GENERAL GOVERNMENT CABINET

Board of Nursing

(Amendment)

 

††††† 201 KAR 20:062. Standards for advanced practice registered nurse (APRN) programs of nursing.

 

††††† RELATES TO: KRS 314.011, 314.111, 314.131

††††† STATUTORY AUTHORITY: KRS 314.111(3), 314.131(1), (2)

††††† NECESSITY, FUNCTION, AND CONFORMITY: KRS 314.111(3) and 314.131(2) require the board to promulgate administrative regulations to set standards for the establishment and outcomes of nursing programs, to approve schools of nursing [and courses] preparing persons for advanced practice registered nurse (APRN) licensure, and to monitor standards for APRN competency under KRS Chapter 314. KRS 314.131(1) authorizes the board to promulgate administrative regulations to implement KRS Chapter 314. This administrative regulation establishes APRN programs of nursing standards.

 

††††† Section 1. Definitions. (1) "APRN program of nursing" means the educational unit that prepares a person for practice and licensure as an advanced practice registered nurse[and includes secondary or distance learning sites, if applicable].

††††† (2) "APRN program coordinator" means that individual who is responsible for the oversight[organization] of the educational unit[component] and is licensed as an APRN in the designated role and in the same population focus as the program.

††††† (3) "[Designated]Chief nursing academic officer" means the registered nurse[that individual] who has academic and administrative authority for the overall nursing program.

††††† (4) "National nursing accrediting body" means[National League for Nursing Accreditation Commission (NLNAC), now known as] the Accreditation Commission for Education in Nursing (ACEN),[or] the Commission for Collegiate Nursing Education (CCNE), the Commission on Nursing Education Accreditation (CNEA), the Council on Accreditation of Nurse Anesthesia Educational Programs (COA), or the Accreditation Commission on Midwifery Education (ACME).

 

††††† Section 2.[Requirements for Advanced Practice Registered Nursing Programs. (1) An educational institution that offers an APRN program of nursing shall ensure that the program:

††††† (a) Is offered by or affiliated with a college or university that is accredited under 201 KAR 20:260, Section 2(1);

††††† (b) Is a formal educational program, that is part of a doctoral, master's program, or a post-master's program in nursing with a concentration in advanced practice registered nursing and population foci as required for licensure in KRS 314.011;

††††† (c) Has presented evidence that it has applied for nursing program accreditation and meets accreditation standards; and

††††† (d) Offers a curriculum that covers the scope of practice for both the category of advanced practice registered nurse as specified in KRS 314.011 and the population foci.

††††† (2) The clinical practice component of the curriculum shall be congruent with current national professional organizations and nursing accrediting body standards applicable to the APRN role and population focus.

††††† (3) The program shall notify the board of any changes in hours of clinical practice or accreditation status and respond to board requests for information.

††††† (4) The program shall have financial resources sufficient to support the educational goals of the program.

††††† (5) The program shall establish academic and professional standards for admission to the program, progression in the program, and graduation from the program that shall be consistent with sound educational guidelines and recognized standards of professional conduct.

††††† (6) The program shall notify the board regarding any plans to expand the program to additional locations or increase the student enrollment by more than fifty (50) percent from the previously admitted cohort.

††††† (7) Voluntary closure of a program shall be in accordance with 201 KAR 20:360, Section 5.

 

††††† Section 3.] Establishing a New APRN Program of Nursing. (1) An institution may receive consultation from the board prior to establishing an APRN program of nursing.

††††† (2) An institution that desires to establish and conduct an APRN program of nursing shall be accredited as outlined in 201 KAR 20:260, Section 2(1)(a).

††††† (3) An institution shall submit information in the form of a letter of intent to establish an APRN program of nursing along with the fee required by 201 KAR 20:240, Section 1(2)(r).

††††† (4) When[If] the information is submitted to the board, the institution shall begin the application process with a national nursing accrediting body and the Council on Postsecondary Education, if applicable.

††††† (5) The information shall be submitted to the board no less than twelve (12) months prior to the first intended admission of students.

