N 1.08(4)(c)3. 3. Didactic content and supervised clinical experiences in the prevention of illness and the promotion, restoration and maintenance of health in patients across the lifespan and from diverse cultural, ethnic, social and economic backgrounds.
N 1.08(5) (5)Clinical learning experiences.
N 1.08(5)(a)(a) Patient experiences shall occur in a variety of clinical or simulated settings and shall include all of the following:
N 1.08(5)(a)1. 1. Integrating patient safety principles throughout the didactic and clinical coursework.
N 1.08(5)(a)2. 2. Implementing evidence-based practice to integrate best research with clinical expertise and patient values for optimal care, including skills to identify and apply best practices to nursing care.
N 1.08(5)(a)3. 3. Providing patient-centered culturally competent care that recognizes that the patient or designee is the source of control and full partner in providing coordinated care by doing the following:
N 1.08(5)(a)3.a. a. Respecting patient differences, values, preferences, and expressed needs.
N 1.08(5)(a)3.b. b. Involving patients or designees in decision-making and care management.
N 1.08(5)(a)3.c. c. Coordinating and managing patient care across settings.
N 1.08(5)(a)3.d. d. Explaining appropriate and accessible interventions to patients and populations that may positively affect their ability to achieve healthy lifestyles.
N 1.08(5)(a)4. 4. Collaborating with interprofessional teams to foster open communication, mutual respect, and shared decision-making in order to achieve quality patient care.
N 1.08(5)(a)5. 5. Participating in quality improvement processes to monitor patient care outcomes, identify possibility of hazards and errors and collaborate in the development and testing of changes that improve the quality and safety of health care systems.
N 1.08(5)(a)6. 6. Using information technology to communicate, mitigate errors, and support decision-making.
N 1.08(5)(b) (b) All cooperating agencies selected for clinical experiences shall have standards which demonstrate concern for the patient and evidence the skillful application of all measures of safe nursing practices.
N 1.08(5)(c) (c) All faculty teaching clinical or practicum courses shall be experienced in the clinical area of the course and maintain clinical expertise.
N 1.08(5)(d) (d) Faculty-supervised clinical practice shall include all of the following:
N 1.08(5)(d)1. 1. Development of skills in direct patient care.
N 1.08(5)(d)2. 2. Making clinical judgments.
N 1.08(5)(d)3. 3. Care and management of both individuals and groups of patients across the lifespan.
N 1.08(5)(d)4. 4. Delegation to and supervision of other health care providers.
N 1.08(5)(e) (e) Clinical experiences shall be supervised by qualified faculty.
N 1.08(5)(f) (f) All student clinical experiences, including those with preceptors, shall be directed by nursing faculty.
N 1.08(6) (6)Preceptors.
N 1.08(6)(a)(a) Preceptors shall be approved by the faculty of the school of nursing.
N 1.08(6)(b) (b) The school of nursing shall provide each preceptor with an orientation concerning the roles and responsibilities of the students, faculty and preceptors. The preceptor shall have clearly documented roles and responsibilities.
N 1.08(6)(c) (c) Clinical preceptors shall have an unencumbered license or privilege to practice in Wisconsin as a nurse at or above the licensure level for which the student is being prepared.
N 1.08(6)(d) (d) Preceptors shall demonstrate competencies related to the area of assigned clinical teaching responsibilities.
N 1.08(7) (7)Evaluation. The school of nursing shall implement a comprehensive, systematic plan for ongoing evaluation. Evidence of implementation shall reflect progress toward or achievement of program outcomes.
N 1.08 History History: CR 14-004: cr. Register July 2014 No. 703, eff. 8-1-14; corrections in (3) made under s. 13.92 (4) (b) 1., Stats., in (3) (a) made under s. 13.92 (4) (b) 2., Stats., and in (4) (intro.), (c) (intro.), (5) (a) (intro.), (d) (intro.) made under s. 35.17, Stats., Register July 2014 No. 703.
N 1.09 N 1.09 NCLEX pass rates.
N 1.09(1)(1) Generally. The school of nursing NCLEX pass rate includes all programs or tracks in the school of nursing. The board shall consider both the registered nurse NCLEX and practical nurse NCLEX pass rates when evaluating a school of professional nursing that grants a certificate of completion for practical nursing.
N 1.09(2) (2)NCLEX pass rate standard. A school of nursing shall meet the NCLEX pass rate standard by one of the following:
N 1.09(2)(a) (a) The annual NCLEX pass rate of graduates taking the NCLEX for the first time is a minimum of 80%.
N 1.09(2)(b) (b) The annual NCLEX pass rate of all graduates taking the NCLEX, including those who repeated the test, is a minimum of 80%. The school shall submit an explanation or analysis documentation and the school's plan to meet the pass rate of those who take the NCLEX for the first time. The plan does not require board approval.
N 1.09(3) (3)NCLEX pass rate standard not met.
N 1.09(3)(a)(a) If the NCLEX pass rate standard is not met, the school of nursing shall receive a warning letter. The school shall identify factors that are potentially affecting the low NCLEX pass rate and submit an institutional plan for assessment and improvement of NCLEX results including outcomes and timeframes which shall be approved by the board no later than July 1. The plan shall address administration, faculty, students, curriculum, resources, and policies.
N 1.09(3)(b) (b) The school of nursing shall submit annual progress reports to the board including the outcomes of the institutional approved plan as long as the NCLEX pass rate standard is not met.
