transcripts showing the applicant graduated from a nursing education program in another state or Canada.
(ii) Meets both of the following:
(bA) Is currently licensed in good
standing for less than 5 years in Canada and was initially licensed by
passing the NCLEX-PN or the Practical Nurse Registration Examination.
(cB) Completes a nursing education program
accredited by a nursing education accrediting agency listed in R 338.10303d(2)
or by the CASN.
(dc) DiscloseDiscloses
each license, registration, or certification in a health profession or
specialty issued by any otheranother state, the United States
military, the federal government, or another country on the application form.
(e) SatisfySatisfies
the requirements of section 16174(2) of the code, MCL 333.16174, which
includesincluding 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.
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 his
or herthe 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 he or shethe applicant meets
the eligibility requirements to sit for the NCLEX-PN examination set forth in R
338.10210 and shall 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 he or shethe 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 agency.
(ii) An Evaluation of Foreign Educational Credentials for Boards of Nursing from JS&A.
(iii) A certification from the NACES or its successor agency.
(d) Disclose each license, registration, or certification in a
health profession or specialty issued by any otheranother 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, which includeincluding 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 he or shethe 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
this countryanother 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, and submit by providing his or herthe
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 he or shethe applicant
meets the eligibility requirements to sit for the NCLEX-PN examination set
forth in R 338.10210 and shall 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 he or shethe
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 agency.
(iii) An Evaluation of Foreign Educational Credentials for Boards of Nursing from JS&A.
(iv) A certification from the NACES or its successor agency.
(d) Disclose each license, registration, or certification
in a health profession or specialty issued by any otheranother
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, which includesincluding 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 (√):
|
(a)
For a licensed practical nurse who has let |
0-3 Years. |
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7 or more years. |
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(i)
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√
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√
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√
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(ii)
Establish that |
√
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√
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√
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(iii) Submit fingerprints as set forth in section 16174(3) of the code, MCL 333.16174. |
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√
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√
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(iv)
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√ |
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(v)
(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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√ |
√ |
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(vi) Meet the implicit bias training required under R 338.7004. |
√
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√
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√
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( (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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√ |
√ |
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( |
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√ |
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( (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, |
√
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√ |
√ |
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(b)
For a licensed practical nurse who has let |
0-3 Years. |
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(i)
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√
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√
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√
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(ii)
Establish that |
√
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√
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√
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(iii) Submit fingerprints as set forth in section 16174(3) of the code, MCL 333.16174. |
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√
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√
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(iv)
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√
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√
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(v) Meet the implicit bias training required under R 338.7004. |
√
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√
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√
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( (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, |
√
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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 degree in nursing.
(a)(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.
(b)(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.
(c)(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.
(d)(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.
(e)(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 which gives direction to the curriculum.
(f)(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.
(g)(k) “Core curriculum
for licensed practical nurse applicantsstudents” 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 the 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.
(h)(l)
“Core
curriculum for registered professional nurse applicantsstudents” 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 the 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.
(i)(m) “Course student
learning outcomes” means statements of educational expectations written in
measurable terms for the knowledge, skills, or behaviors students shallmust 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.
(j)(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.
(k)(o) “End of program
student learning outcomes” means statements of educational expectations written
in measurable terms for the knowledge, skills, or behaviors students shallmust 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.
(l)(p) “Final program
approval report” means a 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.
(m)(q)
“Full
program approval” means approval of a program granted after satisfactory
demonstration to the board of compliance with these rules.
(n)(r) “Initial
approval” means approval that is granted by the board to inaugurate a program
of nursing education.
(o)(s) “Instruction”
means educational methodology for achieving curriculum outcomes.
(p)(t) “Learning experiences”
means planned learning situations, which may include clinical experiences,
clinical laboratory hours, or classroom instruction.
(u) “MSN” means a master’s of science in nursing.
(q)
“National accreditation” means a self-regulatory process that meets or exceeds
educational quality standards and criteria set forth by a national nursing
accreditation organization.
(r)
“Nurse education consultant” means a nurse with expertise in curriculum development
and nursing program administration or education that independently examines a nursing
program under disciplinary review.
(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.
(s)(w) “Nursing
education program report” means a report completed and submitted between the
self-study submissions. It provides the board with information as to 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 pursuant
to under R 338.10303, the report must be submitted each year during the
program approval phase.
(ii) For programs that have received full approval pursuant
to 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.
(t) “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.
(u)(y) “Nursing process”
means the ongoing assessment, analysis, nursing diagnosis, planning,
implementation, and evaluation of nursing care.
(v)(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.
(w)(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.
(x)(bb)
“Practical
nurse program” means a nursing program to prepare students for practical nurse
licensure.
(y)(cc)“Preceptor” means an experienced
nurse, paired in a 1-to-1 relationship with a nursing student, who actively
participates in the education, mentoring, and evaluation of the nursing student
in a clinical setting.