††††† (6) The information shall be completed under the direction of the registered nurse who shall serve as the[designated] chief nursing academic officer or the APRN program coordinator.

††††† (7)[The institution shall not advertise or enroll students until the board has granted developmental approval status.

††††† (8)] The information shall include:

††††† (a) General information about the governing institution including the:

††††† 1. Mission;

††††† 2. Ownership;

††††† 3.[Method of financing;

††††† 4.] Accreditation;

††††† 4.[5.] Enrollment;

††††† 5.[6.] Area served; and

††††† 6.[7. Institutional faculty qualifications; and

††††† 8.] Resources that are sufficient to support defined outcomes and goals;

††††† (b)[An organizational chart of the institution and a written plan which describes the organization of the program of nursing and its relationship to the institution;

††††† (c) A designation of the current or desired national nursing accrediting body to be used in the development of the program;

††††† (d)] A description and rationale for the[proposed type of] APRN role and population foci program which includes[to include] the certificate or degree to be awarded[and the population foci];

††††† (c)[(e)] Approval from the governing body of the institution proposing the APRN program of nursing or other empowered approval bodies as applicable;

††††† (d)[(f) A copy of the curriculum vitae of the registered nurse identified as the APRN program coordinator;

††††† (g)] Results of a needs assessment, including availability of an adequate number of potential students and employment opportunities for program graduates;

††††† (e)[(h)] Evidence of support from the community of interest;

††††† (f)[(i) A timeline for the admission of students, projected graduation of the first class, and any plans for expansion;

††††† (j)] A description of physical or virtual resources adequate to meet the needs of the faculty and students; and

††††† (g)[(k)] Evidence of a sound financial base and demonstrated financial stability available for planning, implementing, and maintaining the proposed program of nursing[;

††††† (l) The philosophy of the APRN program and program outcomes for graduates;

††††† (m) Curriculum design for each identified track to include:

††††† 1. Proposed course sequence;

††††† 2. Description of courses; and

††††† 3. Credit hours delineating those credits assigned to theory and practice;

††††† (n) The availability of clinical experiences sufficient to accommodate the number of students to include the total number of clinical hours designated for each track or population foci;

††††† (o) A five (5) year plan for recruiting and retaining qualified nurse faculty; and

††††† (p) Recruitment plan and five (5) year projection for student enrollment and policies and procedures for student selection and progression].

††††† (8) If the information in the form of a letter of intent is approved by the board, the governing institution shall be notified in writing that it may move to the proposal phase. The proposal shall be submitted within one (1) year of the date of the approval of the information or it shall expire.

††††† (9)(a) A completed program proposal shall be submitted to the board by the governing institution for approval at least one (1) year prior to the anticipated opening date.

††††† (b) The program proposal shall include:

††††† 1. An organizational chart of the governing institution and a written plan which describes the organization of the program of nursing and its relationship to the governing institution;

††††† 2. A designation of the current or desired national nursing accrediting body to be used for the accreditation of the program;

††††† 3. A copy of the curriculum vitae of the APRN identified as the APRN program coordinator;

††††† 4. A timeline for the admission of students, projected graduation of the first class, and any plans for expansion;

††††† 5. The philosophy of the APRN program and program outcomes for graduates;

††††† 6. Curriculum design for each identified track to include:

††††† a. Proposed course sequence;

††††† b. Description of courses;

††††† c. Credit hours delineating those credits assigned to theory and practice; and

††††† d. The total number of clinical hours designated for each track or population foci;

††††† 7. A five (5) year plan for securing clinical sites and preceptors sufficient to accommodate the number of students;

††††† 8. A five (5) year plan for recruiting and retaining qualified nurse faculty; and

††††† 9. Recruitment plan and five (5) year projection for student enrollment and policies and procedures for student selection and progression.

††††† (10) The program shall not be announced or advertised, nor students admitted until the proposal has been approved and developmental status has been granted by the board.

