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Department of State
Division of Professional Regulation
Delaware Board of Nursing
Statutory Authority: 24 Delaware Code, Section 1904(c) (24 Del.C. §1904(c))
24 DE Admin. Code 1900
 
final
 
ORDER
 
1900 Board of Nursing
 
After due notice in the Register of Regulations and two Delaware newspapers, a public hearing was held on August 10, 2011 at a scheduled meeting of the Delaware Board of Nursing ("Board") to receive comments regarding the Board's proposed amendments to its rules and regulations. The proposed amendments to Rule 1.0 are an attempt to better organize the regulation, come into compliance with statutory changes that have occurred since the regulation was enacted, and remove confusing out-dated language. The proposed revisions to Rule 2.0 are an attempt to better organize the regulation, clarify the information that must be provided at each phase of the application process, and conform more closely to the model rules. The proposed revisions Rule 3.0 are an attempt to update the requirements of a nursing refresher course to better reflect the needs of today's nurse. The proposed revisions to Rule 4.0 are an attempt to integrate the use of an alternative supervised practice plan as an option for nurses for whom a refresher course is not available within a reasonable distance or time. The proposed revisions to Rule 6.0 are an attempt to, among other things, remove the 90 day requirement for recent graduates to take the NCLEX, remove the requirement that applicants submit two copies of their application, change the amount of times the NCLEX exam may be taken and how often, and change the CE documentation audit to occur after renewal and not before. The proposed revisions to this Rule 7.0 are an attempt to reorganize the entire regulation, parsing out RN and LPN standards of practice, renumber the entire section, and change the use of the term "bone marrow aspiration" needle to "intraosseous" needle. The proposed revisions to Rule 9.0 among other things, increases the percentage of renewing applicants subject to CE audit from 1 to 3%, redefines contact hours to a 60 minute hour standard, and requires CE providers renew their approval every two years. The proposed revisions to Rule 14.0 update the regulations clarifying the Nurse Compact Act by including a requirement that any compact licensee successfully pass the NCLEX, allowing applicants from foreign countries to apply for compact licensure or single state licensure, and clarifying that suspension, revocation or surrender of a home state license still entitles an applicant to single state licensure in another state until such time as the home state restrictions are lifted.
The proposed changes to the regulations were published in the Register of Regulations, Vol. 15, Issue 1, on July 1, 2011. Notice of the August 10, 2011 hearing was published in the News Journal (Exhibit 1) and the Delaware State News. Exhibit 2.
 
SUMMARY OF THE EVIDENCE AND INFORMATION SUBMITTED
 
The Board received identical written comments from Daniese McMullin-Powell, Chairperson for the State Council for Persons with Disabilities; (Exhibit 3); Harline Dennision from the Delaware Developmental Disabilities Council; (Exhibit 4); Terri Hancharick from the Governor's Advisory Council for Exceptional Citizens. Exhibit 5. These comments endorsed the proposed changes to Rules 2.4.1.7.1, Rule 2.4.1.7.2, Rule 2.4.1.9.4.1.1.3, Rule 7.3.1.7, and Rule 7.3.18.
The written comments requested reconsideration of Rule 4.3.1. No proposed change was published with regard to Rule 4.3.1. Nonetheless, the commentators requested reconsideration of the requirement that a refresher course participating facility must be no less than a skilled nursing facility.
The written comments requested retaining the term "record" instead of the proposed "document" in proposed change to Rule 10.4.2.4 as the term "document" may be read too narrowly to not include electronic or computer-based entries.
Finally, the written comments requested a paring down of the list of crimes listed in Rule 15.0 as substantially related to the practice of nursing.
The Board received verbal comments from Ms. Connie Bushy from the Beebe School of Nursing. Ms. Bushy commented that Regulation 6.1.5 deals with the deletion of the requirement of taking the exam within 90 days. She does not see anywhere in the Rules and Regulations where there is a time period. The Board struck this regulation because every person that ever asked for the waiver received it. The Board believes that the public interest is better served by addressing the number of fails it permits rather than regulating how quickly an applicant must take the exam. 6.3.4 states that applicants who fail the examination may retake the examination within one year from the date of the initial examination. 6.3.5 also now states that after one year, the applicant must petition the Board for specific authorization to retest.
Finally, Tammy Paxton from the Owens Campus of Delaware Tech provided verbal comments. With regard to 3.2.4, Ms. Paxton testified that her organization is in favor of the increase in clinical hours, but they ask that the effective date be delayed until the Spring of 2013.
 
FINDINGS OF FACT AND CONCLUSIONS
 
1. The public was given notice and an opportunity to provide the Board with comments in writing and by testimony at the public hearing on the proposed amendments to the Board's rules and regulations.
2. The written comments requested reconsideration of Rule 4.3.1. No proposed change was published with regard to Rule 4.3.1. Nonetheless, the commentators requested reconsideration of the requirement that a refresher course participating facility must be no less than a skilled nursing facility. The Board has thoughtfully considered this suggestion. The Board finds that an out of practice nurse coming back into practice requires the broad range of exposure that a skilled nursing facility can provide and not the narrow exposure that can be gleaned from a group home, for example.
3. The written comments requested retaining the term "record" instead of the proposed "document" in proposed change to Rule 10.4.2.4 as the term "document" may be read too narrowly to not include electronic or computer-based entries. The Board finds that this suggestion has merit, and the final order will retain the use of the word "record" instead of the previously proposed "document." This is a non-substantive change that is reflected in the attached final regulations.
4. The written comments requested a paring down of the list of crimes listed in Rule 15.0 as substantially related to the practice of nursing. The Board did not propose any changes to Rule 15 in this publication and is not inclined to remove any substantially related crimes from its list at this time.
5. The Board received verbal comments from Ms. Connie Bushy from the Beebe School of Nursing. Ms. Bushy commented that Regulation 6.1.5 deals with the deletion of the requirement of taking the exam within 90 days. The Board struck this regulation because every person that ever asked for the waiver received it. The Board believes that the public interest is better served by addressing the number of fails it permits rather than regulating how quickly an applicant must take the exam. However, 6.3.4 states that applicants who fail the examination may retake the examination within one year from the date of the initial examination. 6.3.5 also now states that after one year, the applicant must petition the Board for specific authorization to retest. By removing the 90 day requirement, the Board also is allowing applicants to move toward licensure without holding them up waiting for a waiver. Nonetheless, the board will add the words "test or" before the words "retest" in Rule 6.3.4 so that all graduating students must take the exam within one year of graduation. This is a non-substantive change that is reflected in the attached final regulations.
6. Tammy Paxton from the Owens Campus of Delaware Tech provided verbal comments. With regard to 3.2.4, Ms. Paxton testified that her organization is in favor of the increase in clinical hours, but they ask that the effective date be delayed until the Spring of 2013. The Board is not inclined to memorialize a delay of the effective date in its regulations. However, it encourages Ms. Paxton to submit a request for special consideration regarding enforcement.
7. Pursuant to 24 Del.C. §1904(c) the Board has statutory authority to promulgate rules and regulations clarifying specific statutory sections of its statute.
 
DECISION AND EFFECTIVE DATE
 
The Board hereby adopts the changes to its rules and regulations to be effective 10 days following publication of this order in the Register of Regulations.
 