(z)(dd) “Probationary status”
means the period when a program is under disciplinary action by the board.
(aa)(ee) “Program
director” means a nurse who is delegated the authority and accountability for
the nursing program by the sponsoring agency.
(bb)(ff) “Program of nursing
education” means a plan or design indicating the relationship of the components
necessary to achieve the goal of preparing personsindividuals for licensure as
registered or practical nurses under the code.
(cc)(gg) “Program outcomes”
means documented and measurable indicators that reflect the program’s overall
effectiveness.
(dd)(hh) “Registered
professional nurse program” means a nursing program to prepare students for
initial registered nurse licensure.
(ee)(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.
(ff)(jj) “Simulation
laboratory” means activities that replicate patient care scenarios and are designed
to foster clinical decision-making and critical thinking. Scenarios may include
the use of medium or high-fidelity mannequins, standardized patients, role
playing, skills stations, and computer-based critical thinking simulations.
(gg)(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.
(hh)(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 of the following
to the board:
(i) A letter of intent to initiate a program of nursing education.
(ii) A feasibility study that clearly demonstrates all of
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.
(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 of 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 as that term is defined in section 17201(1)(c) of the code, MCL 333.17201.
(iv) Evidence that the sponsoring agency willshall
provide funding and other support for the nursing education program that meets
all of 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 by an independent certified public accountant or auditor, a bank line of credit, or a surety bond that equals the total tuition for all students who have been enrolled for 2 years.
(C) Submission of evidence that the sponsoring agency willshall
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 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.
(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 upon 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 courses
programs, and demonstrate student success by certifying that NCLEX
exam results meet or exceed state or national averages 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 will beare
held per year, and the dates when enrollment periods will beare
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. If already appointed, the names and qualifications of the 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 admissions 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 thethis 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 initial board approval of the
required documentation in subrule (a) of this rule from the board
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 including 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.
(vivii) Signed clinical contracts or letters of
commitment for clinical placements.
(viiviii) Evaluation methods and tools.
(viiiix) Program outcomes.
(ixx) Director and nursing faculty
credentials.
(xxi) Student policies and support services.
(c) 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 may admit students after the board determines that all deficiencies noted in the report are sufficiently resolved.
(d) After the first cohort has been admitted and during the initial approval period, the program director shall submit an annual nursing education program report to the board. The 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 but
not limited to, student evaluations, faculty reviews, NCLEX evaluation results,
and attrition rates. 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) Faculty Nursing faculty qualifications, assignments,
and any nursing faculty exceptions.
R 338.10303a Full program approval; procedure.
Rule 303a. (1) The sponsoring agency may apply to the board for full approval of
the program after graduation of the second cohort, but shall apply 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 may apply to the board in the form of a letter.
(b) 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 pursuant to under R 338.10303(b), review the
program’s progress since initial approval was granted, and include a review and
evaluation of program implementation.
(cb) The board may
require a subsequent 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.
(2) NCLEX scores for the program up to the point of application of full approval must equate to the passage rates as required in R 338.10310.
(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, the board may begin the evaluation process of the
program pursuant to 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 of the requirements of this
part.
R 338.10303b Continued program approval; requirements.
Rule 303b. (1) 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 for a non-accredited program or
at the designated reporting times directed by the national accrediting
organization for accredited programs. 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.
(e)(f) Course descriptions and outlines.
(f)(g) Signed clinical contracts or current letters
of commitment for clinical placements.
(g)(h) Evaluation methods and tools.
(h)(i) Program outcomes.
(i)(j) Director and nursing faculty credentials.
(j)(k) Student policies and support services.
(2) Sponsoring agencies of accredited programs shall provide the board with a copy of all decision letters received from the accrediting organization within 90 days after the date on the decision letter.
(3) Sponsoring agencies of accredited programs shall comply with the designated reporting timelines and requirements for a self-study which are set by the accrediting organization.
(a) Sponsoring agencies of an An accredited
program may submit to the board a letter of accreditation or reaccreditation,
from a nationally recognized the accrediting organization of
nursing education programs as defined in R 338.10303d, instead of submitting a
self-study report prepared for the board if the accrediting body found if
no deficiencies were cited that require a submission of a
supplemental report to the accrediting body organization. The
accreditation letter must include documentation of decisions, deficiencies,
and recommendations from the accrediting organization. and be submitted
to the board within 1 month following receipt of the nationally recognized
accrediting organization’s final decision on accreditation of the nursing
education program. The board may request further documentation regarding
accreditation from the sponsoring agency.