††††† (11)[(9)] Developmental status[approval] shall be the designation granted to an APRN program of nursing that has met all the requirements of this administrative regulation including evidence that it has applied for accreditation from a national nursing accrediting body. Developmental status[This designation] shall be for no more than a two (2) year period of time pending review and accreditation[approval] by a national nursing accrediting body.

††††† (12)[(10)] When developmental status[approval] has been granted by the board, the program may proceed with implementation including the admission of students. It shall be the responsibility of the chief nursing academic officer[APRN program of nursing] to notify the board of the admission and graduation of the first class.

††††† (13)[(11)] Developmental status[approval] of an APRN program shall expire[eighteen (18) months from the date of approval] if a class of students is not admitted within two (2) years of receiving developmental status.

††††† (14)[(12)] All formal communication between the APRN program of nursing and the national nursing accrediting body shall be forwarded to the board within thirty (30) days of receipt.

††††† (15)[(13)] The APRN program coordinator shall notify the board within thirty (30)[five (5) business] days of any change in accreditation status.

††††† (16)[(14)] The APRN program coordinator shall notify the board of pending site visits by the national nursing accrediting body and shall provide to the board copies of any documentation submitted to the national nursing accrediting body within thirty (30) days of submission.

††††† (17)[(15)] The APRN program coordinator shall provide a copy of the report of the national nursing accrediting body to the board within thirty (30)[ten (10]) days of its receipt by the program.

††††† (18)[(16)] The decision to grant program[full] approval by the board shall be based on review of the following:

††††† (a) Achievement and continued[full] approval by a national nursing accrediting body; and

††††† (b) Reports of site visits conducted by a board representative[Site visit reports by the board representative conducted] to evaluate program compliance with administrative regulations.

††††† (19)[(17)] The board may grant program[full] approval for a period of time not to exceed the approval period of the national nursing accrediting body.

 

††††† Section 3. Compliance with National Nursing Accrediting Body Standards. An APRN program shall comply with the standards of its national nursing accrediting body and provide the board with copies of communications necessary to maintain compliance.

 

††††† Section 4. Preceptor Standards. In addition to the standards of the national nursing accrediting body, the APRN program shall comply with the preceptor standards established in this section. (1) The APRN program shall secure all necessary preceptors to students enrolled in the program. A student shall not be required to obtain their own preceptor, but may have input into the process.

††††† (2) During the studentís enrollment in the program, the student shall have some clinical experience with a preceptor who is an APRN with the same role and population focus for which the student is preparing.

††††† (3) The preceptor who is an APRN shall have at least one (1) year of clinical experience in the role and population focus for which the student is preparing.

††††† (4)(a) A physician or a physicianís assistant (PA) may serve as a preceptor.

††††† (b) The physician or PA who serves as a preceptor shall have at least one (1) year of clinical experience and shall practice in the same or similar population focus for which the student is preparing.

††††† (5) A preceptor shall not precept more than two (2) students at a time.

††††† (6) The APRN program shall have a written plan for orienting and evaluating a preceptor.

††††† (7) This section shall become effective on January 1, 2016.

 

††††† Section 5.[4. Administrative Structure of Program. (1) The designated chief nursing academic officer shall hold the following qualifications:

††††† (a) A current, active, unencumbered registered nurse license or privilege to practice in Kentucky;

††††† (b) A doctoral degree earned from a university accredited by the United States Department of Education;

††††† (c) Educational preparation or experience in teaching and learning principles for adult education, including curriculum development and administration;

††††† (d) At least two (2) years of clinical experience; and

††††† (e) Current knowledge of APRN practice.

††††† (2) The qualifications for the APRN program coordinator shall include:

††††† (a) A current, active, unencumbered APRN license or privilege to practice in Kentucky;

††††† (b) A minimum of a masterís degree in nursing or health-related field in the clinical specialty from an accredited college or university which accreditation is recognized by the U.S. Department of Education;

††††† (c) Educational preparation or experience in teaching and learning principles for adult education, including curriculum development and administration; and

††††† (d) At least two (2) years of clinical experience.