TEXT AND CITATION
 
The text of the revised rules remains as published in the Register of Regulations, Vol. 15, Issue 1, July 1, 2011 with only the two non-substantive changes described above, as attached hereto as Exhibit A.
SO ORDERED this 14 th day of September, 2011.
 
DELAWARE BOARD OF NURSING
 
Evelyn Nicholson, President
 
1900 Board of Nursing
 
1.0 General Provisions for the Operation of the Delaware Board of Nursing
These Rules and Regulations are adopted by the Delaware Board of Nursing by authority of the Delaware Nurse Practice Act, 24 Del.C. §1906(1).
1.1 Officers
The officers of the Board shall be the President and the Vice-President to be elected each year during the month of June and to assume their duties as of July 1.
1.1.1 The President of the Board shall:
1.1.1.1 Chair Preside at all regular and disciplinary hearings of the Board;
1.1.1.2 Represent the Board at the National Council of State Boards of Nursing (NCSBN) Delegate Assembly as a voting delegate, certain professional and/or community functions, and regional or national meetings, or shall designate a member or the Executive Director to represent the Board;
1.1.1.3 Sign or delegate to the Executive Director all correspondence conveying rulings of the Board to nursing service agencies and educational institutions;
1.1.1.4 Execute those functions delegated to the President elsewhere in these rules and regulations, or otherwise by law;
1.1.1.5 Collaborate with the Executive Director to develop and Rreview the agenda for the Board meeting with the Executive Director prior to distribution.
1.1.2 The Vice-President of the Board shall:
1.1.2.1 Chair Preside at meetings and hearings in the absence of the President;
1.1.2.2 Execute those functions delegated to the Vice-President elsewhere in these rules and regulations, or otherwise by law;
1.1.2.3 Represent the Board at the NCSBN Delegate Assembly, and other meetings as delegated by the President or the Board, as a voting delegate.
1.1.3 Filling Vacancies:
1.1.3.1 In the event of a resignation, termination or departure of one of the officers, a replacement shall be elected at the next Board meeting or at a meeting called for that purpose. A quorum of the Board is required.
1.1.3.2 In the event one of the officers shall not be available to fulfill their duties for a period not exceeding of three months, the Board shall nominate one of its members to serve for the interim period.
1.2 Members
1.2.1 All members appointed to the Board share the responsibility vested in the Board. The President of the Board shall consider qualifications and educational preparation in delegating certain duties to individual members of the Board.
1.2.2 Board members in executive session may review drafts of National Council Licensure Examination questions for Registered Nurses and Licensed Practical Nurses in a private setting.
1.2.3 Two Board members, one a Registered Nurse and one a Licensed Practical Nurse, shall be chosen as alternate voting delegates to the NCSBN Delegate Assembly if one of the voting delegates can not attend.
1.2.4 The members of the Board shall attend all scheduled Board business meetings. If there are extenuating circumstances which prevent a member from attending all or part of a scheduled meeting, the Executive Director should be informed in writing, if time permits, or by telephone, in advance of the meeting.
1.2.5 All members are expected to be aware of and follow their obligations under the State Employees’, Officers’ and Officials’ Code of Conduct.
1.3 Duties of the Executive Director
1.3.1 The Division of Professional Regulation prescribes the duties of the Executive Director. See 29 Del.C. §8810(a).
1.4 Meetings
1.4.1 The Board of Nursing shall meet as often as necessary to transact the regular business of the Board.
1.4.2 Special meetings may be called at the request of the president or any two Board members.
1.4.3 An agenda shall be mailed provided to Board members prior to each meeting and notice of each meeting shall be given in accordance with the Freedom of Information Act.
1.4.4 The order of business for all regular meetings shall be:
1.4.4.1 Call to Order
1.4.4.2 Disposition of Minutes
1.4.4.3 Adoption of the Agenda
1.4.4.4 Activities Report
1.4.4.5 Unfinished Business
1.4.4.6 Committee Reports
1.4.4.7 President’s Report
1.4.4.8 Executive Director’s Report
1.4.4.9 Licensee Applicant Reviews
1.4.4.10 Licensee Reviews
1.4.4.11 Other Business
1.4.4.12 Licensee Approval
1.4.4.13 Next Meeting
1.4.4.14 Public Comment
1.4.4.15 Adjournment
1.4.5 Hearings shall be included in 1.4.4.10 for information purposes.
1.5 Requests for Meeting with the Board
1.5.1 The Board shall meet, upon request, with any group. The group asking for a meeting shall be asked to submit, in advance, items of interest for the agenda and shall receive a copy of the minutes. A request for a meeting shall be honored at the earliest convenience of the Board.
 