N 1.09 History History: CR 14-004: cr. Register July 2014 No. 703, eff. 8-1-14; correction in (1) (title) made under s. 13.92 (4) (b) 2., Stats., Register July 2014 No. 703.
N 1.10 N 1.10 Continuation of board approval.
N 1.10(1) (1) Schools of nursing shall file with the board all of the following:
N 1.10(1)(a) (a) Annual self-evaluation reports.
N 1.10(1)(b) (b) All documents submitted to or received from nursing accreditation agencies.
N 1.10(1)(c) (c) Notification of withdrawal or change in school nursing accreditation status.
N 1.10(2) (2) Failure to maintain nursing accreditation shall result in withdrawal of board approval and the procedures in s. N 1.11 (2) will commence.
N 1.10(3) (3) The board may review the school of nursing to determine whether s. N 1.08 standards are being met in the following situations:
N 1.10(3)(a) (a) Change in school nursing accreditation status.
N 1.10(3)(b) (b) Nursing accreditation reports indicate standards are not being met.
N 1.10(3)(c) (c) Complaints regarding the conduct of the school are received and it is necessary to validate the complaints.
N 1.10(3)(d) (d) Failure to meet NCLEX pass rate standards in s. N 1.09 (1) for more than 2 consecutive years.
N 1.10(3)(e) (e) Violation of any of the rules under this chapter.
N 1.10(4) (4) The review of the school may include any of the following:
N 1.10(4)(a) (a) A site survey.
N 1.10(4)(b) (b) A self-study report.
N 1.10(4)(c) (c) A progress report.
N 1.10(5) (5) If the board makes a determination that s. N 1.08 standards are not being met, all of the following procedures shall be followed:
N 1.10(5)(a) (a) The school of nursing shall submit an institutional plan, including timelines, to correct identified deficiencies in the school of nursing.
N 1.10(5)(b) (b) The board shall review the proposed plan and may make modifications to the plan.
N 1.10(5)(c) (c) The school of nursing shall make progress reports to the board as requested.
N 1.10(5)(d) (d) The board may withdraw board approval if the school of nursing continues to not meet standards.
N 1.10 History History: CR 14-004: cr. Register July 2014 No. 703, eff. 8-1-14; correction in (5) (intro.) made under s. 35.17, Stats., Register July 2014 No. 703.
N 1.11 N 1.11 Closure of a school of nursing.
N 1.11(1) (1) Voluntary. When a school of nursing intends to close, the institution shall do all of the following:
N 1.11(1)(a) (a) Submit a plan of intent to close a school of nursing to the board, including all of the following:
N 1.11(1)(a)1. 1. The date of intended closure.
N 1.11(1)(a)2. 2. Reason for the closure.
N 1.11(1)(a)3. 3. Place for students who have not completed their nursing education.
N 1.11(1)(b) (b) Ensure that the school of nursing is maintained, including retention of adequate number of faculty and approved curriculum, until the last student is transferred or graduates from the school of nursing.
N 1.11(1)(c) (c) Notify the board of the name and address of the educational institution or other organization that will be responsible for secure storage and access to academic records and transcripts for 50 years.
N 1.11(2) (2)Withdrawal of nursing approval.
N 1.11(2)(a)(a) If the board withdrawals approval of the school of nursing, the notice of withdrawal of approval shall contain a short statement in plain language of the basis for withdrawal of approval. The school of nursing may request a hearing within 30 calendar days after the mailing date of the notice.
N 1.11(2)(b) (b) The institution shall do all of the following if approval of the school is withdrawn:
N 1.11(2)(b)1. 1. Implement the time frame established by the board for transfer of enrolled students to an approved school and report to the board the date of transfer for each student by name.
N 1.11(2)(b)2. 2. Arrange for the secure storage and access to academic records and transcripts for the next 50 years. Provide the board with the name and address of the educational institution or other organization that will be responsible for secure storage and access to academic records and transcripts for 50 years.
N 1.11(2)(b)3. 3. Close the school when the last student has transferred.
N 1.11(2)(b)4. 4. Submit progress reports during the closure process upon request of the board.
N 1.11(2)(c) (c) The school of nursing may be granted a stay of the closure of the school during the appeal process.
N 1.11 History History: CR 14-004: cr. Register July 2014 No. 703, eff. 8-1-14; corrections in (1) (intro.), (2) (b) (intro.) made under s. 35.17, Stats., Register July 2014 No. 703.
N 1.12 N 1.12 Nursing refresher course approval.
N 1.12(1)(1) Intent of nurse refresher course. A nurse refresher course is designed for nurses who have not been practicing for five years or more.
N 1.12(2) (2)Faculty.
N 1.12(2)(a)(a) The instructor shall have all of the following qualifications:
N 1.12(2)(a)1. 1. Masters degree in nursing.
N 1.12(2)(a)2. 2. Recent clinical experience or clinical teaching experience.
N 1.12(2)(b) (b) If preceptors are used, the preceptor is selected by the instructor using criteria developed for the course and the instructor provides supervision of preceptors.
N 1.12(3) (3)Professional nurse content. The nurse refresher course designed for professional nurse shall have all of the following content:
N 1.12(3)(a) (a) Theory portion including all of the following:
N 1.12(3)(a)1. 1. Nursing process review.
N 1.12(3)(a)2. 2. Infection control.
N 1.12(3)(a)3. 3. Medication and pharmacology update.
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Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.