††††† (3) The board shall be notified in writing of a vacancy or pending vacancy in the position of the APRN program coordinator within fifteen (15) days of the program of nursing's awareness of the vacancy or pending vacancy. If the APRN program coordinator vacates the position, the designated chief nursing academic officer shall submit to the board in writing:

††††† (a) The effective date of the vacancy;

††††† (b) The name of the APRN who has been designated to assume the administrative duties for the program and a copy of his or her curriculum vitae; and

††††† (c) Status reports from the APRN program of nursing national nursing accrediting body.

††††† (4) If there shall be a lapse between the date of the vacancy and the date the newly-appointed APRN program coordinator assumes duties, the designated chief nursing academic officer or the head of the governing institution shall submit a plan of transition to ensure the continuity of the program;

††††† (5) Progress reports shall be submitted if requested by the board;

††††† (6) The length of the appointment of an interim APRN program coordinator shall not exceed six (6) months.

††††† (7) Additional six (6) month periods may be granted upon request to the board based on a documented inability to fill the position.

 

††††† Section 5. Faculty, Adjuncts, and Clinical Preceptors. (1) The qualifications for nursing faculty within the program leading to licensure as an APRN shall be as follows:

††††† (a) A current, active, unencumbered APRN license to practice in Kentucky, unless the nurse faculty member will teach solely on-line and will not physically practice in this state in which case the nurse faculty member shall hold a current, active, unencumbered APRN license in the state in which they are located.

††††† (b) A minimum of a masterís degree in nursing or health related field in the clinical specialty;

††††† (c) Two (2) years of APRN clinical experience; and

††††† (d) Current knowledge, competence, and certification as an APRN in the role and population foci consistent with teaching responsibilities.

††††† (2) Adjunct clinical faculty employed solely to supervise clinical nursing experiences of students shall meet all the faculty quali≠fications for the program level they are teaching as designated in subsection (1) of this section.

††††† (3) Other qualified individuals may teach a non-clinical course or assist in teaching a clinical course in an APRN program of nursing within their area of expertise.

††††† (4) Clinical preceptors may be used to enhance faculty-directed clinical learning experiences. Clinical preceptors shall have demonstrated competencies related to the area of assigned clinical teaching responsibilities and shall serve as a role model and educator to the student. Clinical preceptors shall be approved by faculty and meet the following requirements:

††††† (a) Holds an unencumbered active license or multistate privilege to practice as a registered nurse and an advanced practice registered nurse or a physician in the state in which the preceptor practices or, if employed by the federal government, holds an unencumbered active registered nurse and an advanced practice registered nurse or a physician license in the United States; and

††††† (b) Has a minimum of one (1) year full time clinical experience in current practice as a physician or as an APRN within the role and population focus.

††††† (5) A clinical preceptor shall function as a supervisor and teacher and evaluate the studentís performance in the clinical setting. The program faculty shall retain ultimate responsibility for student learning and evaluation.

††††† (6) The preceptor may be a practicing physician or other licensed, graduate-prepared health care provider with comparable practice focus. A majority of the preceptors shall be nurses.

††††† (7) A clinical preceptor who is an APRN shall hold:

††††† (a) National certification in the advanced practice category in which the student is enrolled; or

††††† (b) Current board licensure in the advanced practice category in which the student is enrolled.

††††† (8) A complete list of faculty members, clinical faculty, adjuncts, and preceptor appointments shall be reported to the board in writing annually.

 

††††† Section 6. Curriculum. (1) An educational program offered by an accredited college or university that offers a graduate degree or post-master's certificate with a concentration in the APRN role and at least one (1) population foci shall include the following components:

††††† (a) Clinical supervision as specified by the national certifying organizations applicable to the APRN role and population focus established in 201 KAR 20:056, Section 3(2); and

††††† (b) Curriculum that is congruent with:

††††† 1. AACN Essentials for Masters Education for Advanced Practice Nursing if the program grants a masterís degree or post-masterís certificate or AACN Essentials for Doctoral Education for Advanced Nursing Practice if the program grants a doctoral degree; or

††††† 2. NLNAC Standards and Criteria Masterís and Post-Masterís Certificate if the program grants a masterís degree or post-masterís certificate or NLNAC Standards and Criteria Clinical Doctorate if the program grants a doctoral degree.