(b) If the letter of accreditation from the accrediting organization
noted deficiencies were found that require a follow-up visit, the
program shall submit to the board the letter of accreditation and
supporting documentation from the accrediting entire self-study prepared
for the accrediting body along with any follow-up reports mandated by the accrediting
body. organization along with any required follow-up documentation. The
schedule for submission of a self-study report for accredited programs must
follow the schedule of the nationally recognized accrediting organization. The
accreditation letter must include documentation of decisions, deficiencies, and
recommendations from the accrediting organization and be submitted to the board
within 1 month following receipt of the nationally recognized accrediting
organization’s final decision on accreditation of the nursing education
program. The board may request further documentation regarding
accreditation from the sponsoring agency. Programs that have accreditation
date changes shall notify the board of nursing to determine a submission date.
(c) Programs shall immediately notify the board of changes in the accreditation status, cycle, or reporting dates.
(34) 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. for
a non-accredited program or at the midpoint of the accreditation cycle for
nationally accredited programs. Subject to subrule (5) of this rule, the
sponsoring agency of an accredited program shall submit a nurse education
program report to the board at the midpoint of the accreditation cycle. The
nursing education program report must include all of the following
information for all of the years each year since the last self-study
report was approved by the board:
(a) Admission, progression, and retention of students.
(b) Student achievement on the required licensure NCLEX examination.
(c) Systematic program evaluation results and action plan, including
but not limited to, student evaluations, faculty reviews, NCLEX evaluation
results, and attrition rates.
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) Program changes.
(e) Faculty Nursing faculty qualifications
qualified to teach nursing courses, assignments, and any nursing faculty
exceptions.
(5) Sponsoring agencies for accredited programs shall comply with the designated submission requirements for a midcycle accreditation report, which is set by the accrediting organization.
(a) The sponsoring agency for an accredited program, that is required to submit a midcycle accreditation report to the accrediting organization, may submit to the board a decision letter from the organization if the accrediting body found no deficiencies that require a submission of a supplemental report. The decision letter must include documentation of decisions and recommendations from the organization.
(b) If the midcycle accreditation report decision letter cited deficiencies, the sponsoring agency shall submit to the board the decision letter, supporting documentation from the accrediting organization, and any required follow-up documentation to the board.
(4)(6) The board shall notify the program director
of the date by which a nursing education program report must be submitted.
338.10303c
Major Programprogram 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 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) Elimination of separate course content for an integrated
approach.
(d)(c) A permanent expansion in the number of
students served.
(e)(d) Increase or decrease in overall program
credits.
(f)(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. Initial approval under R 338.10303
must be obtained if anything other more than theory is taught at
the additional location.
(2) A nursing education program shall submit major program
changes to the board in writing and the major program changes. The
changes must be approved by the board before implementation. All of
the following information must be submitted provided when
requesting approval of 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.
(d)(e) Documents evidencing support for the requested
change.
(3) A minor program change means a Requests for a
temporary expansion of students must be submitted in writing and approved by
the board before implementation. After 1 year, if the program desires to
make the temporary increase in seats permanent, a major program change must be
submitted pursuant to subrule (1) of this rule.
(4) A nursing education program shall submit minor program changes
to the board in writing before implementation.
(5) A nursing education program shall submit all of the
following information if All the following must be provided
when requesting approval of a minor program change a temporary
seat increase:
(a) A comparative description of the current and proposed
program or portion of the program that is proposed for change.
(b) Rationale for the change.
(c) Plans to evaluate the effect of the change.
(a) The number of additional seats.
(b) Rationale for the change.
(c) Documentation that there is sufficient faculty on staff to handle the increase in students.
(d) Documentation that there is sufficient classroom and laboratory space to handle the increase in students.
(e) A list identifying current and additional clinical sites available for use.
(5) A temporary seat increase is valid for 1 year. If the nursing education program desires to make the temporary increase in seats permanent, a major program change must be submitted under subrule (1) of this rule.
(6) If a program closure occurs, the department or board may grant
a temporary seat increase to another program to assist displaced students if
the criteria in subrule 4 of this rule is satisfied. following criteria
are met:
(a) Additional seats that are needed are identified.
(b) Documentation that there is sufficient faculty on staff
to handle the increase in students is provided.
(c) Documentation that there is sufficient classroom and laboratory
space to handle the increase in students is provided.
(d) Documentation from clinical sites that they can handle
the increase of students in the program is provided.
(7) The type of program approval, initial or full, under which a program is conducted, shall not be altered when program changes are approved.
R 338.10303d Accreditation.
Rule 303d. (1) A nursing education program approved by the board shall be
accredited pursuant
to under 1 of the following:
(a) A
nursing education program
that has received
full board approval
pursuant to under
R 338.10303a, before the promulgation of this rule,
March 18, 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 of
after receiving full program approval pursuant to 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 be removed from the list of approved programs pursuant
to under section 17242 of the code, MCL 333.17242.
(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 withdrawal of school approval pursuant to under
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.
R 338.10304 Program approval; decision. Rule 304. (1) Within 90 days after all materials requested by the board have been received, 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 hearingwhich shall bethat is conductedpursuant tounder 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 of the following
requirements:
(a) Comply with the curriculum requirements established by the board and with
other requirements set forth in this part.
