201 KAR 20:270. Programs of nursing site visits.

 

      RELATES TO: KRS 314.111

      STATUTORY AUTHORITY: KRS 314.111(2), (4), 314.131(1)

      NECESSITY, FUNCTION, AND CONFORMITY: KRS 314.111(2) requires that site visits be made by the executive director or a board representative to evaluate compliance with board standards by agencies offering or planning to offer programs of nursing. This administrative regulation establishes procedures and requirements for site visits to programs of nursing.

 

      Section 1. Evaluation of a Program of Nursing by a National Nursing Accrediting Body. (1) The board shall accept:

      (a) Accreditation by a national nursing accrediting body recognized by the United States Department of Education as evidence of compliance with the standards of 201 KAR 20:260 through 20:360; or

      (b) A site visit as evidence of compliance with the standards of 201 KAR 20:260 through 20:360.

      (2) The program of nursing shall submit to the board a copy of the self-evaluation report submitted to the national nursing accrediting body.

      (3)(a) A program of nursing that seeks accreditation from a national nursing accrediting body shall submit evidence of that accreditation to the board within thirty (30) days of receiving the report from the national nursing accrediting body.

      (b) The program of nursing shall submit notice of any change in its accreditation to the board within thirty (30) days of receipt of the notice from the national nursing accrediting body.

      (c) Failure to submit notice of accreditation results within thirty (30) days may result in a site visit.

      (4) A program of nursing that has been granted approval based on a national nursing accrediting body’s accreditation shall comply with 201 KAR 20:260 through 20:360.

      (5) The program administrator shall submit to the board any report from the national nursing accrediting body citing deficiencies or recommendations upon receipt of the report by the program of nursing.

      (6) The program of nursing shall submit copies of interim reports requested by the national nursing accrediting body to the board.

      (7) If the program of nursing receives notice from the national nursing accrediting body addressing an interim report, a copy of any communication shall be sent to the board within thirty (30) days of receiving the report.

      (8) If the program of nursing is accredited for less than the maximum accreditation period, the program shall provide the board with a copy of the report addressing the items of noncompliance and additional information regarding noncompliance, if applicable, within thirty (30) days of receipt from the national nursing accrediting body.

      (9) The board may grant full approval, but the approval shall be for a period of time not to exceed the approval period of the national nursing accrediting body.

 

      Section 2. Programs of Nursing Site Visits. (1) Programs of nursing not accredited by a national nursing accrediting body shall be subject to a site visit at least every eight (8) years.

      (2)(a) A site visit date shall be established in collaboration with the program of nursing.

      (b) A specific list of information required for review shall be sent by the board to the program of nursing prior to the site visit.

      (3) Prior to the site visit, the program of nursing shall submit a self-evaluation report that provides evidence of compliance with the standards established in 201 KAR 20:260 through 20:360.

      (4) Site visits to programs of nursing holding full approval status shall be scheduled based upon:

      (a) A complaint received from faculty, students, or the general public relating to a violation of 201 KAR 20:260 through 20:360;

      (b) Denial, withdrawal, or change in the program accreditation status by a national nursing accrediting body or a general academic accrediting agency;

      (c) Failure to obtain approval of a change that requires approval prior to implementation, such as a change in program administrator as required by 201 KAR 20:260 or a change in curriculum as required by 201 KAR 20:320;

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

      (e) Violation of a requirement established in 201 KAR 20:260 through 20:360;

      (f) A change in or the inability to secure or retain a qualified program administrator or faculty as required by 201 KAR 20:310;

      (g) Failure to provide clinical experiences necessary to meet the outcomes of the program of nursing;

      (h) Evidence of a high student or faculty attrition rate as compared to the state average;

      (i) Failure to maintain an annual NCLEX pass rate for first-time testers as established by 201 KAR 20:360, Section 2(4) for two (2) consecutive years;

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

      (k) Necessity to determine compliance with 201 KAR 20:260 through 20:360.

      (5) The scheduling of site visits during initial approval shall be based on board required reports and on evaluations submitted by the program administrator.

      (6) The scheduling of site visits of governing institutions planning to establish a program of nursing or a secondary site shall be based upon the information submitted within the proposal for the new program as required by 201 KAR 20:280 and 20:290.

      (7) The board shall have the authority to visit a program of nursing on an announced or unannounced basis.

 

      Section 3. Board Action Following Site Visits. (1) The board shall evaluate a program of nursing in terms of its compliance with administrative regulations 201 KAR 20:260 through 20:360.

      (2) Following a site visit and prior to board consideration, a draft of the site visit report shall be made available to the program administrator for review and correction of factual data.

      (3) Following the board’s review and decision, a letter shall be sent to the program administrator and the head of the governing institution regarding the approval status of the program of nursing as outlined in 201 KAR 20:360. (11 Ky.R. 1698; eff. 6-4-1985; Am. 14 Ky.R. 589; eff. 11-6-1987; 35 Ky.R. 2341; 2667; eff. 6-11-2009; 40 Ky.R. 1338; 1716; eff. 2-19-2014.)