††††† (2) APRN programs preparing for two (2) population foci or combined nurse practitioner/clinical nurse specialist shall include content and clinical experience in both functional roles and population foci.

††††† (3) Each instructional track shall have a minimum of 500 supervised clinical hours directly related to the role and population foci, including pharmacotherapeutic manage≠ment of patients.

††††† (4) The curriculum shall contain the following three (3) separate graduate level courses in addition to APRN core courses:

††††† (a) Advanced physiology/pathophysiology, including general principles that apply across the lifespan;

††††† (b) Advanced health assessment, which includes assessment of all human systems, advanced assessment techniques, concepts and approaches; and

††††† (c) Advanced pharmacology, which includes pharmacodynamics, pharmacokinetics and pharmacotherapeutics of all broad categories of agents.

††††† (5) Content specific to the role and population focus in the APRN core area shall be integrated throughout the other role and population didactic and clinical courses.

††††† (6) The curriculum shall include:

††††† (a) Diagnosis and management of diseases across practice settings including diseases representative of all systems and caused by major morbidities;

††††† (b) Preparation that provides a basic understanding of the prin≠ciples for decision making in the identified role; and

††††† (c) Role preparation in one (1) of the six (6) population foci of practice identified in KRS 314.011.

††††† (7) Preparation in a specialty area of practice is optional, but if included, it shall build on the APRN role/population-focus competencies. Clinical and didactic coursework shall be comprehensive and sufficient to prepare the graduate to practice in the APRN role and population focus.

 

††††† Section 7. Students. (1) A student entering into the APRN program shall have an active, unencumbered registered nurse license.

††††† (2) A student who wishes to complete a clinical experience in this state but is enrolled in an out of state APRN program shall have an active, unencumbered RN license in another jurisdiction, either in the U.S. or in another country. The following criteria shall be met:

††††† (a) The APRN program of nursing is accredited by a national nursing accrediting body;

††††† (b) The graduate program advises the student of expectations regarding student practice and required supervision;

††††† (c) The graduate program provides direct supervision of the clinical experience and informs faculty, preceptors and clinical facilities that the student is practicing under this limited exemption; and

††††† (d) The student limits practice to what is required for completion of the graduate program requirements.

 

††††† Section 8.] Ongoing Approval. (1)(a) The chief nursing academic officer shall notify the board within thirty (30) days of any change in the APRN program coordinator.

††††† (b) Approved APRN programs of nursing accredited by a national nursing accrediting body may be subject to a site visit at intervals associated with their national nursing accreditation.

††††† (2) The board requires continuous accreditation by a national nursing accrediting body.

††††† (3) The board may perform a site visit of a program on an announced or unannounced basis.

††††† (4) Factors that may indicate the need for a[focused] site visit and that jeopardize program approval status shall include:

††††† (a) Reported deficiencies in compliance with this administrative regulation;

††††† (b) Noncompliance with the governing institution or program of nursingís stated philosophy, mission, program design, objectives, outcomes, or policies;

††††† (c) Ongoing[Continual] failure to submit records or reports to the board within the designated time frame;

††††† (d) Failure to provide sufficient clinical learning opportunities including securing preceptors for students to achieve stated outcomes;

††††† (e) Failure to comply with requirements of the board or to respond to recommendations of the board within the specified time;

††††† (f) Failure to submit communication from the accrediting agencies within the time frames identified in Section 2[4] of this administrative regulation;

††††† (g) Withdrawal of accreditation of[for] either the program of nursing, college, or university by a[or the] national or regional[nursing] accrediting body, or if accredited for less than the maximum accreditation period[, the program may require additional reports regarding noncompliance];

††††† (h) Failure to obtain approval of a change that requires board approval prior to implementation;

††††† (i) Providing false or misleading information to students or the public concerning the program of nursing; or

††††† (j) A change in the ownership or organizational restructuring of the governing institution[; or

††††† (k) Those necessary for the APRN program of national nursing accrediting body to evaluate compliance with referenced standards].