(b) Contribute to the safe 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 as that term is defined in section 17201(1)(c) of the code, MCL 333.17201.
(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, the 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 thethis state or Canadian province where
the clinical experience is located.
(3) The program director shall hold a minimum of a graduate degree with a major in nursing. Written notification of a change in 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 Associate’s Degree in Nursing to Master’s of Science in Nursing (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) 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. by January 6,
2022.
(7) An exception may be made to the requirements of subrule (4) of this rule
for full-time or part-time nursing faculty and shall be 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 shall beare granted to any full-time
or part-time faculty member.
(8) Nursing faculty shall beis 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 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, the 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 thethis state or Canadian
province where the clinical experience is located.
(3) The program director shall hold a minimum of a graduate degree in nursing. Written notification of a change in 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) 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) Notwithstanding section 16148(7) of the code, MCL 333.16148, all nursing
faculty shall comply with the requirements of subrule (4) of this rule. by January 6,
2022.
(6) An exception may be made to the requirements of subrule (4) of this rule for
full-time or part-time nursing faculty and shall beis 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.
(7) Nursing faculty shall beis 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.
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 of the
following requirements:
(a) Each preceptor shall beis approved by the nursing faculty of the
program.
,
of nursing education.
(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 thethis state where the
clinical experience occurs.
(d) The nursing
faculty
of the program of nursing education shall ensure that 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 of nursing 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 shall 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, he
or she the
nursing faculty member shall beis 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 338.10307 Registered professional nursing and licensed practical nursing education programs; curriculum; organization, development, implementation, control, and evaluation.
Rule 307. (1) The program director and 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 must 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. and from the known to the
unknown, with each learning experience built on previously learned information
of nursing and related scientific knowledge.
(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 of 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 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 of the following:
(i) Communications.
(ii) Critical thinking, clinical reasoning judgment, and problem solving.
(iii) Understanding legal and professional responsibilities.
(iv) Inter-professional relationships with other health carehealthcare 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 operation and adhere to the local zoning ordinances governing their operation.
(7) When a nurse site reviewer visits a site, he or she 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 pursuant to under R 338.10303.
R 338.10308 Registered professional nursing education program; curriculum; implementation.
Rule 308. (1) The director and faculty of a program of nursing education leading
to licensure as a registered professional nurse shall comply with all of 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 shall
assist 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 of 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.
(d) Select cooperating agencies that meet the requirements of R 338.10307(5), (6), and (8).
(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
the standards of the International Nursing Association for Clinical Simulation and
Learning, as specified in the publication entitledtitled, “Standards of
Best Practice: Simulation” 2016 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 cents per
page from
the Board of Nursing, Bureau of Professional Licensing, Department of Licensing
and Regulatory Affairs, 611 W.West Ottawa Street, P.O. Box 30670,
Lansing, Michigan 48909.
R 338.10309 Licensed practical nursing education program; curriculum; implementation.
Rule 309. (1) The director and faculty of a program of nursing education
leading to licensure as a licensed practical nurse shall comply with all of 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 of 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.
(d) Select cooperating agencies that meet the requirements of R 338.10307(5), (6), and (8).
(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 the standards of the International
Nursing Association for Clinical Simulation and Learning, as specified in the
publication entitledtitled, “Standards of Best Practice: Simulation”
2016 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 cents per
page from
the Board of Nursing, Bureau of Professional Licensing, Department of Licensing
and Regulatory Affairs, 611 W.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 National Council of State Boards of Nursing NCSBN.
(e) Complaints regarding the conduct of the program are received and it is
necessary to validate the complaints, pursuant to 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 pursuant to under the time frames
set forth in R 338.10303b.
(g) Finding of deficiencies by the national accrediting body that is listed in R 338.10303d.
(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.
(i) 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.
(j) 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. The rate is calculated by determining the number of students
who complete the nursing program in no more than 150% of the stated program
length.
(k)(j) Failure of a nursing education program to
apply for full approval by the end of the fourth cohort.
(l) Failure of a nursing education program to submit an
annual nursing education program report pursuant to the time frames set forth in
R 338.10303(d).
(m)(k) Any violation or inconsistency with the code
or administrative rules.
R 338.10310a Nursing education program; board action following evaluation.
Rule 310a. (1)
The board shall require an unaccredited nursing
education program evaluated
pursuant to 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 administrative rules to comply with
all of the following, as applicable:
(a) An action plan or NCLEX improvement plan:
The board shall require 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 of
after the evaluation or with the next nursing education program report
as that term is defined in R 338.10303b, whichever comes first. All of
the following apply:
(i) The plan must indicate that an evaluation of the
nursing education program was conducted by the program’s director and faculty
to identify problem areas. The plan must include specific steps that are
being taken to affect changes in the program. The action plan must also provide
a method for the evaluation of the changes and further action to be taken, if
program performance continues to be out of compliance.