2.0 Nursing Education Programs
2.1 Definitions
“Board” the Delaware Board of Nursing.
“Conditional Approval” the status granted to a program that is determined to be deficient in a specified area. When this determination is made by the Board, written notice shall be sent to the program specifying the deficient areas, and the time limit within which the deficiencies are to be corrected.
“Full Approval” the status granted to a program that meets the requirements of the Law and the Rules and Regulations of the Board. Continuation of full approval is contingent upon annual review of the program and continuing to meet the criteria.
“Initial Approval” authorization to admit students and enter into contractual agreements for clinical facilities. It is granted only after an application has been submitted, reviewed and a survey visit made by the Board. No students shall be admitted to the program until the institution has received written notification that initial approval has been granted. Failure to comply will delay initial approval.
“National Accrediting Agency For Nursing Education” a national accrediting agency for nursing education that is recognized by the Council on Postsecondary Accreditation and by the U.S. Department of Education.
1 DE Reg. 1879 (6/1/98)
“Nursing Education Program” - as defined in 24 Del.C. Ch. 19.
2.2 Authority Designated to Board of Nursing
2.2.1 In accordance with 24 Del.C. Ch. 19, the Board may:
2.2.1.1 Approve curricula and develop criteria and standards for evaluating nursing education programs;
2.2.1.2 Provide for surveys of such programs at such time as it may deem necessary;
2.2.1.3 Approve such programs to meet the requirements of the Chapter and of the Board; and
2.2.1.4 Deny or withdraw approval from nursing education programs for failure to meet prescribed curriculum or other standards. (Subsections 1906 (b), (c), (e)).
2.3 Purposes of Approval
2.3.1 The state requires that nursing education programs be approved in order to:
2.3.1.1 Provide for the safe practice of nursing by setting minimum requirements for the programs that prepare the licensee.
2.3.1.2 Encourage self-evaluation for the improvement of a nursing education program.
2.3.1.3 Provide for the public a list of nursing education programs that meet the requirements set by the Board.
2.3.1.4 Assure the graduates of approved nursing programs of their eligibility to apply for admission to the licensing examination and to facilitate their licensure by endorsement in other states.
2.4 Procedure for Establishing a Nursing Education Program
2.4.1 Phase I
2.4.1.1 An administrative officer of the institution shall complete the appropriate application form and forward three copies to the Executive Director of the Board at least 12 months prior to enrollment of students.
2.4.1.2 The Board shall review the application and conduct a site visit. At least one of the visitors shall be a nurse educator who has curriculum expertise at the level of the program being reviewed.
2.4.1.2.1 Alternatively, the institution desiring to establish a nursing education program may elect to have the site visit made by a Board member(s) and a nursing education consultant, the latter with special expertise in the same type of nursing education as the program. The consultant shall be from a list of qualified persons approved by the Board. Costs associated with the visit of the consultant shall be borne by the nursing education program requesting same.
2.4.1.3 The purpose of the site visit is to validate the information recorded on the application.
2.4.1.4 The site visitation team shall make a written report to the Board.
2.4.1.5 The Board shall report to the institution within 90 days after all requirements of Phase I have been met.
2.4.2 Phase II
2.4.2.1 The institution shall notify the Board of the appointment of a qualified nurse as director of the program at least nine months in advance of the anticipated enrollment of students in nursing courses.
2.4.2.2 The director shall be responsible for planning the program and providing the information required in Part II of the application form, which must be resubmitted at least three months prior to the anticipated enrollment of students.
2.4.2.3 The Board shall review the application and supporting information at a regularly scheduled meeting and determine if the program is prepared to admit students. If it is so determined, initial approval will be granted.
2.4.3 Phase III
2.4.3.1 Following initial approval, the director of the program shall submit five copies of a progress report to the Board every six months. This shall be a general report of progress to date to include number of students enrolled, attrition rate, faculty credentials, curriculum design, and use of clinical facilities. After the admission of students, these reports shall continue to be submitted at six month intervals until discontinued by the Board.
2.4.3.2 The institution shall appoint other qualified nurse faculty members no less than four months in advance of enrollment of students in nursing courses to participate in determining the theoretical framework and in developing the curriculum plan and course content.
2.4.3.2.1 The program shall be developed according to criteria in accordance with 2.5 of these Regulations. The curriculum plan, including course descriptions, shall be submitted for Board review and approval three months in advance of enrollment of students in nursing courses.
2.4.3.3 Following the graduation of the first class, the nurse faculty shall prepare and submit five copies of a self evaluation report to the Board for review. The Board will conduct a survey visit to consider full approval of the program.
2.4.3.3.1 The Board’s decision regarding approval status shall be sent in writing to the appropriate administrative officers and to the director of the nursing education program.
2.5 Standards for Approval
2.5.1 Organization and Administration.
2.5.1.1 The school shall be authorized to conduct a nursing education program by charter or articles of incorporation of the controlling institution, by resolution of its board of control, or by the school’s own charter or articles of incorporation.
2.5.1.2 Universities, colleges, community or junior colleges, and public schools offering programs in nursing shall be accredited by their appropriate agencies.
2.5.1.3 Hospitals conducting a nursing education program shall be accredited by the Joint Commission on Accreditation of Health Care Organizations or the American Osteopathic Association.
2.5.1.4 Any agency or institution that is used by a nursing education program shall be authorized to conduct business in the state of Delaware, or in the state in which the agency or institution is located.
2.5.1.5 The authority and responsibility for the operation of the nursing education program shall be vested in a director who is duly licensed to practice professional nursing in Delaware and who is responsible to the controlling board, either directly or through appropriate administrative channels.
2.5.1.6 A written organization plan shall be prepared and submitted to the Board and shall indicate the lines of authority and communication of the program to the controlling body, other departments within the controlling institution, the affiliating and cooperating agencies, and to the advisory committee, if one exists.
2.5.1.7 Adequate funds shall be allocated by the controlling agency to carry out the stated purposes of the program. The director of the nursing program shall be responsible for budget recommendations and administration, consistent with the established policies of the controlling agency.
2.5.1.8 When the program uses educational or clinical resources that are under the control of another authority, there shall be written agreements with each resource provider. Such agreements shall be developed jointly with the provider, reviewed periodically according to the policies of the program and the agency, and include provision for adequate notice of termination.
2.5.1.9 Clerical services shall be provided to support the program with a minimum of one full-time secretary and additional secretarial staff as needed.
2.5.2 Philosophy and Objectives
2.5.2.1 Philosophy and objectives shall be clearly stated in writing.
2.5.3 Faculty
2.5.3.1 Minimum Qualifications
2.5.3.1.1 All nursing faculty members, including the director, shall hold current licenses to practice as Registered Nurses in Delaware.
2.5.3.1.2 The director and each member of the nursing faculty shall be academically and professionally qualified for the position to which appointed. All nursing faculty members shall maintain professional competence in their area(s) of teaching responsibility through professional development activities such as nursing practice, participation in professional meetings, workshops, formal college courses, and nursing research.
2.5.3.1.3 The director of a baccalaureate degree program shall hold an earned doctoral degree or have a specific plan for completing a doctoral degree and shall hold a degree in nursing at the Master’s level or higher. The director shall have experience in nursing practice, nursing education and shall give evidence of ability in providing leadership. A director employed by the school prior to the promulgation of these Rules and Regulations shall be exempt from this rule while remaining in the employ of that school.
2.5.3.1.4 The director of a nursing education program shall hold a minimum of a Master’s degree. The director shall hold a degree in nursing at the baccalaureate level or higher and shall have experience in nursing practice, nursing education and shall give evidence of ability in providing leadership. A director employed by the school prior to the promulgation of these Rules and Regulations shall be exempt from this rule while remaining in the employ of that school.
2.5.3.1.5 Each member of the nursing faculty shall hold a baccalaureate degree in nursing or a Master’s in nursing. Faculty employed by the school prior to the promulgation of these Rules and Regulations shall be exempt from this rule while remaining in the employ of that school.
2.5.3.1.6 Non-nurse members of the faculty shall hold academic and professional credentials in their field of specialization.
2.5.3.2 Number