††††† (5)[(4)] If the APRN program of nursing achieves reaccreditation, it shall submit documentation from the national nursing accrediting body to the board for action. If[and] the board finds that all requirements have been met, the program shall continue to be eligible for[continuing full] approval.[(5) The board may visit a program of nursing on an announced or unannounced basis.]

††††† (6)[Board] Action following a site visit:

††††† (a) The board shall evaluate a program of nursing in terms of its compliance with this administrative regulation.

††††† (b) Following a site visit and prior to board consideration, a draft of the site visit report shall be made available to the chief nursing academic officer and to the APRN program coordinator for review and correction of factual data.

††††† (c) The APRN program coordinator or designee[administration] shall be available during the discussion of the report at the board committee to provide clarification.

††††† (d) Following the boardís review and decision, a letter shall be sent to the chief nursing academic officer, the APRN program coordinator, and the head of the governing institution regarding[the approval status of the program of nursing and] any requirements to be met along with required timelines.

 

††††† Section 6. Withdrawal of Approval of an APRN Program. (1) Approval of an APRN program may be withdrawn if:

††††† (a) It loses its national nursing accreditation; or

††††† (b) It is unable to or does not meet the requirements of this administrative regulation.

††††† (2) The board shall send notice to the chief nursing academic officer, the APRN program coordinator, and the head of the governing institution of its intent to withdraw approval.

††††† (3) Within thirty (30) days of receipt of this notice, the chief nursing academic officer may request an administrative hearing pursuant to KRS Chapter 13B. If an administrative hearing is not requested, approval shall be withdrawn and the program shall be closed. A closed program shall comply with 201 KAR 20:360, Section 4(5).

††††† (4)(a) If a program requests an administrative hearing, that hearing shall be held within sixty (60) days of the request.

††††† (b) The hearing shall be held before a hearing officer or before the full board, at the discretion of the board[(e) A program has the right at any time to present evidence to the board that any deficiencies have been corrected and may petition the board to restore full approval.

 

††††† Section 9. Approval Status and Withdrawal of Approval. (1) The board shall approve an APRN program of nursing if the program meets the requirements of this administrative regulation. The board may grant developmental approval for a period of two (2) years or less to an APRN program of nursing.

††††† (2) Full approval may be granted for the same period of time that is designated by the national nursing accrediting body.

††††† (3)(a) The APRN program coordinator of a nursing program that has its continuing approval-status rescinded by the board shall meet with representatives of the board to evaluate actions needed.

††††† (b) Following this meeting, the program may request a hearing pursuant to KRS Chapter 13B by filing a written request with the board within thirty (30) days of service of the board's order rescinding continuing full-approval status.

††††† (4) Conditional approval shall be the designation granted to a program of nursing if one (1) or more of the standards have not been met.

††††† (a) Following the decision of the board to place a program of nursing on conditional status, the program coordinator shall be notified of the areas of deficiency and the time frame allowed for corrective action to be implemented.

††††† (b) The APRN program coordinator shall, within thirty (30) days of the notice of deficiencies being sent, file a plan to correct each of the deficiencies.

††††† (c) The APRN program coordinator may, within thirty (30) days of the notice of the deficiencies, request to appear before the board to contest the boardís determination of deficiencies.

††††† (d) If the boardís determination of deficiencies has not been contested or if the deficiencies being sent are upheld after a request to contest them, the board may conduct periodic evaluations of the program of nursing during the time of correction to evaluate if deficiencies have been corrected.

††††† (e) If the plan of compliance is not completed satisfactorily within the time frame set by the board and if the program of nursing has not been granted additional time for completion, the approval status of the program of nursing shall be adjusted to probational.

