Or. Admin. R. 851-051-0020 - Oregon-based Educational Programs Requirements for Board Approval
The Board's curriculum and faculty standards for all Oregon-based advanced practice registered nurse (APRN) programs are as follows:
(1) Educational programs
preparing APRNs must be nationally accredited by a nursing program accrediting
body approved by the United States Department of Education (USDE). For the
purpose of licensure, students who graduate from a program which was accredited
at the time of their completion must be considered to have graduated from an
accredited program regardless of the current program status. The Board retains
the authority to access and review all accreditation documents and the option
to participate simultaneously in the accrediting survey.
(2) The curriculum content must contain
theory and clinical experience in the APRN role and population focus specified
in OAR 851-055-0020 preparing graduates to meet all competencies within the
scope including graduate level courses encompassing concepts in:
(a) Advanced health assessment which includes
assessment of all human systems, advanced assessment techniques, concepts and
approaches;
(b) Advanced physiology
and pathophysiology, including general principles that apply across the
lifespan;
(c) Advanced
pharmacology, which includes pharmacodynamics, pharmacokinetics and
pharmacotherapeutics of all broad categories of agents;
(d) Health promotion, health maintenance,
differential diagnosis and management of diseases across all practice settings
appropriate to program focus; and
(e) Basic understanding of the principles of
independent decision making in the identified role.
(3) The curriculum content requirements will
be applicable for all graduates of the APRN education programs as of:
(a) June 30, 2015 for clinical nurse
specialist (CNS) graduates
(b)
January 1, 2015 for certified registered nurse anesthetist (CRNA)
graduates
(c) January 1, 1996 for
nurse practitioner (NP) graduates
(4) All nursing faculty in a program
preparing the nurse for licensure as an APRN must have an unencumbered RN
license. If the educational institution is a member of the NC-SARA, an
unencumbered RN license in the state where clinical practicums will be
completed is required.
(5) The
Board's additional requirements for an APRN program are as follows:
(a) The Dean or Director of the Educational
Institution Nursing Program who provides one or more APRN programs or tracks
must:
(A) Be accountable to the Board of
Nursing for identification and appointment of qualified nurse administrators,
educators and preceptors.
(B)
Ensure each program or track within a program which prepares an APRN has a
program administrator or designee with defined position responsibility for
curricular design and implementation and program evaluation;
(C) Ensure the program administrator or
designee is an Oregon licensed APRN.
(b) Qualifications of the APRN with
administrative responsibilities for direct oversight of one or more APRN
programs or tracks must include:
(A) An active
unencumbered Oregon APRN state license;
(B) National certification in the same APRN
role as the program for which they have direct oversight with the exception of
a CNS for whom there is no national certification;
(C) An earned doctoral degree and experience
related to the scope and content of the APRN program;
(D) Educational preparation and experience in
teaching and learning principles for adult education, including curriculum
development and administration, and at least five years of APRN clinical
experience which meets Oregon's practice requirements.
(c) Duties of the APRN with administrative
responsibilities in (5)(b):
(A) Ensuring the
program has course requirements to meet the objectives of the program to
prepare APRNs for independent practice including, if applicable, the
requirements for prescribing and dispensing medication;
(B) Providing evidence of oversight for
student supervision by an APRN qualified in that specific program's population
focus and spheres of impact necessary at this level.
(C) Ensure the following criteria are met by
the program:
(i) Adherence to applicable
federal and state laws;
(ii)
Appropriate informational resources for the attainment of program
objectives;
(iii) Assessment of
clinical application of didactic content;
(iv) Specific learning assessments used to
determine successful completion;
(v) Student faculty ratios sufficient to meet
program goals and objectives;
(vi)
Providing leadership and accountability for the administration, planning,
implementation and evaluation of the program;
(vii) Input to the program budget;
(viii) Facilitating faculty recruitment,
development, performance review, promotion and retention;
(ix) Confirming cooperative agreements with
clinical practice sites are current.
(x) Provide a process for the evaluation of
clinical site preceptors, and;
(xi)
At the request of the Board, provide documents evaluating the clinical site
preceptors.
(d)
Qualifications of APRN faculty must include:
(A) A current active unencumbered Oregon
state RN and APRN license and
(B)
An earned doctoral degree in nursing; or
(C) A master's degree with a major in
nursing; and
(D) Two years of
clinical experience as an APRN with full scope of practice; and
(E) Current knowledge, competence, and state
license as an APRN in the population foci consistent with teaching
responsibilities; or
(i) National Board
Certification and
(ii) A minimum of
400 practice hours in the previous two years in the population foci consistent
with teaching responsibilities.
(e) Duties of APRN faculty must include:
(A) Assessment of Academic and Course
Progression;
(i) Program faculty or contracted
clinical evaluator must assess a student's individual course progression by
remote use technology through videoconferencing or a physical, on-site visit to
the Oregon clinical site; and
(ii)
Must hold an unencumbered Oregon APRN license relative to the student's
specialty track or within the population experiences congruent to the student's
specialty track.
(B)
Addressing clinical competency concerns when a program receives reports from
the preceptor or student regarding the student's inability to obtain course
objectives. The program faculty or clinical evaluator must include the
following activities:
(i) Perform additional
site visits in Oregon; and
(ii)
Observe a student's interaction with an Oregon client; and
(iii) Review evidence of student
documentation of client care to determine if the student is meeting the course
outcomes; or
(iv) Observe student
progress in high fidelity simulation at the program home campus
(f) Non APRN Faculty who
teach courses must have:
(A) At least two
years of experience in the content area;
(B) Educational preparation congruent with
program content;
(C) If applicable
or required by the course description, licensure in the appropriate specialty
congruent with course content.
(g) Qualifications of the clinical preceptors
for APRN programs:
(A) For programs preparing
NPs and CNSs, the preceptor must be licensed as an APRN, MD, DO, PA, Clinical
PharmD, or other allied health professional as appropriate.
(B) For CRNA programs, the student must be
precepted by either another CRNA or an Anesthesiologist.
(C) Clinical qualification and state
licensure or certification for the state in which the practicum is
located;
(D) A minimum of 2080
hours of licensed practice. For CRNA programs, this qualification applies to
the director of the service contracted with the program to provide clinical
preceptorship.
(E) For NP and CNS
programs, a written agreement must be between the agency, the preceptor and the
clinical program. The written agreement must outline learning objectives and
preceptor responsibilities to include:
(i) The
student to individual preceptor ratio must not be greater than 2:1 at any
time;
(ii) The clinical practicum
may include interprofessional independent practitioner preceptors;
(F) For CRNA programs, a written
agreement must be between the agency and the clinical program rather than an
individual preceptor.
(G) Complete
program's preceptor guidelines via manuals, electronic media, workshops or
online learning;
(H) Immediately
disclose to the educational program if the subject of a Board
investigation.
(h) APRN
students in their clinical learning experience, must hold a current
unencumbered RN license in state(s) that correspond to their practicum
placement(s).
Notes
Statutory/Other Authority: ORS 678.150, ORS 678.285, ORS 678.372 & ORS 678.380
Statutes/Other Implemented: ORS 678.150, ORS 678.285, ORS 678.372 & ORS 678.380
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