2.5.3.2.1 The number of faculty members shall be sufficient to prepare the students for licensure, to achieve the objectives as stated in the school’s application, and reasonably proportionate to:
2.5.3.2.1.1 Number of students enrolled;
2.5.3.2.1.2 Frequency of admissions;
2.5.3.2.1.3 Education and experience of faculty members;
2.5.3.2.1.4 Number and location of clinical facilities; and
2.5.3.2.1.5 Total responsibilities of the faculty members.
2.5.3.3 Conditions of employment
2.5.3.3.1 Qualifications and responsibilities for faculty member positions shall be defined in writing.
2.5.3.3.2 Written personnel policies shall be consistent with the policies of the sponsoring institution.
2.5.3.3.3 Faculty assignments shall allow time for class and laboratory preparation, teaching, program evaluation, improvement of teaching methods, guidance of the students, participation in faculty organizations and committees, attendance at professional meetings, and participation in continuing education activities.
2.5.3.4 Functions
2.5.3.4.1 The principal functions of the faculty shall be to:
2.5.3.4.1.1 Develop the philosophy and objectives of the nursing program;
2.5.3.4.1.2 Develop, implement, evaluate and revise the curriculum;
2.5.3.4.1.3 Participate in the recruitment, admission and retention of students in the nursing program;
2.5.3.4.1.4 Establish criteria for promotion and completion of the program in nursing;
2.5.3.4.1.5 Evaluate student achievement on the basis of established criteria;
2.5.3.4.1.6 Recommend successful candidates for degree, diploma and other forms of recognition; and
2.5.3.4.1.7 Participate in appropriate activities of the controlling institution.
2.5.3.5 Organization
2.5.3.5.1 The nursing faculty shall attend regular meetings of the faculty for the purpose of developing, implementing and evaluating the nursing curriculum.
2.5.3.5.2 Committees shall be established as needed.
2.5.3.5.3 Written rules or bylaws shall govern the conduct of nursing faculty meetings and committees.
2.5.3.5.4 Minutes of faculty and committee meetings, including action taken, shall be recorded and available for reference.
2.5.3.5.5 Provision shall be made for nursing student membership and participation on faculty committees and in committee meetings as appropriate.
2.5.3.5.6 Where nursing practice/education (advisory) committees are established, their functions and relationship to the board of control and to the program shall be clearly defined
2.5.3.5.7 Written rules shall govern the activities of the nursing practice/education (advisory) committee(s) and minutes of the meetings shall be on file in the administrative office of the program.
2.5.4 Students
2.5.4.1 Admission, Promotion and Graduation
2.5.4.1.1 Criteria
2.5.4.1.1.1 Policies and procedures related to the selection and admission of students are the responsibility of the individual school.
2.5.4.1.1.2 Students shall be admitted on the basis of established criteria and without discrimination as to age, race, religion, sex, sexual preference, national origin, or disability.
2.5.4.1.1.3 There shall be written policies for the admission and re-admission of students.
2.5.4.1.1.4 Schools granting advanced standing after admission via challenge examinations, College Level Examination Program, teacher made tests or any other method shall have written criteria for granting course credit.
2.5.4.1.1.5 The policies for promotion, retention and graduation shall be published in the school catalogue or in other appropriate documents that are available to students.
2.5.4.1.1.6 All candidates in a program that requires applicants to be registered nurses must be licensed in Delaware if any clinical experiences occur in the State.
2.5.4.2 Services
2.5.4.2.1 There shall be written policies for student welfare as related to health, counseling and guidance, financial aid, and residence life, if offered.
2.5.4.2.2 There shall be well-defined written policies governing payment and refund of tuition and other fees.
2.5.5 Information
2.5.5.1 Annual Report
2.5.5.1.1 By October 1 of each year, five copies of an annual report of the nursing education program shall be sent to the Board, using the format supplied by the Board. The report will include information from August 1 of the previous year through July 31 of the current academic year.
3 DE Reg. 1373 (4/1/00)
2.5.5.2 School Records
2.5.5.2.1 A nursing education program shall maintain a system of records which shall contain all data relating to approval by any agency or body. The data shall include, but not be limited to, course outlines, minutes of faculty and committee meetings, pertinent correspondence, reports of standardized tests and survey reports. Such data shall be available to the Board representatives during the course of a site survey visit subject to applicable provisions of state and federal law.
2.5.5.3 Student Records
2.5.5.3.1 The school shall maintain a record for each student. Subject to applicable provisions of law, such records shall be available to Board representatives during the course of a site survey visit.
2.5.5.3.2 A final transcript for each student shall be retained in the permanent records of the school.
2.5.5.3.3 Provision shall be made for the protection of records against loss, destruction and unauthorized use.
2.5.5.4 School Bulletin or Catalogue
Current information about the school shall be published periodically and distributed to students, applicants for admission and to the Board. It should include a general description of the program, philosophy and objectives of the controlling institution and of the nursing programs, admission and graduation requirements, fees, expenses, and financial aid, educational facilities, living accommodations, student activities and services, curriculum plan, course descriptions, and faculty staff roster.
2.5.6 Curriculum
The following shall apply to nursing education programs:
2.5.6.1 Nursing Education Programs
2.5.6.1.1 The curriculum shall reflect the stated philosophy and objectives of the school and evidence of an organized pattern of instruction and appropriate supervised nursing practice consistent with sound educational practices and principles of learning.
2.5.6.1.2 LPN and RN programs shall provide for concurrent or correlated theory and clinical practice in the physical and/or mental health care of individuals of all ages, the nursing care of mothers and newborns, children, adults, the aged, individuals with mental health problems, and individuals in diverse settings, not necessarily in separate courses.
2.5.6.1.2.1 Clinical experiences shall include preventive aspects of illness, nursing care of persons with acute and chronic illnesses and rehabilitative care. Opportunities shall be provided for the student to participate in patient teaching in a variety of settings with individuals, families and other groups.
2.5.6.1.2.2 Concurrent and or correlated theory shall include the history of nursing, health care issues, and legal-ethical issues.
2.5.6.1.3 The RN curriculum shall provide instruction in the following fields:
2.5.6.1.3.1 Physical and biological sciences including content from the areas of anatomy and physiology, chemistry, microbiology, pharmacology and nutrition, which may be integrated, combined or presented as separate courses, and
2.5.6.1.3.2 Social and behavioral sciences including content drawn from the fields of communication theory, psychology and sociology and shall serve as a basis for the selection of learning experiences which develop abilities and skills in observation, interviewing, interpersonal relations, and problem-solving.
2.5.6.1.3.3 Professional nursing responsibilities.
2.5.6.1.3.4 Nursing research and nursing leadership in BSN programs.
2.5.6.1.4 The LPN curriculum shall provide instruction in the following fields:
2.5.6.1.4.1 Essential facts and principles in the biological, physical and social sciences including body structure and functions, elementary microbiology, pharmacology and nutrition, signs of emotional and mental health, human growth and development, and administration of medications.
2.5.7 Evaluation
2.5.7.1 Evaluation as a basis for curriculum revision and change in practices is a continuous process and an inherent responsibility of the faculty. The degree to which the faculty accomplishes its objectives shall be determined through evaluation of curriculum content, teaching methodologies, clinical and other learning experiences, student progress, success of graduates on the licensing examination, promotion, retention and degree of nursing competence of the graduate.
2.5.8 Educational Facilities
2.5.8.1 Classrooms, laboratories, and conference rooms shall be adequate in number, size and type for the number of students and educational purposes for which the rooms are used.
2.5.8.2 Offices
2.5.8.2.1 Offices shall be available and adequate in size, number and type to provide faculty with opportunities for uninterrupted work and privacy for conferences with students.
2.5.8.2.2 Space for clerical staff, records, files and other equipment shall be adequate for the needs of the program.
2.5.8.3 Learning Resources
2.5.8.3.1 The library shall have recent, pertinent and sufficient holdings to meet the learning needs of students and faculty.
2.5.8.3.1.1 Provision shall be made for regular additions to and deletions from the library collection.
2.5.8.3.1.2 Library facilities and policies shall be conducive to effective use.
2.5.8.3.2 Equipment shall be available so that a multimedia approach to learning is afforded.
2.5.8.4 Clinical Facilities
2.5.8.4.1 The clinical facility to which the student is assigned for clinical practice is considered an integral part of the nursing program.
2.5.8.4.1.1 Clinical facilities shall be selected by the faculty to provide learning experiences essential to achieve the stated purposes of the program and the stated objectives for each clinical course. They may include, but are not limited to:
2.5.8.4.1.1.1 Inpatient facilities such as acute care hospitals, specialized hospitals, long term and extended care facilities.
2.5.8.4.1.1.2 Outpatient facilities such as hospital based clinics, community health centers, mental health clinics and physicians’ offices.
2.5.8.4.1.1.3 Other community agencies such as hospices, health maintenance organizations, day care centers, senior centers and prisons.
2.5.8.4.1.2 The following criteria for clinical facility use must be met:
