††††† 201 KAR 20:280. Standards for initial approval of prelicensure registered nurse and practical nurse programs.


††††† RELATES TO: KRS 314.011(5), (9), 314.111(1), (2), (3), 314.131(2)


††††† NECESSITY, FUNCTION, AND CONFORMITY: KRS 314.111 requires the board to review, approve and possibly withdraw approval for schools of nursing. This administrative regulation establishes the standards for the development and approval of programs which prepare graduates for admission to the licensure examination and to facilitate endorsement of licensure status to other states.


††††† Section 1. Establishment of a Program of Nursing. (1) The governing institution may receive consultation from the board prior to establishing a program of nursing.

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


††††† Section 2. Letter of Intent. (1) The governing institution shall submit to the board a letter of intent to establish a prelicensure program of nursing and the fee required by 201 KAR 20:240. The letter of intent and any additional information shall be submitted to the board no less than one (1) year prior to the anticipated opening date for the program.

††††† (2) The proposal shall be completed under the direction or consultation of a registered nurse who meets the qualifications of a program administrator as outlined in 201 KAR 20:310.

††††† (3) The letter of intent shall include:

††††† (a) Approval from the governing body of the institution proposing the program of nursing or other empowered approval bodies as applicable;

††††† (b) Data that documents the need for the level of nurses in the areas to be served by the proposed program;

††††† (c) Results of an investigation into the projected impact on the operation of programs of nursing within a fifty (50) mile radius and evidence that an introductory letter has been sent to the impacted programs;

††††† (d) Documentation from cooperating healthcare agencies in the community that they will provide support for the creation of the program of nursing; This documentation shall include evidence of the agenciesí intention to contribute to the achievement of the clinical objectives of the program;

††††† (e) General information about the governing institution including the mission, ownership, method of financing, accreditation, enrollment, area served, and institutional faculty qualifications and resources;

††††† (f) A timeline for the hiring of a full time program administrator, admission of students, and projected graduation of the first class;

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

††††† (h) A copy of the curriculum vitae of the registered nurse involved in the planning; and

††††† (i) Description and rationale for the proposed type of program of nursing.

††††† (4) Upon approval of the letter of intent by the board, the governing institution shall be notified in writing that it may move to the proposal phase. During the proposal phase, the governing institution shall appoint a qualified program administrator and provide appropriate resources, consultants, and faculty to develop the proposed program plan.


††††† Section 3. Proposal Phase. (1) A completed program proposal shall be submitted to the board by the governing institution for approval no less than eight (8) months prior to the anticipated opening date for a program of nursing.

††††† (2) The program shall not be announced, advertised, or students admitted to the program of nursing until developmental approval status has been granted by the board.

††††† (3) The program proposal shall include the following information:

††††† (a) Philosophy, mission, and learning outcomes of the governing institution;

††††† (b) Organizational chart of the governing institution and written plan which describes the organization of the program of nursing and its relationship to the institution;

††††† (c) Proposed philosophy, mission, and learning outcomes for the proposed program;

††††† (d) Curriculum design including proposed course sequence and credit hours delineating those credits assigned to theory and clinical;

††††† (e) Recruitment plan and five (5) year projection for student enrollment;

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

††††† (g) Proposed job description for the program administrator reflecting authority and responsibility;

††††† (h) Description of faculty offices, classrooms, clinical skills laboratory, library facilities, conference rooms and learning resources;

††††† (i) Description of support services for students, to include provision of health services or evidence of an emergency plan for care, academic advisement, student services, mechanism for obtaining learning resources, and financial aid;

††††† (j) Availability and willingness of accredited agencies to provide clinical experiences across the curriculum;

††††† (k) Policies and procedures for student selection and progression;

††††† (l) Plan for clerical support available to the program for planning, implementing, and maintenance of the program;

††††† (m) General plan for an on-going, research based planning and evaluation process that incorporates a systematic review of the program that results in continuing improvement; and

††††† (n) Description of financial resources to support the program including a budget for the first three years with projected revenues and expenditures and the amount of resources going to institutions or organizations for contractual or support services.

††††† (4) A representative of the board shall arrange a site visit to the governing institution and the program of nursing to clarify, verify, and amplify materials included in the proposed program plan. Prior to approval being granted, a written report shall be submitted to the board by the board representative who conducts the site visit. This site visit shall not be construed as affirming that the proposed program plan meets requirements.

††††† (5) The governing institution shall be notified in writing of action taken by the board on the proposal and the site visit report. If the board determines that all requirements have been met, the program shall be granted developmental status. If the board determines that all requirements have not been met, the program may be granted developmental status based on compliance with the terms and conditions identified in the site visit report. If the program does not comply with the terms and conditions identified in the site visit report, the program shall be denied approval.

††††† (6) Approval to establish a program of nursing may be withdrawn if program requirements are not met and if a class is not enrolled within eighteen (18) months after the board granted developmental approval. If the board determines that a proposed program does not comply with all administrative regulations of the board, developmental or initial approval may be withdrawn. The governing institution shall be notified in writing of the withdrawal of developmental or initial approval.

††††† (7) Students shall not be admitted to the program of nursing until developmental approval has been granted by the board.

††††† (8) Failure to submit board required reports within the designated time period may result in the rescinding of developmental or initial approval status.

††††† (9) Employment of program administrator and faculty.

††††† (a) The program administrator shall be the first faculty member employed, and shall have assumed full time responsibilities for the program prior to submission of the proposal to the board.

††††† (b) The faculty as outlined in 201 KAR 20:310 shall be employed in sufficient numbers to prepare for the development of the curriculum component of the program.

††††† (10) Any deviation from the initial curriculum plan approved within the proposal shall be approved by the board before the first class begins course requirements.

††††† (11) Written contracts for use of clinical facilities shall be executed prior to admission to the first nursing course.

††††† (12) The program of nursing shall submit progress and evaluation reports which demonstrate implementation of the approved proposal as required by the board.

††††† (13) Site visits may be conducted as deemed necessary by the board.


††††† Section 4. Approval Status. (1) The status of the program shall move automatically from developmental to initial approval upon admission of the first class. It shall be the responsibility of the program of nursing to notify the board of the admission of the first class.

††††† (2) Full approval shall be the designation granted to a program of nursing that has implemented the approved proposal and that continues to meet standards.

††††† (3) A program with initial approval shall be eligible for full approval upon graduation of the first class providing there is evidence that standards have been met.

††††† (4) The program shall notify the board in writing thirty (30) days prior to the graduation of the first class.

††††† (5) Within ninety (90) days of graduation of the first class, the faculty shall conduct a self study that evaluates the establishment of the program of nursing to the approved proposal and submit a written report to the board prior to consideration for full approval.

††††† (6) The decision to grant full approval shall be based on review of the following:

††††† (a) The program evaluation by the faculty and the program administrator;

††††† (b) Site visit report by the board representative conducted to evaluate program compliance with administrative regulations; and

††††† (c) Other facts that pertain to the program and reports deemed necessary to document that standards have been met. (11 Ky.R. 1699; eff. 6-4-1985; Am. 29 Ky.R. 1300; 1761; eff. 1-15-2003; 32 Ky.R. 722; eff. 3-9-2006; 34 Ky.R. 338; 709; eff. 10-17-2007; 40 Ky.R. 1340; 1717; eff. 2-19-2014.)