SECTION I APPROVALThis chapter presents the Minimum Requirements established by the Arkansas State Board of Nursing for nursing education programs that lead to licensure.
The Requirements are purposefully designed broad in scope to be applicable to all programs. Some programs, however, require specific criteria and those are so indicated in each section as appropriate under the heading variation.
The Board of Nursing has the authority to grant or withdraw any type of approval status from any nursing education program based upon compliance with these minimum requirements.
A. PURPOSES1. Promote the safe practice of nursing by establishing and maintaining Minimum Requirements for nursing education programs.2. Provide graduates of RIM, LPN, and LPTN programs assurance of eligibility to apply for admission to the applicable examination for licensure, and provide graduates of APN programs a basis to take an ASBN approved certification examination in a category of advanced practice nursing.3. Set forth the criteria to approve new and established educational programs leading to licensure.4. Insure quality of nursing education programs.5. Facilitate the decision making process regarding nursing education programs approval.B.APPROVALSThe following content, related to five approvals granted by the Board to nursing education programs, is presented in process format. Variations to an established process are so reflected.
While the Board grants approvals, it also shall take away those same approvals as indicated by a program's compliance with the Minimum Requirements.
In addition, any program which has obtained approval and not admitted students within twelve months after approval has been granted, or has suspended student admissions for a period of twelve months, shall automatically forfeit approval. Should the institution again desire to admit students, application shall be made to the Board for a new program.
1. New Program a. An institution, wishing to conduct a new nursing education program leading to licensure shall apply to the Board and submit evidence that it is prepared to carry out the program.b. Utilize established appropriate Minimum Requirements: 1) Applicant for new program approval, shall comply with the Requirements for Prerequisite Approval.2) Variation: Applicant for Advanced Practice program shall comply with the "Criteria and Procedures for Preparing Proposals for New Programs", established by the Arkansas Department of Higher Education.3) The Board shall evaluate the extent of compliance with the Requirements and take one of the following actions:a) Deny Prerequisite Approval or,b) Defer Prerequisite Approval or,c) Grant Prerequisite Approval.c. A survey of the institution and the proposed new program shall be made by an authorized representative of the Board, who shall submit a written report of survey findings to the Board.d. After receiving Prerequisite Approval status, the new program applicant may proceed toward compliance with the Requirements for Initial Approval.e. The Board shall evaluate the extent of compliance with the Requirements for Initial Approval and take one of the following actions: 1) Deny Initial Approval or,2) Defer Initial Approval or,3) Grant Initial Approval.f. After receiving initial Approval status, the new program may admit students and proceed toward compliance with Requirements for Full Approval. Before graduation of the first class, a survey visit shall be made by a representative of the Board and the Board shall evaluate the extent of compliance with the Requirements for Full Approval and take one of the following actions: 1) Deny Full Approval or,2) Defer Full Approval or,g. After Full Approval status is obtained by the new program, it shall be evaluated as an established program.2. Established Program a. An established program is reviewed on a scheduled basis and as deemed necessary for compliance with minimum requirements. b. Information regarding a nursing education program, requested by the Board, shall be provided by the controlling institution.c. Established programs with Full Approval status shall be surveyed by a Board representative as follows: 1) New established program-first survey-three (3) years after Full Approval status granted.2) Registered nurse program-every five (5) years thereafter.3) Practical nurse program and psychiatric technician nurse program-every three (3) years thereafter.4) Advanced practice nurse program - every five (5) years or until requirements for exemption are met. Exemption: Master's programs in advanced practice nursing, which submit evidence of having current accreditation by a Board recognized national educational accrediting agency for the discipline of nursing, shall be accepted by the Board as having met the regulations for Board approval. The standards for accreditation shall be maintained during the accrediting period.
d. Minimum Requirements for Continued Full Approval status shall be utilized during the survey visit by the Board representative.e. In addition, criteria established by the Arkansas Department of Higher Education shall be utilized for advanced practice programs until requirements for exemption are met.f. The representative shall report survey findings and other available information to the Board.g. The Board shall evaluate the extent of compliance with the Minimum Requirements and/or ADHE Criteria for advanced practice programs and take one of the following actions: 1) Defer Continued Full Approval or,2) Grant Continued Full Approval or,3) Grant Conditional Approval or4) Withdraw Full Approval, after public hearing.h. The program shall receive written notification of the Board's action. If noncompliance is evident, the notification shall include deviations of concern as noted by the Board.3. Off Campus Program a. Off campus programs shall maintain the same level of quality as that of the established program with Full Approval status.b. Off campus programs shall be approved by the Board before implementation of operations.c. New Off Campus Program 1) Comply with Requirements for Prerequisite Approval; and2) Provide evidence that indicates readiness and available resources to operate the off campus program at the same quality level as the established program on the main campus.3) The Board shall consider all available information and take one of the following actions: d. The program shall received written notification of the Board's action regarding the off campus program.e. After implementation of operations, off campus program surveys shall be conducted as a part of the established program survey visit. Approval status shall be given to the main campus.C. PROCESSES1. Prerequisite Approval An institution seeking to establish a new nursing education program or off campus program shall submit a letter of intent to the Board of Nursing.