(ii) The plan must include specific steps that are being taken to affect changes in the program.
(iii) The plan must focus on improvements to the curriculum, student admission and progression, faculty expertise in nursing and teaching, and institutional support.
(iv) The plan must provide a method for the evaluation of the changes and further action to be taken if program performance continues to be out of compliance.
(v) The program has 1 year from report submission to implement the changes that are
specified in the action plan.
(vi) If there is no evidence
of improvement 1 year from the plan’s implementation,
then 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. the board
shall place the program on “probationary status”
and the program
shall comply with subdivision (b) of this
rule.
(vi) If there is no evidence of improvement 2 years after the initial improvement plan is submitted, the board may proceed under R 338.10311.
(b) A self-study: The board shall require
a full self-study of the program of nursing
education as the second step for improvement. The sponsoring agency shall submit the
self-study within 6 months of notification from the board or department. All of the following apply:
(i) The self-study must be a complete review of the program including, but not limited to, admission policies, curriculum, teaching methods, faculty
credentials, testing methods, remediation
methods, and failure policies.
(ii) If the result of the self-study concludes
that a major program change is necessary,
a major program change must be developed by the sponsoring agency. The major program
change must be submitted to the board for its review and approval before
the changes taking effect.
(iii) If the result of the self-study concludes
that a minor program change is necessary, a minor program change must be developed by the sponsoring agency. The minor program change must be submitted to the board for its review and approval before
the changes take effect.
(iv) The program
shall have 1 cohort cycle to demonstrate improvement.
(v) After the graduation
and NCLEX testing of that cohort, if there is no evidence
of improvement, the program
shall comply with subdivision (c) of this rule.
(c) A nursing education
consultant: The program shall employ the services
of a nursing education consultant whose credentials must be submitted to the board. All of the
following apply:
(i) The program shall require the consultant to conduct
a full and comprehensive review of the nursing education
program and prepare a report of the findings and recommendations for improvement.
(ii) The program shall submit the nursing education
consultant’s report of the findings and recommendations to the board. The program shall also submit a plan to implement the recommendations of the consultant
to the board.
(iii) If the recommendation involves a major
program change, the sponsoring agency shall submit it to the board for its approval before the implementation of the program change.
(iv) The program shall have 1 cohort cycle under the major program change to demonstrate improvement.
(v) If the recommendations do not involve
a major program
change, the school
then has 1 year from report
submission to implement the changes.
(vi) If there is no
evidence of improvement after the NCLEX examination of the cohort or by the end of 1 year following report submission, the program shall comply with subdivision (d) of this
rule.
(d) A reduction in admissions: The program shall reduce admissions
to a board- recommended level. Both
of the following apply:
(i) The program shall have 1 cohort cycle under the reduction in admissions to demonstrate improvement.
(ii) If there is no evidence
of improvement, the board shall commence withdrawal of program approval pursuant to section 17242(2) of the code, MCL 333.17242.
(2) 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) An accredited program shall follow the reporting requirements of its national accrediting organization.
(b) The program shall 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 enrollment of new cohorts and the board shall proceed under R 338.10311 and begin the process to withdraw approval of the program.
R 338.10312 Program termination; interruption or reduction of admissions.
Rule 312. (1) The program director shall inform the board if a date is established for termination of the program of nursing education.
(2) The program director shall inform the board regarding the system of
retention of student records which are needed for endorsement purposes and
proof of scholastic achievement. The system of records retention must comply with
all applicable federal and state laws and regulations. The board shall
retain this information The program shall inform the board of where the
records are maintained so that graduates may be given the source of information
uponon request.
(3) The program director shall inform the board if admissions to the program of nursing education are to be reduced, suspended, or interrupted.
(4)
A licensed practical nursing program that has suspended admissions for 2 years
shall apply for initial program approval pursuant tounder R 338.10303 and
obtain board approval before resuming admissions.
(5) A registered professional nursing program that is 2 years in duration that
has suspended admissions for 2 years shall apply for initial program approval pursuant
tounder R 338.10303 and
obtain board approval before resuming admissions.
(6) A registered professional nursing program that is 4 years in duration that
has suspended admissions for 4 years shall apply for initial program approval pursuant
tounder R 338.10303 and
obtain board approval before resuming admissions.
(7) The board shall withdraw approval of any program that has suspended admissions for more than 4 years.
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 automaticallycause the suspension or revocation ofvoid the specialty certification.
R 338.10404 Specialty certification qualifications; nurse anesthetist.
Rule 404. A specialty certification for a nurse anesthetist shall 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 anesthetist on a form provided by the department, with the required fee.
(c) Possesses current certification from the National Board
onof Certification and Recertification of Nurse Anesthetists
(NBCRNA), or a successor organization.
R 338.10404b Specialty certification qualifications; nurse practitioner.