2.5.8.4.1.2.1 There shall be an environment in which effective learning can take place and in which the student is recognized as a learner.
2.5.8.4.1.2.2 There shall be an adequate number of qualified professional and other nursing personnel not including the student, to ensure safe care of the patient.
2.5.8.4.1.2.3 There shall be a sufficient number and variety of patients to provide adequate learning experiences.
2.5.8.4.1.3 Hospital facilities shall be accredited by the Joint Commission on Accreditation of Health Care Organizations or the American Osteopathic Association. Other facilities such as specialized hospitals, long term and extended care facilities and community health agencies shall be licensed or approved by the appropriate approving authority.
2.5.8.4.1.4 Facilities used for clinical experience shall be approved by the Board prior to the assignment of students. Approval shall be based on information provided by the school on forms furnished by the Board. A visit by Board representatives to the clinical site may be scheduled.
2.5.8.4.1.5 Clinical facilities used in another state require written notification to that jurisdiction’s Board of Nursing.
2.5.8.4.1.6 Written agreements between the school and agencies involved shall:
2.5.8.4.1.6.1 Ensure that the faculty are ultimately responsible for the students’ learning experiences.
2.5.8.4.1.6.2 Provide for continuous planning for students in cooperation with the director of nursing and appropriate nursing staff of the agency.
2.5.8.4.1.6.3 Provide adequate space for the number of students and faculty to conduct educational conferences.
2.5.8.4.1.7 Observational experiences shall be planned in cooperation with the agency to meet stated objectives.
2.5.9 Program Changes
2.5.9.1 Program Changes Requiring Board of Nursing Prior Approval
2.5.9.1.1 Changes in the philosophy and/or objectives of the program.
2.5.9.1.2 Changes in the overall curriculum plan.
2.5.9.1.3 Changes in the administrative sponsorship of the program.
2.5.9.2 Procedure for Approval of Program Change
2.5.9.2.1 When a program change is contemplated, consultation from the Board is available.
2.5.9.2.2 When any program change is proposed, a written plan shall be submitted to the Board including the:
2.5.9.2.2.1 Description of the change
2.5.9.2.2.2 Rationale for the change
2.5.9.2.2.3 Relationship of the proposed change to the present program.
2.5.9.3 Three copies of these materials shall be submitted to the Board at least one month prior to the Board meeting at which time the request will be considered.
2.5.10 Procedure for Continuing Full Approval
2.5.10.1 Each nursing education program that is accredited by a Board-approved national accrediting agency for nursing education must submit a copy of the self-study document and the letter of notification of accreditation status by October following the reaccredidation visit. This is contingent on the program remaining accredited and sharing copies of all correspondence related to compliance with the national accrediting agency’s recommendations. Extraneous material will be disseminated to Board Members at the discretion of the Executive Director in consultation with the President.
1 DE Reg. 1883 (6/1/98)
3 DE Reg. 1373 (4/1/00)
2.5.10.2 Each nursing education program that does not have Board approved national accreditation will be re-evaluated at least every five years. Survey visits may be scheduled as determined by the Board.
1 DE Reg. 1884 (6/1/98)
2.5.10.2.1 Representative(s) of the Board will conduct a survey visit on a date mutually acceptable to the nursing program and the Board.
2.5.10.2.2 The Board shall notify the director of the nursing education program of the intended survey visit by June of the year preceding the survey visit. The Director shall coordinate an agenda for the visit with the Board and submit it to the Board office three weeks prior to the visit for distribution to the team.
2.5.10.2.3 The school shall submit five copies of a comprehensive self-evaluation report, following the format supplied by the Board, by October 1 of the survey year.
3 DE Reg. 1373 (4/1/00)
2.5.10.3 Interim visits may be made at any time within the five-year period either by request or as deemed necessary by the Board, with advance notice. At least one of the visitors shall be a nurse educator who has curriculum expertise at the level of the program being reviewed.
2.5.10.4 If the Board determines that a program is not maintaining the standards of Section 2.5 of these Rules and Regulations, the program shall be granted conditional approval and given a reasonable period of time to correct deficiencies.
2.5.10.5 A failure to attain an eighty percent pass rate on the licensure examination for first time candidates as reflected in two consecutive annual reports will require presentation to the Board of a plan to identify and correct deficiencies. Progress reports will be required.
2.5.10.5.1 A program reporting five or fewer candidates in a 12 month period with a failure to attain an eighty percent pass rate as reflected in two consecutive annual reports must provide a written explanation to the Board for action.
2.5.10.6 Deficiencies sufficient to warrant a determination of conditional approval (probation) may include one or more of the following:
2.5.10.6.1 Failure to adhere to the school’s stated philosophy and curriculum objectives.
2.5.10.6.2 Repeated violations of stated academic and/or admission policies.
2.5.10.6.3 Failure to maintain a faculty and administration of adequate size and qualifications.
2.5.10.6.4 Use of students for nursing services or other purposes that are not primarily educational.
2.5.10.6.5 Failure to provide adequate resources for cognitive learning and clinical practice.
2.5.10.6.6 Failure to admit and retain students and/or hire and promote faculty and other personnel without discrimination as to age, race, religion, sex, sexual preference, national origin, or disability.
2.5.10.6.7 Failure to attain an eighty percent pass rate on the licensure examination for first time candidates in any three consecutive calendar years.
2.5.10.6.8 Any other deficiencies that, in the opinion of the Board, detrimentally affect the educational process.
2.5.10.7 Upon notification of conditional approval (probation), the program administrator shall submit an action plan no less than two weeks preceding the Board meeting designated in the notification. The action plan shall include identification of the deficiency(ies), proposed corrective action, and projected timeline to remediate the deficiency(ies). The program administrator will be invited to present the action plan at the designated Board meeting. The Board may approve the plan as submitted, recommend revisions, or reject the plan. The program shall submit progress reports as specified by the Board during the term of conditional approval (probation). Prior to the expiration of the probationary period, the program administrator will be invited to meet with the Board to review the status of the plan relative to remediation of the deficiency(ies). A program becomes eligible for unconditional approval when the Board is satisfied that the stated deficiency(ies) has been corrected. If satisfactory remediation has not occurred in the stated timeline, the program administrator will submit an explanation and revised plan with projected timeline. The Board may approve the plan as submitted, or with revisions, or reject the plan and propose to withdraw program approval.
3 DE Reg. 1373 (4/1/00)
2.5.10.8 A program that fails to correct these deficiencies to the satisfaction of the Board within a reasonable time shall be discontinued after a hearing in which facts regarding such deficiencies are established.
3 DE Reg. 1373 (4/1/00)
2.5.10.9 Provisions of Rules 2.6.1.1.2, 2.6.1.1.2.3, 2.6.1.1.2.4, and 2.6.1.1.2.5 shall prevail for any program for which Board approval has been discontinued.
3 DE Reg. 1373 (4/1/00)
2.6.1 Termination of a Nursing Program
2.6.1.1 The controlling institution shall:
2.6.1.1.1 Submit written notification to the Board of its intent to terminate or interrupt the nursing program.
2.6.1.1.2 Provide for the completion of the nursing program for all students currently enrolled.
2.6.1.1.3 Safeguard the quality of the educational program for these students.
2.6.1.1.4 Provide for the permanent retention of records of students and graduates.
2.6.1.1.5 Notify the Board in writing as to the location of records and where requests for records may be sent.
2.7.1 Procedure for Annual Review of Nursing Education Programs
2.7.1.1 The Board shall review the annual reports and self-evaluation reports of the programs to be submitted each October 1.
3 DE Reg. 1373 (4/1/00)
2.7.1.2 Following review of the reports from the programs, written notification of the action taken at the regularly scheduled board meeting, including any recommendations, shall be sent to the appropriate administrative officers of the school. This could include notification of the Board’s intention to conduct a site visit.
2.7.3 Site Visits
2.7.3.1 For any site visit, the President shall designate the Board members who are to make the survey visits and the chair person of the survey team. At least one member of each team shall be a nurse educator who has curriculum expertise at the level of the program being reviewed.
2.7.3.2 The site visit may be made by a Board member(s) and a nursing education consultant, the latter with special expertise at the same level of nursing education as the program. The consultant shall be selected from a list of qualified persons submitted by the nursing program and approved by the Board. Costs associated with the hiring of the consultant shall be borne by the program.
2.7.3.3 The Board will indicate in advance any clinical areas they wish to visit.
2.7.3.4 The school shall schedule separate interviews for the visitors with:
2.7.3.4.1 The nurse administrator of the program
2.7.3.4.2 The faculty
2.7.3.4.3 Representative students from each level
2.7.3.4.4 Others as deemed appropriate by the agency or the Board.
2.7.3.5 The school shall have records available for visitor review, including:
2.7.3.5.1 Committee minutes
2.7.3.5.2 Course materials
2.7.3.5.3 Evaluation data regarding the entire program
2.7.3.5.4 Other materials as specified by the survey team.
(Approved 11/8/95)
(Revised 7/8/98)
 