a. The institution must submit a recent feasibility study, signed by the appropriate administrative officers, which includes but is not limited to the following: 1) Purpose for establishing a school.2) Type of educational program to be established.3) Relationship to the controlling institution (organization chart).4) Philosophy, purposes and accreditation status of the controlling institution.5) Financial resources for the program.6) Need and readiness of the community to support the program.7) Source and numbers of potential students and faculty.8) Proposed clinical facilities for student experiences, with letters of support from facilities.9) Other schools using proposed clinical facilities. 10) Proposed physical facilities.11) Availability of the general education component of the curriculum.12) Timetable for initiating the program.b. A representative of the Board shall conduct a survey.c. The survey report and the materials from the institution shall be submitted to the Board.d. The program and controlling institution shall receive written notification of the Board's action.2. Initial Approval a. The institution shall secure a director for the program.b. Job responsibilities of the director shall include the following: 2) Detailed budget preparation.3) Employment of qualified faculty.4) Preparation of a school organizational chart showing institutional control, relationships and lines of authority.5) Securing consultation with demonstrated evidence of visits.6) Statement of philosophy and purpose.7) Curriculum and objectives.8) Student and faculty welfare.9) Program Evaluation process. c. Representatives of the Board shall meet periodically with the director and faculty of the program. Consultation by representatives of the Board will be available upon written request from the director.d. The director must submit to the Board written evidence of readiness of the program to admit students.e. A representative of the Board shall conduct a survey.f. The report of the Board representative's findings shall be submitted to the Board.g. The program and controlling institution shall receive written notification of the Board's action.3. Full Approval a. Information regarding a nursing education program, requested by the Board, shall be provided by the controlling institution.b. A survey visit for Full Approval shall be made by a representative of the Board prior to graduation of the first class.c. The representative's findings shall be shared with the program for corrections and additions. A written report shall be presented to the Board.d. Additional information available to the Board may be considered.e. The program and controlling institution shall receive written notification of the Board's action.f. A survey visit shall be conducted within three (3) years after the first Full Approval is granted. Surveys thereafter, shall be in accordance with Continued Full Approval Requirements.4. Continued Full Approval a. Information regarding a nursing education program, requested by the Board, shall be provided by the controlling institution.b. A survey visit shall be completed by a representative of the Board: 1) Once very five (5) years for APN programs not exempted, RN and RNP programs.2) Once every three (3) years for PN and PTN programs.3) As deemed necessary by the Board.c. The representative's findings shall be shared with the program for corrections and additions. A written report shall be presented to the Board.d. Additional information available to the Board may be considered.e. The program and controlling institution shall receive written notification of the Board's action.5. Conditional Approval a. Information regarding a nursing education program, requested by the Board, shall be provided by the controlling institution.b. A survey visit shall be completed by a representative of the Board.c. The representative's findings shall be shared with the program for corrections and additions. A written report shall be presented to the Board.d. Additional information available to the Board may be considered:e. The controlling institution shall receive written notification of noncompliance deviations and Board's action.f. Conditional Approval status shall be in effect for a maximum time of one (1) year time allowed for correcting the noncompliance deviations unless otherwise determined by the Board.g. Full Approval status may be reestablished when evidence reflects full compliance with the Minimum Requirements.6. Withdrawal of Approval a. Information regarding a nursing education program, requested by the Board, shall be provided by the controlling institution.b. A survey visit shall be completed by a representative of the Board.c. The representative's findings shall be shared with the program for corrections or additions.d. Additional information available to the Board may be considered.e. The representative presents a report of noncompliance findings to the Board.f. A public hearing is scheduled and held.g. Approval status shall be withdrawn when:1) Conditional approval deviations are not corrected within the time frame established by the Board; or2) The program reflects continuing noncompliance with criteria for established program.h. The program and controlling institution shall receive written notification of the Board's action,i. The Board shall give public notice to students that as graduates of the program they will not be eligible for admission to the appropriate licensing examination,j. The program is responsible for assisting students in transferring to a program which has Board approval.k. Approval may be reestablished, by Board action within one year after withdrawal of approval, when evidence reflects full compliance with the Minimum Requirements.