Rule 404b. A specialty certification for nurse practitioner shall 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.
(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 Adult
Emergency Nurse Practitioners, Family Nurse
Practitioners, and Adult-Gerontology Primary Care Nurse Practitioners.
(v) The Oncology Nursing Certification Corporation.
(vi) The American Association of Critical Care Nurses Certification Corporation for Acute Care Nurse Practitioner.
R 338.10404c Specialty certification qualifications; clinical nurse specialist.
Rule 404c. (1)A specialty certification for a clinical nurse specialist
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 clinical nurse specialist, on a form provided by the department with the required fee.
(c)
Possesses either of the following:
(i) Anan advanced practice
certification from either of the following certification organizations, or successor
organizations:
(A)(i) The American
Nurses Credentialing Center.
(B)(ii) The American
Association of Critical Care Nurses Certification Corporation.
(ii) If an applicant is unable to take a national certification exam due to
graduation from an accredited clinical nurse specialist master’s or doctoral
nursing program before the development of clinical nurse specialist core
competencies and the requirement of 500 clinical practice hours, he or she may
be granted a specialty certification as a clinical nurse specialist based upon
submission of a portfolio of evidence that demonstrates knowledge and skill
competence in the clinical nurse specialist role and population focus. The
portfolio must include all of the following:
(A) Transcripts from an accredited master’s or doctoral level educational program
in clinical nursing with preparation as a clinical nurse specialist.
(B) Curriculum vitae demonstrating work history in a clinical nurse specialist
position before April 9, 2017.
(C) Three letters of recommendation, including 1 from a clinical nurse
specialist with national board certification and 2 letters from nursing
administrators, nursing supervisors, or advanced practice nurses attesting that
the applicant has not less than 3,000 hours of practice as a clinical nurse specialist
before April 9, 2017. These letters must provide evidence that the applicant
engaged in practice consistent with the standards for a clinical nurse specialist
as described by the National Association of Clinical Nurse Specialists (NACNS)
in the publication entitled “Clinical Nurse Specialist and Core Competencies” 2010,
which is adopted by reference. A copy of the standards and requirements is available
at no cost from the association’s website at www.nacns.org. A copy of the
standards and requirements also is available for inspection and distribution at
no cost from the Board of Nursing, Michigan Department of Licensing and
Regulatory Affairs, 611 West Ottawa, Lansing, Michigan 48909.
(2) Application for certification as a clinical nurse specialist granted under
the criteria set forth in subrule (1)(c)(ii) of this rule is not permitted
after March 8, 2020.
Rule 405. (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 shall have
obtained recertification or maintained certification, within the 2-year period
immediately before the application, from the National Board on Certification and
Recertification of Nurse Anesthetists (NBCRNA), or a successor organization.
(3) An applicant or licensee shall maintain evidence of his or hertheir 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.
R 338.10405a Nurse midwife specialty certification renewal or reregistration; schedule; requirements; maintenance of evidence of compliance.
Rule 405a. (1) Specialty certification renewal must correspond with the same schedule as the license renewal.
(2) An applicant for specialty certification renewal or reregistration of a lapsed certification shall have obtained recertification or maintained certification within the 2-year period immediately before the application, from the American Midwifery Certification Board (AMCB), or a successor organization.
(3) An applicant or licensee shall maintain evidence of his or hertheir 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.
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 shall
meet the following requirements appropriate to his or her current source of
certification:
(a) An applicant 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:
(ia) The American
Nurses Credentialing Center.
(iib) The Pediatric
Nursing Certification Board.
(iiic) The National Certification
Corporation for Women’s Health Care Nurse Practitioner and Neonatal Nurse
Practitioner.
(ivd) The American Academy
of Nurse Practitioners
for Family Nurse Practitioners, Emergency Nurse Practitioners, and Adult-Gerontology
Primary Care Nurse Practitioners.
(ve) The Oncology
Nursing Certification Corporation.
(vif) The American
Association of Critical Care Nurses Certification Corporation.
(viig) The American
Association of Nurse Practitioners.
(b) An applicant who obtained board certification as a nurse practitioner in
this state before 1991 shall have completed 40 continuing education hours in
the nursing specialty field within the 2-year period immediately before the
application. The board approves and adopts by reference in this rule the
standards listed in R 338.10602 for approving continuing education activities for
the nurse practitioner.
(3) An applicant or licensee shall maintain evidence of his or hertheir 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.
PART 6. CONTINUING EDUCATION
R 338.10601 License renewals; requirements; applicability.
Rule
601. (1) Pursuant toUnder section 16201 of the code, MCL 333.16201,
an applicant for license renewal who has been licensed for the 2-year period immediately
before the expiration date of the license, shall accumulate not less than 25
hours of continuing education that are approved by the board pursuant tounder these rules during
the 2 years before the expiration of the license.