2.0 Nursing Education Programs
Definitions
Board” the Delaware Board of Nursing
Conditional Approval” the status granted to a program that is determined to be deficient in a specified area or areas. When this determination is made by the Board, written notice shall be sent to the program specifying the deficient areas, and the time limit within which the deficiencies are to be corrected. May apply to any program either holding “full” or “initial” approval and may also apply to Delaware Board-approved RN or LPN Refresher Programs.
Full Approval” the status granted to a program that meets the requirements of the Law and the Rules and Regulations of the Board. Continuation of full approval is contingent upon annual review of the program and continuing to meet the criteria.
Initial Approval” authorization to admit students and enter into contractual agreements for clinical facilities. It is granted only after an application has been submitted, reviewed and a survey visit made by the Board. No students shall be admitted to the program until the institution has received written notification that initial approval has been granted. Failure to comply will delay initial approval.
National Accrediting Agency for Nursing Education” a national accrediting agency for nursing education that is recognized by the Council on Postsecondary Accreditation and by the U.S. Department of Education.
Nursing Education Program” as defined in 24 Del.C. Ch. 19.
Preceptor” a nurse, who holds a BSN or higher degree, and a valid license to practice. Clinical preceptors shall have demonstrated competencies in the area of practice to which the student is assigned. Clinical preceptors may be used to accomplish faculty directed clinical learning experiences.
2.2 Authority Designated to the Board of Nursing
In accordance with 24 Del.C. Ch. 19, the Board may:
2.2.1 Approve curricula and develop criteria and standards for evaluating nursing education programs;
2.2.2 Provide for surveys of such programs at such time as it may deem necessary;
2.2.3 Approve such program to meet the requirements of the Chapter and of the Board; and
2.2.4 Deny or withdraw approval for nursing education programs for failure to meet prescribed curriculum or other standards. (Subsections 1906 (b), (c), (e)).
2.3 Purpose of Nursing Education Standards
The state requires that nursing education programs be approved in order to:
2.3.1 Ensure that graduates of nursing education programs are prepared for safe and effective nursing practice.
2.3.2 Provide for the criteria for the development, evaluation and improvement of new and established nursing education programs.
2.3.3 Assure candidates are educationally prepared for licensure and recognition at the appropriate level.
2.4 Nursing Education Standards
All nursing education programs shall meet these standards:
The purpose and outcomes of the nursing programs shall be consistent with the Nurse Practice Act and Board promulgated administrative rules, regulations and other relevant state statutes.
The purpose and outcomes of the nursing program shall be consistent with generally accepted standards of nursing practice appropriate for graduates of the type of nursing program offered.
The nursing program shall implement a comprehensive, systematic plan for ongoing evaluation that is based on program outcomes and incorporates continuous improvement principles.
The curriculum shall provide diverse didactic and clinical learning experiences consistent with program outcomes.
The nursing program administrator (Director) shall be a professionally and academically qualified Registered Nurse with institutional authority and administrative responsibility for the program. (Section 2.4.1.5 – Administrator Qualifications)
Professionally, academically and clinically qualified nurse faculty shall be sufficient in number and expertise to accomplish program outcomes and quality improvement. (Section 2.4.1.6 – Faculty Qualifications)
Program information communicated by the nursing program shall be accurate, complete, consistent and readily available.
2.4.1 Required Criteria for Nursing Education Programs – The organization and administration of the nursing education shall be consistent with the law governing the practice of nursing. The nursing education program shall be an integral part of a governing institution with appropriate accreditation. The following minimum criteria serve to support the implementation of the Nursing Education Standards:
2.4.1.1 Annual Report
2.4.1.1.1 By December 1 of each year, a copy of an annual report of the nursing education program shall be sent to the Board, using the format supplied by the Board. The report will include information from the previous academic year and is required of new programs as well. This is a comprehensive education program self-evaluation and shall include but not be limited to:
2.4.1.1.1.1 Students’ achievement of program outcomes.
2.4.1.1.1.2 Evidence of adequate program resources including fiscal, physical, human, clinical and technical learning resources; and the availability of clinical sites and the viability of those sites to meet the objectives of the program.
2.4.1.1.1.3 Multiple measures of program outcomes for graduates. These may include but are not limited to NCLEX pass rates, student and/or employer surveys, etc.
2.4.1.1.1.4 Evidence that accurate program information for consumers is readily available.
2.4.1.1.1.5 The head of the academic institution and the administration support program outcomes
2.4.1.1.1.6 Program administrator and program faculty meet Board of Nursing qualifications and are sufficient to achieve program outcomes.
2.4.1.1.1.7 Evidence that the academic institution assures security of student information.
2.4.1.2 School Records
2.4.1.2.1 A nursing education program shall maintain a system of records which shall contain all data relating to approval by any agency or body. The data shall include, but not be limited to, course outlines, minutes of faculty and committee meetings, pertinent correspondence, reports of standardized tests and survey reports. Such data shall be available to the Board representatives during the course of a survey or site visit subject to applicable provisions of state and federal law.
2.4.1.3 Student Records
2.4.1.3.1 The school shall maintain a record for each student subject to applicable provisions of law, such records shall be available to Board representatives during the course any survey or site visit.
2.4.1.3.2 A final transcript for each student shall be retained in the permanent records of the school.
2.4.1.3.3 Provision shall be made for the protection of records against loss, destruction and unauthorized use.
2.4.1.4 School Bulletin or Catalogue
2.4.1.4.1 Current information about the school shall be published periodically and distributed to students, applicants for admission and to the Board. It should include a general description of the program, philosophy and objectives of the controlling institution and of the nursing programs, admission and graduation requirements, fees, expenses, and financial aid, educational facilities, living accommodations, student activities and services, curriculum plan, course descriptions, process for addressing student complaints and/or grievances and faculty staff roster.
2.4.1.5 Administrator Qualifications
2.4.1.5.1 Administrator qualifications in a program preparing for LPN licensure shall include:
2.4.1.5.1.1 A current, active, unencumbered Delaware RN license or compact (multi-state) license, and meet requirements in the state where the program is approved and/or accredited.
2.4.1.5.1.2 A minimum of a master’s degree in nursing from a nationally accredited program.
2.4.1.5.1.3 Experience in nursing practice and shall give evidence of ability in providing leadership.
2.4.1.5.1.4 Experience in nursing education including teaching and learning principles for adult education and curriculum development and administration.
2.4.1.5.2 Administrator qualifications in a program preparing for RN licensure shall include:
2.4.1.5.2.1 A current, active, unencumbered Delaware RN license or compact (multi-state) license, and meet requirements in the state where the program is approved and/or accredited.
2.4.1.5.2.2 For a baccalaureate degree program, the administrator shall hold an earned doctoral degree in nursing or related field and a master’s degree in nursing from a nationally accredited program. For an associate degree or diploma program, the administrator shall hold a minimum of a master’s degree in nursing from a nationally accredited program.
2.4.1.5.2.3 Experience in nursing practice and shall give evidence of ability in providing leadership.
2.4.1.5.2.4 Experience in nursing education including teaching and learning principles for adult education and curriculum development and administration.
2.4.1.5.3 The number of faculty members shall be sufficient to prepare the students for licensure, to achieve the objectives as stated in the school’s application, and reasonably proportionate to:
2.4.1.5.3.1 Number of students enrolled
2.4.1.5.3.2 Frequency of admissions
2.4.1.5.3.3 Education and experience of faculty members (current experience in all specialties must be represented among the faculty and must correspond with the primary teaching responsibilities assigned)
2.4.1.5.3.4 Number and location of clinical facilities
2.4.1.5.3.5 Total responsibilities of the faculty members
2.4.1.5.3.6 The faculty-to-student ratio shall not exceed 1:8 for inpatient settings where faculty directly supervise students during the delivery of patient care.
2.4.1.5.4 Qualifications and responsibilities for faculty member positions shall be defined in writing.
2.4.1.5.5 Written personnel policies shall be consistent with the policies of the sponsoring institution.
2.4.1.5.6 Faculty assignments shall allow time for class and laboratory preparation, teaching, program evaluation, improvement of teaching methods, guidance of the students, participation in faculty organizations and committees, attendance at professional meetings, and participation in continuing education activities.
2.4.1.5.7 Principal functions of the faculty shall be to:
2.4.1.5.7.1 Develop the philosophy and objectives of the nursing program
2.4.1.5.7.2 Develop, implement, evaluate and revise the curriculum
2.4.1.5.7.3 Participate in the recruitment, admission and retention of students in the nursing program
2.4.1.5.7.4 Establish criteria for promotion and completion of the program in nursing
2.4.1.5.7.5 Evaluate student achievement on the basis of established criteria
2.4.1.5.7.6 Recommend successful candidates for degree, diploma and other forms of recognition
2.4.1.5.7.7 Participate in appropriate activities of the controlling institution
2.4.1.5.8 The nursing faculty shall hold a current, active, unencumbered Delaware RN license or compact (multi-state) license and meet requirements in the state where the program is approved and/or accredited.
2.4.1.5.9 Clinical faculty shall hold a license or privilege to practice and meet requirements in the state or jurisdiction of the students’ clinical site.
2.4.1.5.10 Qualifications for nursing faculty who teach in a program leading to licensure as an LPN:
2.4.1.5.10.1 Have a minimum of a baccalaureate degree in nursing
2.4.1.5.10.2 Have current clinical experience
2.4.1.5.10.3 Have preparation in teaching and learning principles for adult education, including curriculum development and implementation
2.4.1.5.10.4 Have current knowledge of licensed practical nursing practice
2.4.1.5.11 Qualifications for nursing faculty who teach in a program leading to licensure as a registered nurse:
2.4.1.5.11.1 Have a minimum of a master’s degree in nursing
2.4.1.5.11.2 Have current clinical experience
2.4.1.5.11.3 Have preparation in teaching and learning principles for adult education, including curriculum development and implementation
2.4.1.5.12 Adjunct clinical faculty employed solely to supervise clinical nursing experiences of students shall have a minimum of a baccalaureate degree in nursing with the majority holding a master’s degree in nursing or actively enrolled in a master’s degree in nursing program.
2.4.1.5.13 Interdisciplinary faculty who teach non-clinical nursing courses shall have advanced preparation appropriate to those areas of content.
2.4.1.5.14 Clinical preceptors shall have demonstrated competencies related to the area of assigned clinical teaching responsibilities and will serve as a role model and educator for the student. Clinical preceptors may be used to enhance faculty-directed clinical learning experiences. Clinical preceptors should be licensed as a nurse at or above the level for which the student is preparing.
2.4.1.5.15 Organization
2.4.1.5.15.1 The nursing faculty shall attend regular meetings of the faculty for the purpose of developing, implementing and evaluating the nursing curriculum.
2.4.1.5.15.2 Committees shall be established as needed to meet the responsibilities and accountabilities of the department.
2.4.1.5.15.3 Written rules or bylaws shall govern the conduct of nursing faculty meetings and committees.
2.4.1.5.15.4 Minutes, guided by an agenda, of faculty and committee meetings and will include: conclusions made following discussions, recommendations and actions as well as timeline for evaluation and follow-up.
2.4.1.5.15.5 Provisions shall be made for nursing student membership and participation on faculty committees and in committee meetings as appropriate.
2.4.1.5.15.6 Where nursing practice/education (advisory) committees are established, their functions and relationship to the board of control and to the program shall be clearly defined
2.4.1.5.15.7 Written rules shall govern the activities of the nursing practice/education (advisory) committee(s) and minutes of the meetings shall be on file in the administrative office of the program.
2.4.1.6 Students
2.4.1.6.1 Students shall be provided the opportunity to acquire and demonstrate the knowledge, skills and abilities for safe and effective nursing practice, in theory and clinical experience with faculty oversight.
2.4.1.6.2 All policies relevant to applicants and students shall be available in writing.
2.4.1.6.3 Students shall be required to meet the health standards and criminal background checks as required.
2.4.1.6.4 Students shall receive faculty instruction, advisement and oversight.
2.4.1.6.5 Students shall be held accountable for the integrity of their work.
2.4.1.6.6 Admission, Promotion and Graduation
2.4.1.6.6.1 Policies and procedures related to the selection and admission of students are the responsibility of the individual school.
2.4.1.6.6.2 Students shall be admitted on the basis of established criteria and without discrimination as to age, race, religion, sex, sexual preference, national origin, or disability.
2.4.1.6.6.3 There shall be written policies for the admission and re-admission of students.
2.4.1.6.6.4 Schools granting advanced standing after admission via challenge examinations, College Level Examination Program, teacher made tests or any other method shall have written criteria for granting course credit. Course credits attained through one of these mechanisms or transferred in from another institution shall not represent more than fifty (50) percent of the credits required for graduation.
2.4.1.6.6.5 The policies for promotion, retention and graduation shall be published in the school catalogue or in other appropriate documents that are available to students.
2.4.1.6.6.6 All candidates in a program that requires applicants to be registered nurses must be licensed in Delaware or hold a current, valid compact (multi-state) license if any clinical experiences occur in the State.
2.4.1.7 Curriculum
The following shall apply to nursing education programs:
2.4.1.7.1 The curriculum of the nursing education program shall enable the student to develop the nursing knowledge, skills and competencies necessary for the level, scope and standards of nursing practice consistent with the level of licensure.