††††† (5) Probational approval shall be the designation granted to a program of nursing if one (1) or more standards have continued to be unmet.

††††† (a) Following the decision of the board to place a program of nursing on probational status, the program coordinator shall be notified of the continued areas of deficiency. A new student shall not be admitted until the time the program of nursing comes into compliance. This period of time shall not exceed one (1) academic year.

††††† (b) The APRN program coordinator shall, within thirty (30) days of the notice of the deficiencies being sent, file a plan to correct each of the identified deficiencies.

††††† (c) The APRN program coordinator may, within thirty (30) days, of the notice of the deficiencies, submit a request to appear before the board to contest the boardís determination of deficiencies.

††††† (d) If the boardís determination of deficiencies has not been contested or if the deficiencies are upheld after a request to contest them, the board may conduct periodic evaluations of the program of nursing during the time of correction to evaluate if deficiencies have been corrected.

††††† (6) If the program of nursing has not corrected the deficiencies within one (1) academic year of being placed on probational status, a hearing pursuant to KRS Chapter 13B shall be conducted to evaluate whether to withdraw approval of the program of nursing.

††††† (7) If the board decides to withdraw approval of a program of nursing, upon the effective date of the decision the program of nursing shall be removed from the official approved status listing. A program of nursing whose approval has been withdrawn shall:

††††† (a) Allow a student who is currently enrolled in a nursing class to complete the program of nursing; or

††††† (b) Assist a currently enrolled student to transfer to an approved program of nursing.

††††† (8) A program of nursing whose approval has been withdrawn but continues to operate pursuant to subsection (7) of this section shall be continuously monitored by the board until the program closes.

††††† (9) The board may return an APRN program to full approval status if the program attains and maintains adherence to this administrative regulation.

 

††††† Section 10. Incorporation by Reference. (1) The following material is incorporated by reference:

††††† (a) "AACN Essentials for Masterís Education for Advanced Practice Nursing", 1996 Edition, American Association of Colleges of Nursing;

††††† (b) "AACN Essentials for Doctoral Education for Advanced Nursing Practice", 2006 Edition, American Association of Colleges of Nursing;

††††† (c) "NLNAC Standards and Criteria Masterís and Post-Masterís Certificate", 2008 Edition, National League for Nursing Accrediting Commission; and

††††† (d) "NLNAC Standards and Criteria Clinical Doctorate", 2008 Edition, National League for Nursing Accrediting Commission.

††††† (2) This material may be inspected, copied, or obtained, subject to applicable copyright law, at the Kentucky Board of Nursing, 312 Whittington Parkway, Suite 300, Louisville, Kentucky 40222, Monday through Friday, 8:00 a.m. to 4:30 p.m].

 

SALLY BAXTER, President

††††† APPROVED BY AGENCY: June 12, 2015

††††† FILED WITH LRC: July 2, 2015 at 9 a.m.

††††† PUBLIC HEARING AND PUBLIC COMMENT PERIOD: A public hearing on this administrative regulation shall be held on August 24, 2015 at 10:00 a.m. (EST) in the office of the Kentucky Board of Nursing, 312 Whittington Parkway, Suite 300, Louisville, Kentucky. Individuals interested in being heard at this hearing shall notify this agency in writing five workdays prior to the hearing, of their intent to attend. If no notification of intent to attend the hearing is received by that date, the hearing may be canceled. This hearing is open to the public. Any person who wishes to be heard will be given an opportunity to comment on the proposed administrative regulation. A transcript of the public hearing will not be made unless a written request for a transcript is made. If you do not wish to be heard at the public hearing, you may submit written comments on the proposed administrative regulation. Written comments shall be accepted until 11:59 p.m. on August 31, 2015. Send written notification of intent to be heard at the public hearing or written comments on the proposed administrative regulation to the contact person.

††††† CONTACT PERSON: Nathan Goldman, General Counsel, Kentucky Board of Nursing, 312 Whittington Parkway, Suite 300, Louisville, Kentucky 40222, phone (502) 429-3309, fax (502) 564-4251, email nathan.goldman@ky.gov.