(2) An applicant for license renewal shall complete not less than 2 hours, of the 25 required
hours, of continuing education in pain and pain symptom management in
each renewal period under section 16204(2)
of the code, MCL 333.16204. Continuing education in pain and pain symptom management
may include, but is not limited to, courses in behavior management, psychology
of pain, pharmacology, behavior modification, stress management, clinical applications,
and drug interventions as they relate to professional practice.
(3) An applicant for license renewal shall complete a 1-time training identifying victims of human trafficking as required in R 338.10105 and section 16148 of the code, MCL 333.16148.
(4) An applicant for license renewal, who also applies for a controlled substance license, shall complete a 1-time training in opioids and other controlled substances awareness as required in R 338.3135.
(35) Submission of an
application for renewal constitutes the applicant’s certification of compliance
with the requirements of this rule. A nurse shall retain documentation of meeting
the requirements of this rule for a period of 4 years fromafter the date of applying
for license renewal. The board may require an applicant to submit evidence to
demonstrate compliance with this rule. Failure to comply with this rule is a violation
of section 16221(h) of the code, MCL 333.16221.
(46) A request for a
waiver under section 16205 of the code, MCL 333.16205, must be received
by the department for the board’s consideration not less than 30 days
before the last regularly scheduled board meeting before the expiration
date of the license. The public notice for the board meetings can be found at:
https://www.michigan.gov/lara/bureau-list/bpl/health/hp-lic-health-prof/nursing.
(5) The requirements of this part do not apply to an applicant
during an initial licensure cycle.
R 338.10602 Acceptable continuing education; requirements; limitations.
Rule 602. (1) The 25 hours of continuing education required pursuant tounder R 338.10601(1)
for the renewal of a license must comply with the following, as applicable:
(a) No more than 12 credit hours may be earned during a 24-hour period.
(b) Except for the implicit bias training required under R 338.7004 that may
be used to comply with R 338.7004 and a continuing education requirement, an applicant
may not earn continuing education credit for the human trafficking requirement
and An applicant may not earn credit for a continuing education
program or activity that is identical to a program or activity the applicant
has already earned credit for during that renewal period.
(2) The board shall consider the following as acceptable continuing education:
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Acceptable Continuing Education activities |
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(a) |
Completion
of an approved continuing education program or activity related to the practice
of nursing or any non-clinical subject relevant to the practice of nursing. A
continuing education program or activity is approved, regardless of the
format in which it is offered, if it is · The American Association of Nurse Anesthetists (AANA). · The American Association of Nurse Practitioners (AANP). · The Accreditation Council for Continuing Medical Education (ACCME). · The American College of Nurse-Midwives (ACNM). · The American Medical Association (AMA). · The American Nurses Credentialing Center (ANCC). · The American Osteopathic Association (AOA). · The National Association of Clinical Nurse Specialists. · The National Association for Practical Nurse Education and Service, Inc. (NAPNES). · The National League for Nursing (NLN). · Another state or provincial board of nursing. · A continuing nursing education program offered by a nursing education program that is approved by the board under R 338.10303a.
A continuing education program or activity is approved, regardless of the format in which it is offered, if it is approved for continuing education credit by any of the following: · Another state or provincial board of nursing.
If
audited, an applicant shall submit a copy of a letter or certificate of
completion showing the applicant’s name, number of hours earned, sponsor name
or the name of the organization that approved the program or activity for continuing
education credit, and the date |
The number of hours approved by the sponsor or the approving organization.
If the activity was not approved for a set number of hours, then 1 credit hour for each 60 minutes of participation may be earned.
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(b) |
Completion of academic courses related to nursing practice offered by a nursing education program in this state approved by the board under part 3 of these rules or a post-licensure or graduate nursing program that is nationally accredited by a nursing education accrediting organization included in R 338.10303d(2).
If audited, an applicant shall submit an official transcript that reflects completion of the academic course and number of semester or quarter credit hours earned. |
Five hours of continuing education may be earned for each semester credit hour earned.
Three hours of continuing education may be earned for each quarter credit hour earned.
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|
(c) |
Obtaining specialty certification or maintaining certification as 1 of the following: Clinical nurse specialist. Nurse anesthetist. Nurse midwife. Nurse practitioner.
If audited, an applicant shall submit proof of certification or recertification. |
Twenty-five
hours of
continuing education,
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|
(d) |
Successful completion of a national nursing specialty examination.
If audited, an applicant shall submit proof of a passing score on the examination. |
Ten hours of continuing education may be earned in the year in which the applicant achieves a passing score.
A maximum of 20 hours of continuing education may be earned in each renewal period. Credit must not be given for repeating the same examination in a renewal period. |
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(e) |
Initial publication of a chapter or an article related to the practice of nursing or allied health in any of the following: A
nursing or A peer-reviewed textbook. A
nursing or
If audited, an applicant shall submit a copy of the publication that identifies the applicant as the author or a publication acceptance letter. |
Ten hours of continuing education may be earned per publication.
A maximum of 10 hours of continuing education may be earned in each renewal period. |
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(f) |
Independent reading of articles or viewing or listening to media related to nursing practice that do not include a self-assessment component.
If audited, an applicant shall submit an affidavit attesting to the number of hours the applicant spent participating in these activities and that includes a description of the activity. |
One hour of continuing education may be earned for each 50 to 60 minutes of participation.
A maximum of 4 hours of continuing education may be earned in each renewal period.
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|
(g) |
Participation
on a
If audited, an applicant shall submit a letter from an organization official verifying the applicant’s participation and the number of hours the applicant spent participating on the committee. |
One hour of continuing education may be earned for each 60 minutes of participation.
A maximum of 4 hours of continuing education may be earned in each renewal period. |
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(h) |
Presentation of an academic or continuing education program that is not a part of the applicant’s regular job description.
If audited, an applicant shall submit a copy of the curriculum and a letter from the program sponsor verifying the length and date of the presentation. |
Three hours may be earned for each 60 minutes of presentation.
A maximum of 6 hours of continuing education may be earned in each renewal period. |
|
(i) |
Participation as a preceptor for at least 1 nursing student or a new employee undergoing orientation.
A
preceptorship must be for a minimum of 120 preceptor hours with a preceptor
ratio of 1 student or employee to 1 preceptor. One hundred and twenty
preceptor hours
equals
1 continuing education hour.
If audited, an applicant shall submit written documentation from the educational institution or preceptor’s supervisor verifying the dates and hours of the preceptorship. |
A maximum of 5 hours of continuing education may be earned in each renewal period. |
PART 7. NURSING professional fund SCHOLARSHIP PROGRAM
R 338.10703 Eligibility of and allocation to nursing education programs.
Rule 703. (1) To be eligible for a scholarship award, a school shall meet 1 of the following criteria:
(a)
Provide a prelicensure nursing program that complies with all of the following:
(i)
Is approved by the Michigan board of nursing.
(ii) Has a primary campus located in this state.
(iii) Offers a program of nursing that meets the predetermined category and area of need as established by the board under R 338.10702.
(iv)
Submits an application approved by the department declaring a notice of intent
to participate in the scholarship.
(b)
Provide a post-licensure nursing program that complies with allboth
of the following:
(i) Is accredited by a national nursing education accrediting entity.
(ii) Has a primary campus located in this state.
(iii) Submits an application approved by the department declaring a notice of intent
to participate in the scholarship.
(2) A
school shall submit an application on a form approved by the department declaring
intent to participate in the scholarship. However, an application may only be
submitted for A school may submit an application for participation
for only those programs that are included in the annual list of scholarship
program categories and areas of need as determined by the board pursuant tounder
R 338.10702.
(3) The department shall annually determine the allocation for each eligible education program.
R 338.10704 Nursing education program awards to eligible students; requirements;
procedures.
Rule 704. (1) An eligible nursing education program, uponon
receiving an allocation, shall award a scholarship to a full-time or part-time
student who meets all of the following criteria:
(a) Is a permanent resident of this state.
(b) If licensed as a nurse, holds an unencumbered license in this state to practice nursing.
(c) Is not in receipt of a full scholarship from another source.
(d) Maintains satisfactory progress as determined by
the eligible nursing education program.
(2) A nursing education program shall apply a scholarship award first to the cost of tuition, books, and fees associated with the program. A nursing program shall then provide the remainder of the award, if any, to the student in the form of a stipend.
(3) The nursing education program shall complete the notice of
intent to award the board of nursing scholarship form supplied by the department.
The notice must contain all of the following information:
(a) The name, address, and date of birth of the recipient.
(b) Course of study or program in which the recipient is enrolled.
(c) Attestation that all criteria of subrule (1) of this rule have been met.
(d) Information regarding electronic funds transfer from the department to the program.
(e) Signature of the program director and financial aid director or other employee employed by the financial aid office who can attest to accuracy of the information on the form.
(4) If a recipient withdraws from the nursing education program,
then within 30 days of after withdrawal, the nursing education
program shall notify the department, in writing, of its intent to do 1 of the
following:
(a) Award the scholarship funds to a recipient who has been chosen to receive the scholarship for the current scholarship year.
(b) Select a new applicant and submit the recipient’s application and the notice of intent to award the board of nursing scholarship form to the department.
(c) Return the unused funds to the department.
(5) The nursing education program shall account for all of
the funds disbursed by the department no later than February 15 of the academic
year in which the funds were distributed. Both of the following apply:
(a) The department shall supply the accounting form to each program that is participating in the nurse professional fund scholarship program.
(b) Failure of a program to submit an accounting statement to the
department under this subrule prohibits the program from participating in
the scholarship in future years must result in the department
withholding future scholarship funds from the program until all past due
accounting statements have been submitted and approved.