2.4.1.7.2 LPN and RN programs shall provide for concurrent or correlated theory and clinical practice in the physical and/or mental health care of individuals of all ages the nursing care of mothers and newborns, children, adults, the aged, individuals with mental health problems, and individuals in diverse settings, not necessarily in separate courses.
2.4.1.7.3 Clinical experiences shall include preventive aspects of illness, nursing care of persons with acute and chronic illnesses and rehabilitative care. Opportunities shall be provided for the student to participate in patient teaching in a variety of settings with individuals, families and groups.
2.4.1.7.4 A minimum of 200 hours of clinical experience is required for LPN students and a minimum of 400 hours of clinical experience is required for RN students. Simulation – high fidelity and/or standardized patient – clinical experiences may be used for a portion of the clinical experience requirements.
2.4.1.7.5 The curriculum shall include:
2.4.1.7.5.1 Content regarding legal and ethical issues, history and trends in nursing and health care, and professional responsibilities.
2.4.1.7.5.2 Experiences that promote the development of clinical judgment, leadership and management skills, and professional socialization consistent with the level of licensure. This includes demonstration of the ability to supervise others and provide leadership of the profession.
2.4.1.7.5.3 Learning experiences and methods of instruction, including distance education methods, consistent with the written curriculum plan.
2.4.1.7.5.4 Coursework including, but not limited to:
2.4.1.7.5.4.1 Content in the biological, physical, social and behavioral sciences to provide a foundation for safe and effective nursing practice.
2.4.1.7.5.4.2 The RN curriculum shall provide instruction in the following fields:
2.4.1.7.5.4.2.1 Physical and biological sciences including content from the areas of anatomy and physiology, chemistry, microbiology, pharmacology and nutrition, which may be integrated, combined or presented as separate courses, and
2.4.1.7.5.4.2.2 Social and behavioral sciences including content drawn from the fields of communication theory, psychology and sociology and shall serve as a basis for the selection of learning experiences which develop abilities and skills in observation, interviewing, interpersonal relations, and problem-solving.
2.4.1.7.5.4.2.3 Professional nursing responsibilities.
2.4.1.7.5.4.2.4 Nursing research and nursing leadership in BSN programs.
2.4.1.7.5.4.3 The LPN curriculum shall provide instruction in the following fields:
2.4.1.7.5.4.3.1 Essential facts and principles in the biological, physical and social sciences including body structure and functions, elementary microbiology, pharmacology and nutrition, signs of emotional and mental health, human growth and development, and administration of medications.
2.4.1.7.5.4.4 Didactic content and supervised clinical experience in the prevention of illness and the promotion, restoration and maintenance of health in clients across the life span and in a variety of clinical settings to include:
2.4.1.7.5.4.4.1 Using informatics to communicate, manage knowledge, mitigate error, and support decision making.
2.4.1.7.5.4.4.2 Employing evidence-based practice to integrate best research with clinical expertise and client values for optimal care, including skills to identify and apply best practices to nursing care
2.4.1.7.5.4.4.3 Providing client-centered, culturally competent care.
2.4.1.7.5.4.4.4 Respecting client differences, values, preferences and expressed needs
2.4.1.7.5.4.4.5 Involving clients in decision-making and care management
2.4.1.7.5.4.4.6 Coordinating and managing continuous client care.
2.4.1.7.5.4.4.7 Promoting healthy lifestyles for clients and populations.
2.4.1.7.5.4.4.8 Working in interdisciplinary teams to cooperate, collaborate, communicate and integrate client care and health promotion.
2.4.1.7.5.4.4.9 Participating in quality improvement processes to measure client outcomes, identify hazards and errors, and develop changes in processes of client care.
2.4.1.7.6 Supervised clinical practice shall include development of skill in making clinical judgments, management and care of groups of clients, and delegation to and supervision of other health care providers.
2.4.1.7.6.1 Clinical experience shall be comprised of sufficient hours to meet these standards, shall be supervised by qualified faculty and ensure students’ ability to practice at any entry level.
2.4.1.7.6.2 All student clinical experiences, including those with preceptors, shall be directed by nursing faculty.
2.4.1.8 Evaluation
2.4.1.8.1 Evaluation as a basis for curriculum revision and change in practices is a continuous process and an inherent responsibility of the faculty. The degree to which the faculty accomplishes its objectives shall be determined through evaluation of curriculum content, teaching methodologies, clinical and other learning experiences, student progress, success of graduates on the licensing examination, promotion, retention and degree of nursing competence of the graduate.
2.4.1.9 Education Facilities
2.4.1.9.1 Classrooms, laboratories, and conference rooms shall be adequate in number, size and type for the number of students and educational purposes for which the rooms are used.
2.4.1.9.2 Offices
2.4.1.9.2.1 Offices shall be available and adequate in size, number and type to provide faculty with opportunities for uninterrupted work and privacy for conferences with students.
2.4.1.9.2.2 Space for clerical staff, records, files and other equipment shall be adequate for the needs of the program.
2.4.1.9.3 Learning Resources
2.4.1.9.3.1 Learning resources must be recent, pertinent and sufficient to meet the learning needs of students and faculty.
2.4.1.9.3.1.1 Provisions shall be made for regular additions to and deletions from the resource collection.
2.4.1.9.3.1.2 Learning facilities and policies shall be conducive to effective use.
2.4.1.9.4 Clinical Facilities
2.4.1.9.4.1 The clinical facility to which the student is assigned for clinical practice is considered an integral part of the nursing program.
2.4.1.9.4.1.1 Clinical facilities shall be selected by the faculty to provide learning experiences essential to achieve the stated purposes of the program and the stated objectives for each clinical course. They may include, but are not limited to:
2.4.1.9.4.1.1.1 Inpatient facilities such as acute care hospitals, specialized hospitals, long term and extended care facilities.
2.4.1.9.4.1.1.2 Outpatient facilities such as hospital based clinics, community health centers, mental health clinics and physician offices.
2.4.1.9.4.1.1.3 Other community based opportunities such as home health, hospices, health maintenance organizations, day care centers, schools/school systems, senior centers and correctional facilities.
2.4.1.9.4.1.2 The following criteria for clinical facility use must be met:
2.4.1.9.4.1.2.1 There shall be an environment in which effective learning can take place and in which the student is recognized as a learner.
2.4.1.9.4.1.2.2 There shall be an adequate number of qualified professional and other nursing personnel not including the student, to ensure safe care of the patient.
2.4.1.9.4.1.2.3 There shall be a sufficient number and variety of patients to provide adequate learning experiences.
2.4.1.9.4.1.3 Hospital facilities shall be accredited by the Joint Commission or the American Osteopathic Association. Other facilities such as specialized hospitals, long term and extended care facilities and community health agencies shall be licensed or accredited by the appropriate approving authority.
2.4.1.9.4.1.4 Facilities used for clinical experience shall be approved by the Board prior to the assignment of students. Approval shall be based on information provided by the school on forms furnished by the Board.