 

REGULATORY IMPACT ANALYSIS AND TIERING STATEMENT

 

Contact person: Nathan Goldman

††††† (1) Provide a brief summary of:

††††† (a) What this administrative regulation does: It sets standards for advanced practice registered nurses (APRN) education programs.

††††† (b) The necessity of this administrative regulation: It is required by statute.

††††† (c) How this administrative regulation conforms to the content of the authorizing statutes: By setting standards.

††††† (d) How this administrative regulation currently assists or will assist in the effective administration of the statutes: By setting standards.

††††† (2) If this is an amendment to an existing administrative regulation, provide a brief summary of:

††††† (a) How the amendment will change this existing administrative regulation: It updates the procedures for applying for initial approval of an APRN education program. It also recognizes that APRN programs are accredited and requires compliance with the accrediting bodyís standards. It includes additional requirements for preceptors.

††††† (b) The necessity of the amendment to this administrative regulation: It is required by statute.

††††† (c) How the amendment conforms to the content of the authorizing statutes: By setting current standards.

††††† (d) How the amendment will assist in the effective administration of the statutes: By making the necessary changes.

††††† (3) List the type and number of individuals, businesses, organizations, or state and local governments affected by this administrative regulation: APRN programs of nursing. There are currently twelve (12) †programs in the state.

††††† (4) Provide an analysis of how the entities identified in question (3) will be impacted by either the implementation of this administrative regulation, if new, or by the change, if it is an amendment, including:

††††† (a) List the actions that each of the regulated entities identified in question (3) will have to take to comply with this administrative regulation or amendment: The existing programs do not need to take any additional actions. New programs must comply with the regulation.

††††† (b) In complying with this administrative regulation or amendment, how much will it cost each of the entities identified in question (3): The cost would include the programís staff time, etc. Therefore, the cost is unknown.

††††† (c) As a result of compliance, what benefits will accrue to the entities identified in question (3): They will be in compliance with the regulation.

††††† (5) Provide an estimate of how much it will cost the administrative body to implement this administrative regulation:

††††† (a) Initially: There is no additional cost.

††††† (b) On a continuing basis: There is no additional cost.

††††† (6) What is the source of the funding to be used for the implementation and enforcement of this administrative regulation: Agency funds.

††††† (7) Provide an assessment of whether an increase in fees or funding will be necessary to implement this administrative regulation, if new, or by the change if it is an amendment: No increase is needed.

††††† (8) State whether or not this administrative regulation established any fees or directly or indirectly increased any fees: It does not.

††††† (9) TIERING: Is tiering applied? Tiering was not applied as the changes apply to all equally.

 

FISCAL NOTE ON STATE OR LOCAL GOVERNMENT

 

††††† (1) What units, parts, or divisions of state or local government (including cities, counties, fire departments, or school districts) will be impacted by this administrative regulation? The Kentucky Board of Nursing.

††††† (2) Identify each state or federal statute or federal regulation that requires or authorizes the action taken by the administrative regulation. KRS 314.111, 314.131.

††††† (3) Estimate the effect of this administrative regulation on the expenditures and revenues of a state or local government agency (including cities, counties, fire departments, or school districts) for the first full year the administrative regulation is to be in effect.

††††† (a) How much revenue will this administrative regulation generate for the state or local government (including cities, counties, fire departments, or school districts) for the first year? None.

††††† (b) How much revenue will this administrative regulation generate for the state or local government (including cities, counties, fire departments, or school districts) for subsequent years? None.

††††† (c) How much will it cost to administer this program for the first year? No additional cost.

††††† (d) How much will it cost to administer this program for subsequent years? No additional cost.

††††† Note: If specific dollar estimates cannot be determined, provide a brief narrative to explain the fiscal impact of the administrative regulation.

††††† Revenues (+/-):

††††† Expenditures (+/-):

††††† Other Explanation: